Feng Y H, Zhan Y L, Lyu Y, Wu S S, Wang Y W, Cai S Y, Shi Y J, Chen Y L, Ma L K, Jiang Y
School of Public Health, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100730, China.
Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100730, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2020 Jun 10;41(6):829-833. doi: 10.3760/cma.j.cn112338-20190914-00671.
To prospectively explore the associations between total and different types of physical activities and gestational diabetes mellitus (GDM) in the first trimester of pregnant women, in Beijing. Data of 909 participants from the Chinese Pregnant Women Cohort study were extracted and studied. Four types of physical activities, including household/care-giving, occupational, sports/exercise and outdoor ways of transportation (walking/cycling/E-biking) in early pregnancy were studied by using the pregnancy physical activity questionnaire (PPAQ). All the participants were followed up and related data on GDM collected. Logistic regressions were conducted for data analysis on the associations of interests. A total of 206 pregnant women (22.7) were diagnosed with GDM. After adjusting for age, pre-pregnancy BMI, family history of diabetes and other types of physical activities, results from the logistic regression showed that women with moderate level of household/care-giving activities were with the lower odds on GDM (=0.654, 95: 0.436-0.980). Women who had met the guideline of exercise were less likely to have GDM (=0.518, 95: 0.287-0.934). There was no significant association appeared between total physical, occupational and outdoor ways of transportation (walking/cycling/E-biking) activities with GDM. Sports/exercise and household/care-giving activities in early pregnancy appeared important on GDM prevention. Pregnant women are encouraged to wisely arranging their sports/exercise activities and engaging in moderate household/care-giving activities in the first trimester of pregnancy, to prevent GDM.
为前瞻性探索北京地区孕妇孕早期总体及不同类型身体活动与妊娠期糖尿病（GDM）之间的关联。提取并研究了来自中国孕妇队列研究的909名参与者的数据。通过使用孕期身体活动问卷（PPAQ）研究了孕早期四种类型的身体活动，包括家务/照料、职业、运动/锻炼以及户外交通方式（步行/骑自行车/骑电动自行车）。对所有参与者进行随访并收集GDM的相关数据。进行逻辑回归以分析感兴趣的关联。共有206名孕妇（22.7%）被诊断为GDM。在调整年龄、孕前BMI、糖尿病家族史和其他类型的身体活动后，逻辑回归结果显示，从事中等水平家务/照料活动的女性患GDM的几率较低（比值比=0.654，95%置信区间：0.436 - 0.980）。达到运动指南标准的女性患GDM的可能性较小（比值比=0.518，95%置信区间：0.287 - 0.934）。总体身体活动、职业活动以及户外交通方式（步行/骑自行车/骑电动自行车）与GDM之间未出现显著关联。孕早期的运动/锻炼和家务/照料活动对预防GDM似乎很重要。鼓励孕妇在孕早期明智地安排运动/锻炼活动并适度参与家务/照料活动，以预防GDM。
