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力量训练对孕妇生活质量的影响:一项系统评价。

Effects of strength training on quality of life in pregnant women: A systematic review.

作者信息

Redondo-Delgado Paula, Blanco-Giménez Paula, López-Ortiz Susana, García-Chico Celia, Vicente-Mampel Juan, Maroto-Izquierdo Sergio

机构信息

i+HeALTH, Strategic Research Group, Department of Health Sciences, Miguel de Cervantes European University (UEMC), Valladolid, Spain.

Department of Physiotherapy, Medicine and Health Science School, Faculty of Medicine and Health Science, Catholic University of Valencia, Valencia, Spain.

出版信息

Acta Obstet Gynecol Scand. 2025 Jul;104(7):1231-1243. doi: 10.1111/aogs.15122. Epub 2025 Apr 14.

DOI:10.1111/aogs.15122
PMID:40230063
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12144601/
Abstract

INTRODUCTION

Physical activity is known to improve physical and psychological outcomes in pregnant women. While aerobic exercise is typically emphasized in physical activity guidelines for pregnant women, emerging research suggests that strength training may offer unique benefits beyond those provided by aerobic exercise alone. This systematic review aimed to systematically explore the effects and characteristics of strength training interventions on the health-related quality of life of pregnant women, with the goal of informing more comprehensive and specific exercise guidelines.

MATERIAL AND METHODS

A systematic literature search was conducted across PubMed, Web of Science, and EBSCO Host databases without time restrictions, following PRISMA guidelines (PROSPERO ID: CRD42024511477). Nine randomized controlled trials met the inclusion criteria, involving a total of 1581 participants.

RESULTS

The studies reviewed demonstrated that strength training during pregnancy can mitigate excessive weight gain, alleviate low back and sciatic pain, enhance mood, and improve various aspects of health-related quality of life. These aspects include physical activity levels, muscular strength, flexibility, sleep quality, energy expenditure, and psychological well-being.

CONCLUSIONS

Despite these promising findings, this review highlights the need for standardized methodologies and detailed reporting in future research. Incorporating strength training into general exercise recommendations for pregnant women has the potential to optimize maternal health outcomes such as muscle strength, weight gain, physical activity levels, low back pain, pelvic pain, fatigue, anxiety, energy levels, vitality, sleep duration, and health status.

摘要

引言

众所周知,体育活动可改善孕妇的身体和心理状况。虽然有氧运动通常在孕妇体育活动指南中受到强调,但新出现的研究表明,力量训练可能带来单独有氧运动之外的独特益处。本系统评价旨在系统探索力量训练干预对孕妇健康相关生活质量的影响和特征,以期为更全面、具体的运动指南提供参考。

材料与方法

按照PRISMA指南(PROSPERO编号:CRD42024511477),在PubMed、科学网和EBSCO主机数据库中进行了无时间限制的系统文献检索。九项随机对照试验符合纳入标准,共涉及1581名参与者。

结果

所综述的研究表明,孕期进行力量训练可减轻体重过度增加、缓解腰背痛和坐骨神经痛、改善情绪,并提高健康相关生活质量的各个方面。这些方面包括身体活动水平、肌肉力量、柔韧性、睡眠质量、能量消耗和心理健康。

结论

尽管有这些令人鼓舞的发现,但本综述强调未来研究需要标准化方法和详细报告。将力量训练纳入孕妇一般运动建议有可能优化孕产妇健康结局,如肌肉力量、体重增加、身体活动水平、腰背痛、骨盆疼痛、疲劳、焦虑、能量水平、活力、睡眠时间和健康状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6af6/12144601/c29d0205b2e6/AOGS-104-1231-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6af6/12144601/e624d477971f/AOGS-104-1231-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6af6/12144601/6554008c08cf/AOGS-104-1231-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6af6/12144601/c29d0205b2e6/AOGS-104-1231-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6af6/12144601/e624d477971f/AOGS-104-1231-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6af6/12144601/6554008c08cf/AOGS-104-1231-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6af6/12144601/c29d0205b2e6/AOGS-104-1231-g003.jpg

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Am J Epidemiol. 2025 Mar 4;194(3):766-778. doi: 10.1093/aje/kwae150.
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Benefits of Resistance Training During Pregnancy for Maternal and Fetal Health: A Brief Overview.孕期进行抗阻训练对母婴健康的益处:简要概述
Int J Womens Health. 2024 Jun 19;16:1137-1147. doi: 10.2147/IJWH.S462591. eCollection 2024.
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The global prevalence of low back pain in pregnancy: a comprehensive systematic review and meta-analysis.全球妊娠期间下背痛的患病率:一项全面的系统评价和荟萃分析。
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Influence of a Concurrent Exercise Training Program on Health-Related Quality of Life During Advanced Pregnancy: The GESTAFIT Project.在孕晚期进行同期运动训练对健康相关生活质量的影响:GESTAFIT 项目。
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Development of indicators to measure quality of life for pregnant women (QOL-PW).测量孕妇生活质量(QOL-PW)的指标的制定。
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