高血压与非高血压孕妇的身体活动及营养习惯比较

A Comparison of Physical Activity and Nutritional Practices in Hypertensive and Non- hypertensive Pregnant Women.

作者信息

Sehati Shafayi Fahimeh, Akef Maryam, Sadegi Homayoon, Sallakh Niknazhad Akram

机构信息

Department of Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

J Cardiovasc Thorac Res. 2012;4(2):53-6. doi: 10.5681/jcvtr.2012.013. Epub 2012 Sep 8.

DOI:10.5681/jcvtr.2012.013

PMID:24250984

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3825354/

Abstract

INTRODUCTION

Hypertension is the most common medical problem affecting pregnant women during pregnancy contributing to one third of substantial maternal mortality and varieties of fetal and neonatal health problems, while representing health status of a society. This study aimed to investigate the links between a healthy life style and developing hypertension during pregnancy in order to improve healthier behaviors.

METHODS

In a case-control study from October 2009 to April 2010, physical activity and nutritional practices of two groups of pregnant women (220 in each group) with gestational age of 20 weeks or more, single pregnancy, without any previous medical disorders were compared. Samples in case group had pregnancy induced hypertension. Data were collected using a two-part questionnaire after obtaining informed written consents from mothers before enrollment; later the data were analyzed using the SPSS 13 and Stata software.

RESULTS

Women in two groups did not differ regarding their socioeconomic characteristics. There were no significant differences in nutritional practices and level of physical activity in pregnant women of study groups; mean score of physical activity was 54.6±14.8 in test and 57.3±15.0 in control group (P=0.06) and it was 72.9±10.3 and 73.719.5 about nutritional habits in test and control group respectively. Mean pre-pregnancy BMI was higher in case group (P=0.02); these women also had a higher percentage of previous prenatal mortality and history of hypertension.

CONCLUSION

Results state that health during pregnancy is relevant to healthy life style especially preconceptional period; therefore employing proper strategies to improve women knowledge and attitude of the important dimensions of healthy life considering good and healthy diet and active life seem to solve the problem; this needs to unite all health workers to set proper educational programs and courses and support of health policy makers.

摘要

引言

高血压是孕期影响孕妇的最常见医学问题，导致三分之一的孕产妇死亡以及各种胎儿和新生儿健康问题，同时也反映了一个社会的健康状况。本研究旨在调查健康生活方式与孕期高血压发生之间的联系，以促进更健康的行为。

方法

在一项2009年10月至2010年4月的病例对照研究中，比较了两组孕周20周及以上、单胎妊娠且无任何既往病史的孕妇（每组220例）的身体活动和营养习惯。病例组为妊娠期高血压患者。在获得母亲们的书面知情同意后，使用两部分问卷收集数据；随后使用SPSS 13和Stata软件进行数据分析。

结果

两组女性的社会经济特征无差异。研究组孕妇的营养习惯和身体活动水平无显著差异；试验组的身体活动平均得分为54.6±14.8，对照组为57.3±15.0（P=0.06），试验组和对照组的营养习惯得分分别为72.9±10.3和73.7±19.5。病例组孕前平均BMI较高（P=0.02）；这些女性既往产前死亡率和高血压病史的比例也较高。