职业女性的久坐生活方式与妊娠期糖尿病的关联性

The Relationship between Sedentary Lifestyle of Working Women and Gestational Diabetes Mellitus

目的探讨职业女性的久坐生活方式对妊娠期糖尿病(gestational diabetes mellitus,GDM)的影响。方法选取2018年1月-2019年3月在湖北省妇幼保健院就诊的252例GDM孕妇及194例健康孕妇作为研究对象,使用基本情况及久坐情况调查表进行问卷调查。采用χ2检验及多因素Logistic回归分析久坐生活方式与GDM的关系。结果GDM组和对照组在年龄、文化程度、家庭收入、孕前BMI、孕次、不良孕产史、糖尿病家族史、久坐生活方式方面的构成情况存在差异(P<0.05)。进行多因素Logistic回归分析结果表明,孕妇久坐生活方式是GDM的危险因素[OR=1.673(1.075~2.602),P=0.022],此外,年龄、文化程度、家庭收入、孕前BMI、DM家族史也是GDM发生的影响因素。结论在职业女性中久坐生活方式是GDM发病的风险因素。医护人员应大力宣传孕期减少久坐时间、适度运动的重要性。

Objective To investigate the effect of sedentary lifestyle on gestational diabetes mellitus(GDM)in working women.Methods 252 GDM pregnant women and 194 healthy pregnant women were selected as the subjects,and the basic situation and sedentary questionnaire were used for investigation.The relationship between sedentary lifestyle and GDM was analyzed byχ2 test and multivariate Logistic regression.Results There were differences in age,educational level,family income,pre-pregnancy BMI,number of pregnancies,bad pregnancy history,DM family history and sedentary lifestyle between the GDM group and the control group(P<0.05).Multivariate logistic regression analysis showed that sedentary lifestyle was a risk factor for GDM[P=0.022,OR=1.673(1.075-2.602)].In addition,age,educational level,family income and pre-pregnancy BMI,DM family history were also influencing factors of GDM.Conclusion Sedentary lifestyle is a risk factor for GDM in working women.Nursing staff should vigorously publicize the importance of reducing sedentary time and moderate exercise during pregnancy.