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基于社区的产后运动项目。

Community-based postpartum exercise program.

机构信息

Department of Nursing, College of Medicine, Fu Jen Catholic University, Taipei, Taiwan.

出版信息

J Clin Nurs. 2013 Aug;22(15-16):2122-31. doi: 10.1111/jocn.12117. Epub 2013 Feb 9.

Abstract

AIMS AND OBJECTIVES

To evaluate the effectiveness of an exercise programme for postpartum women to lose weight and relieve fatigue and depression.

BACKGROUND

The optimal period for weight loss is six months postpartum. However, most women cannot return to their pre-pregnancy fitness level within that period of time.

DESIGN

A quasi-experimental one-group pretest-post-test design was carried out.

METHODS

A convenience sampling method was used to recruit 28 women at 2-6 months postpartum. The 'Yoga and Pilates Exercise Programme for Postpartum Woman' was designed for this study and was delivered in group sessions once a week for three months (12 times total) for 60 minutes each time by a professional coach. Of the participants, 23 completed the entire program. The participants' body composition and levels of depression and fatigue were measured before and after the programme to identify differences.

RESULTS

Women in the high-score group showed a significant decrease of 6·71 ± 5·71 points (t = 3·113, p = 0·021) in the depression score after participating in the exercise programme. No significant difference was found for the level of fatigue before and after the exercise programme (p > 0·05). Significant reductions in the participants' body weight, body fat percentage, fat mass and basic metabolic rate were observed after the exercise programme (p < 0·001).

CONCLUSIONS

These physical activities benefited the physical and mental health of postpartum women and enhanced their quality of life.

RELEVANCE TO CLINICAL PRACTICE

It is worthwhile promoting a yoga and Pilates exercise programme for postpartum women in communities.

摘要

目的和目标

评估一项针对产后女性的运动方案,以减轻体重、缓解疲劳和抑郁。

背景

减肥的最佳时期是产后六个月。然而,大多数女性无法在这段时间内恢复到怀孕前的健康水平。

设计

采用准实验性单组前测后测设计。

方法

采用便利抽样法招募 28 名产后 2-6 个月的女性。本研究设计了“产后瑜伽和普拉提运动方案”,由专业教练每周一次,每次 60 分钟,共 12 次,在三个月内进行小组授课。其中 23 名参与者完成了整个方案。在方案前后测量参与者的身体成分以及抑郁和疲劳水平,以确定差异。

结果

高分组女性在参加运动方案后抑郁评分显著下降 6.71±5.71 分(t=3.113,p=0.021)。运动方案前后疲劳水平无显著差异(p>0.05)。参与者的体重、体脂百分比、脂肪量和基础代谢率在运动方案后显著降低(p<0.001)。

结论

这些体育活动有益于产后女性的身心健康,提高了她们的生活质量。

临床意义

在社区推广产后瑜伽和普拉提运动方案是值得的。

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