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开具运动处方以预防和治疗妊娠期糖尿病:对建议的综述

Prescribing exercise for prevention and treatment of gestational diabetes: review of suggested recommendations.

作者信息

Bianchi Cristina, Battini Lorella, Aragona Michele, Lencioni Cristina, Ottanelli Serena, Romano Matilde, Calabrese Maria, Cuccuru Ilaria, De Bellis Alessandra, Mori Mary Liana, Leopardi Anna, Sabbatini Gigliola, Bottone Pietro, Miccoli Roberto, Trojano Giuseppe, Salerno Maria Giovanna, Del Prato Stefano, Bertolotto Alessandra

机构信息

a U.O. Malattie Metaboliche e Diabetologia, Azienda Ospedaliero-Universitaria Pisana , Pisa , Italy.

b U.O. Ginecologia ed Ostetricia, Azienda Ospedaliero-Universitaria Pisana , Pisa , Italy.

出版信息

Gynecol Endocrinol. 2017 Apr;33(4):254-260. doi: 10.1080/09513590.2016.1266474. Epub 2017 Jan 13.

Abstract

Exercise has been proved to be safe during pregnancy and to offer benefits for both mother and fetus; moreover, physical activity may represent a useful tool for gestational diabetes prevention and treatment. Therefore, all women in uncomplicated pregnancy should be encouraged to engage in physical activity as part of a healthy lifestyle. However, exercise in pregnancy needs a careful medical evaluation to exclude medical or obstetric contraindications to exercise, and an appropriate prescription considering frequency, intensity, type and duration of exercise, to carefully balance between potential benefits and potential harmful effects. Moreover, some precautions related to anatomical and functional adaptations observed during pregnancy should be taken into consideration. This review summarized the suggested recommendations for physical activity among pregnant women with focus on gestational diabetes.

摘要

运动已被证明在孕期是安全的,且对母亲和胎儿都有益处;此外,体育活动可能是预防和治疗妊娠期糖尿病的有效手段。因此,应鼓励所有无并发症的孕妇进行体育活动,作为健康生活方式的一部分。然而,孕期运动需要仔细的医学评估,以排除运动的医学或产科禁忌证,并根据运动的频率、强度、类型和持续时间进行适当的处方,以谨慎平衡潜在益处和潜在有害影响。此外,还应考虑与孕期观察到的解剖和功能适应相关的一些预防措施。本综述总结了针对孕妇体育活动的建议,重点关注妊娠期糖尿病。

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