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孕期最后一个月的日常身体活动与妊娠结局之间的关系。

Relationship between Daily Physical Activity During Last Month of Pregnancy and Pregnancy Outcome.

作者信息

Koushkie Jahromi M, Namavar Jahromi B, Hojjati S

机构信息

Department of Physical and Sport Sciences, Shiraz University, Shiraz, Iran.

出版信息

Iran Red Crescent Med J. 2011 Jan;13(1):15-20. Epub 2011 Jan 1.

Abstract

BACKGROUND

Previous researchers have evaluated the influence of physical exercise or physical activity on pregnancy outcome, but the influence of daily physical activities in details including energy expenditure, biomechanical load and exercise before and during pregnancy have remained unclear. This study evaluates the relationship between daily physical activities as a biomechanical load and energy expenditure and physical exercise during household activities with birth weight, type of delivery and Apgar score.

METHODS

The participants of this study were household, first parity women who referred to a prenatal care center in southern Iran. 132 volunteer women were eligible to be enrolled according to their general health and not having any absolute or relative limitation for participating in any kind of activity. Information about daily physical activity was collected through a personal interview using a structured questionnaire during two separate days of ninth month of pregnancy. Data on delivery were recorded from recorded documents of mothers in the hospital.

RESULTS

There was no relationship between biomechanical and energy load and birth weight. There was a significant correlation between Apgar score and biomechanical and energy load. Infants of mothers who exercised before or during pregnancy had a significant higher weight than the non-exercise group. Apgar score indicated no significant difference among those having exercise and those without before and during pregnancy. There was no significant difference in the biomechanical load and energy expenditure in the two types of delivery.

CONCLUSION

Daily activities in normal range do not induce any harmful effect on birth weight; increasing biomechanical load as a result of some maternal body postures that may be harmful for infant health at birth time. Physical exercise before and during pregnancy may have a positive effect on birth weight.

摘要

背景

此前的研究人员评估了体育锻炼或身体活动对妊娠结局的影响,但包括能量消耗、生物力学负荷以及孕期前后的体育活动等日常身体活动的具体影响仍不明确。本研究评估作为生物力学负荷和能量消耗的日常身体活动与家务活动期间的体育锻炼与出生体重、分娩类型和阿氏评分之间的关系。

方法

本研究的参与者为伊朗南部一家产前护理中心接待的初产妇。132名志愿女性根据其总体健康状况且无参与任何活动的绝对或相对限制而符合入选条件。在妊娠第九个月的两个不同日子里,通过使用结构化问卷进行个人访谈收集有关日常身体活动的信息。分娩数据从医院母亲的记录文件中获取。

结果

生物力学和能量负荷与出生体重之间没有关系。阿氏评分与生物力学和能量负荷之间存在显著相关性。孕期前后进行锻炼的母亲所生婴儿的体重明显高于未锻炼组。阿氏评分表明孕期前后锻炼组与未锻炼组之间没有显著差异。两种分娩类型在生物力学负荷和能量消耗方面没有显著差异。

结论

正常范围内的日常活动不会对出生体重产生任何有害影响;某些母体身体姿势导致的生物力学负荷增加可能在出生时对婴儿健康有害。孕期前后进行体育锻炼可能对出生体重有积极影响。

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