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妊娠中の体重増加は
ᅧᆼ೨ߩဳࠍ⠨ᘦߒߚᦸ߹ߒ㊀Ⴧട㊂㧔 ᅧᆼ೨ߩဳࠍ⠨ᘦߒߚᦸ߹ߒ㊀Ⴧട㊂㧔⥋ㆡ㊀Ⴧട㊂ ࠍ⠨ᘦߒߚᦸ߹ߒ㊀Ⴧട㊂㧔⥋ㆡ㊀Ⴧട㊂㧕ߦ ⥋ㆡ㊀Ⴧട㊂㧕ߦ 㕖ᅧᆼᤨߩᩰ߿ᅧᆼਛߩ㊀Ⴧട㊂ߦࠃߞߡޔ↢ఽߩ㊀߮ᅧᆼ㜞ⴊ∝⟲㧔ᅧᆼਛᲥ ∝㧕ޔᏢ₺ಾ㐿ޔಽᇂᤨⴊ╬ߩ⁁ᴫߦ⋧㆑߇ߺࠄࠇࠆޕ 㕖ᅧᆼᤨߦޟૐ㊀㧔߿ߖ㧕ߦޠዻߔࠆ⠪ߪޔૐ↢㊀ఽಽᇂ 㧕2㧕߿ሶችౝ⢝ఽ⊒⢒ㆃᑧ㧔IUGR㧕 ޔಾㄼᣧ↥߿ᣧ↥ 2㧕3㧕 㧕2㧕4㧕 ⴊ⽺ޔ ᄢఽಽᇂ ޔᏢ₺ಾ㐿ಽᇂ 7㧕 㧕 ߩࠬࠢ߇㜞߹ࠅޔ ޟ⢈ḩߦޠዻߔࠆ⠪ߪ♧ޔዩ∛ ޔᅧᆼ㜞ⴊ∝⟲㧔ᅧᆼਛᲥ∝㧕 5㧕6㧕8㧕 ߿Ꮒ 5㧕6㧕7㧕 ߩࠬࠢ߇㜞߹ࠆޕ 5㧕㧙0㧕 ߹ߚޔᅧᆼᦼߦ㊀Ⴧട㊂߇⪺ߒߊዋߥ႐วߦߪޔૐ↢㊀ఽಽᇂ 㧕㧙3㧕߿ಾㄼᵹ↥ 0㧕ޔಾ ㄼᣧ↥ 0㧕 ߩࠬࠢ߇㜞߹ࠅޔ㊀Ⴧട㊂߇⪺ߒߊᄙ႐วߦߪޔ೨ᦼ⎕᳓ 4㧕 ߿ᅧᆼ㜞ⴊ∝⟲ 㧔ᅧᆼਛᲥ∝㧕0㧕4㧕ޔᏂᄢఽಽᇂ 6㧕5㧕ޔᏢ₺ಾ㐿ಽᇂ 8㧕5㧕6㧕ޔಽᇂᤨߩⴊ㊂ㆊᄙ 7㧕⟠ޔ᳓ᷙỘ ⢝ఽᔃᜉᢙ⇣Ᏹ 5㧕ߩࠬࠢ߇㜞߹ࠆޕ ⸥ߩฦ⒳⺞ᩏ⎇ⓥ 㧕㧙2㧕ߩಽᨆᬌ⸛ࠍ〯߹߃ࠆߣޔᅧᆼోᦼ㑆ࠍㅢߒߡߩផᅑ㊀Ⴧട㊂ߪޔ ᩰಽ߇ޟૐ㊀㧔߿ߖ㧕ߩޠ႐วߪ 9㨪2kgޔ ߩޠ߁ߟ߰ޟ႐วߪ 7㨪2kgޔ ޟ⢈ḩߩޠ႐วޔ ߦኻᔕߒߡߊ㧔 5㧕 ޔߚ߹ޕ㊀ߩᄌൻߦߟߡ߽ޔฦ⒳⺞ᩏ⎇ⓥ 2㧕20㧕23㧙3㧕ߩಽᨆᬌ⸛ࠍ 〯߹߃ޔᅧᆼਛᦼ߆ࠄᧃᦼߦ߅ߡߪ ㅳ㑆ߚࠅߩផᅑ㊀Ⴧട㊂ࠍ⋡ߣߒⷰߦ⊛ᤨ⚻ޔኤޔ ⹏ଔߒߡߊ㧔 6㧕ޕ ߥ߅ޔᅧᆼೋᦼߦߟߡߪ㊀Ⴧടߦ㑐ߔࠆ↪น⢻ߥ࠺࠲߇ਲߒߎߣߥߤ߆ࠄ ޔㅳ㑆 ߚࠅߩផᅑ㊀Ⴧട㊂ߩ⋡ࠍ␜ߒߡߥߚ⥃ߩߤߥࠅࠊߟޔᐥ⊛ߥ⁁ᴫࠍ〯߹߃ޔߦኻ ᔕߒߡߊߎߣ߇ᦸ߹ߒޔߚ߹ޕ㊀ჇടߪੱᏅ߇ᄢ߈ߩߢޔ㘩㊂߿りᵴേߩ㊂ߦ߽㈩ ᘦߒߥ߇ࠄ⋡ߥ⊛৻↹ޔᮡࠍ⋡ᜰߔߎߣߩߥࠃ߁ߦ⇐ᗧߔࠆޕ 5 ᩰಽ ᅧᆼోᦼ㑆ࠍㅢߒߡߩផᅑ ᅧᆼోᦼ㑆ࠍㅢߒߡߩផᅑ㊀Ⴧട㊂ ផᅑ㊀Ⴧട㊂ ᩰಽ ផᅑ㊀Ⴧട㊂ ૐ㊀㧔߿ߖ㧕㧦㧮㧹㧵8.5ᧂḩ 9㨪2kg ߰ ߁㧦㧮㧹㧵8.5એ25.0ᧂḩ 