Department of Biomechanics and Kinesiology, Faculty of Health Science, Jagiellonian University Medical College, Skawińska 8, 31-066 Krakow, Poland.
University Hospital in Krakow, Jakubowskiego 2, 30-688 Krakow, Poland.
Int J Environ Res Public Health. 2023 Jan 19;20(3):1852. doi: 10.3390/ijerph20031852.
The aim of the study was to determine the impact of the Covid-19 pandemic on the level of physical activity in the last trimester, the risk of developing postnatal depression, and general health habits in late pregnancy and the early postpartum period.
The study population was women 1-8 days postpartum. Participants were divided into three groups depending on when they were recruited: (1) prepandemic (Ppan: n = 252, December 2019-March 2020), (2) COVID1 group (Cov1: n = 262, May 2020-September 2020), and (3) COVID2 group (Cov2: n = 226, June 2021-September 2021). The Ppan group included women from before the pandemic. The Cov1 group included patients after some restrictions were lifted. The Cov2 group included women after vaccinations became available. Research tools included a demographical questionnaire (age, education, childbirth details), the Pregnancy Physical Activity Questionnaire (PPAQ), the Edinburgh Postnatal Depression Scale (EPDS), and the Health Behavior Inventory (IZZ).
Regression analysis showed that regardless of other variables, women who gave birth during the pandemic spent less energy on total physical activity compared to the prepandemic group (Cov1: β = -18.930, 95%CI: -36.499 to -1.361; Cov2: β = -26.527, 95%CI: -44.322 to -8.733). We also found that as the risk of depression increased, engagement in general health habits decreased during the pandemic.
The Covid-19 pandemic decreased the level of some subdomains of physical activity in pregnant women, with a general negative correlation between emotional state and healthy habits.
本研究旨在确定新冠疫情对孕妇最后三个月的身体活动水平、产后抑郁风险以及孕晚期和产后早期的一般健康习惯的影响。
研究对象为产后 1-8 天的女性。参与者根据招募时间分为三组：（1）疫情前（Ppan：n=252，2019 年 12 月至 2020 年 3 月），（2）新冠 1 组（Cov1：n=262，2020 年 5 月至 9 月），和（3）新冠 2 组（Cov2：n=226，2021 年 6 月至 9 月）。Ppan 组包括疫情前的女性。Cov1 组包括部分限制解除后的患者。Cov2 组包括接种疫苗后可参加研究的女性。研究工具包括人口统计学问卷（年龄、教育程度、分娩详情）、孕期身体活动问卷（PPAQ）、爱丁堡产后抑郁量表（EPDS）和健康行为问卷（IZZ）。
回归分析显示，无论其他变量如何，与疫情前相比，疫情期间分娩的女性在总身体活动上的能量消耗较少（Cov1：β=-18.930，95%CI：-36.499 至-1.361；Cov2：β=-26.527，95%CI：-44.322 至-8.733）。我们还发现，随着抑郁风险的增加，疫情期间一般健康习惯的参与度下降。
新冠疫情降低了孕妇某些身体活动亚领域的水平，情绪状态和健康习惯之间存在一般的负相关关系。
