Status and influencing factors of dietary behavior in pregnant women at high risk of gestational diabetes mellitus
ZHANG Ping1 YANG huili1 JIANG qing2 JIN aiying1 WANG Xiaohua3 LIU Jinhuan4
1.Department of Obstetrics and Gynecology, the First Affiliated Hospital of Soochow University, Jiangsu Province, Suzhou 215006, China;
2.Department of Endocrinology, the First Affiliated Hospital of Soochow University, Jiangsu Province, Suzhou 215006, China;
3.Department of Nursing, the First Affiliated Hospital of Soochow University, Jiangsu Province, Suzhou 215006, China;
4.Department of Nursing, the People′s Hospital of SND, Jiangsu Province, Suzhou 215006, China
Abstract：Objective To understand the status of dietary behaviors and its influencing factors in pregnant women at high risk of gestational diabetes mellitus (GDM) and analyze the correlation between dietary behaviors and GDM. Methods A convenient sampling method was used among 274 pregnant women with high risk of GDM in the First Affiliated Hospital of Soochow University from December 2018 to March 2019. Demographic data questionnaire and diet behavior scale were used to collect data. The incidence of GDM was observed in 160 pregnant women. Results The total scores of GDM diet was (34.70±8.60) points. Educational level, birth order and place of residence were the influencing factors of dietary behavior (P < 0.05); educational level, birth order and age were the influencing factors of dimension one (P < 0.05); educational level, birth order and family history of diabetes (first degree) were the influencing factors of dimension two (P < 0.05); personal monthly income, bad pregnancy history and pre-pregnancy body mass index were the influencing factors of dimension three (P < 0.05). The occurrence of GDM was positively correlated with the total score of eating behavior, score of dimension two and score of dimension three (rs = 0.201, 0.170, 0.180, P < 0.05). Conclusion Unhealthy dietary behaviors are one of the risk factors for the occurrence of GDM. Reasonable dietary behaviors during pregnancy can reduce the risk of GDM occurrence and early intervention should be carried out for the relevant population.
张萍1 杨慧丽1 蒋青2 金爱英1 汪小华3 刘金环4. 妊娠期糖尿病高危孕妇饮食行为现状及其影响因素分析[J]. 中国医药导报, 2020, 17(18): 118-122.
ZHANG Ping1 YANG huili1 JIANG qing2 JIN aiying1 WANG Xiaohua3 LIU Jinhuan4. Status and influencing factors of dietary behavior in pregnant women at high risk of gestational diabetes mellitus. 中国医药导报, 2020, 17(18): 118-122.
[1] 魏玉梅，杨慧霞.《国际妇产科联盟妊娠期糖尿病实用指南》带来的启示[J].糖尿病天地：临床，2016，10（8）：358-359.
[2] 蒋艳敏，金慧，许岚，等.早期生活方式干预可降低高危人群妊娠期糖尿病发病率[J].第三军医大学学报，2019， 41（6）：594-599.
[3] Das S，Das R，Bajracharya R，et al. Incidence and Risk Factors of Pre-Eclampsia in the Paropakar Maternity and Women′s Hospital，Nepal：A Retrospective Study [J]. Int J Environ Res Public Health，2019，16（19）：3571.
[4] Hilden K，Hanson U，Persson M，et al. Gestational diabetes and adiposity are independent risk factors for perinatal outcomes：a population based cohort study in Sweden [J]. Diabet Med，2019，36（2）：151-157.
[5] Sodhi NK，Nelson AL. Prevalence of glucose intolerance and metabolic syndrome within one year following delivery of a pregnancy complicated by gestational diabetes [J]. Contracept Reprod Med，2018，3：27.
[6] Sousa RAL，Torres YS，Figueiredo CP，et al. Consequences of gestational diabetes to the brain and behavior of the offspring [J]. An Acad Bras Cienc，2018，90（2suppl1）：2279-2291.
[7] 宋耕，杨慧霞.妊娠期糖尿病对妇女及子代远期影响及管理的研究进展[J].中国全科医学，2016，19（32）：3914-3917.
[8] Zhang C，Tobias DK，Chavarro JE，et al. Adherence to healthy lifestyle and risk of gestational diabetes mellitus：prospective cohort study [J]. BMJ，2014，349：g5450.
[9] Mijatovic-Vukas J，Capling L，Cheng S，et al. Associations of Diet and Physical Activity with Risk for Gestational Diabetes Mellitus：A Systematic Review and Meta-Analysis [J]. Nutrients，2018，10（6）：698.
[10] Assaf-Balut C，García de la Torre N，Durán A，et al. A Mediterranean diet with additional extra virgin olive oil and pistachios reduces the incidence of gestational diabetes mellitus （GDM）：A randomized controlled trial：The St. Carlos GDM prevention study [J]. PLoS One，2017，12（10）：e0185873.
[11] 摩西·霍德，阿尼尔·卡普尔，大卫·塞克斯，等.国际妇产科联盟（FIGO）关于妊娠期糖尿病的倡议：诊断、管理与护理实践指南[J].糖尿病天地：临床，2016，10（8）：339-352.
[12] 阿瓦古丽·玉克赛尔.乌鲁木齐市维吾尔族孕妇营养知识、态度、行为及影响因素的研究[D].乌鲁木齐：新疆医科大学，2012.
[13] 吕慧慧.郑州地区孕妇膳食营养状况及营养相关知识KAP分析[D].郑州：郑州大学，2010.
[14] 贾琳，张凯，申香丹，等.1028名孕妇营养相关知识与行为的调查分析[J].中国公共卫生管理，2018，34（3）：401-403.
[15] Okesene-Gafa K，Chelimo C，Chua S，et al. Knowledge and beliefs about nutrition and physical activity during pregnancy in women from South Auckland region，New Zealand [J]. Aust N Z J Obstet Gynaecol，2016，56（5）：471-483.
[16] Weso?覥owska E，Jankowska A，Trafalska E，et al. Sociodemographic，Lifestyle，Environmental and Pregnancy-Related Determinants of Dietary Patterns during Pregnancy [J]. Int J Environ Res Public Health，2019，16（5）：754.
[17] Lahmann PH，Williams GM，Najman JM，et al. Mother-adult offspring resemblance in dietary intake：a community-based cohort study in Australia [J]. Am J Clin Nutr，2017，105（1）：185-193.
[18] 常艳红，王淑春.惠农区孕妇营养知识、态度及健康行为调查与影响因素分析[J].中国卫生统计，2016，33（3）：456-458.
[19] Xiao RS，Simas TA，Person SD，et al. Diet quality and history of gestational diabetes mellitus among childbearing women，United States，2007-2010 [J]. Prev Chronic Dis，2015，12：E25.
[20] Guo XY，Shu J，Fu XH，et al. Improving the effectiveness of lifestyle interventions for gestational diabetes prevention：a meta-analysis and meta-regression [J]. BJOG，2019，126（3）：311-320.
2020, Vol. 17 
京公网安备 11010502046598号