Program for Pregnancy and Postpartum Health, Physical Activity and Diabetes Laboratory, Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB, Canada.
Behavioural Epidemiology Laboratory, Faculty of Kinesiology, Sport and Recreation, University of Alberta, Edmonton, Alberta, Canada.
Can J Public Health. 2022 Oct;113(5):726-735. doi: 10.17269/s41997-022-00634-8. Epub 2022 May 19.
This study examined the impacts of individual and combined associations between moderate-to-vigorous physical activity (MVPA) and sedentary time (ST) (accelerometer-derived), as well as MVPA and television (TV) time (self-reported) on cardiometabolic biomarkers during pregnancy.
Participants were 332 pregnant women from the 2003-2006 cycles of the National Health and Nutrition Examination Survey (NHANES). Multiple linear regression models were conducted to examine the relationships between individual and combinations of high/low MVPA, ST, and TV time with cardiometabolic biomarkers: body mass index (BMI), systolic blood pressure (SBP), diastolic blood pressure (DBP), high-density lipoprotein cholesterol (HDL), and C-reactive protein (CRP).
Women with high MVPA (≥ 17 min/day) compared to those with low MVPA (< 17 min/day) had significantly lower BMI. Women with low ST (< 503 min/day) compared to those with high ST (≥ 503 min/day) had significantly lower SBP and DBP. Women with low TV (< 3 h/day) compared to those with high TV (≥ 3 h/day) had significantly lower BMI and log-transformed CRP. Women with a combination of low ST/high MVPA had lower SBP and DBP (p < 0.03). Women with a combination of low TV/high MVPA had lower BMI and log-transformed CRP (p < 0.00).
We need to consider both physical activity and sedentary time for improved cardiometabolic health during pregnancy.
本研究探讨了怀孕期间中高强度体力活动(MVPA)和久坐时间(ST)(加速度计测量)以及 MVPA 和看电视时间(自我报告)的个体和联合关联对心血管代谢生物标志物的影响。
参与者为来自 2003-2006 年全国健康和营养检查调查(NHANES)的 332 名孕妇。采用多元线性回归模型分析了高/低 MVPA、ST 和 TV 时间与心血管代谢生物标志物(体重指数、收缩压、舒张压、高密度脂蛋白胆固醇和 C 反应蛋白)之间的关系。
与低 MVPA(<17 分钟/天)相比,高 MVPA(≥17 分钟/天)的女性 BMI 显著降低。与高 ST(≥503 分钟/天)相比,低 ST(<503 分钟/天)的女性 SBP 和 DBP 显著降低。与高 TV(≥3 小时/天)相比,低 TV(<3 小时/天)的女性 BMI 和 log 转化 CRP 显著降低。低 ST/高 MVPA 结合的女性 SBP 和 DBP 较低(p<0.03)。低 TV/高 MVPA 结合的女性 BMI 和 log 转化 CRP 较低(p<0.00)。
我们需要考虑体力活动和久坐时间,以改善怀孕期间的心血管代谢健康。