Tosun Öznur, Bayat Meral, Güneş Tamer, Erdem Emine
Department of Nursing, Faculty of Health Sciences, ErciyesUniversity, Kayseri, Turkey.
Ann Hum Biol. 2011 Sep;38(5):635-9. doi: 10.3109/03014460.2011.598187. Epub 2011 Jul 12.
Prevention of pre-term osteopenia is important because it results in ventilator dependency, fractures in long bones, softening of the ribs or respiratory failure due to bone breaks in newborns.
The aim of this study was to evaluate the changes in bone strength and anthropometric indices of very low birth-weight (VLBW) pre-term infants undergoing daily physical activity.
Forty VLBW and low-risk pre-term infants (n intervention group = 20, n control group = 20) with a birth weight of 800-1600 g and gestational age of 26-32 weeks were recruited. Pre-term infants in the control group were provided with standard nursing care whereas those in the intervention group received a daily physical activity programme in addition to standard nursing care during the study. Before and after the study, anthropometric indices and tibial speed of sound (SOS) values were measured.
In this study the tibial SOS values were found to be increased in the intervention group (p < 0.001) and decreased in the control group (p = 0.002). The increase in percentage of the mid-upper arm circumference of infants was significantly higher in the intervention group than in the control group (p < 0.001).
A daily physical activity programme increased SOS values of the tibia and mid-upper arm circumference in VLBW pre-term infants.
预防早产性骨质减少很重要，因为它会导致新生儿呼吸机依赖、长骨骨折、肋骨软化或因骨折引发呼吸衰竭。
本研究旨在评估进行日常体育活动的极低出生体重（VLBW）早产儿的骨强度和人体测量指标的变化。
招募了40名出生体重为800 - 1600克、胎龄为26 - 32周的极低出生体重且低风险的早产儿（干预组n = 20，对照组n = 20）。对照组的早产儿接受标准护理，而干预组的早产儿在研究期间除标准护理外还接受日常体育活动计划。在研究前后，测量人体测量指标和胫骨声速（SOS）值。
在本研究中，干预组的胫骨SOS值升高（p < 0.001），而对照组降低（p = 0.002）。干预组婴儿上臂中部周长的增加百分比显著高于对照组（p < 0.001）。
日常体育活动计划增加了极低出生体重早产儿的胫骨SOS值和上臂中部周长。
