School of Health Sciences (HESAV), University of Applied Sciences and Arts, Western Switzerland (HES-SO), University of Lausanne, Lausanne, Switzerland.
Department of Obstetrics and Gynaecology, Medical University of Vienna, Vienna, Austria.
Eur J Obstet Gynecol Reprod Biol. 2021 Dec;267:262-268. doi: 10.1016/j.ejogrb.2021.11.005. Epub 2021 Nov 16.
To assess the association of physical activity and urinary incontinence, or its recovery, during pregnancy and postpartum. A search of publications indexed in five major electronic databases (CENTRAL, PubMed, EMBASE, CINAHL and PEDro) was performed from their respective inception dates to the 30 March 2020 with a combination of keywords to identify studies of interest. Google Scholar was used for non-indexed literature. All studies comparing physical activity with standard care in pregnant and postpartum women were selected. Two reviewers independently selected studies, assessed quality and extracted data. Odds ratios with 95% confidence intervals were calculated using fixed effects or random effects models, for low and moderate heterogeneity between studies, respectively. Seven studies (n = 12479) were included. Data of four studies could be pooled for meta-analyses; subgroup and sensitivity analyses were not possible. Physical activity, either during pregnancy or postpartum, is not associated with urinary incontinence, OR 0.90 (95% CI: 0.69-1.18) and OR 1.31 (95% CI: 0.74-2.34), respectively. Due to a lack of available data, urinary incontinence recovering could not be assessed. The available low evidence does not show that physical activity during pregnancy or postpartum is associated with urinary incontinence. Moderate physical activity should therefore be encouraged for the evidence-based benefits on other obstetrical outcomes.
评估怀孕期间和产后身体活动与尿失禁或其恢复之间的关联。从各个数据库的创建日期（CENTRAL、PubMed、EMBASE、CINAHL 和 PEDro）到 2020 年 3 月 30 日，使用了组合关键字对相关文献进行了检索。Google Scholar 则用于检索未被索引的文献。选择了所有比较怀孕期间和产后女性身体活动与标准护理的研究。两位评审员独立选择研究、评估质量并提取数据。使用固定效应或随机效应模型分别计算了低异质性和中异质性研究之间的比值比及其 95%置信区间。共纳入了 7 项研究（n=12479）。有 4 项研究的数据可进行荟萃分析；无法进行亚组和敏感性分析。无论是在怀孕期间还是产后进行身体活动，与尿失禁均无关联，比值比分别为 0.90（95%CI：0.69-1.18）和 1.31（95%CI：0.74-2.34）。由于缺乏可用数据，无法评估尿失禁的恢复情况。目前的低证据表明，怀孕期间或产后的身体活动与尿失禁无关。因此，应该鼓励进行适度的身体活动，因为其对其他产科结局具有循证益处。
