May Linda E, Suminski Richard R, Linklater Emily R, Jahnke Sara, Glaros Alan G
Department of Foundational Sciences and Research, East Carolina University, Greenville, North Carolina, USA.
J Am Osteopath Assoc. 2013 Aug;113(8):612-9. doi: 10.7556/jaoa.2013.022.
Obstetric providers are logical choices for conveying information about physical activity to their pregnant patients. However, research regarding obstetric providers counseling pregnant patients about physical activity is sparse.
To investigate the association between obstetric providers discussing exercise with their pregnant patients and patients' exercise behaviors and to explore factors related to obstetric providers discussing exercise and other health behaviors (tobacco use, alcohol use, and nutrition) with their patients.
We received completed surveys from 238 pregnant women and 31 obstetric providers at 12 obstetrician offices. The offices were located throughout the United States and were heterogeneous in regards to patient insurance coverage, number of patients treated per month, and percentage of patients with complications.
Women who were "more careful about eating healthy" (odds ratio [OR], 3.1; 95% confidence interval [CI], 1.2-8.0) and who discussed exercise with their obstetric provider (OR, 2.2; 95% CI, 1.1-4.3) were more likely to "maintain or increase exercise" during pregnancy than those who were not conscientious about their diets and those who did not discuss exercise with their obstetric provider, respectively. The odds of obstetric providers discussing exercise with pregnant patients increased 7-fold (OR, 7.1; 95% CI, 1.4-37.3) for each health behavior the obstetric provider discussed with the patient.
Patient discussions with obstetric providers about exercise and patient attention to eating habits are associated with exercising during pregnancy. A more multibehavioral approach by obstetric providers may improve the likelihood that patients exercise during pregnancy.
产科医护人员是向孕妇传达体育活动信息的合理人选。然而，关于产科医护人员为孕妇提供体育活动咨询的研究却很少。
调查产科医护人员与孕妇讨论运动情况和孕妇运动行为之间的关联，并探究与产科医护人员和患者讨论运动及其他健康行为（吸烟、饮酒和营养）相关的因素。
我们收到了来自12家产科诊所的238名孕妇和31名产科医护人员填写完整的调查问卷。这些诊所在美国各地，在患者保险覆盖范围、每月治疗患者数量以及有并发症患者的比例方面存在差异。
与那些饮食不认真以及未与产科医护人员讨论运动的孕妇相比，“更注重健康饮食”的孕妇（比值比[OR]，3.1；95%置信区间[CI]，1.2 - 8.0）以及与产科医护人员讨论过运动的孕妇（OR，2.2；95%CI，1.1 - 4.3）在孕期更有可能“保持或增加运动量”。产科医护人员与孕妇讨论运动的几率，会随着医护人员与患者讨论的每项健康行为而增加7倍（OR，7.1；95%CI，1.4 - 37.3）。
患者与产科医护人员关于运动的讨论以及患者对饮食习惯的关注与孕期运动有关。产科医护人员采用更具多行为的方法可能会提高患者在孕期运动的可能性。
