Program for Pregnancy and Postpartum Health, Physical Activity and Diabetes Laboratory, Faculty of Kinesiology, Sport and Recreation, Women and Children's Health Research Institute, Alberta Diabetes Institute, University of Alberta, Edmonton, Alberta, Canada.
Department of Anatomy, Universite du Quebec a Trois-Rivieres, Trois-Rivieres, Quebec, Canada.
Br J Sports Med. 2019 Jan;53(2):90-98. doi: 10.1136/bjsports-2018-099400. Epub 2018 Oct 18.
The purpose of this review was to investigate the relationship between prenatal exercise, and low back (LBP), pelvic girdle (PGP) and lumbopelvic (LBPP) pain.
Systematic review with random effects meta-analysis and meta-regression.
Online databases were searched up to 6 January 2017.
Studies of all designs were eligible (except case studies and reviews) if they were published in English, Spanish or French, and contained information on the population (pregnant women without contraindication to exercise), intervention (subjective or objective measures of frequency, intensity, duration, volume or type of exercise, alone ["exercise-only"] or in combination with other intervention components [eg, dietary; "exercise + co-intervention"]), comparator (no exercise or different frequency, intensity, duration, volume and type of exercise) and outcome (prevalence and symptom severity of LBP, PGP and LBPP).
The analyses included data from 32 studies (n=52 297 pregnant women). 'Very low' to 'moderate' quality evidence from 13 randomised controlled trials (RCTs) showed prenatal exercise did not reduce the odds of suffering from LBP, PGP and LBPP either in pregnancy or the postpartum period. However, 'very low' to 'moderate' quality evidence from 15 RCTs identified lower pain severity during pregnancy and the early postpartum period in women who exercised during pregnancy (standardised mean difference -1.03, 95% CI -1.58, -0.48) compared with those who did not exercise. These findings were supported by 'very low' quality evidence from other study designs.
Compared with not exercising, prenatal exercise decreased the severity of LBP, PGP or LBPP during and following pregnancy but did not decrease the odds of any of these conditions at any time point.
本次综述旨在探讨产前运动与下腰痛（LBP）、骨盆带（PGP）和腰骶部疼痛（LBPP）之间的关系。
系统评价，采用随机效应荟萃分析和荟萃回归。
在线数据库检索至 2017 年 1 月 6 日。
所有设计类型的研究均符合条件（除病例研究和综述外），如果这些研究以英文、西班牙语或法语发表，并包含有关人群（无运动禁忌的孕妇）、干预措施（频率、强度、持续时间、量或运动类型的主观或客观测量，单独进行[“仅运动”]或与其他干预措施相结合[例如，饮食；“运动+联合干预”]）、对照（不运动或不同频率、强度、持续时间、量和运动类型）和结局（LBP、PGP 和 LBPP 的患病率和症状严重程度）的信息。
分析纳入了 32 项研究（n=52297 名孕妇）的数据。13 项随机对照试验（RCT）的“极低”至“中度”质量证据表明，产前运动并不能降低孕妇或产后发生 LBP、PGP 和 LBPP 的几率。然而，15 项 RCT 的“极低”至“中度”质量证据表明，与不运动的孕妇相比，孕期运动的孕妇在孕期和产后早期的疼痛严重程度较低（标准化均数差-1.03，95%置信区间-1.58，-0.48）。其他研究设计也提供了“极低”质量的证据支持这些发现。
与不运动相比，产前运动降低了妊娠期间和之后 LBP、PGP 或 LBPP 的严重程度，但在任何时间点都不能降低这些疾病的发生几率。
