The University of Sydney Children's Hospital Westmead Clinical School, Westmead, NSW, Australia.
Discipline of Paediatrics and Child Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia.
Front Public Health. 2022 Oct 18;10:1000371. doi: 10.3389/fpubh.2022.1000371. eCollection 2022.
The COVID-19 pandemic introduced unprecedented challenges to both the physical and psychological health of postpartum women. The aim of this study was to determine how the COVID-19 pandemic affected the diet, physical activity and mental health of women 6 months following a hypertensive disorder of pregnancy.
Mixed methods sub-study of the Blood Pressure Postpartum trial, which recruited women following a hypertensive disorder of pregnancy from six Sydney metropolitan hospitals. Cross sectional analysis of baseline quantitative data, collected at 6-months postpartum from March 2019-February 2022, and qualitative data analysis from semi-structured telephone interviews, was performed. Dates of COVID-19 lockdowns for Sydney, Australia were collected from government websites. Diet (vegetable, fruit, alcohol, take away intake) and physical activity (walking, vigorous activity, strength training frequency and duration) were assessed using the self-report NSW Population Health Survey. Depression and anxiety were assessed using the Edinburgh Depression Scale and GAD-7 scale, respectively. Outcome data were compared between women who completed surveys "In Lockdown" vs. "Not in Lockdown" as well as "Prior to any Lockdown" vs. "During or Following any Lockdown".
Of 506 participants, 84 women completed the study surveys "In Lockdown," and 149 completed the surveys "Prior to any Lockdown." Thirty-four participants were interviewed. There were no statistically significant differences in diet, physical activity, depression and anxiety among women who completed the survey "In Lockdown" vs. "Not in Lockdown." "Prior to any Lockdown," participants were more likely to do any walking (95% vs. 89%, = 0.017), any vigorous activity (43% vs. 30%, = 0.006) or any strength training (44% vs. 33%, = 0.024), spent more time doing vigorous activity ( = 0.003) and strength training ( = 0.047) and were more likely to drink alcohol at least monthly (54% vs. 38%, < 0.001) compared with "During or Following any Lockdown."
Our findings suggest that the confinements of lockdown did not markedly influence the mental health, diet and physical activity behaviors of women 6 months following hypertensive pregnancy. However, physical activity levels were reduced following the emergence of COVID-19, suggesting targeted efforts may be necessary to re-engage postpartum women with exercise.
https://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=376286&isReview=true, identifier: ACTRN12618002004246.
新冠疫情给产后女性的身心健康带来了前所未有的挑战。本研究旨在探讨新冠疫情对患有妊娠高血压疾病女性产后 6 个月的饮食、身体活动和心理健康的影响。
这是血压产后试验的混合方法子研究，该研究从悉尼六家大都市医院招募了患有妊娠高血压疾病的女性。对 2019 年 3 月至 2022 年 2 月期间收集的 6 个月产后的基线定量数据进行了横断面分析，并对来自半结构式电话访谈的定性数据进行了分析。从澳大利亚悉尼政府网站上收集了新冠疫情封锁的日期。使用自我报告的新南威尔士州人口健康调查评估饮食（蔬菜、水果、酒精、外卖摄入量）和身体活动（散步、剧烈活动、力量训练频率和持续时间）。使用爱丁堡抑郁量表和 GAD-7 量表评估抑郁和焦虑。比较了完成“封锁期间”和“未封锁期间”以及“在任何封锁之前”和“在任何封锁期间或之后”调查的女性的结果数据。
在 506 名参与者中，84 名女性完成了“封锁期间”的研究调查，149 名女性完成了“在任何封锁之前”的调查。34 名参与者接受了采访。完成“封锁期间”调查的女性在饮食、身体活动、抑郁和焦虑方面与未完成调查的女性没有统计学上的显著差异。与“在任何封锁期间或之后”相比，“在任何封锁之前”的参与者更有可能进行任何散步（95% 与 89%， = 0.017）、任何剧烈活动（43% 与 30%， = 0.006）或任何力量训练（44% 与 33%， = 0.024），进行剧烈活动（ = 0.003）和力量训练（ = 0.047）的时间更长，并且更有可能每月至少饮酒一次（54% 与 38%， < 0.001）。
我们的研究结果表明，封锁限制并没有显著影响患有妊娠高血压疾病女性产后 6 个月的心理健康、饮食和身体活动行为。然而，新冠疫情出现后，身体活动水平下降，这表明可能需要有针对性的努力，重新让产后女性参与运动。
