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孕期久坐行为对35岁以上女性胎膜早破的影响。

The effect of sedentary behavior during pregnancy on premature rupture of membrane in women above 35 years old.

作者信息

Abdelsamiea Rehab Hanafy Mahmoud, Khafagy Ghada Mahmoud, Ghareib Hassan Omar, Sarhan Mai Diaa

机构信息

Faculty of Medicine, Department of Family Medicine, Cairo University, Cairo, Egypt.

Faculty of Medicine, Department of Gynecology and Obstetrics, Cairo University, Cairo, Egypt.

出版信息

SAGE Open Med. 2024 Nov 8;12:20503121241289842. doi: 10.1177/20503121241289842. eCollection 2024.

Abstract

BACKGROUND

Sedentary life is now considered among the main health risks globally among general population and pregnant women. Premature rupture of membranes is a serious pregnancy condition that is a main cause of newborn morbidity and death globally. There is very limited data about the effect of sedentary behavior during pregnancy on premature rupture of membranes.

AIM AND OBJECTIVES

The current study set out to evaluate the impact of sedentary behavior during pregnancy on premature rupture of the membranes in women older than 35.

SETTING AND METHODS

A cohort prospective study was done on 90 pregnant women at Kasr Al-Ainy Hospitals. Participants were met three times (once per trimester). Routine labs and examinations were done and physical activities and sedentary behavior were assessed using prenatal physical activity questionnaire at each visit then pregnant women were followed up till rupture of membranes happened.

RESULTS

A statistically significant difference was observed in the kind and intensity of physical activity among pregnant individuals at the first, second, and third trimesters. Women who experienced premature rupture of membranes demonstrated significantly lower levels of physical activity (household or caregiving, occupational, and low physical activities) and they also showed signs of a more sedentary lifestyle.

CONCLUSION

Sedentary behavior during pregnancy had great effect on premature rupture of membranes in women above 35 years old. Sedentary participants were twice as likely to develop premature rupture of membranes in contrast to individuals who don't engage in sedentary behavior.

摘要

背景

久坐的生活方式如今被认为是全球普通人群和孕妇面临的主要健康风险之一。胎膜早破是一种严重的妊娠状况,是全球新生儿发病和死亡的主要原因。关于孕期久坐行为对胎膜早破影响的数据非常有限。

目的

本研究旨在评估孕期久坐行为对35岁以上女性胎膜早破的影响。

设置与方法

在开罗大学艾因医院对90名孕妇进行了一项队列前瞻性研究。参与者共接受三次随访(每孕期一次)。进行常规实验室检查和体格检查,并在每次随访时使用产前身体活动问卷评估身体活动和久坐行为,然后对孕妇进行随访直至胎膜破裂。

结果

在孕早期、孕中期和孕晚期,孕妇的身体活动种类和强度存在统计学上的显著差异。发生胎膜早破的女性身体活动水平(家务或照料、职业和低强度身体活动)明显较低,并且她们还表现出久坐生活方式的迹象。

结论

孕期久坐行为对35岁以上女性的胎膜早破有很大影响。与不从事久坐行为的个体相比,久坐的参与者发生胎膜早破的可能性是其两倍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8783/11549709/540a60ca71ef/10.1177_20503121241289842-fig1.jpg

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