Abstract：Objective To investigate the relationship between dietary patterns and nutrition-related diseases in late pregnancy women in Weifang City. Methods We collected the related information through a questionnaire survey among 350 late pregnancy women with prenatal examination in a Grade III Class A hospital in Weifang City. Semi-quantitative food frequency method was used to survey their dietary patterns, and then the data were processed with factor analysis. The relationship between dietary patterns and the related diseases was explored through logistic regression analysis. Results Factor analysis concluded that there were four dietary patterns, including nutritional type, snack type, animal food type and vegetarian type. The dietary pattern correlation analysis indicated that the daily intake of all nutritional elements (protein, fat, carbohydrate, vitamin A, vitamin C, vitamin D, iron and so on) except calcium showed statistically significant differences among 4 types of dietary patterns (P<0.05). Univariate factor analysis showed that there were statistically significant differences in ages(χ2=19.852,P=0.019), weight gain(χ2=30.545,P=0.000), knowledge score(χ2=17.603,P=0.001), anemia(χ2=15.465,P=0.001), degree of education(χ2=34.378,P=0.000), occupation(χ2=34.915,P=0.003), income(χ2=24.417,P=0.004),lower limb edema(χ2=10.295,P=0.016), the number of cases (χ2=14.396,P=0.002)and abnormal blood glucose (χ2=18.167,P=0.044)among late pregnancy women with diffrent dietary patterns. Multi-classification logistic regression analysis revealed that there was a correlation between snack dietary pattern and abnormal glucose tolerance during pregnancy (OR=4.986, 95%CI:1.274-19.525), between animal food dietary pattern and overweight, lower extremity edema during pregnancy (OR1=4.707, 95%CI:1.084-20.441; OR2=2.690, 95%CI:1.061-6.816) as well as between vegetarian dietary pattern and gestational anemia, the number of cases during pregnancy (OR1=0.443, 95%CI:0.254-0.772; OR2=1.919, R95%CI:1.076-3.420). Binary-classification logistic regression analysis presented that the dietary patterns were correlated with anemia (OR=2.576, 95%CI:1.540-4.309), gestational overweight (OR=6.220, 95%CI:2.399-16.127), gestational hypertension (OR=20.656, 95%CI:1.192-357.867) and abnormal glucose tolerance (OR=4.587, 95%CI:1.092-19.261). Conclusions The dietary patterns and late pregnancy-related diseases, such as gestational anemia, excess weight gain during pregnancy and gestational hypertension, are closely associated with the formation of abnormal glucose tolerance. The unreasonable nutrition intake during pregnancy can cause the related diseases; and hence, it is necessary to strengthen health education, intensify nutrition supervision and guidance during pregnancy and improve maternal and infant health so as to provide a scientific basis for early nutritional intervention.
韩少华,刘茹辛,贺圣文,提慧慧,王凡,金笑笑. 妊娠晚期妇女膳食模式与营养相关疾病的关联性研究[J]. 实用预防医学, 2018, 25(4): 388-393.
HAN Shao-hua, LIU Ru-xin, HE Sheng-wen, TI Hui-hui, WANG Fan, JIN Xiao-xiao. Correlation between dietary patterns and nutrition-related diseases in late pregnancy women. , 2018, 25(4): 388-393.
2018, Vol. 25 
