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正常体重孕妇孕期体重增加对孕晚期孕妇肠道微生物群变化的影响。

Effects of Weight Gain During Pregnancy in Normal-Weight Women on Changes in the Gut Microbiota of Pregnant Women in the Third Trimester.

机构信息

Shandong Provincial Maternal and Child Health Care Hospital, No. 238 Jingshi East Road, Jinan, 250000, China.

出版信息

Biochem Genet. 2023 Oct;61(5):2159-2172. doi: 10.1007/s10528-023-10363-3. Epub 2023 Mar 30.

DOI:10.1007/s10528-023-10363-3
PMID:36995529
Abstract

With the improvement of living standards and the lack of nutrition awareness during pregnancy, the phenomenon of excessive weight gain (EWG) of pregnancy is increasing. EWG during pregnancy has profound effects on the health of mother and offspring. The role of intestinal flora in regulating metabolic diseases has gradually attracted attention in recent years. The study explored the effect of EWG during pregnancy on gut microbiota, and analyzed the diversity and composition of gut microbiota in pregnant women in third trimester. Fecal samples were collected and divided into: insufficient weight gain (IWG) during pregnancy (group A1, N = 4), and appropriate weight gain (AWG) during pregnancy (group A2, N = 9), and EWG during pregnancy (N = 9 in A3 group). MiSeq high-throughput sequencing technology and bioinformatics analysis were introduced to investigate relationship of gestational weight gain and maternal gut microbiota. General data analysis showed that gestational weight gain and delivery mode have significant differences among the three groups. The overall level and diversity of intestinal microbiota in A1 and A3 group were increased. Composition of gut microbiota has no difference among three groups at the phylum level, but species of gut microbiota were different. Alpha diversity index analysis showed that the richness of A3 group was increased versus A2 group. EWG during pregnancy affects the abundance and proportion of gut microbiota in the third trimester. Therefore, maintaining moderate weight gain during pregnancy helps to maintain intestinal homeostasis.

摘要

随着生活水平的提高和孕期营养意识的缺乏,妊娠体重过度增加(EWG)的现象日益增多。妊娠期间的 EWG 对母婴健康有深远影响。近年来,肠道菌群在调节代谢性疾病中的作用逐渐引起关注。本研究探讨了妊娠期间 EWG 对肠道菌群的影响,并分析了孕晚期孕妇肠道菌群的多样性和组成。采集粪便样本并分为:妊娠期间体重不足增加(IWG)(A1 组,N=4)、妊娠期间适当体重增加(AWG)(A2 组,N=9)和妊娠期间 EWG(A3 组,N=9)。采用 MiSeq 高通量测序技术和生物信息学分析方法,研究了妊娠期体重增加与母体肠道微生物群的关系。一般数据分析显示,三组之间的妊娠期体重增加和分娩方式存在显著差异。A1 和 A3 组的肠道微生物群整体水平和多样性增加。在门水平上,三组肠道微生物群的组成没有差异,但肠道微生物群的种类不同。Alpha 多样性指数分析显示,A3 组的丰富度与 A2 组相比有所增加。妊娠期间的 EWG 会影响孕晚期肠道微生物群的丰度和比例。因此,保持妊娠期间适度的体重增加有助于维持肠道内环境平衡。

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