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医学营养疗法计划与糖尿病女性妊娠体重增加的饮食行为之间的关联。

Association between a medical nutrition therapy program and eating behavior with gestational weight gain in women with diabetes.

机构信息

Hospital Materno Perinatal "Mónica Pretelini", Toluca, Mexico.

Instituto Nacional de Salud Publica, Cuernavaca, Mexico.

出版信息

J Matern Fetal Neonatal Med. 2020 Dec;33(24):4049-4054. doi: 10.1080/14767058.2019.1594764. Epub 2019 Mar 28.

Abstract

To assess the association of medical nutrition therapy (MNT) consultations and eating behavior with gestational weight gain (GWG) in Mexican women with type 2 diabetes mellitus (T2DM) and gestational diabetes mellitus (GDM). Cross-sectional study conducted at (Blinded for Review) from 2013 to 2014. Fifty-seven patients with T2DM or GDM were invited to participate. The dependent variable was GWG and the main independent variables were MNT and eating behaviors. Data were obtained from medical records or interviews. Multiple linear regression models were used to assess associations. Per each additional MNT consultation, GWG was reduced by 1.2 kg ( = -1.2; 95% CI: -2, -0.3;  = .007). After adjusting for age, in women with normal pregestational weight, for each unit, increase in the EE behavior index, there was a GWG increase of 2.8 kg ( = 2.8; 95% CI: 1.2, 4.4;  = .003). This study reinforces the need for additional research to determine how eating behaviors are related to GWG during pregnancy. ClinicalTrials.gov Identifier: NCT03767699.

摘要

评估医学营养治疗(MNT)咨询和饮食行为与墨西哥 2 型糖尿病(T2DM)和妊娠期糖尿病(GDM)女性的妊娠体重增加(GWG)之间的关系。2013 年至 2014 年在(盲审)进行的横断面研究。邀请了 57 名 T2DM 或 GDM 患者参加。因变量为 GWG,主要自变量为 MNT 和饮食行为。数据来自病历或访谈。使用多元线性回归模型评估关联。每增加一次 MNT 咨询,GWG 减少 1.2kg( = -1.2;95%CI:-2,-0.3;  = .007)。在调整了年龄因素后,对于体重正常的孕妇,EE 行为指数每增加一个单位,GWG 就会增加 2.8kg( = 2.8;95%CI:1.2,4.4;  = .003)。这项研究强调需要进一步研究,以确定怀孕期间的饮食行为与 GWG 之间的关系。ClinicalTrials.gov 标识符:NCT03767699。

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