目的了解我国东北地区孕妇孕期增重自我认知的现状,分析孕期体重增长自我认知的影响因素,为制定孕妇的体重增长策略提供科学依据。方法基于科技部基础资源调查专项“中国孕产妇营养与健康科学调查”所收集到的2020—2024年我国东北地区...目的了解我国东北地区孕妇孕期增重自我认知的现状,分析孕期体重增长自我认知的影响因素,为制定孕妇的体重增长策略提供科学依据。方法基于科技部基础资源调查专项“中国孕产妇营养与健康科学调查”所收集到的2020—2024年我国东北地区孕妇体重情况的有关数据,根据孕妇对目前孕期体重增长的自我认知与实际孕期体重增长的符合程度,评价孕期增重自我认知情况,并分析其影响因素。结果孕期增重自我认知的偏移率为55.08%(3877/7039)。妊娠阶段为孕中期是孕期增重自我认知偏移的促进因素(孕前消瘦:OR=2.60,95%CI:1.72~3.97;孕前体重正常:OR=2.39,95%CI:2.04~2.80;孕前超重肥胖:OR=2.77,95%CI:2.25~3.42);在孕前体重正常的孕妇中,孕妇常住地为农村是孕期增重自我认知偏移的阻碍因素(OR=0.83,95%CI:0.71~0.97);在孕前超重肥胖的孕妇中,妊娠阶段为孕晚期以及孕前体重自我认知偏移也为孕期增重自我认知偏移的促进因素(OR=1.97,95%CI:1.59~2.43;OR=1.64,95%CI:1.38~1.96)。结论东北地区孕妇的孕期增重异常比例较高,且孕期增重过多的问题较为突出。孕期增重自我认知偏移率较高,孕妇高估或低估孕期增重等自我认知偏移情况较为严重。常住地、妊娠阶段、孕前体质指数(body mass index,BMI)分类、孕前体重自我认知是与孕期增重自我认知的相关因素。展开更多
目的:探讨辅助生殖人群体脂率和体骨骼肌率与抑郁的关系。方法:采用便利抽样法选取2022年7—10月在安徽医科大学附属第一医院生殖医学中心行辅助生殖技术治疗的不孕不育患者885例,采用患者健康问卷9项抑郁量表(patient health questionn...目的:探讨辅助生殖人群体脂率和体骨骼肌率与抑郁的关系。方法:采用便利抽样法选取2022年7—10月在安徽医科大学附属第一医院生殖医学中心行辅助生殖技术治疗的不孕不育患者885例,采用患者健康问卷9项抑郁量表(patient health questionnaire-9,PHQ-9)调查患者抑郁情况,采用生物电阻抗(bioelectrical impedance analysis,BIA)原理的InBody仪测量人群体脂率以及体骨骼肌率的数据,使用多元线性回归、广义线性模型、趋势化检验探讨体脂率、体骨骼肌率与抑郁的关联,采用限制性立方样条分析其剂量-反应关系。结果:辅助生殖人群的抑郁检出率为52.0%,体脂率平均值为28.01%,体骨骼肌率平均值为39.73%。控制混杂因素后,体脂率与抑郁呈正相关(β=0.07,95%CI:0.01,0.14),体骨骼肌率与抑郁呈负相关(β=-0.12,95%CI:-0.24,-0.01),且在男性、年龄>30岁的辅助生殖人群中相关性有统计学意义(P<0.05)。辅助生殖人群的体脂率、体骨骼肌率与抑郁存在显著线性关联(Pnon-linear>0.05)。结论:辅助生殖人群的体脂率、体骨骼肌率与抑郁风险存在关联,采取相应的运动和饮食等干预以控制体重、减少体脂肪、增加骨骼肌,可望降低辅助生殖人群的抑郁发生率。展开更多
Despite the widespread presence and frequent detection of polycyclic aromatic hydrocarbons(PAHs)in various aspects of life,there is limited research on their exposure levels in pregnant women and cumulative exposure f...Despite the widespread presence and frequent detection of polycyclic aromatic hydrocarbons(PAHs)in various aspects of life,there is limited research on their exposure levels in pregnant women and cumulative exposure from the living environment.This study included 1311 women in late pregnancy from the Zunyi birth cohort and measured the urinary concentrations of 10 hydroxylated PAH metabolites(OH-PAHs).Risk assessment was conducted based on the estimated daily intake to calculate the hazard quotient and hazard index(HI).A linear regression model was used to analyze the relationship between creatinine-adjusted OH-PAHs concentrations and living environment and lifestyle factors,while principal component analysis was applied to trace the sources of PAHs exposure.1-OHPYR was detected in all participants’urine,with naphthalene metabolites having the highest concentrations among creatinine-adjusted PAHs.OH-PAHs concentrations were associated with housing type,room number,cooking frequency,household size,exercise frequency,fuel type,distance from main road,and drinking water source.Pregnant women using traditional fuels and living in bungalows had higher health risks than those using clean energy and living in buildings.Those living within 100 m of a main road had higher HI than those farther away.Coal combustion was identified as the primary source of PAHs exposure.The study emphasizes the importance of reducing PAHs exposure,especially for pregnant women living in polluted environments.It recommends public health interventions such as improving indoor ventilation and providing clean energy to reduce related health risks.展开更多
