Djaković Ivka, Soljačić-Vraneš Hrvojka, Kuna Krunoslav
Sestre Milosrdnice University Hospital Center, Vinogradska 29, Zagreb, Croatia.
Department of Gynaecology and Obstetrics, Sestre Milosrdnice University Hospital Center, Vinogradska 29, Zagreb, Croatia.
Open Access Maced J Med Sci. 2019 Feb 27;7(4):614-616. doi: 10.3889/oamjms.2019.141. eCollection 2019 Feb 28.
Our study aims to determine the weight gain of pregnant women and their body weight one year after delivery. We compared these changes in body weight with education and place of residence (urban/rural).
Secundigravidae women (N = 113) filled out the structured checklist regarding anthropological characteristics, such as body weight (the current and before and after the first pregnancy). Some sociodemographic characteristics were also obtained.
Average weight gain in pregnancy was 16.9 kg (Sd 6.1, median 16 kg; range 6-40 kg). Women with high school education only gained 2 kg more than women with college/university degree (F (1, 108) 4.11, p ≤ 0.05). There was no significant difference in weight gain when the place of residence was compared (F (1, 111) 2.86, p ≥ 0.05). The average weight difference one year after delivery was 3.3 kg (Sd 4.3, median 2 kg; spread -5 to 20 kg). There was no significant difference in weight difference one year after delivery in different educational groups. Women from rural area retained 2.5 kg more than women in an urban area (F (1, 109) 7.50, p ≤ 0.01).
Our research has shown that women with higher education level gain less weight than women with lower degrees. They had more possibility to get access to information about health risks. The overall impression is that women do care about weight gain in pregnancy and actively work on getting back to desirable weight after delivery. This is even more important if we know that body weight before pregnancy, weight gain in pregnancy, pregnancy overweight and pregnancy obesity impact later life of mother and child. Therefore, the need for weight control in pregnancy and between pregnancies should be properly addressed.
我们的研究旨在确定孕妇的体重增加情况以及她们产后一年的体重。我们将这些体重变化与教育程度和居住地点（城市/农村）进行了比较。
经产妇（N = 113）填写了关于人类学特征的结构化清单，如体重（当前、首次怀孕前后）。还获取了一些社会人口学特征。
孕期平均体重增加16.9千克（标准差6.1，中位数16千克；范围6 - 40千克）。只有高中学历的女性比拥有大专/本科学历的女性多增重2千克（F(1, 108) 4.11, p ≤ 0.05）。比较居住地点时，体重增加没有显著差异（F(1, 111) 2.86, p ≥ 0.05）。产后一年的平均体重差异为3.3千克（标准差4.3，中位数2千克；范围 -5至20千克）。不同教育组产后一年的体重差异没有显著差异。农村地区的女性比城市地区的女性多保留2.5千克体重（F(1, 109) 7.50, p ≤ 0.01）。
我们的研究表明，教育水平较高的女性比学历较低的女性增重更少。她们更有可能获取有关健康风险的信息。总体印象是女性确实关心孕期体重增加，并积极努力在产后恢复到理想体重。如果我们知道孕前体重、孕期体重增加、孕期超重和孕期肥胖会影响母婴的后期生活，这一点就更加重要。因此，应妥善解决孕期及两次怀孕之间体重控制的需求。
