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婴儿背带对背带者的身体和生理影响:一项系统综述。

Physical and Physiological Consequences of Babywearing on the Babywearer: A Systematic Review.

作者信息

Taboada-Iglesias Yaiza, Domínguez-Estévez Andrés, Rodríguez-Gude Clara, Gutiérrez-Sánchez Águeda

机构信息

Special Didactics Department, Faculty of Science Education and Sport, Universidade de Vigo, 36005 Pontevedra, Spain.

Education, Physical Activity and Health Research Group (Gies10-DE3), Galicia Sur Health Research Institute (IIS), Universidade de Vigo, 36005 Pontevedra, Spain.

出版信息

Healthcare (Basel). 2025 Sep 2;13(17):2193. doi: 10.3390/healthcare13172193.

DOI:10.3390/healthcare13172193
PMID:40941545
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12428022/
Abstract

: Babywearing is a carrying system that ensures consistent contact and proper posture between the baby and carrying adult, in which there is no age or weight limit, and it is rarely inadvisable. Although babywearing has been growing in popularity and acclaim due to the comfort and emotional closeness between the carrier and baby, there are a number of physical and physiological consequences for the adult carrier when using an ergonomic babywearing device, such as muscular, postural, cardiorespiratory, and energy expenditure, and the perception of effort and pain. The objective is to explore the physical implications affecting the carrier, as well as the subjective perception of strain and pain. : A systematic review was carried out including articles up to December 2023 in the Web of Science (WOS), Medline, and SportDiscus databases. Studies dealing with ergonomic babywearing and the physical implications of babywearing were included; systematic reviews or case studies were excluded. : After applying the inclusion and exclusion criteria, a total of 14 original articles were obtained for analysis. Methodological quality was rated using the Joanna Briggs Institute Critical Appraisal Checklist for Analytical Cross-Sectional Studies with scores between 3 and 8 points. All articles included valid and reliable information on exposure, outcome measures, and results. : The studies reviewed cover different aspects, such as muscle activation and postural stability, as well as specific ergonomic design for particular groups. In general terms, it seems that the use of certain babywearing devices, especially back or front carry, seems to be the one that generates fewer physiological alterations in the carriers compared to carrying babies in arms or other positions.

摘要

婴儿背带是一种能确保婴儿与背抱者之间持续接触并保持正确姿势的携带系统,其没有年龄或体重限制,而且很少不合适。尽管由于背带使用者与婴儿之间的舒适感和情感亲密感,婴儿背带越来越受欢迎并广受赞誉,但使用符合人体工程学的婴儿背带时,成年背带使用者会出现一些身体和生理方面的影响,如肌肉、姿势、心肺功能和能量消耗,以及对努力程度和疼痛的感知。目的是探讨影响背带使用者的身体影响,以及对压力和疼痛的主观感受。

进行了一项系统综述,纳入了截至2023年12月发表在科学网(WOS)、Medline和SportDiscus数据库中的文章。纳入了涉及符合人体工程学的婴儿背带使用及其身体影响的研究;排除了系统综述或案例研究。

应用纳入和排除标准后,共获得14篇原始文章进行分析。使用乔安娜·布里格斯研究所分析性横断面研究关键评价清单对方法学质量进行评分,分数在3至8分之间。所有文章都包含了关于暴露、结局测量和结果的有效且可靠的信息。

所综述的研究涵盖了不同方面,如肌肉激活和姿势稳定性,以及针对特定群体的特定人体工程学设计。总体而言,与怀抱婴儿或其他姿势相比,使用某些婴儿背带设备,尤其是背部或正面背法,似乎对背带使用者产生的生理变化较少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96fb/12428022/29a8fa742290/healthcare-13-02193-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96fb/12428022/29a8fa742290/healthcare-13-02193-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96fb/12428022/29a8fa742290/healthcare-13-02193-g001.jpg

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本文引用的文献

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Infant and parent heart rates during a babywearing procedure: Evidence for autonomic coregulation.婴儿背带使用过程中婴儿和父母的心率:自主共同调节的证据。
Infant Behav Dev. 2024 Dec;77:101996. doi: 10.1016/j.infbeh.2024.101996. Epub 2024 Oct 5.
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[Influence of diet in COVID-19 infection and severity risk: a systematic review].[饮食对新冠病毒感染及严重程度风险的影响:一项系统综述]
Nutr Hosp. 2023 Apr 20;40(2):444-456. doi: 10.20960/nh.04448.
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The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.PRISMA 2020 声明:系统评价报告的更新指南。
BMJ. 2021 Mar 29;372:n71. doi: 10.1136/bmj.n71.
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Nurse Perceptions of Babywearing for Neonates With Neonatal Abstinence Syndrome in the Neonatal Intensive Care Unit.护士对新生儿重症监护病房中患有新生儿戒断综合征的婴儿进行背带使用的看法。
Adv Neonatal Care. 2021 Feb 1;21(1):23-31. doi: 10.1097/ANC.0000000000000811.
5
Infant carrying method impacts caregiver posture and loading during gait and item retrieval.婴儿携带方式会影响照顾者在行走和取物过程中的姿势和负荷。
Gait Posture. 2020 Jul;80:117-123. doi: 10.1016/j.gaitpost.2020.05.013. Epub 2020 May 15.
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Positioning and baby devices impact infant spinal muscle activity.体位和婴儿设备影响婴儿的脊髓肌肉活动。
J Biomech. 2020 May 7;104:109741. doi: 10.1016/j.jbiomech.2020.109741. Epub 2020 Mar 9.
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Evaluation of selected cardiopulmonary and perceived exertion responses to four infant carrying methods utilised by African Mothers.
J Obstet Gynaecol. 2019 Nov;39(8):1098-1103. doi: 10.1080/01443615.2019.1606170. Epub 2019 Jul 23.
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Effects of infant transportation on lower extremity joint moments: Baby carrier versus carrying in-arms.婴儿运送方式对下肢关节力矩的影响:婴儿背带与抱在怀中的比较。
Gait Posture. 2019 May;70:168-174. doi: 10.1016/j.gaitpost.2019.02.004. Epub 2019 Mar 8.
9
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J Exerc Rehabil. 2018 Dec 27;14(6):1092-1095. doi: 10.12965/jer.1836376.188. eCollection 2018 Dec.
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