孕前超重 , 母亲 , 新生儿 , 肠道菌群," /> 孕前超重 , 母亲 , 新生儿 , 肠道菌群,"/> Pre-pregnant weight , Mother , Infant , Gut microbiota,"/> <span style="line-height:2;font-size:14px;">孕前超重对母婴肠道菌群的影响</span>
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发育医学电子杂志  2019, Vol. 7 Issue (2): 126-129    DOI: 10.3969/j.issn.2095-5340.2019.02.010
  围产医学   论著 |产科 |
孕前超重对母婴肠道菌群的影响
刘晓峰  金玉  齐宸  管滔  郭艳杰  关怀
1. 解放军联勤保障部队第九六七医院 妇产科,辽宁 大连 116021;2. 大连医科大学 微生态学教研室,
辽宁 大连 116044
Influence of pre-pregnant overweight on the gut microbiota of maternal and infants
LIU Xiao-feng, JIN Yu, QI Chen, GUAN Tao, GUO Yan-jie, GUAN Huai
1.Department of Obstetrics and Gynecology, No. 967 Hospital of PLA, Liaoning, Dalian 116021, China; 2.Department of Microecology, Dalian Medical University, Liaoning, Dalian 116044, China)
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摘要 【摘要】 目的 收集孕前超重妇女孕晚期的粪便及其新生儿粪便,与孕前体重正常者对比,探讨肠道微生物群的组成。 方法 2017 年 5 月至 2018 年 12 月,在中国人民解放军联勤保障部队第九六七医院行产前检查并住院分娩的孕妇中,纳入孕前超重(BMI >24.0 kg/m2)和孕前正常体重(BMI 18.5 ~ 24.0 kg/m2)的孕妇各 30 例。收集孕 37 ~ 41 周孕妇粪便样本以及生后 3 ~ 4 d 新生儿的粪便,采用定性和定量方法检测双歧杆菌、乳酸杆菌、肠球菌、肠杆菌、酵母菌、拟杆菌的菌落数。分析母亲人口学资料、孕期并发症、新生儿出生体重、性别等基本情况,比较两组肠道菌群构成情况。统计学方法采用 student t 检验和 χ2 检验。 结果 孕前正常体重组孕妇的孕前 BMI、年龄、GDM 发生率均低于孕前超重组。孕前正常体重组新生儿的出生体重低于孕前超重组。孕前超重组孕妇肠道内双歧杆菌、乳酸杆菌、拟杆菌数量低于孕前正常体重组;肠杆菌、肠球菌和酵母菌数量高于孕前正常体重组,差异均有统计学意义(P 值均 <0.001)。孕前超重组新生儿肠道内双歧杆菌和乳酸杆菌数量低于孕前正常体重组;肠杆菌数量高于孕前正常体重组,差异有统计学意义(P 值均 <0.001)。  母亲孕前超重可能通过影响母儿肠道菌群构成而影响子代早期发育,干预母亲孕期肠道菌群可能为防治子代代谢性疾病提供契机。
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关键词:  孕前超重 ')" href="#">孕前超重   母亲   新生儿   肠道菌群    
Abstract: 【Abstract】 Objective    To collect the stool from newborn and pre-pregnant overweight women during the third trimester and compare that with normal weight women of pre-pregnant, and explore thecomposition of gut microflora. Methods From May 2017 to December 2018, a pair of 30 cases
with pre-pregnant overweight (BMI >24.0 kg/m2) and pre-pregnant normal weight (BMI 18.5-24.0 kg/m2)
were underwent prenatal examination and delivered in the No. 967 Hospital of PLA. Fecal samples of 
pregnant women (37-41 weeks) and neonates (3-4 days after birth) were collected and the total number
of bifidobacterium, lactobacillus, enterococcus, enterobacter, yeast, bacteroides were detected by the
approaches of qualitative and quantitative methods. The basic situations of mother's demographic,
pregnancy complications, newborn birth weight and gender were analyzed and the composition of intestinal micro?ora was compared between two groups. The statistical analysis was performed by student t test and χ2 test. Results The group of pre-pregnant normal weight was lower than the group of pre-pregnant overweight in pre-pregnant BMI,age, the incidence rate of GDM. The birth weight of newborns in thepre-pregnant normal weight group was lower than that in the pre-pregnant overweight group. The number of bifidobacterium, lactobacillus and bacteroides of maternal gut in pre-pregnant overweigh group was lower than that in pre-pregnant normal weight group, whereas the number of enterobacter, enterococcus and yeast of maternal gut in pre-pregnant overweight group was higher than that in pre-pregnant normal weight group. There was statistical significance (all P<0.001). The number of bifidobacterium and lactobacillus of neonatal gut in pre-pregnant overweight group was lower than that in pre-pregnant normal weight group; whereas the number of enterobacter of neonatal gut in pre-pregnant overweight group was higher than that in pre-pregnant normal weight group. There was statistical significance (all P<0.001). Conclusions Maternal pre-pregnant overweight may  in?uence the offspring's development through altering the gut microbiota of maternal and infants. Intervention of maternal gut microbiota during pregnancy may provide an opportunity to prevent the metabolic diseases of offspring.
Key words:  Pre-pregnant weight ')" href="#">Pre-pregnant weight    Mother    Infant    Gut microbiota
收稿日期:  2019-01-15                出版日期:  2019-04-30      发布日期:  2019-05-09      期的出版日期:  2019-04-30
基金资助: 辽宁省自然科学基金(20180550166、20170540904);大连市医学科学研究计划项目(1712051)
通讯作者:  关怀    E-mail:  greeneve@163.com
引用本文:    
刘晓峰  金玉  齐宸  管滔  郭艳杰  关怀. 孕前超重对母婴肠道菌群的影响[J]. 发育医学电子杂志, 2019, 7(2): 126-129.
LIU Xiao-feng, JIN Yu, QI Chen, GUAN Tao, GUO Yan-jie, GUAN Huai. Influence of pre-pregnant overweight on the gut microbiota of maternal and infants. Journal of Developmental Medicine(Electronic Version), 2019, 7(2): 126-129.
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http://www.fyyxzz.com/CN/10.3969/j.issn.2095-5340.2019.02.010  或          http://www.fyyxzz.com/CN/Y2019/V7/I2/126
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