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孕期身体活动及其对新生儿结局的影响。

Physical activity during pregnancy and its effects on neonatal outcomes.

机构信息

Department of Physiotherapy, Center for Research in Rehabilitation, School of Health, Polytechnic of Porto, Dr. António Bernardino de Almeida St., 400, 4200-072, Porto, Portugal; Research Center in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sports-University of Porto (FADEUP) and Laboratory for Integrative and Translational Research in Population Health (ITR), Dr. Plácido da Costa St., 91, 4200-450 Porto, Portugal.

SALBIS Research Group, Nursing and Physical Therapy Department, University of Leon, Astorga Ave, 15, 24401, Ponferrada, Spain.

出版信息

Placenta. 2022 Oct;128:9-17. doi: 10.1016/j.placenta.2022.08.009. Epub 2022 Aug 24.

Abstract

INTRODUCTION

Despite the acknowledgement that physical activity is beneficial during pregnancy and may result in positive health outcomes for the newborn child few studies have examined this issue. This research was deemed necessary with the primary objective of identifying possible associations between adherence to American College of Sports Medicine recommendations on neonatal outcome variables at birth.

METHODS

An observational, longitudinal and prospective study focused on a sample of 70 pregnant women (the power score achieved was estimated to be 0.3). Data was collected in three stages (1st and 2nd trimester of pregnancy and 48 h after delivery). The variables analyzed included the physical activity measurement (with accelerometry), neonatal outcomes at birth and the mother's anxiety, dietary intake, anthropometric measures and socio-demographic and lifestyle.

RESULTS

21.4% women were active according to physical activity recommendations. There were no significant differences in neonatal outcomes at birth when comparing adherence to physical activity recommendations and the overall activity levels of the mothers. There were also no statistically significant differences in the birth weights of babies born to active and inactive mothers. Mother's anxiety level, weight gained and dietary intake were not statistically different according to compliance with physical activity behaviour or recommendations.

DISCUSSION

There is no relationship between adherence to physical activity recommendations on neonatal outcome variables at birth. There were also no significant associations with sociodemographic and lifestyle variables. There is a need to identify attitudes associated with negative physical activity behavior to reduce the incidence of comorbidities associated with sedentary lifestyles during pregnancy.

摘要

简介

尽管人们承认在怀孕期间进行身体活动有益,并可能对新生儿的健康结果产生积极影响,但很少有研究探讨过这个问题。这项研究是必要的,主要目的是确定遵守美国运动医学学院关于新生儿出生时结局变量的建议与以下方面之间的可能关联。

方法

本研究是一项观察性、纵向和前瞻性研究,专注于 70 名孕妇的样本(估计获得的效力得分为 0.3)。数据分三个阶段收集(妊娠 1 期和 2 期以及分娩后 48 小时)。分析的变量包括体力活动测量(加速度计)、新生儿出生时的结局以及母亲的焦虑、饮食摄入、人体测量指标以及社会人口统计学和生活方式。

结果

21.4%的女性根据体力活动建议进行了活动。在比较遵守体力活动建议与母亲的总体活动水平时,新生儿出生时的结局没有显著差异。在活跃和不活跃母亲所生婴儿的出生体重方面也没有统计学上的显著差异。母亲的焦虑水平、体重增加和饮食摄入与遵守体力活动行为或建议没有统计学差异。

讨论

在新生儿出生时的结局变量方面,遵守体力活动建议与无显著关联。与社会人口统计学和生活方式变量也没有显著关联。有必要确定与消极体力活动行为相关的态度,以减少与怀孕期间久坐不动生活方式相关的合并症的发生率。

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