University of North Florida, Jacksonville, FL, USA.
Florida A&M University, Tallahassee, FL, USA.
BMC Pregnancy Childbirth. 2020 Nov 30;20(1):743. doi: 10.1186/s12884-020-03434-5.
Pregnant women without complications are advised to engage in physical activity (PA) to mitigate adverse outcomes. Differences may exist among pregnant women of diverging diabetes status in meeting national PA recommendations. We sought to examine differences in aerobic activity (AA) and muscle strengthening activity (MSA) by diabetes risk status (DRS) among pregnant women in the United States.
The sample (n = 9,597) included pregnant women, age 18-44 years, who participated in the 2011, 2013, 2015, and 2017 Behavioral Risk Factor Surveillance System. Levels of DRS include: no diabetes (ND), high risk for diabetes (HRD) due to self-reported gestational diabetes or pre-diabetes, and overt diabetes due to self-reported, clinically diagnosed diabetes (DM). Odds ratios (ORs) and 95% confidence intervals (CI) for meeting PA recommendations were obtained. Covariates included age, race, education, household child count, alcohol consumption, and smoking status.
Findings revealed that on average, DM had 46.5 fewer minutes of weekly AA compared to ND. Furthermore, a significantly lower OR (0.39; CI 0.19-0.82) for meeting both recommendations was observed in DM as compared to ND after adjustment.
We observed that pregnant women with overt diabetes had a lower odds of engaging in PA, while those at high risk were similar in their PA engagement to ND. Future studies aimed at assessing determinants of PA behavior may help guide efforts to promote exercise in pregnant women with diabetes.
建议无并发症的孕妇进行身体活动（PA），以减轻不良后果。不同糖尿病状态的孕妇在满足国家 PA 建议方面可能存在差异。我们旨在研究美国孕妇的糖尿病风险状况（DRS）对有氧运动（AA）和肌肉强化活动（MSA）的差异。
该样本（n=9597）包括年龄在 18-44 岁之间的孕妇，他们参加了 2011、2013、2015 和 2017 年的行为风险因素监测系统。DRS 水平包括：无糖尿病（ND）、由于自我报告的妊娠糖尿病或前期糖尿病而处于糖尿病高风险（HRD）状态、由于自我报告的临床诊断糖尿病（DM）而处于显性糖尿病状态。获得了满足 PA 建议的比值比（OR）和 95%置信区间（CI）。协变量包括年龄、种族、教育程度、家庭儿童人数、酒精摄入量和吸烟状况。
研究结果表明，平均而言，DM 每周的 AA 时间比 ND 少 46.5 分钟。此外，调整后 DM 与 ND 相比，同时满足两项建议的 OR（0.39；CI 0.19-0.82）显著降低。
我们观察到，显性糖尿病孕妇参与 PA 的可能性较低，而高风险孕妇与 ND 孕妇的 PA 参与情况相似。未来旨在评估 PA 行为决定因素的研究可能有助于指导促进糖尿病孕妇锻炼的努力。
