Catena Robert D, Campbell Nigel, Werner Alexa L, Iverson Kendall M
1 Washington State University.
2 Moscow/Pullman OBGYN.
J Appl Biomech. 2019 Jun 1;35(3):232-239. doi: 10.1123/jab.2018-0345. Epub 2019 May 10.
The authors investigated the relationship between anthropometric changes and dynamic balance changes during pregnancy. A total of 15 participants were recruited for testing, using a convenience sample, from 12 weeks of gestation until childbirth. The authors measured body anthropometry with a tape measure and calipers. The authors conducted a self-selected speed walking analysis using a motion capture system and measured balance deficits as increased motion of the body center of mass. While a relatively large total explained variance of preferred walking speed was achieved ( = .629), this study reports that body anthropometry explains little (<1%) unique variance in walking speed ( < .001) after covariates are considered. The authors also found that body anthropometry explains little (<5%) unique variance in dynamic balance control ( < .001) after covariates are considered, but total explained variance by all variables remained low to moderate ( = +.248). These findings indicate that while body anthropometry changes correlate with dynamic balance changes during pregnancy, these provide little to no additional information about common balance changes during pregnancy after covariates were considered. Prepregnancy differences between individuals seem to be the predominant determinant of changes during pregnancy.
作者们研究了孕期人体测量学变化与动态平衡变化之间的关系。采用便利抽样法,共招募了15名参与者,从妊娠12周直至分娩进行测试。作者们用卷尺和卡尺测量身体的人体测量学指标。作者们使用动作捕捉系统进行了自选速度的步行分析,并将平衡缺陷测量为身体质心运动的增加。虽然在首选步行速度方面实现了相对较大的总解释方差(=0.629),但该研究报告称,在考虑协变量后,身体人体测量学指标对步行速度的独特方差解释很少(<1%)(<0.001)。作者们还发现,在考虑协变量后,身体人体测量学指标对动态平衡控制的独特方差解释很少(<5%)(<0.001),但所有变量的总解释方差仍处于低到中等水平(=+0.248)。这些发现表明,虽然孕期身体人体测量学变化与动态平衡变化相关,但在考虑协变量后,这些变化对于孕期常见平衡变化几乎没有提供额外信息。个体孕前差异似乎是孕期变化的主要决定因素。