Tebbani F, Oulamara H, Agli A
Université Frères Mentouri-Constantine 1, institut de nutrition, de l'alimentation et des technologies agroalimentaires (INATAA), Constantine, Algérie.
Laboratoire de nutrition et technologie alimentaire (LNTA), institut de nutrition, de l'alimentation et des technologies agroalimentaires (INATAA), Constantine, Algérie.
Rev Epidemiol Sante Publique. 2019 Jul;67(4):253-260. doi: 10.1016/j.respe.2019.03.121. Epub 2019 Jun 26.
Study weight gain in pregnant women according to the recommendations of the American Institute of Medicine (IOM 2009) and identify the associated factors with inadequate weight gain in pregnant women in Constantine (Algeria).
A prospective and longitudinal study of a cohort of 217 pregnant women aged 19 to 43 years was carried out during the entire period of pregnancy at antenatal consultation and monitoring centers in Constantine (Algeria) from December 2013 to July 2016. Their weight was measured in the first, second and third trimester. Gestational weight gain was classified as lower or meeting the IOM recommendations. Factors associated with gestational weight gain (GWG), such as pre-gestational body mass index, women's knowledge of GWG, sympathetic signs, eating habits and consumption, and maternal stress were studied. Statistics were performed using Statview™ and SPSS software.
The majority of women (65.4 %) had inadequate total GWG and only 34.6 % of them had GWG consistent with IOM recommendations. Inadequate weight gain was more frequent in women obese before pregnancy (p<0.0001), women who reported not knowing the ideal GWG (p=0.01), had sympathetic signs (p=0.01), food aversions (p=0.0086), and insufficient vitamin, and mineral intakes (p<0.01). Inadequate GWG was also common among women with insufficient duration of sleep and living in a stressful environment.
GWG is associated with a number of factors and variable relationships for each trimester of pregnancy.
根据美国医学研究所（IOM，2009年）的建议研究孕妇体重增加情况，并确定阿尔及利亚君士坦丁市孕妇体重增加不足的相关因素。
对217名年龄在19至43岁之间的孕妇进行了一项前瞻性纵向研究，研究时间为2013年12月至2016年7月期间在阿尔及利亚君士坦丁市的产前咨询和监测中心进行的整个孕期。在孕早期、孕中期和孕晚期测量她们的体重。孕期体重增加分为低于或符合IOM建议。研究了与孕期体重增加（GWG）相关的因素，如孕前体重指数、女性对GWG的了解、交感神经症状、饮食习惯和摄入量以及母体压力。使用Statview™和SPSS软件进行统计分析。
大多数女性（65.4%）的总GWG不足，只有34.6%的女性GWG符合IOM建议。孕前肥胖的女性（p<0.0001）、表示不知道理想GWG的女性（p=0.01）、有交感神经症状的女性（p=0.01）、有食物厌恶的女性（p=0.0086）以及维生素和矿物质摄入不足的女性（p<0.01）体重增加不足更为常见。GWG不足在睡眠不足和生活在压力环境中的女性中也很常见。
GWG与许多因素相关，并且在孕期的每个阶段关系各不相同。
