健康研究2025，Vol.45Issue(6)：621-624,4.DOI:10.19890/j.cnki.issn1674-6449.2025.06.004
孕前体重指数和孕期增重与子代巨大儿的关联
Association of pre-pregnancy body mass index and gestational weight gain with fetal macrosomia
摘要
Abstract
Objective To investigate the association of prepregnancy body mass index(BMI)and gestational weight gain(GWG)with fetal macrosomia,so as to provide evidence for the prevention of macrosomia in the local population.Methods Using the Wenzhou Maternal and Child Health Information Management Platform,data were collected for pregnant women who registered at any institution in Cangnan County between January and July 2023 and underwent regular antenatal care and delivery in Wenzhou.Binary logistic regression was applied to analyze the relationships of prepregnancy BMI and GWG with fetal macrosomia.Results A total of 1,762 pregnant women were included.Among them,215(12.2%)were underweight,343(19.4%)overweight,and 100(5.7%)obese before pregnancy.The mean GWG was 13.21±4.58 kg,with 189(10.7%)having inadequate weight gain and 782(44.4%)having excessive weight gain.Of the newborns delivered,117(6.6%)were macrosomic.Prepregnancy overweight or obesity(OR=3.65,95%CI:2.38-5.59)and excessive GWG(OR=2.82,95%CI:1.78-4.45)were both significantly associated with macrosomia(P<0.001).Conclusion Maternal prepregnancy overweight/obesity and excessive gestational weight gain increase the risk of fetal macrosomia.关键词
孕前体重指数/孕期增重/巨大儿/生殖健康/体重管理Key words
prepregnancy body mass index/gestational weight gain/macrosomia/reproductive health/weight management分类
医药卫生引用本文复制引用
温建姿,周小智,高萍萍..孕前体重指数和孕期增重与子代巨大儿的关联[J].健康研究,2025,45(6):621-624,4.基金项目
2024年苍南县科技计划项目(2024S02) （2024S02）
