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极低出生体重的成年人比足月出生的同龄人运动少。

Adults born at very low birth weight exercise less than their peers born at term.

机构信息

National Institute for Health and Welfare, Department of Chronic Disease Prevention, Helsinki, Finland.

出版信息

J Pediatr. 2010 Oct;157(4):610-6, 616.e1. doi: 10.1016/j.jpeds.2010.04.002. Epub 2010 May 20.

Abstract

OBJECTIVE

To study the effects of very low birth weight (VLBW, <1500 g) birth on physical activity, an important protective and modifiable factor.

STUDY DESIGN

VLBW participants (n=163) with no major disability and 188 individuals born at term (mean age, 22.3 years; range, 18.5-27.1) completed a standardized questionnaire of physical activity.

RESULTS

VLBW participants reported less leisure-time conditioning physical activity. They were 1.61-fold more likely to "not exercise much," 1.61-fold more likely to exercise infrequently (once a week or less), 2.75-fold more likely to exercise with low intensity (walking), and 3.11-fold more likely to have short exercise sessions (<30 minutes). The differences were present even in subjects with no history of bronchopulmonary dysplasia or asthma and were only slightly attenuated when adjusted for height, parental education, lean body mass, and percent body fat.

CONCLUSIONS

Unimpaired adults who were VLBW exercise less during their leisure time than adults born at term. Promoting physical activity may be particularly important in the VLBW population to counteract the risks of chronic disease in adult life.

摘要

目的

研究极低出生体重(VLBW,<1500 克)出生对身体活动的影响,身体活动是一个重要的保护和可改变的因素。

研究设计

163 名无重大残疾的 VLBW 参与者和 188 名足月出生者(平均年龄 22.3 岁;范围 18.5-27.1)完成了身体活动标准化问卷。

结果

VLBW 参与者报告的休闲时间适应身体活动较少。他们“不怎么运动”的可能性是对照组的 1.61 倍,运动不频繁(每周一次或更少)的可能性是对照组的 1.61 倍,运动强度低(散步)的可能性是对照组的 2.75 倍,运动时间短(<30 分钟)的可能性是对照组的 3.11 倍。即使在没有支气管肺发育不良或哮喘病史的受试者中,这些差异仍然存在,而且当根据身高、父母教育程度、瘦体重和体脂百分比进行调整时,差异也只是略有减弱。

结论

未受损的 VLBW 成年人在休闲时间的运动量比足月出生的成年人少。在 VLBW 人群中,促进身体活动可能特别重要,可以抵消成年后患慢性病的风险。

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