임신시기별 임신부의 체중증가율과 신생아 체중과의 연관성
Association between maternal weight gain rate of each trimester and neonatal birth weight
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목적임신부의 임신분기별 체중증가율을 조사하여 신생아 체중과의 연관성을 알아보고자 하였다. 연구방법제일병원에서 임신 10주 이전에 외래에 등록하여 정기적인 산전진찰을 받고, 만삭의 단태아를 출산한 산모를 대상으로 하였고, 의무기록을 조사한 후향적 연구이다. 임신 전부터 만성적 내과 질환을 앓고 있었던 산모와 임신성 당뇨병으로 진단된 산모는 연구대상에서 제외하였다. 산모의 나이, 출산력, 임신 전 체질량지수, 출산주수를 보정한 뒤, 출산력에 따라 임신분기별 체중증가율(kg/wk)과 출생체중 사이의 상관성을 분석하였다. 결과전체 2,105명의 산모가 포함되었으며 미산부가 1,266명, 경산부가 839명이었다. 상관 분석에서, 출산력에 관계 없이 미산부와 경산부 모두에서 임신2분기의 체중증가율이 다른 분기들에 비해 신생아 출생체중과 가장 밀접하게 연관되었다. 결론산전진찰 시 적절한 체중의 신생아를 출산하기 위하여 산모의 2분기 체중증가에 더욱 주의를 기울여야 할 것이다.
Abstract
Objective To evaluate the association between gestational maternal weight gain during each trimester and neonatal birth weight. Methods A retrospective cohort study was conducted. Data were obtained from medical records of women who received her first antenatal care before 10 weeks’ of gestation and delivered term singleton neonates at Cheil General Hospital. Correlation between rate of maternal weight gain at each trimester (kg/wk) and neonatal birth weight was analyzed according to parity after adjustment for maternal age, pre-pregnancy body mass index, total weight gain, and gestational age at delivery. Results A total of 2,105 pregnant women were included. Of them, 1,266 women were nullipara and 839 women were multipara. In correlation analysis, maternal weight gain at the second trimester was more associated with neonatal birth weight than those of other trimesters, regardless of parity. Conclusion We suggest that obstetricians should be more concerned about maternal weight gain at the second trimester for appropriate neonatal birth weight.
참고문헌 (21)
- Hedley AA, "Prevalence of overweight and obesity among US children, adolescents, and adults, 1999-2002", JAMA, 291, pp.2847~2850 (2004)
- Ogden CL, "Prevalence of overweight and obesity in the United States, 1999-2004", JAMA, 295, pp.1549~1555 (2006)
- Kramer MS, "Why are babies getting bigger? Temporal trends in fetal growth and its determinants", J Pediatr, 141, pp.538~542 (2002)
- Martin JA, "Births: final data for 2007", Natl Vital Stat Rep, 58, pp.1~85 (2010)
- 윤혜진, "산모의 신체적 특성변화와 신생아 체중의 상관관계:1989년과 1999년의 비교", Obstetrics & Gynecology Science, 47(1), pp.146~152 (2004), 대한산부인과학회
- Hedderson MM, "Weiss NS, Ferrara A. Body mass index and weight gain prior to pregnancy and risk of gestational diabetes mellitus", Am J Obstet Gynecol, 198, pp.409~ (2008)
- Nohr EA, "Combined associations of prepregnancy body mass index and gestational weight gain with the outcome of pregnancy", Am J Clin Nutr, 87, pp.1750~1759 (2008)
- Rhodes JC, "Contribution of excess weight gain during pregnancy and macrosomia to the cesarean delivery rate, 1990-2000", Pediatrics, 111, pp.1181~1185 (2003)
- Thorsdottir I, "Weight gain in women of normal weight before pregnancy: complications in pregnancy or delivery and birth outcome", Obstet Gynecol, 99, pp.799~806 (2002)
- Abrams B, "Maternal weight gain pattern and birth weight", Obstet Gynecol, 86, pp.163~169 (1995)
- Jiang H, "Analysis on the risk factors of maternal weight for fetal macrosomia", Zhonghua Liu Xing Bing Xue Za Zhi, 29, pp.982~984 (2008)
- 김희연, "산모의 체중증가와 신생아 체중과의 관계", Obstetrics & Gynecology Science, 48(10), pp.2307~2312 (2005), 대한산부인과학회
- Rasmussen KM, "Weight gain during pregnancy: reexamining the guidelines" (2009), National Academies Press
- Godfrey KM, "Maternal regulation of fetal development and health in adult life", Eur J Obstet Gynecol Reprod Biol, 78, pp.141~150 (1998)
- Li R, "Timing of the influence of maternal nutritional status during pregnancy on fetal growth", Am J Hum Biol, 10, pp.529~539 (1998)
- Neufeld L, "The timing of maternal weight gain during pregnancy and fetal growth", Am J Hum Biol, 11, pp.627~637 (1999)
- Institute of Medicine (US)., "Subcommittee on Nutritional Status and Weight Gain during Pregnancy. Nutrition during pregnancy" (1990), National Academy Press
- Hediger ML, "Changes in maternal upper arm fat stores are predictors of variation in infant birth weight", J Nutr, 124, pp.24~30 (1994)
- Rush D, "The National WIC Evaluation: evaluation of the Special Supplemental Food Program for Women, Infants, and Children. V. Longitudinal study of pregnant women", Am J Clin Nutr, 48, pp.439~483 (1988)
- Rosso P, "Maternal-fetal exchange and fetal growth during under-nutrition, In Nutrition and metabolism in pregnancy: mother and fetus", pp.193~199 (1990), Oxford University Press
- Hickey CA, "Prenatal weight gain patterns and birth weight among nonobese black and white women", Obstet Gynecol, 88, pp.490~496 (1996)