產後婦女肥胖之相關因子探討與減重成效評估

Factors related to postpartum obesity and the effect of weight reduction

趙思姿(Szu-Tzu Chao)

指導教授 ： 謝明哲 博士

臺北醫學大學/公共衛生暨營養學院/保健營養學研究所/碩士(2003年)

摘要

本研究的目的主要是探討產後肥胖婦女的飲食和運動習與相關因子及減重計畫介入後，產後婦女在減重各方面改善的成效。本研究以二十五∼四十歲已生產過的肥胖婦女為研究對象，進行問卷調查以及分別在減重前、後與六個月及十二個月進行追蹤，以體位測量、血液生化分析、體適能來作為減重成效的評估。結果從問卷得知，婦女在懷孕時體重增加太多、產前體重過重與產後沒有哺乳是可能造成產後肥胖的原因。另外減重課程介入後，其減重成效結果顯示：（一）減重前、後的成效評估：體位測量方面，發現受試者的體重、體脂肪、身體質量指數（BMI）、胸圍、腰圍、臀圍、腰臀圍比值都有顯著下降（p?0.05）。血液生化方面，三酸甘油酯、總膽固醇、高密度脂蛋白膽固醇（HDL-C）、低密度脂蛋白膽固醇（LDL-C）、尿酸都有顯著下降（p?0.05）；體適能方面，以肌耐力在減重後有顯著上升（p?0.05）。（二）減重後與六個月追蹤以及與十二個月追蹤的成效評估：體位測量方面，體重、BMI、腰、臀圍都有顯著下降（p?0.05），血液生化方面，總膽固醇、HDL-C有顯著上升（p?0.05）。因此，產後婦女在介入減重計畫後，能有效減低肥胖可能造成的心血管疾病及痛風等慢性病發生的危險。

關鍵字

產後婦女 ； 產後肥胖 ； 產後減重

並列摘要

The main purposes of this study were 1) to investigate the specific events during pregnancy and postpartum periods that most likely lead to postpartum pregnancy, 2) to examine the characteristics of the obese women’s dietary and exercise habits, and 3) to evaluate the effectiveness of a weight reduction program and its effect in improving the various aspects of the health of postpartum women. Study sample consisted of obese women aged 25 to 40 who had given birth. At four different time periods: before weight reduction program and immediately after, 6- and 12-month follow-up after weight reduction program, data were obtained from questionnaires, anthrompometric measures, biochemical analysis and fitness evaluations. Results of the study showed that postpartum pregnancy is caused by the women’s excess weight gain during pregnancy, being overweight before pregnancy and lack of breastfeeding after delivery. The effectiveness of the weight reduction program was shown by significant improvements (p<0.05) in the subjects’ weight, body fat, BMI, chest, hip and waist circumferences, and waist-to-hip ratio before and immediately after weight reduction program. Furthermore, the subjects’ triglyceride, total cholesterol, HDL-cholesterol, LDL-cholesterol and uric acid levels significantly improved (p<0.05). Fitness evaluation only showed significant improvement in muscular strength (p<0.05). Anthropometric measurements at 6- and 12-month follow-up reflected significant reduction in body weight, BMI, waist and hip circumferences (p<0.05). Total cholesterol and HDL-cholesterol also showed significant increase (p<0.05). Therefore, postpartum weight loss can effectively decrease the risk for chronic diseases.

並列關鍵字

postpartum women ； postpartum obesity ； postpartum weight loss

參考文獻

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