7㨪2kg۲ ḩ㧦㧮㧹㧵25.0એ ኻᔕ۲2 ⢈ ߟ ᩰಽߪ㕖ᅧᆼᤨߩᩰߦࠃࠆޕ BMI㧔Body Mass Index㧕 㧦㊀(kg)/り㐳(m)2 ۲ ᩰಽ߇ߩޠ߁ߟ߰ޟ႐วޔBMI ߇ޟૐ㊀㧔߿ߖ㧕 ߦޠㄭ႐วߦߪផᅑ㊀Ⴧട ㊂ߩ㒢ߦㄭ▸࿐ࠍޔ ޟ⢈ḩߦޠㄭ႐วߦߪផᅑ㊀Ⴧട㊂ߩਅ㒢ߦૐ▸ ࿐ࠍផᅑߔࠆߎߣ߇ᦸ߹ߒޕ ۲2 BMI ߇ 25.0 ࠍ߿߿߃ࠆ⒟ᐲߩ႐วߪ ߘࠃ߅߅ޔ5kg ࠍ⋡ߣߒࠆ߃ߊߒ⪺ޔ႐ วߦߪࠍ╬ࠢࠬߩઁޔ⠨ᘦߒߥ߇ࠄ⥃ޔᐥ⊛ߥ⁁ᴫࠍ〯߹߃ޔߦኻᔕߒߡߊޕ ȝ 39 ȝ 6 ᩰಽ ᅧᆼਛᦼ߆ࠄᧃᦼߦ߅ߌࠆ㧝ㅳ㑆 ᅧᆼਛᦼ߆ࠄᧃᦼߦ߅ߌࠆ㧝ㅳ㑆 ߆ࠄᧃᦼߦ߅ߌࠆ㧝ㅳ㑆ߚࠅߩផᅑ㊀Ⴧട㊂ ߚࠅߩផᅑ㊀Ⴧട㊂ ᩰಽ ㅳ㑆ߚࠅߩផᅑ㊀Ⴧട㊂ ૐ㊀㧔߿ߖ㧕㧦㧮㧹㧵8.5ᧂḩ 0.3㨪 0.3㨪0.5kg 0.5kg/ kg/ㅳ ߰ 0.3㨪 0.3㨪0.5kg 0.5kg/ kg/ㅳ ߟ ⢈ ߁㧦㧮㧹㧵8.5એ25.0ᧂḩ ḩ㧦㧮㧹㧵25.0એ ኻᔕ ᩰಽߪ㕖ᅧᆼᤨߩᩰߦࠃࠆޕ BMI㧔Body Mass Index㧕 㧦㊀(kg)/り㐳(m)2 ᅧᆼೋᦼߦߟߡߪ㊀Ⴧടߦ㑐ߔࠆ↪น⢻ߥ࠺࠲߇ਲߒߎߣߥߤ߆ࠄޔ ㅳ㑆ߚࠅߩផᅑ㊀Ⴧട㊂ߩ⋡ࠍ␜ߒߡߥߚ⥃ߩߤߥࠅࠊߟޔᐥ⊛ߥ⁁ ᴫࠍ〯߹߃ޔߦኻᔕߒߡߊޕ ᅧᆼਛߩ㊀Ⴧട㊂ߪᲣߩ⢽⢌Ớᐲߦ߽ᓇ㗀 Უߩ⢽⢌Ớᐲߪᅧᆼਛߩᦨᄢ BMI ߣᒝᱜߩ⋧㑐߇ߺࠄࠇࠆޕᅧᆼਛߩᦨᄢ BMI ߪᅧ ᆼ೨ߩ㊀ߣᅧᆼਛߩ㊀Ⴧട㊂ߦࠃࠅቯߔࠆߎߣ߆ࠄޔᦼએ೨ߩ⫾Ⓧ⢽⢌߇Უ ߩ⢽⢌Ḯߣߒߡఝవߔࠆߎߣ߇␜ໂߐࠇߡࠆ ޕᲣߩ⢽⢌ߪఽߩࠛࡀ࡞ࠡ߿ᔅ㗇 32㧕 ⢽⢌㉄㧔23 㗁ෳᾖ㧕ߩଏ⛎Ḯߣߒߡ㊀ⷐߢࠆߎߣ߆ࠄޔᅧᆼਛߩ㊀Ⴧടߦኻߔࠆᭂ┵ ߥ㒢ߪᅢ߹ߒߊߥޕ ᢥ₂ 㧕Sebire NJ, Jolly M, Harris J, Regan L, Robinson S. 