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孕前体力活动与子痫前期风险:一项基于人群的前瞻性队列研究。

Pre-pregnancy physical activity and preeclampsia risk: a prospective population-based cohort study.

机构信息

Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway.

出版信息

Acta Obstet Gynecol Scand. 2010 Mar;89(3):315-20. doi: 10.3109/00016340903370106.

Abstract

OBJECTIVE

To test the hypothesis that women physically active prior to pregnancy are at reduced risk of preeclampsia. Design. Population-based prospective cohort study. Setting. Linkage between the HUNT-1 Study (health study) and the Medical Birth Registry of Norway.

POPULATION

Women with singleton live births after participation in the HUNT-1 Study were included, if the newborn's gestational age was more than 22 weeks or birthweight above 500 g. Women pregnant during participation in the health study were excluded.

METHODS

The physical activity level was measured by a questionnaire. Information on the women's coming birth was provided by the Medical Birth Registry of Norway. Odds ratios of preeclampsia were calculated and adjusted for maternal age, parity, smoking and body mass index.

MAIN OUTCOME MEASURE

Preeclampsia.

RESULTS

Of 3,656 women included, 167 (4.6%) developed preeclampsia. Overall, we found no link between pre-pregnancy physical activity and preeclampsia. Only among the women physically active for 120 min/week or more, a tendency for reduced risk was found (adjusted odds ratio 0.6:95% CI 0.3-1.2).

CONCLUSION

Women physically active prior to pregnancy were not at reduced risk of developing preeclampsia.

摘要

目的

检验假设,即妊娠前有身体活动的女性患子痫前期的风险降低。

设计

基于人群的前瞻性队列研究。

地点

挪威亨宁斯韦尔研究(健康研究)与挪威医学出生登记处之间的关联。

人群

在参加亨宁斯韦尔研究 1 期后,若新生儿的胎龄超过 22 周或出生体重超过 500 克,则纳入单胎活产的女性。在健康研究期间怀孕的女性被排除在外。

方法

通过问卷调查测量身体活动水平。挪威医学出生登记处提供关于女性即将分娩的信息。计算子痫前期的比值比,并根据母亲年龄、产次、吸烟和体重指数进行调整。

主要观察指标

子痫前期。

结果

在纳入的 3656 名女性中,167 名(4.6%)发生子痫前期。总体而言,我们未发现妊娠前体力活动与子痫前期之间存在关联。只有在每周进行 120 分钟或更多体力活动的女性中,才发现风险有降低的趋势(调整后的比值比 0.6:95%CI 0.3-1.2)。

结论

妊娠前有身体活动的女性患子痫前期的风险并未降低。

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