Udall J N, Harrison G G, Vaucher Y, Walson P D, Morrow G
Pediatrics. 1978 Jul;62(1):17-21.
Maternal weight and height before pregnancy and weight gain during pregnancy were recorded for each of 109 mothers who were delivered of normal infants after gestations of 37 to 43 weeks. Infant parameters obtained included gestational age, birth weight, bilateral mid-arm circumference, and eight skin fold thickness measurements. The eight skin fold thicknesses were summed (SSFT) for each infant. Infants with SSFTs greater than 40 mm (N = 8) for the group were classified as "fatter" infants. All of the fatter infants were large for gestational age (LGA), but accounted for only one third of the LGA infants in the study. Birth weight, length, and cross-sectional mid-arm fat area were significantly increased in the fatter LGA group when compared to other LGA infants. Cross-sectional mid-arm muscle area was not significantly different for the fatter LGA infants compared to the other LGA group. Mothers were defined as obese or nonobese according to pregnant weight for height. Obese mothers had infants with significantly increased SSFTs when compared with infants of nonobese mothers. Mulitple regression analysis showed that both prepregnant weight for height and weight gain during pregnancy were associated with increased subcutaneous fat in the neonate. Weight gain during pregnancy was associated with increased neonatal fatness and length, while prepregnant weight for height was associated with neonatal fatness independent of neonatal length.
对109名母亲进行了记录，她们在怀孕37至43周后分娩出正常婴儿，记录了她们孕前的体重和身高以及孕期体重增加情况。获得的婴儿参数包括胎龄、出生体重、双侧上臂中部周长以及八项皮褶厚度测量值。计算每个婴儿的八项皮褶厚度总和（SSFT）。该组中SSFT大于40毫米的婴儿（N = 8）被归类为“较胖”婴儿。所有较胖婴儿均为大于胎龄儿（LGA），但仅占该研究中LGA婴儿的三分之一。与其他LGA婴儿相比，较胖的LGA组婴儿的出生体重、身长和上臂中部脂肪横截面积显著增加。与其他LGA组相比，较胖的LGA婴儿的上臂中部肌肉横截面积无显著差异。根据孕期身高对应的体重将母亲定义为肥胖或非肥胖。与非肥胖母亲的婴儿相比，肥胖母亲的婴儿SSFT显著增加。多元回归分析表明，孕前身高对应的体重和孕期体重增加均与新生儿皮下脂肪增加有关。孕期体重增加与新生儿肥胖和身长增加有关，而孕前身高对应的体重与新生儿肥胖有关，且与新生儿身长无关。
