摘要
目的 分析孕妇膳食蛋白摄入与妊娠期糖尿病(GDM)发生风险的关系,提出针对性营养策略.方法 选取90例定期产检孕妇,根据孕24～28周口服葡萄糖耐量试验(OGTT)结果分为正常组和GDM组.比较两组一般资料、孕期膳食蛋白摄入情况,分析膳食蛋白摄入与GDM发生关系,提出针对性营养策略.结果 90例孕妇中有17例发生GDM,发生率为18.89％.GDM组年龄、孕前体质量指数(BMI)、孕次、不良孕产史、膳食蛋白摄入量、动物蛋白摄入量及其他植物性蛋白摄入量均高于正常组,豆类蛋白摄入量低于正常组(P＜0.05).多因素Logistic回归分析显示:年龄、动物蛋白摄入量、豆类蛋白摄入量、其他植物性蛋白摄入量均与GDM发生风险有关(P＜0.05).结论 孕妇膳食蛋白摄入与GDM发生风险有关,孕期需均衡蛋白种类和摄入量.
Abstract
Objective To analyze the relationship between maternal dietary protein intake and the risk of gestational diabetes mellitus(GDM),and to propose targeted nutritional strategies.Methods According to the results of oral glucose tolerance test(OGTT)at 24～28 weeks of gestation,90 pregnant women were divided into normal group and GDM group.The data of the two groups and dietary protein intake during pregnancy were compared,and the relationship between dietary protein intake and GDM was analyzed,and the targeted nutrition strategy was proposed.Results GDM occurred in 17 of 90 pregnant women(18.89％).Age,pre-pregnancy body mass index(BMI),pregnancy times,adverse pregnancy history,dietary protein intake,animal protein intake and other plant protein intake in GDM group were higher than those in normal group,and legumes protein intake was lower than that in normal group(P＜0.05).Multivariate Logistic regression analysis showed that age,animal protein intake,legume protein intake and other vegetable protein intake were related to the risk of GDM(P＜0.05).Conclusion Dietary protein intake of pregnant women is related to the risk of GDM,so the type and intake of protein should be balanced during pregnancy.
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