Blyholder Liga, Chumanov Elizabeth, Carr Kathleen, Heiderscheit Bryan
Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison, Madison, Wisconsin.
University of Wisconsin Hospital and Clinics, University of Wisconsin-Madison, Madison, Wisconsin.
Sports Health. 2017 Jan/Feb;9(1):45-51. doi: 10.1177/1941738116673605. Epub 2016 Oct 15.
With a recent increase in running popularity, more women choose to run during and after pregnancy. Little research has examined exercise behaviors and postpartum health conditions of runners.
Antenatal and postpartum exercise is beneficial in reducing certain postpartum health conditions.
Cross-sectional study.
Level 5.
A self-administered, online survey was developed that consisted of questions regarding antenatal and postpartum exercise behaviors, maternal history, and postpartum health conditions. The survey was completed by 507 postpartum women who were running a minimum of once per week.
Seventy-two percent of participants ran regularly during pregnancy, with 38% reporting running in the third trimester. Women with musculoskeletal pain during pregnancy were more likely to experience pain on return to running postpartum (odds ratio [OR], 3.08; 95% confidence interval [CI], 1.64-5.88). A birth spacing of <2 years or a vaginal-assisted delivery increased the odds of postpartum stress urinary incontinence (OR, 1.71; 95% CI, 1.00-2.91 and OR, 2.08; 95% CI, 1.24-3.47, respectively), while Caesarean section delivery decreased the odds (OR, 0.58; 95% CI, 0.35-0.96). Multiparous women and those who reported a Caesarean section delivery were more likely to report abdominal separation (OR, 2.11; 95% CI, 1.08-4.26 and OR, 2.20; 95% CI, 1.05-4.70, respectively). Antenatal weight training decreased the odds of postpartum pain (OR, 0.52; 95% CI, 0.28-0.94), stress urinary incontinence (OR, 0.46; 95% CI, 0.21-0.98), and abdominal separation (OR, 0.51; 95% CI, 0.26-0.96).
Musculoskeletal pain, stress urinary incontinence, and abdominal separation are prevalent conditions among postpartum runners and are more likely to occur with specific maternal history characteristics. Antenatal weight training may reduce the odds of each of these conditions.
Strengthening exercises during pregnancy may prevent weakening and dysfunction of the abdominal and pelvic floor muscles, decreasing the odds of pain, stress urinary incontinence, and abdominal separation after pregnancy.
随着近期跑步运动越来越受欢迎，越来越多的女性选择在孕期及产后进行跑步运动。很少有研究调查跑步者的运动行为和产后健康状况。
产前和产后运动有助于减少某些产后健康问题。
横断面研究。
5级。
开展了一项自填式在线调查，其中包括有关产前和产后运动行为、孕产史及产后健康状况的问题。该调查由507名每周至少跑步一次的产后女性完成。
72%的参与者在孕期有规律地跑步，其中38%报告在孕晚期仍在跑步。孕期有肌肉骨骼疼痛的女性产后恢复跑步时更有可能出现疼痛（比值比[OR]为3.08；95%置信区间[CI]为1.64 - 5.88）。生育间隔<2年或阴道助产会增加产后压力性尿失禁的几率（OR分别为1.71；95%CI为1.00 - 2.91和OR为2.08；95%CI为1.24 - 3.47），而剖宫产则会降低这种几率（OR为0.58；95%CI为0.35 - 0.96）。经产妇和那些报告为剖宫产的女性更有可能出现腹直肌分离（OR分别为2.11；95%CI为1.08 - 4.26和OR为2.20；95%CI为1.05 - 4.70）。产前进行重量训练可降低产后疼痛（OR为0.52；95%CI为0.28 - 0.94）、压力性尿失禁（OR为0.46；95%CI为0.21 - 0.98）和腹直肌分离（OR为0.51；95%CI为0.26 - 0.96）的几率。
肌肉骨骼疼痛、压力性尿失禁和腹直肌分离在产后跑步女性中很常见，并且在具有特定孕产史特征的情况下更有可能发生。产前重量训练可能会降低这些情况发生的几率。
孕期进行强化运动可能会预防腹部和盆底肌肉的弱化和功能障碍，降低产后疼痛、压力性尿失禁和腹直肌分离的几率。
