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沙特阿拉伯产后女性乳制品摄入、疲劳状况和身体活动之间的关联:一项横断面研究。

The associations between dairy product intake, fatigue status, and physical activity among postpartum women in Saudi Arabia: a cross-sectional study.

机构信息

Department of Clinical Nutrition, Faculty of Applied Medical Sciences, King Abdulaziz University, Jeddah, 21589, Saudi Arabia.

Department of Public Health, College of Health Sciences, Saudi Electronic University, Riyadh, 13316, Saudi Arabia.

出版信息

BMC Public Health. 2024 Oct 9;24(1):2759. doi: 10.1186/s12889-024-20294-2.

Abstract

BACKGROUND

Fatigue is a major issue that affects women during the postpartum period. A healthy dietary pattern and increased physical activity (PA) are commonly recommended lifestyle modifications to promote health during this time. However, little is known about the interrelationship between dairy product intake, PA level, and postpartum fatigue (PPF) among women. The aim of this study was to evaluate whether PPF is associated with dairy product intake in relation to PA level.

METHODS

A total of 242 women were included in this cross-sectional study. Data related to dairy product intake and PA were collected using a food frequency questionnaire and the International Physical Activity Questionnaire-Short Form, respectively. PPF was assessed using the Fatigue Severity Scale. Logistic regression models were used to examine associations between the intake of dairy products and PPF among women engaged in low, moderate, and high levels of PA while controlling for potential confounders.

RESULTS

Higher consumption rates of yogurt and total dairy predicted lower odds of PPF in women engaged in moderate levels of PA (aOR = 0.24 [95% CI = 0.07, 0.86] and 0.70 [95% CI = 0.53, 0.93], respectively). In women engaged in high levels of PA, lower odds of experiencing PPF were predicted by higher consumption rates of milk (aOR = 0.24 [95% CI = 0.07, 0.89]), yogurt (aOR = 0.21 [95% CI = 0.05, 0.83]), laban (aOR = 0.16 [95% CI = 0.03, 0.86]), and total dairy (aOR = 0.66 [95% CI = 0.47, 0.92]). However, no association was observed between dairy product intake and PPF in women with low levels of PA.

CONCLUSIONS

Higher consumption rates of dairy products were associated with lower odds for experiencing PPF, particularly for women engaged in moderate to high levels of PA. These findings support nutritional and PA promotion programs to moderate issues with PPF. However, the cross-sectional design of this study could limit the ability to infer causality between dairy intake, PA, and PPF. Further longitudinal studies are needed to establish causality and explore the mechanisms underlying these associations.

摘要

背景

疲劳是女性产后期间面临的一个主要问题。健康的饮食模式和增加身体活动(PA)通常被推荐为促进这段时间健康的生活方式改变。然而,对于乳制品摄入、PA 水平与产后疲劳(PPF)之间的相互关系知之甚少。本研究旨在评估 PPF 是否与与 PA 水平相关的乳制品摄入有关。

方法

本横断面研究共纳入 242 名女性。使用食物频率问卷和国际体力活动问卷-短表分别收集有关乳制品摄入和 PA 的数据。使用疲劳严重程度量表评估 PPF。在控制潜在混杂因素的情况下,使用逻辑回归模型检查在低、中、高水平 PA 的女性中,乳制品摄入与 PPF 之间的关联。

结果

酸奶和总乳制品的较高摄入量预测了从事中度 PA 的女性发生 PPF 的几率较低(aOR=0.24[95%CI=0.07,0.86]和 0.70[95%CI=0.53,0.93])。在从事高水平 PA 的女性中,较低的 PPF 发病几率与较高的牛奶(aOR=0.24[95%CI=0.07,0.89])、酸奶(aOR=0.21[95%CI=0.05,0.83])、乳清(aOR=0.16[95%CI=0.03,0.86])和总乳制品(aOR=0.66[95%CI=0.47,0.92])摄入量有关。然而,在低水平 PA 的女性中,乳制品摄入与 PPF 之间没有关联。

结论

乳制品摄入量较高与经历 PPF 的几率较低有关,尤其是对于从事中高强度 PA 的女性。这些发现支持营养和 PA 促进计划,以缓解 PPF 问题。然而,这项研究的横断面设计可能限制了在乳制品摄入、PA 和 PPF 之间推断因果关系的能力。需要进一步的纵向研究来确定因果关系,并探索这些关联的潜在机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8d4/11465780/7ad525279bce/12889_2024_20294_Fig1_HTML.jpg

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