首页|河南省农村地区育龄女性孕前低体重、超重和肥胖的危险因素分析

河南省农村地区育龄女性孕前低体重、超重和肥胖的危险因素分析

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目的:探讨河南省农村地区育龄女性孕前低体重、超重和肥胖的相关危险因素.方法:以2013-2018年河南省农村地区参加"国家免费孕前优生健康检查项目"的3 686 404名育龄女性为研究对象,采用多因素logistics回归模型分析河南省育龄女性低体重、超重和肥胖的危险因素.结果:受教育程度高(大专/大本及以上,OR=1.34,95%CI 1.28~1.40)、素食(OR=1.06,95%CI 1.01~1.10)和被动吸烟(OR=1.22,95%CI 1.20~1.24)是低体重的危险因素;有孕产史、少数民族(OR=1.06,95%CI 1.03~1.10)、素食(OR=1.16,95%CI 1.13~1.20)、吸烟(OR=1.28,95%CI 1.17~1.41)、被动吸烟(OR=1.04,95%CI 1.03~1.06)是超重的危险因素;有孕产史、素食(OR=1.15,95%CI 1.09~1.22)、吸烟(OR=1.69,95%CI 1.47~1.93)是肥胖的危险因素.其中,年龄每增加1岁,超重的发生风险增加3%,肥胖的发生风险增加2%;根据地理位置,河南省西部地区是育龄女性低体重的危险因素(OR=1.65,95%CI 1.63~1.68),北部地区是育龄女性超重(OR=1.09,95%CI 1.08~1.10)和肥胖(OR=1.26,95%CI 1.24~1.28)的危险因素.结论:应关注河南省农村地区的育龄女性体重异常问题,加强体重管理,合理进行孕前体重干预,规避可能造成低体重、超重和肥胖的危险因素,减少不良妊娠结局的发生,提高育龄妇女生殖健康水平.
Analysis of the risk factors of pre-pregnancy underweight,overweight or obesity of women of reproductive age in rural are-as of Henan province
Objective:To analyze the risk factors of pre-pregnancy underweight,overweight or obesity of women of re-productive age in rural areas of Henan province from 2013 to 2018.Methods:A total of 3 686,404 women of reproduc-tive age from the rural areas of Henan province who had participated in the"National free pre-pregnancy health exami-nation project"from 2013 to 2018 were selected as the research objects.Multi-factor logistics regression model was used to analyze the risk factors of the pre-pregnancy underweight,overweight and obesity of the women.Results:The high education level(college/university or above,OR=1.34,95%CI 1.28-1.40),the vegetarian diet(OR=1.06,95%CI 1.01-1.10)and the passive smoking(OR=1.22,95%CI 1.20-1.24)of the women were the risk factors for their pre-pregnancy underweight.The history of pregnancy and birth,the ethnic minorities(OR=1.06,95%CI 1.03-1.10),the vegetarian diet(OR=1.16,95%CI 1.13-1.20),the smoking(OR=1.28,95%CI 1.17-1.41)and the passive smoking(OR=1.04,95%CI 1.03-1.06)of the women were the risk factors for their pre-pregnancy overweight.The history of pregnancy and birth,the vegetarianism(OR=1.15,95%CI 1.09-1.22)and the smoking(OR=1.69,95%CI 1.47-1.93)of the women were the risk factors for their pre-pregnancy obesity.For each additional year of age of the women,the risk of their pre-pregnancy overweight increased by 3%and their risk of pre-pregnancy obesity increased by 2%.According to the geographical location,the western area of Henan province was a risk factors of the pre-pregnancy un-derweight(OR=1.65,95%CI 1.63-1.68)of the women of reproductive age,and the northern area of Henan province was the risk factors of the pre-pregnancy overweight(OR=1.09,95%CI 1.08-1.10)and the pre-pregnancy obesity(OR=1.26,95%CI 1.24-1.28)of the women of reproductive age.Conclusion:The women of reproductive age in Henan province should be paid attention to the problem of their abnormal pre-pregnancy weight,strengthen their weight management,given intervene of their pre-pregnancy weight rationally,and avoid the risk factors that may cause their pre-pregnancy underweight,overweight and obesity,so as to reduce the occurrence of the adverse pregnancy out-comes of the women,and improve the reproductive health of the women of reproductive age.

Women of reproductive agePre-pregnancyBody mass indexUnderweightOverweightObesityRisk factors

张璀璨、柴健、孙盼盼、董玮、张军喜、蒋丽芳

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河南省生殖健康科学技术研究院,国家卫生健康委出生缺陷预防重点实验室,河南省人口缺陷干预技术重点实验室(郑州,450002)

育龄女性 孕前 体质指数 低体重 超重 肥胖 危险因素

河南省科技攻关计划(2021)河南省省属科研院所基本科研业务费专项(2021)省重点研发与推广专项(科技攻关)项目(2022)

212102310476JBKY2021007222102310150

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(3)
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