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围产期的身体活动:给临床医生的情况说明书

Physical Activity During the Perinatal Period: A Fact Sheet for Clinicians.

作者信息

Zielke Cecelia, Badon Sylvia E, Bhalala Mibhali, Thompson Hannah R

机构信息

Endocrinology Graduate Group, University of California-Berkeley, Berkeley, CA, USA (CZ).

Kaiser Permanente Northern California Division of Research, Pleasanton, CA, USA (SEB).

出版信息

Am J Lifestyle Med. 2025 Aug 6:15598276251364774. doi: 10.1177/15598276251364774.

Abstract

Regular physical activity is important for health maintenance across the lifespan and is particularly important during the perinatal period (1 year before conception to 1 year after childbirth). During the perinatal period, physical activity promotes favorable physical and mental health outcomes for the mother and positive developmental and metabolic health outcomes for the fetus. However, the prevalence of meeting physical activity guidelines during the perinatal period is low. In this review, we outline national physical activity guidelines and address benefits and risks of physical activity for 3 stages of the perinatal period: (1) women trying to become pregnant, (2) pregnant women, and (3) women in the postpartum period for one year following delivery. Guidelines recommend women in all 3 perinatal stages incorporate at least 150 minutes of moderate-intensity physical activity into their week. Women trying to become pregnant and women in the postpartum period (starting 6-8 weeks post-delivery) should also incorporate vigorous-intensity physical activity (with 75 minutes of vigorous-intensity activity equivalent to 150 minutes of moderate-intensity activity) and at least 2 muscle-strengthening sessions weekly. To conclude, we provide a framework for clinicians to effectively prescribe physical activity and increase physical activity accessibility for women throughout the perinatal period.

摘要

规律的体育活动对维持一生的健康都很重要,在围产期(受孕前1年至产后1年)尤为重要。在围产期,体育活动能促进母亲良好的身心健康,并为胎儿带来积极的发育和代谢健康结果。然而,围产期达到体育活动指南要求的比例很低。在本综述中,我们概述了国家体育活动指南,并阐述了围产期三个阶段体育活动的益处和风险:(1)备孕女性,(2)孕妇,(3)产后1年的女性。指南建议所有围产期三个阶段的女性每周进行至少150分钟的中等强度体育活动。备孕女性和产后女性(产后6 - 8周开始)还应进行高强度体育活动(75分钟的高强度活动相当于150分钟的中等强度活动),且每周至少进行2次肌肉强化训练。总之,我们为临床医生提供了一个框架,以便有效地为围产期女性开具体育活动处方,并增加她们参与体育活动的机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccc4/12328362/e03e8dacdf2c/10.1177_15598276251364774-fig1.jpg

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