Faculty of Creative Engineering, Chiba Institute of Technology, 2-1-1, Shibazono, Narashino, Chiba, 275-0023, Japan.
Department of Physical Therapy, Faculty of Health Science, Osaka Yukioka College of Health Science, 1-1-41, Sojiji, Ibaraki, Osaka, 567-0801, Japan.
BMC Womens Health. 2022 Sep 8;22(1):371. doi: 10.1186/s12905-022-01959-9.
The aim of this study was to investigate factors influencing postpartum physical activity (PA), taking into consideration psychosocial perceptions during the coronavirus disease 2019 (COVID-19) pandemic by comparing health-related quality of life (HRQoL) scores.
A web-based cross-sectional survey of 787 postpartum women was conducted between March and October 2021. After applying the exclusion criteria, 590 women were analyzed. The International Physical Activity Questionnaire Short Form, was used to assess the level and amount of PA. The Short Form-12 Health Survey version 2 (SF-12v2) was used to measure HRQoL. Logistic regression analyses were used to determine whether sociodemographic factors and psychosocial perceptions during the COVID-19 pandemic were associated with the level of PA. Based on the current national guidelines for exercise in Japan, respondents were classified by weekly PA level as an Inactive group and an Active group to assess the influence of PA on HRQoL.
Mean total PA was 19.3 total metabolic equivalents hour/week, and the prevalence of an inactive lifestyle was 45.9% among respondents. Each year of age was associated with an odds ratio (OR) of 0.92 (95% CI 0.87-0.97) for becoming physical inactivity during postpartum. Factors positively associated with more active levels were greater number of days for delivery (OR = 1.00; 95% CI 1.00-1.01), multiparity (OR = 1.50; 95% CI 1.00-2.23), having someone to talk about childcare and the individual's partner (OR = 2.04; 95% CI 0.96-4.36) and not having anxiety symptoms (OR = 0.58; 95% CI 0.35-0.97). The Active group had significantly higher HRQoL scores than the Inactive group in the following scales: physical component summary (p < 0.001), mental component summary (p = 0.041).
The influential factors for postpartum PA level were younger age, longer duration after childbirth, multiparity and not having anxiety symptoms, which correlated positively with PA. The presence of someone with whom can talk to about childcare and partner issues was associated with the maintenance of higher PA among postpartum women, suggesting that factor as a positive influence on PA under unsettled conditions.
本研究旨在探讨影响产后体力活动（PA）的因素，同时考虑到在 2019 年冠状病毒病（COVID-19）大流行期间的心理社会认知，通过比较健康相关生活质量（HRQoL）评分来实现这一目标。
本研究于 2021 年 3 月至 10 月期间进行了一项基于网络的 787 名产后妇女的横断面调查。在应用排除标准后，对 590 名妇女进行了分析。使用国际体力活动问卷短表来评估 PA 的水平和量。使用短格式 12 健康调查版本 2（SF-12v2）来衡量 HRQoL。使用逻辑回归分析来确定社会人口统计学因素和 COVID-19 大流行期间的心理社会认知是否与 PA 水平相关。根据日本目前的运动指南，根据每周 PA 水平将受访者分为不活动组和活动组，以评估 PA 对 HRQoL 的影响。
总 PA 的平均水平为 19.3 个总代谢当量小时/周，受访者中不活动生活方式的患病率为 45.9%。年龄每增加 1 岁，产后不活动的可能性就会降低 0.92（95%CI 0.87-0.97）。与更高活动水平相关的积极因素是分娩天数（OR=1.00；95%CI 1.00-1.01）、多产（OR=1.50；95%CI 1.00-2.23）、有人可以谈论育儿和个人伴侣（OR=2.04；95%CI 0.96-4.36）和没有焦虑症状（OR=0.58；95%CI 0.35-0.97）。在以下量表中，活动组的 HRQoL 评分显著高于不活动组：生理成分综合评分（p<0.001）、心理成分综合评分（p=0.041）。
产后 PA 水平的影响因素是年龄较小、产后持续时间较长、多产和没有焦虑症状，这些因素与 PA 呈正相关。有人可以谈论育儿和伴侣问题与产后妇女维持较高的 PA 有关，这表明在不稳定的情况下，这是 PA 的一个积极影响因素。
