CAJ | 학술논문

目的：探讨孕前体重指数、孕期体重增加与新生儿出生体重及婴儿肥胖相关性研究。方法：按孕前体重指数将285例单胎初产妊娠孕妇分为低体重组68例、正常体重组164例及肥胖组53例，观察记录三组孕妇孕期体重增加、新生儿出生体重及婴儿肥胖情况，并分析其相关性。结果：不同体重组新生儿体重比较差异有统计学意义（ P＜0．05）；肥胖组肥胖婴儿较多，且孕妇体重与肥胖儿月份呈相关性，其中不同体重组婴儿出生后1个月、3个月肥胖比例与孕妇体重呈正相关（P＜0．05），且孕妇体重指数越高，出现肥胖儿越早。结论：孕前体重与孕期增重无相关性，但孕期增重与新生儿的出生体重有密切相关性，故应在孕期严密监测孕妇体重增加情况，合理控制饮食，从而降低肥胖儿出生率。
목적：탐토잉전체중지수、잉기체중증가여신생인출생체중급영인비반상관성연구。방법：안잉전체중지수장285례단태초산임신잉부분위저체중조68례、정상체중조164례급비반조53례，관찰기록삼조잉부잉기체중증가、신생인출생체중급영인비반정황，병분석기상관성。결과：불동체중조신생인체중비교차이유통계학의의（ P＜0．05）；비반조비반영인교다，차잉부체중여비반인월빈정상관성，기중불동체중조영인출생후1개월、3개월비반비례여잉부체중정정상관（P＜0．05），차잉부체중지수월고，출현비반인월조。결론：잉전체중여잉기증중무상관성，단잉기증중여신생인적출생체중유밀절상관성，고응재잉기엄밀감측잉부체중증가정황，합리공제음식，종이강저비반인출생솔。
Objective:To study the relationship between pregestational BMI&weight gain during pregnancy and neonatal birth weight&newborn obesity.Methods:285 pregnant women(primiparity)with single pregnancy were divided into low body weight group (n=68),nor-mal weight group(n=164)and obese group(n=53)according to pregestational body mass index (BMI).The status of weight gain during pregnancy ,birth weight of newborn and infant obesity was observed and recorded ,and the correlation was analyzed .Results:The difference in the comparison of birth weight of newborn was statistically significant in these groups (P<0.05);the obese infants were more many in the obese group.The maternal weight was correlated with the months of obese infants (P<0.05).Conclusion:The pregestational weight has no correlation with weight gain during pregnancy ,but the weight gain during pregnancy is closely correlated with neonatal birth weight . Therefore the weight gain during pregnancy should closedly be monitored and diet be reasonably controlled ,so the birth rate of obese infants will be reduced .