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低强度体力活动与妊娠晚期较低的母体全身炎症相关。

Low-intensity Physical Activity is Associated with Lower Maternal Systemic Inflammation during Late Pregnancy.

作者信息

Tinius R A, Cahill A G, Cade W T

机构信息

Program in Physical Therapy, Washington University School of Medicine, USA.

Department of Obstetrics and Gynecology, Washington University School of Medicine, USA.

出版信息

J Obes Weight Loss Ther. 2017 Jun;7(3). doi: 10.4172/2165-7904.1000343. Epub 2017 Jun 27.

Abstract

Excessive maternal inflammation during pregnancy increases the risk for maternal and neonatal metabolic complications. Fortunately, maternal physical activity during pregnancy appears to reduce maternal inflammation. The purpose of this study was to examine the relationship between maternal physical activity intensity and maternal inflammation during late pregnancy. Maternal physical activity levels (sedentary, light, lifestyle, and moderate), fitness levels, and systemic inflammation (plasma C-reactive protein (CRP) concentration) were measured between 32-37 weeks gestation. Relationships were examined by Spearman Rank Coefficient Correlation analyses. Maternal plasma CRP was negatively associated with time spent in light and lifestyle physical activities (Light: r=-0.40, p=0.01; Lifestyle: r=-0.31, p=0.03), but not with time spent in moderate physical activity (r=-0.18, p=0.21). Higher maternal plasma CRP tended to correlate with more time spent sedentary (r=0.27, p=0.06). In addition, increases in light and lifestyle activities may elicit a clinically meaningful change in inflammation. In conclusion, pregnant women should be encouraged to incorporate more low-intensity physical activities into their daily routines in order to decrease systemic inflammation and potentially improve maternal and neonatal pregnancy outcomes.

摘要

孕期母体炎症过度会增加母体和新生儿发生代谢并发症的风险。幸运的是,孕期进行体育活动似乎可以减轻母体炎症。本研究的目的是探讨孕晚期母体体育活动强度与母体炎症之间的关系。在妊娠32至37周期间,测量了母体的体育活动水平(久坐、轻度、生活方式相关和中度)、健康水平以及全身炎症(血浆C反应蛋白(CRP)浓度)。通过Spearman等级系数相关分析来研究它们之间的关系。母体血浆CRP与轻度和生活方式相关体育活动所花费的时间呈负相关(轻度:r = -0.40,p = 0.01;生活方式相关:r = -0.31,p = 0.03),但与中度体育活动所花费的时间无关(r = -0.18,p = 0.21)。母体血浆CRP水平越高,久坐的时间往往越长(r = 0.27,p = 0.06)。此外,增加轻度和生活方式相关的活动可能会引起炎症方面具有临床意义的变化。总之,应该鼓励孕妇在日常生活中增加更多低强度的体育活动,以减轻全身炎症,并可能改善母体和新生儿的妊娠结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41f1/5573245/333ddfea2f8b/nihms889981f1.jpg

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