Broberg Lotte, Ersbøll Anne S, Backhausen Mette G, Damm Peter, Tabor Ann, Hegaard Hanne K
Department of Obstetrics, Copenhagen University Hospital Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen, Denmark.
The Research Unit Women's and Children's Health, the Juliane Marie Centre for Women, Children and Reproduction, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
BMC Pregnancy Childbirth. 2015 Nov 27;15:317. doi: 10.1186/s12884-015-0756-0.
Exercise during pregnancy is associated with health benefits for both the mother and the fetus, and is therefore recommended in several national guidelines. Only few studies investigate whether these guideline recommendations are met. The aims of this study were 1. To assess the prevalence of pregnant women meeting the Danish recommendations for exercise during early pregnancy, 2. To identify pre-pregnancy factors associated with a lower probability for meeting the recommendations, and 3. To describe which types of exercise pregnant women prefer before and during pregnancy.
We conducted a cross-sectional study based on a questionnaire during the first trimester among 7,915 women participating in the prospective Copenhagen Pregnancy Cohort. Associations were estimated by multivariate regression analyses.
In early pregnancy, 38 % of the study population met the recommendation for exercise from the Danish Health and Medicines Authority (≥3.5 hours a week). Multiparity, previous miscarriage use of assisted reproductive technology, no engagement in exercise before pregnancy, smoking, pregnancy following assisted reproductive technology, overweight, not understanding Danish language and a low educational level were all factors associated a lower probability for meeting the recommendations. The preferred types of exercise before and during pregnancy were bicycling, brisk walking, running and strength training. The proportion of women engaged in any type of exercise decreased in early pregnancy with the exception of swimming and aquatic exercise.
In this cohort, more than one-third met the Danish recommendation for exercise during early pregnancy. Exercise in pregnancy is still an issue to address because the most vulnerable groups of pregnant women do not exercise. This is a cause of concern because it may reflect social inequalities in health and highlights the need for a structural and systematic approach to preconception care and early antenatal counselling.
孕期运动对母亲和胎儿均有益健康，因此多项国家指南都推荐孕期运动。仅有少数研究调查了这些指南建议是否得到落实。本研究的目的是：1. 评估早孕期符合丹麦运动建议的孕妇比例；2. 确定与较低概率符合建议相关的孕前因素；3. 描述孕妇在孕前和孕期更喜欢哪种类型的运动。
我们基于一份问卷，对参与前瞻性哥本哈根妊娠队列研究的7915名女性在孕早期进行了横断面研究。通过多因素回归分析估计关联。
在孕早期，38%的研究人群符合丹麦卫生和药品管理局的运动建议（每周≥3.5小时）。多胎妊娠、既往流产史、使用辅助生殖技术、孕前不运动、吸烟、辅助生殖技术后妊娠、超重、不懂丹麦语以及低教育水平均是与较低概率符合建议相关的因素。孕前和孕期最喜欢的运动类型是骑自行车、快走、跑步和力量训练。除游泳和水上运动外，从事任何类型运动的女性比例在孕早期都有所下降。
在这个队列中，超过三分之一的孕妇在孕早期符合丹麦的运动建议。孕期运动仍是一个需要解决的问题，因为最脆弱的孕妇群体不运动。这令人担忧，因为它可能反映了健康方面的社会不平等，并凸显了对孕前保健和早期产前咨询采取结构化和系统化方法的必要性。
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