2011 - 2021年中国妊娠期糖尿病女性的每周体重增加情况与新生儿出生体重
Weekly Weight Gain in Women with Gestational Diabetes Mellitus and Neonatal Birth Weight - China, 2011-2021.
作者信息
Liu Nana, Lyu Jinlang, Wang Haijun, Sun Yin, Zhang Suhan, Lin Hang, Wang Yaxin, Yang Xuanjin, Ma Shuai, Han Na, Mi Yang, Zheng Dan, Yang Zhifen, Zhang Hongping, Jiang Yan, Ji Yuelong, Ma Liangkun
机构信息
Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College National Clinical Research Center for Obstetric & Gynecologic Diseases, Beijing, China.
Peking University School of Public Health, Beijing, China.
出版信息
China CDC Wkly. 2023 Aug 11;5(32):703-709. doi: 10.46234/ccdcw2023.135.
WHAT IS ALREADY KNOWN ABOUT THIS TOPIC?: Elevated gestational weight gain (GWG) during pregnancy among women diagnosed with gestational diabetes mellitus (GDM) is correlated with an increased instance of large for gestational age (LGA) and macrosomia. However, it remains uncertain whether managing weekly GWG following a GDM diagnosis positively impacts fetal birth weight.
WHAT IS ADDED BY THIS REPORT?: Our study found that GWG following GDM diagnosis correlates positively with the risk of LGA and macrosomia among all body mass index (BMI) subgroups, especially for overweight and obese women.
WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICE?: The results of this research highlight the importance of enforcing a more stringent regulation on GWG on a weekly basis for overweight and obese women diagnosed with GDM, particularly when considering neonatal growth.
关于该主题已知的信息有哪些？：被诊断为妊娠期糖尿病（GDM）的女性在孕期体重增加（GWG）过高与大于胎龄儿（LGA）和巨大儿的发生率增加相关。然而，GDM诊断后对每周GWG进行管理是否会对胎儿出生体重产生积极影响仍不确定。
本报告新增了哪些内容？：我们的研究发现，GDM诊断后的GWG与所有体重指数（BMI）亚组中LGA和巨大儿的风险呈正相关，尤其是超重和肥胖女性。
对公共卫生实践有何启示？：这项研究的结果凸显了对被诊断为GDM的超重和肥胖女性每周的GWG实施更严格管理的重要性，尤其是在考虑新生儿生长时。
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