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首页> 外文期刊>Journal of women’s health >The Effect of Gestational Weight Gain on Persistent Increase in Body Mass Index in Adolescents: A Longitudinal Study
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The Effect of Gestational Weight Gain on Persistent Increase in Body Mass Index in Adolescents: A Longitudinal Study

机译:妊娠重量增益对青少年体重指数持续增加的影响:纵向研究

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Background: Weight retention after pregnancy is a concern for adolescents who may be entering adulthood at unhealthy weights. Methods: We studied associations between each of three measures: prepregnancy body mass index (BMI), gestational weight gain (GWG), and postpregnancy BMI in a longitudinal follow-up of an adolescent pregnancy study cohort. BMI and GWG were compared using t-tests and linear regression. Results: Among 91 adolescents, mean prepregnancy BMI was 24.6 [standard deviation (SD) 5.7] and mean GWG was 15.5kg [SD 6.3]. Overall, prepregnancy BMI was not significantly related to GWG (p=0.145). Among 42 teens with postpregnancy weight data, within 4 years of their first delivery, mean postpregnancy BMI was 26.3 [SD 5.0] with an average BMI increase of 2.0 points [SD 5.1] (p=0.013) from prepregnancy. Within 4 years of their first delivery, 45% of teens moved to a higher BMI category. For every 4.5kg (10 lb) increase in GWG, BMI within 4 years increased on average by 1.6 points (p=0.006). The association persisted (1.0 points, p=0.049) after controlling for prepregnancy BMI. Conclusions: Teens experienced an increase in BMI from prepregnancy to within 4 years after their first delivery, and this increase was related to GWG. Adolescent mothers are at risk for developing and maintaining unhealthy BMI after pregnancy, which may be amplified by GWG.
机译:背景:怀孕后的重量保留是可能在不健康的重量进入成年期的青少年的关注。方法:我们研究了三种措施中的每一个之间的关联:预妊娠体重指数(BMI),妊娠期体重增加(GWG)和后妊娠研究队列的纵向随访中的后妊娠BMI。使用T-Tests和线性回归进行比较BMI和GWG。结果:在91个青少年中,平均预妊娠BMI为24.6 [标准偏差(SD)5.7],平均GWG为15.5kg [SD 6.3]。总体而言,预妊娠BMI与GWG没有显着相关(P = 0.145)。在42个具有妊娠重量数据中,在第一次递送的4年内,平均妊娠BMI为26.3 [SD 5.0],平均BMI增加2.0点(P = 0.013),从预妊娠中增加。在他们第一次交付的4年内,45%的青少年搬到了更高的BMI类别。每4.5kg(10磅)增加GWG,BMI在4年内平均增加1.6点(P = 0.006)。在控制预妊娠BMI后,关联持续(1.0点,P = 0.049)。结论:青少年在首次交付后4年内从妊娠期到4年内的BMI增加,这一增加与GWG有关。青少年母亲面临妊娠后开发和维持不健康的BMI风险,这可能会被GWG扩增。

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