Study On The Health-related Factors Of The Rural Uighur Pregnant Women In Xinjiang

Objective: According to investigating the dietary nutrition, plasma homocysteine inthe different pregnancy and variation of Uighur pregnant women, and the impact on thehealth status of pregnant women, we can provide a basis for further study on nutritionaland health status of pregnant women. Methods: This study has Uighur pregnant womensurveyed. A custer sampling method was used to select3397Uighur pregnant womenfrom Kashi City subsidiary townships for their basic information survey and detary survey.There were639Uighur pregnant women who Voluntary participation in the follow-upsurvey by the Ethics Committee.1. Using the face-to-face questionnaire to survey theirbasic information.2. Using the method of24-hour dietary recalls to survey the dietaryintake status, a comparative analysis with the DRIs.3.Physical examination, hemoglobindetermination and plasma homocysteine determination.4. SPSS17.0statistical softwarefor statistical data, and Hb and plasma Hcy levels Logist regression analysis of singlefactor conditions.5. Tracking the639pregnancy outcomes. Results:1.Basic information:the age range of20to30, mean age (25.12±2.80) years; The constituent ratio ofeducational level of Uighur pregnant women were Junior high school(41.60%). Mainoccupation were farmers(45.36%). The population was most which Per capita monthlyincome was between1000to2000yuan. Lighter, normal and overweight of MBIaccounted for12.12%、62.78%、25.10%.2. Dietary intake status: Among Uighur pregnantwoman’s daily nutrients investigated, the daily intakes of Energy, protein, magnesium,potassium, sodium, zinc, selenium, vitamin A, vitamin B1, vitamin C and niacin were127.87%,139.88%,104.25%,104.88%,125.63%,97.27%,112.58%,133.33%,90.67%,111.54%and137.35%of the DRIs; the daily intakes of psphorus and vitamin E were217.00%and222.36%of the DRIs, the daily intakes of calcium、iron、vitamin B2andvitamin B12were62.30%、72.29%、67.60%and60.77%of the DRIs, the daily intakes ofiodine, vitamin D and folic acid were just2.69%、48.70%and20.65%of the DRIs.3. thehemoglobin levels of different stages of gestation average (110.53±11.98) g/L; there wasdifference statistically between the Hb of early pregnancy (118.29±11.33) g/L and that of progesterone in the late (107.08±10.77) g/L（P＜0.05）, and the same to the detection rateof Anemia of them. the plasma homocysteine of different stages of gestation average(16.86±4.92) μmol/L; there was no difference statistically between the plasmahomocysteine of early pregnancy (16.89±4.83) μmol/L and that of progesterone in thelate (16.83±5.01) μmol/L（P＞0.05）,and the same to the detection rate of Homocysteineviremia of them.5.Ther were no birth defects from the newborns of the639first trimesterpregnant women. Conclusion:1.Age, educational level, occupation, income and BMI maybe influencing factors of maternal health.2.The dietary structure of Uighur pregnantwomen surveyed is irrational, including the higher intake of psphorus and vitamin E, butthe Insufficient intake of calcium、iron、vitamin B2and vitamin B12,especially seriousshortage of iodine、 vitamin D and folic acid; other nutrients basic standards.3.Hemoglobin level of first trimester pregnant women were normal, of third trimesterpregnant women was slightly low, this was mild anemia; the plasma homocysteine anddetection rate of Homocysteine viremia were both higher.4. Older, higher householdincome and the lack of meat intake may lead to lower maternal Hb level; inadequate foodintake of vegetables, fruits and nuts may result in the abnormally elevating of plasma Hcylevels.