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'4)§, ¨©ªሶᅧᇚߩ㊀ჇടߣߘߩᅧᆼJಽJ⢝ఽ⊒x߳ߩᓇ㗀ߦߟߡ↥ᇚੱ⑼≮ '975;3':646-655. '5)Johnson JW, Longmate JA, Frentzen B. Excessive maternal weight and pregnancy outcome. Am J Obstet Gynecol '992;'67:353-70; discussion 370-372. '6)«¬ઍ, ®ߖߟሶ, ë ¯°ࠛ,7ಽɱࠍ²³ߔࠆ⻉Oሶߩᬌ⸛(´ ' ႎ) ᅧ↥ᇚߩ㊀ ߇ಽߦߔᓇ㗀ߦߟߡ↥⑼ߣᇚੱ⑼ '987;54:'85'-'855. '7)µ,, 7⢈ḩᅧᇚߩᩕ㙃▤Ìߦ ߔࠆၮ¶⊛,·¸⊛⎇ⓥᣣ↥ᇚ¦ '992;44:229-236. '8)ᚑᅧᆼ㊀Ⴧട㊂ߦᓇ㗀ࠍߔⷐO¹߮ߦno㊀Ⴧടᅧᇚߩ▤Ìߦ ߔࠆ⎇ⓥº කᄢ¦ '984;42:355-368. '9).ᱜ»ޟᅧᆼ∝ߩᩕ㙃▤Ìᜰ㊎<ฦ⒳¼½¨©ળî¾>ޠ,ᣣ↥ᇚ'999;5':N507-508. 20)¿Àᅧᆼߩ\㊀Ⴧട㊂ߣᅧᆼòÁߣߩ Áᐔᚑ'6ᐕ)↢*+⑼ቇ⎇ⓥÂ9:Ã㧔ሶ ߤ߽FG,ว⎇ⓥÄ*ÍÅ⎇ⓥ⠪ ÆÇÈ㧕 ⧯ޟᅚᕈߩ㘩↢ᵴߪߎߩ߹߹ߢ⦟ߩ߆É<Êઍ ߩஜᐽࠍ⠨ߦࠇߚᩕ㙃ቇ2 කቇ⊛ᬌ⸛ޠႎ๔Ë ಽÌ⎇ⓥႎ๔Ë. 2')Hytten FE. Weight gain in pregnancy. InDClinical Physiology in ObstetricsE. Blackwell Science, Oxford '990. 22)ÍÎᅧᆼJಽJ↥Ï⚻nߩ\㊀ߩᄌ¬ߣߘߩ·¸↥ᇚੱ⑼≮ '976;33:88-9'. 23)Щ¨Ñሶ, 7ᅧᆼ\㊀Ⴧട㊂ߦ ߔࠆᬌ⸛\ᕈ↢ '977;'7:85-89. 24)Institute of Medicine. Subcommittee on Nutritional Status and Weight Gain in Pregnancy. Nutrition during pregnancy: part Ò, weight gain. National Academy Press, Washington D.C. '990. 25)Abrams B, Carmichael S, Selvin S. 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