文摘目的了解我国东北地区孕妇孕期增重自我认知的现状,分析孕期体重增长自我认知的影响因素,为制定孕妇的体重增长策略提供科学依据。方法基于科技部基础资源调查专项“中国孕产妇营养与健康科学调查”所收集到的2020—2024年我国东北地区孕妇体重情况的有关数据,根据孕妇对目前孕期体重增长的自我认知与实际孕期体重增长的符合程度,评价孕期增重自我认知情况,并分析其影响因素。结果孕期增重自我认知的偏移率为55.08%(3877/7039)。妊娠阶段为孕中期是孕期增重自我认知偏移的促进因素(孕前消瘦:OR=2.60,95%CI:1.72~3.97;孕前体重正常:OR=2.39,95%CI:2.04~2.80;孕前超重肥胖:OR=2.77,95%CI:2.25~3.42);在孕前体重正常的孕妇中,孕妇常住地为农村是孕期增重自我认知偏移的阻碍因素(OR=0.83,95%CI:0.71~0.97);在孕前超重肥胖的孕妇中,妊娠阶段为孕晚期以及孕前体重自我认知偏移也为孕期增重自我认知偏移的促进因素(OR=1.97,95%CI:1.59~2.43;OR=1.64,95%CI:1.38~1.96)。结论东北地区孕妇的孕期增重异常比例较高,且孕期增重过多的问题较为突出。孕期增重自我认知偏移率较高,孕妇高估或低估孕期增重等自我认知偏移情况较为严重。常住地、妊娠阶段、孕前体质指数(body mass index,BMI)分类、孕前体重自我认知是与孕期增重自我认知的相关因素。
文摘目的:探讨辅助生殖人群体脂率和体骨骼肌率与抑郁的关系。方法:采用便利抽样法选取2022年7—10月在安徽医科大学附属第一医院生殖医学中心行辅助生殖技术治疗的不孕不育患者885例,采用患者健康问卷9项抑郁量表(patient health questionnaire-9,PHQ-9)调查患者抑郁情况,采用生物电阻抗(bioelectrical impedance analysis,BIA)原理的InBody仪测量人群体脂率以及体骨骼肌率的数据,使用多元线性回归、广义线性模型、趋势化检验探讨体脂率、体骨骼肌率与抑郁的关联,采用限制性立方样条分析其剂量-反应关系。结果:辅助生殖人群的抑郁检出率为52.0%,体脂率平均值为28.01%,体骨骼肌率平均值为39.73%。控制混杂因素后,体脂率与抑郁呈正相关(β=0.07,95%CI:0.01,0.14),体骨骼肌率与抑郁呈负相关(β=-0.12,95%CI:-0.24,-0.01),且在男性、年龄>30岁的辅助生殖人群中相关性有统计学意义(P<0.05)。辅助生殖人群的体脂率、体骨骼肌率与抑郁存在显著线性关联(Pnon-linear>0.05)。结论:辅助生殖人群的体脂率、体骨骼肌率与抑郁风险存在关联,采取相应的运动和饮食等干预以控制体重、减少体脂肪、增加骨骼肌,可望降低辅助生殖人群的抑郁发生率。
基金supported by the National Key R&D Program of China(Nos.2018YFC1004300 and 2018YFC1004302)the Science&Technology Program of Guizhou Province(Nos.QKHHBZ[2020]3002,QKHPTRC-GCC[2022]039-1 and QKHPTRCCXTD[2022]014)the Scientific Research Program of Guizhou Provincial Department of Education(No.QJJ[2023]019).
文摘Despite the widespread presence and frequent detection of polycyclic aromatic hydrocarbons(PAHs)in various aspects of life,there is limited research on their exposure levels in pregnant women and cumulative exposure from the living environment.This study included 1311 women in late pregnancy from the Zunyi birth cohort and measured the urinary concentrations of 10 hydroxylated PAH metabolites(OH-PAHs).Risk assessment was conducted based on the estimated daily intake to calculate the hazard quotient and hazard index(HI).A linear regression model was used to analyze the relationship between creatinine-adjusted OH-PAHs concentrations and living environment and lifestyle factors,while principal component analysis was applied to trace the sources of PAHs exposure.1-OHPYR was detected in all participants’urine,with naphthalene metabolites having the highest concentrations among creatinine-adjusted PAHs.OH-PAHs concentrations were associated with housing type,room number,cooking frequency,household size,exercise frequency,fuel type,distance from main road,and drinking water source.Pregnant women using traditional fuels and living in bungalows had higher health risks than those using clean energy and living in buildings.Those living within 100 m of a main road had higher HI than those farther away.Coal combustion was identified as the primary source of PAHs exposure.The study emphasizes the importance of reducing PAHs exposure,especially for pregnant women living in polluted environments.It recommends public health interventions such as improving indoor ventilation and providing clean energy to reduce related health risks.
