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围产期生活方式体力活动与运动的建议:一项叙述性综述

Recommendations for Lifestyle Physical Activity and Exercise During the Perinatal Period: A Narrative Review.

作者信息

Opara Józef, Mehlich Krzysztof, Szczygieł Jarosław

机构信息

Institute of Physiotherapy and Health Sciences, Academy of Physical Education, ul. Mikołowska 72b, 40-065 Katowice, Poland.

Department of Neurology, Clinical Hospital No.1 Named After Prof. Stanisław Szyszko, Silesian University of Medicine, ul. 3 Maja 13/15, 41-800 Zabrze, Poland.

出版信息

Healthcare (Basel). 2026 Jan 4;14(1):122. doi: 10.3390/healthcare14010122.

DOI:10.3390/healthcare14010122
PMID:41517052
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12785493/
Abstract

BACKGROUND

The World Health Organization (WHO) has recently focused much attention on physical activity recommendations. Regular physical activity offers broad health benefits, reducing the risk of some chronic diseases and improving bone structure and muscle strength. Although the scientific literature provides numerous recommendations for physical activity during pregnancy and the postpartum period, there are no official recommendations for lifestyle-related physical activity.

OBJECTIVES

This narrative review aimed to review the current knowledge on physical activity during pregnancy and the postpartum period, specifically focusing on lifestyle-related physical activity. The review was based on the definition of lifestyle-related physical activity proposed by Dunn et al. in 1998, which is at least 30 min of self-selected activity per day, encompassing all recreational, occupational, or household activities, as well as planned and unplanned activities that are part of daily life.

METHODS

A number of databases were analyzed, including PubMed, the Cochrane Library, Embase, and Web of Science.

RESULTS

The most valuable reports and recommendations regarding physical activity during the perinatal period were identified.

CONCLUSIONS

Moderate physical activity during pregnancy is safe and offers benefits, such as reducing the risk of gestational diabetes, preeclampsia, and excessive weight gain, as well as improving mental health. The most common benefits of continuing physical activity after delivery include weight control, reduced risk of depression, and improved quality of life. Lifestyle-based physical activity is easier to implement and more achievable than structured exercise. Further research is needed to establish recommendations regarding lifestyle-based physical activity during the perinatal period.

摘要

背景

世界卫生组织(WHO)最近十分关注身体活动建议。定期进行身体活动对健康有诸多益处,可降低某些慢性疾病的风险,并改善骨骼结构和肌肉力量。尽管科学文献提供了许多关于孕期和产后身体活动的建议,但对于与生活方式相关的身体活动尚无官方建议。

目的

本叙述性综述旨在回顾孕期和产后身体活动的现有知识,特别关注与生活方式相关的身体活动。该综述基于邓恩等人于1998年提出的与生活方式相关的身体活动的定义,即每天至少30分钟的自选活动,包括所有娱乐、职业或家务活动,以及日常生活中计划内和计划外的活动。

方法

分析了多个数据库,包括PubMed、Cochrane图书馆、Embase和科学网。

结果

确定了围产期身体活动方面最有价值的报告和建议。

结论

孕期进行适度身体活动是安全的,且有益处,如降低妊娠期糖尿病、先兆子痫和体重过度增加的风险,以及改善心理健康。产后继续进行身体活动最常见的益处包括控制体重、降低抑郁风险和提高生活质量。基于生活方式的身体活动比有组织的运动更容易实施且更易实现。需要进一步研究以制定围产期基于生活方式的身体活动建议。

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本文引用的文献

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Physical Activity During the Perinatal Period: A Fact Sheet for Clinicians.围产期的身体活动:给临床医生的情况说明书
Am J Lifestyle Med. 2025 Aug 6:15598276251364774. doi: 10.1177/15598276251364774.
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A review of public health guidelines for postpartum physical activity and sedentary behavior from around the world.对全球范围内的产后体力活动和久坐行为的公共卫生指南进行综述。
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Ginekol Pol. 2023 Aug 21. doi: 10.5603/GP.a2023.0080.
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Public health guidelines for physical activity during pregnancy from around the world: a scoping review.全球范围内针对孕妇身体活动的公共卫生指南:范围综述。
Br J Sports Med. 2023 Jul;57(14):940-947. doi: 10.1136/bjsports-2022-105777. Epub 2023 Jan 5.
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Perspectives on exercise intensity, volume, step characteristics and health outcomes in walking for transport.关于步行通勤时运动强度、量、步数特征与健康结果的观点。
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The association between physical activity and sleep during pregnancy: a systematic review.孕期体力活动与睡眠的关系:系统评价。
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