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一项产后监督锻炼计划的可行性及其对产妇健康和体能参数的影响——试点研究

Feasibility of a Supervised Postpartum Exercise Program and Effects on Maternal Health and Fitness Parameters-Pilot Study.

作者信息

Brites-Lagos Carla, Ramos Liliana, Szumilewicz Anna, Santos-Rocha Rita

机构信息

ESDRM, Department of Physical Activity and Health, Sport Sciences School of Rio Maior, Polytechnic Institute of Santarem, 2040-413 Rio Maior, Portugal.

CIEQV, Life Quality Research Center, Polytechnic Institute of Santarem, 2040-413 Rio Maior, Portugal.

出版信息

Healthcare (Basel). 2023 Oct 23;11(20):2801. doi: 10.3390/healthcare11202801.

Abstract

The postpartum period is marked by profound changes in women at physical, psychological, and physiological levels. Many of these changes persist after four to six weeks postpartum, and most women do not resume their levels of physical activity, which increases the risk of remaining inactive for many years. It is crucial to implement effective programs that promote exercise during the postpartum period. The objective of this study was to test the feasibility and analyze the effects of a structured and supervised postpartum exercise program on maternal health and fitness parameters. To analyze the potential effects of the intervention, the level of physical activity, quality of life, pelvic girdle and low back pain, fatigue, depression, and the level of functional and physical fitness were assessed at baseline, after 8 weeks, and after 16 weeks of intervention. Feedback on the exercise program was collected after the final assessment. The results showed that a structured and supervised postpartum exercise program was feasible and safe and produced positive effects on selected maternal health and fitness parameters. These results will encourage a study protocol with a larger sample in order to prove its effectiveness, improve the guidelines for postpartum exercise, and incorporate this program into a routine healthcare setting.

摘要

产后时期女性在身体、心理和生理层面会发生深刻变化。其中许多变化在产后四到六周后仍会持续,而且大多数女性不会恢复到之前的身体活动水平,这增加了多年保持不活动状态的风险。实施有效的产后锻炼计划至关重要。本研究的目的是测试一项结构化且有监督的产后锻炼计划对产妇健康和体能参数的可行性并分析其效果。为了分析干预的潜在效果,在干预的基线期、8周后和16周后评估了身体活动水平、生活质量、骨盆带和下背痛、疲劳、抑郁以及功能和体能水平。在最终评估后收集了关于锻炼计划的反馈。结果表明,一项结构化且有监督的产后锻炼计划是可行且安全的,并且对选定的产妇健康和体能参数产生了积极影响。这些结果将促使开展一项样本量更大的研究方案,以证明其有效性,完善产后锻炼指南,并将该计划纳入常规医疗保健环境。

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