Sport and Health University Research Institute (IMUDS), University of Granada, Granada, Spain.
GALENO Research Group, Department of Physical Education, Faculty of Education Sciences, University of Cádiz, Cádiz, Spain.
Sports Health. 2024 Jul-Aug;16(4):518-526. doi: 10.1177/19417381231189730. Epub 2023 Jul 31.
Health-related quality of life (HRQoL) may be altered during pregnancy due to pregnancy-related changes in all domains of women's health.
A supervised concurrent exercise-training program from the 17th gestational week until birth positively influences HRQoL.
Randomized controlled trial.
Level 1.
Eighty-six pregnant women (age, 33.1 ± 4.6 years; prepregnancy body mass index, 23.5 kg/m), divided into exercise (n = 41) and control (n = 45) groups, participated in this study (per-protocol basis). The exercise group followed a 60-min, 3 days/week, concurrent (aerobic + resistance) exercise training program. HRQoL was assessed with the 36-Item Short Form Health Survey (SF-36), where higher scores (0-100) indicate better HRQoL.
After adjusting for potential confounders, the exercise group decreased 16.1 points less than the control group in the SF-36 physical functioning domain [between-group differences (B): 95% confidence interval (CI), 9.02 to 23.22; 0.01], and 4.5 points less in the SF-36 physical component summary than the control group (between-group differences (B): 95% CI, 0.65 to 8.28; 0.02). Intention-to-treat basis analyses depicted similar results, where the exercise group decreased 10.03 points less than the control group the in the SF-36 social functioning domain (between-group differences (B): 95% CI, 0.39 to 19.68; 0.04).
A supervised concurrent exercise training program ameliorates HRQoL decreases along gestation. Although HRQoL decreased throughout pregnancy in both groups, this impact was less in the exercise group, especially in the SF-36 physical functioning, the SF-36 social functioning, and the SF-36 physical component summary.
Healthcare providers may encourage pregnant women to exercise in this physiological stage for a better HRQoL throughout pregnancy.
CLINICALTRIALS.GOV IDENTIFIER: NCT02582567; Date of registration: 20/10/2015.
由于女性健康各领域的妊娠相关变化，健康相关生活质量（HRQoL）可能在怀孕期间发生改变。
从妊娠第 17 周开始直至分娩，接受监督的同时进行锻炼训练计划可积极影响 HRQoL。
随机对照试验。
一级。
86 名孕妇（年龄 33.1±4.6 岁；孕前体重指数 23.5kg/m），分为锻炼组（n=41）和对照组（n=45），均参与本研究（意向治疗分析）。锻炼组遵循每周 3 天、每次 60 分钟的有氧和阻力相结合的同时锻炼训练计划。使用 36 项简短健康调查问卷（SF-36）评估 HRQoL，得分越高（0-100）表示 HRQoL 越好。
在调整潜在混杂因素后，锻炼组在 SF-36 身体功能领域的评分比对照组少下降 16.1 分[组间差异（B）：95%置信区间（CI）为 9.02 至 23.22；P=0.01]，在 SF-36 身体成分综合评分中比对照组少下降 4.5 分（组间差异（B）：95%CI 为 0.65 至 8.28；P=0.02）。意向治疗分析得出了类似的结果，锻炼组在 SF-36 社会功能领域的评分比对照组少下降 10.03 分（组间差异（B）：95%CI 为 0.39 至 19.68；P=0.04）。
监督下的同时锻炼训练计划可改善妊娠期间的 HRQoL 下降。尽管两组在整个孕期的 HRQoL 均下降，但锻炼组的影响较小，特别是在 SF-36 身体功能、SF-36 社会功能和 SF-36 身体成分综合评分方面。
医疗保健提供者可能会鼓励孕妇在这一生理阶段进行锻炼，以在整个孕期获得更好的 HRQoL。
临床试验.gov 标识符：NCT02582567；注册日期：2015 年 10 月 20 日。
