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一项评估基于电话的运动干预对孕妇和产后妇女的初步研究。

A pilot study evaluating a telephone-based exercise intervention for pregnant and postpartum women.

机构信息

University of Minnesota, Minneapolis, MN 55455, USA.

出版信息

J Midwifery Womens Health. 2011 Mar-Apr;56(2):127-31. doi: 10.1111/j.1542-2011.2010.00016.x. Epub 2011 Feb 28.

Abstract

INTRODUCTION

Exercise during pregnancy is associated with reduced rates of preeclampsia, gestational diabetes, anxiety, insomnia, and excessive weight gain. Continued exercise during the postpartum period is important for healthy weight loss and reduced anxiety. Unfortunately, pregnant and postpartum women are significantly less active than nonpregnant women. The purpose of this pilot study was to evaluate a telephone-based exercise intervention designed for pregnant and postpartum women.

METHODS

Healthy women (N = 37) who were pregnant (16 weeks' gestation or less) or postpartum (6 months or less) participated in a 3-month, telephone-based exercise intervention based on the transtheoretical model and social cognitive theory. Exercise was assessed by using the 7-Day Physical Activity Recall Interview.

RESULTS

Pregnant participants significantly increased their exercise from a mean (standard deviation [SD]) of 60.47 (63.1) minutes per week at baseline to 132.9 (82.3) minutes at 3 months, F(1,13) = 9.96, P < .01. Postpartum participants significantly increased their exercise from a mean (SD) of 68.9 (63.5) minutes per week at baseline to 123.8 (48.8) minutes at 3 months, F(1,15) = 6.56, P < .05.

DISCUSSION

Participants responded positively to the intervention by significantly increasing their exercise levels. There is a need for a large, randomized controlled trial examining the efficacy of telephone-based exercise interventions for pregnant and postpartum women.

摘要

简介

孕期运动与子痫前期、妊娠期糖尿病、焦虑、失眠和体重过度增加的发生率降低有关。产后继续运动对健康减肥和降低焦虑很重要。不幸的是,孕妇和产后妇女的活动量明显低于非孕妇。本研究旨在评估一项针对孕妇和产后妇女的基于电话的运动干预。

方法

健康女性(N=37),处于妊娠(妊娠 16 周或以下)或产后(6 个月或以下)阶段,参与了一项基于跨理论模型和社会认知理论的为期 3 个月的电话运动干预。运动通过 7 天体力活动回顾访谈进行评估。

结果

孕妇的运动显著增加,从基线时的平均(标准差)60.47(63.1)分钟/周增加到 3 个月时的 132.9(82.3)分钟,F(1,13)=9.96,P<0.01。产后参与者的运动显著增加,从基线时的平均(标准差)68.9(63.5)分钟/周增加到 3 个月时的 123.8(48.8)分钟,F(1,15)=6.56,P<0.05。

讨论

参与者对干预措施反应积极,显著增加了运动水平。需要进行一项大型的随机对照试验,以检验基于电话的运动干预对孕妇和产后妇女的疗效。

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