Povezanost antropometrijskih pokazatelja trudnica i fetusaRelationship between anthropometric indicators of pregnant woman and fetuses]

Šelović, Alen (2014) Povezanost antropometrijskih pokazatelja trudnica i fetusaRelationship between anthropometric indicators of pregnant woman and fetuses]. PhD thesis, Sveučilište u Zagrebu.

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Abstract

Background: Previous studies have shown a relationship between anthropometric indicators of pregnant women with metabolic disorders or perinatal outcome and there is no available data on the relationship with intrauterine fetal anatomy. Aim: To investigate the relationship between anthropometric indicators of pregnant women with fetal anthropometric parameters, and make the curve changes anthropometric indicators of pregnant women during pregnancy. Patients and Methods: The study included 400 women with single, nonpathogenic pregnancies. As anthropometric indicators pregnant women were measured: body height, body weight, mid upper arm circumference, skin folds: bicipital, tricipital, suprailiac, subscapular, waist and hip circumference , preperitoneal and subcutaneous adipose tissue, and is indirectly calculated BMI, percentage of body fat tissues and AFI. The fetuses were measured CRL, BPD, FL, AC, and birth length and weight. Results: Body height pregnant women showed a significant correlation with FL and fetal length, prepregnancy body weight and BMI were significantly associated with AC, fetal length and fetal weight. Weight and weight gain during pregnancy are associated with AC and fetal weight. BMI during pregnancy is associated with AC, fetal length and fetal length, percentage of body fat and WHR with AC and fetal weight. The triceps skinfold is associated with fetal length. Adipose tissue (Pmax, Smin, AFI) has been associated with all anthropometric indicators fetuses (p <0.01), with the strongest correlation shows preperitoneal fat. Conclusion: The strongest predictive value of fetal anthropometric indicators and birth weight has visceral adipose tissue.

Abstract in Croatian

Uvod: Dosadašnja istraţivanja pokazala su povezanost antropometrijskih pokazatelja trudnica s metaboličkim poremećajima ili perinatalnim ishodom i nema dostupnih podataka o povezanosti s fetalnom intrauterinom anatomijom. Cilj istraţivanja: Istraţiti povezanost antropometrijskih pokazatelja trudnica s antropometrijskim pokazateljima fetusa, te izraditi krivulje promjena antropometrijskih pokazatelja trudnica tijekom trudnoće. Ispitanici i metode: Istraţivanjem je obuhvaćeno 400 trudnica s jednoplodovim, nepatološkim trudnoćama. Kao antropometrijski pokazatelji trudnica mjereni su: tjelesna visina, tjelesna teţina, opseg središnjeg dijela nadlaktice, koţni nabori bicepsa i tricepsa nadlaktice, suprailijačni i subskapularni koţni nabor, opseg struka i bolova, preperitonealno i potkoţno masno tkivo te je posredno izračunat ITM, postotak masnog tkiva i AFI. U fetusa mjereni su CRL, BPD, FL, AC, te poroĎajna duljina i teţina Rezultati: Tjelesna visina trudnice pokazuje značajnu povezanost s FL i PD , pregravidna tjelesna teţina i ITM značajno su povezani s AC , PD i PT . Teţina i prirast teţini tijekom trudnoće povezani su s AC i PT. ITM tijekom trudnoće povezan je s AC, PD i PT, a postotak masnog tkiva i WHR s AC i PD. Koţni nabor tricepsa povezan je s PD. Masno tkivo (Pmax, Smin, AFI) povezano je sa svim antropometrijskim pokazateljima fetusa (p<0,01), pri čemu najsnaţniju povezanost pokazuje preperitonealno masno tkivo. Zaključak: najsnaţniju prediktivnu vrijednost za antropometrijske pokazatelje fetusa i poroĎajnu teţinu ima visceralno masno tkivo.

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