妊娠期糖尿病患者的静息能量消耗下降及其相关因素

Decrease of Resting Energy Expenditure and Risking Factors in Women with Gestational Diabetes Mellitus

目的探讨妊娠期糖尿病患者静息能量消耗的变化及其相关因素。方法观察30例中晚孕期妊娠期糖尿病患者与10例相同孕周的健康妊娠妇女,比较两组患者的静息能量消耗(REE)、体脂、胰岛素抵抗指数(HOMA-IR)及C反应蛋白(CRP)。结果妊娠期糖尿病患者组的REE明显低于对照组,而其体脂含量、HOMA-IR及CRP明显高于对照组。结论妊娠期糖尿病患者的静息能量消耗下降,可能与患者的肥胖、胰岛素抵抗及低度炎症相关。

Objective To study the change of resting energy expenditure and risk factors in women with gestational diabetes mellitus. Methods Resting energy expenditure,body fat, HOMA - 1R and CRP were compared in 30 patients with gestational diabetes mellitus in the third trimester （GDM group） and 10 healthy pregnant women in the third trimester （control group）. Results Resting energy expenditure was lower in GDM group than that in control group. Body fat, HOMA - IR and CRP levels were higher in GDM group than those in control group. Conclusion Resting energy expenditure decreases in GDM patients,which may be associated with obesity,insulin resistance and low- grade inflammation.