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孕期运动。第1部分:病理生理学更新

Exercise in pregnancy. Part 1: Update on pathophysiology.

作者信息

Stevenson L

机构信息

Sport Care, Women's College Hospital, Toronto.

出版信息

Can Fam Physician. 1997 Jan;43:97-104.

PMID:9626428
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2255149/
Abstract

OBJECTIVE

To review the current data regarding the safety of exercise in pregnancy.

QUALITY OF EVIDENCE

MEDLINE search was limited to English literature between 1987 and 1995 with the key MeSH words exercise and pregnancy. Other sources included the Sports and Fitness Database between 1991 and 1995 and a manual search for relevant articles. Previous studies on the safety of exercise in pregnancy are limited in many ways and exhibit difficulties in controlling for confounding factors and in establishing associations while maintaining maternal and fetal safety.

MAIN FINDINGS

Concerns about the effect of exercise on pregnancy include exercise-induced hyperthermia, birth weight changes, fetal heart rate responses, miscarriage, labour patterns, maternal injury, and maternal weight gain. Exercise during pregnancy also has many potential benefits.

CONCLUSIONS

Important gaps in our knowledge of exercise and pregnancy remain. Available data suggest, however, that moderate exercise on a regular basis during a healthy pregnancy has minimal risk for women and their fetuses.

摘要

目的

回顾当前关于孕期运动安全性的资料。

证据质量

MEDLINE检索仅限于1987年至1995年间的英文文献,关键词为运动和妊娠。其他来源包括1991年至1995年间的体育与健身数据库以及对相关文章的手工检索。以往关于孕期运动安全性的研究在许多方面存在局限性,在控制混杂因素以及在确保母婴安全的同时建立关联方面存在困难。

主要发现

对运动对妊娠影响的担忧包括运动引起的体温过高、出生体重变化、胎儿心率反应、流产、分娩模式、母体损伤和母体体重增加。孕期运动也有许多潜在益处。

结论

我们在运动与妊娠方面的知识仍存在重大空白。然而,现有数据表明,在健康孕期定期进行适度运动对女性及其胎儿的风险极小。

相似文献

1
Exercise in pregnancy. Part 1: Update on pathophysiology.孕期运动。第1部分:病理生理学更新
Can Fam Physician. 1997 Jan;43:97-104.
2
Exercise in pregnancy. Part 2: Recommendations for individuals.孕期运动。第二部分:针对个人的建议。
Can Fam Physician. 1997 Jan;43:107-11.
3
Exercise during pregnancy: a critical appraisal of the literature.孕期运动:文献的批判性评价
J Reprod Med. 2005 Mar;50(3):181-8.
4
Leisure time physical exercise during pregnancy and the risk of miscarriage: a study within the Danish National Birth Cohort.孕期休闲时间体育锻炼与流产风险:丹麦国家出生队列研究
BJOG. 2007 Nov;114(11):1419-26. doi: 10.1111/j.1471-0528.2007.01496.x. Epub 2007 Sep 17.
5
[Sports and pregnancy. A review of the literature].[运动与妊娠。文献综述]
J Gynecol Obstet Biol Reprod (Paris). 1990;19(4):375-81.
6
Recent advances in understanding maternal and fetal responses to exercise.理解母体和胎儿对运动反应的最新进展。
Med Sci Sports Exerc. 1993 Dec;25(12):1305-21.
7
Low-impact exercise during pregnancy--a study of safety.孕期低强度运动——安全性研究
Acta Obstet Gynecol Scand. 2005 Jan;84(1):34-8. doi: 10.1111/j.0001-6349.2005.00696.x.
8
Effect of exercise on pregnancy outcome.运动对妊娠结局的影响。
Clin Obstet Gynecol. 2008 Jun;51(2):467-80. doi: 10.1097/GRF.0b013e31816feb1d.
9
Exercise and fetal health.运动与胎儿健康。
J Dev Physiol. 1991 Jan;15(1):9-14.
10
Factors related to exercise over the course of pregnancy including women's beliefs about the safety of exercise during pregnancy.与孕期运动相关的因素,包括女性对孕期运动安全性的看法。
Midwifery. 2009 Aug;25(4):430-8. doi: 10.1016/j.midw.2007.03.002. Epub 2007 Dec 11.

引用本文的文献

1
Prediction of gestational weight gain - a biopsychosocial model.妊娠期体重增加的预测——一种生物心理社会模型。
Public Health Nutr. 2015 Jun;18(8):1488-98. doi: 10.1017/S1368980014001815. Epub 2014 Aug 29.
2
Risk assessment for physical activity and exercise clearance: in pregnant women without contraindications.孕期身体活动的风险评估与运动许可:适用于无禁忌证的孕妇
Can Fam Physician. 2013 May;59(5):515-7.
3
Leisure time physical exercise during pregnancy and the risk of miscarriage: a study within the Danish National Birth Cohort.孕期休闲时间体育锻炼与流产风险:丹麦国家出生队列研究
BJOG. 2007 Nov;114(11):1419-26. doi: 10.1111/j.1471-0528.2007.01496.x. Epub 2007 Sep 17.
4
Exercise during the childbearing year.育龄期的运动。
J Perinat Educ. 2000 Winter;9(1):1-14. doi: 10.1624/105812400X87455.

本文引用的文献

1
Aerobic exercise in pregnancy: an update.孕期有氧运动:最新进展
Can J Appl Physiol. 1993 Jun;18(2):119-47. doi: 10.1139/h93-011.
2
Maternal exercise during pregnancy, physical fitness, and fetal growth.孕期母亲运动、体能与胎儿生长
Am J Epidemiol. 1993 May 15;137(10):1105-14. doi: 10.1093/oxfordjournals.aje.a116614.
3
Recent advances in understanding maternal and fetal responses to exercise.理解母体和胎儿对运动反应的最新进展。
Med Sci Sports Exerc. 1993 Dec;25(12):1305-21.
4
A clinical approach to exercise during pregnancy.孕期运动的临床处理方法。
Clin Sports Med. 1994 Apr;13(2):443-58.
5
Effects of acute and chronic maternal exercise on fetal heart rate.急性和慢性母体运动对胎儿心率的影响。
J Appl Physiol (1985). 1994 Nov;77(5):2207-13. doi: 10.1152/jappl.1994.77.5.2207.
6
Exercise and pregnancy: a review.运动与妊娠:综述
Birth. 1994 Jun;21(2):85-95. doi: 10.1111/j.1523-536x.1994.tb00240.x.
7
The effect of vigorous exercise during pregnancy on birth-weight.孕期剧烈运动对出生体重的影响。
Aust N Z J Obstet Gynaecol. 1995 Feb;35(1):46-51. doi: 10.1111/j.1479-828x.1995.tb01829.x.
8
Effect of recreational exercise on pregnancy weight gain and subcutaneous fat deposition.休闲运动对孕期体重增加和皮下脂肪沉积的影响。
Med Sci Sports Exerc. 1995 Feb;27(2):170-7.
9
Exercise during pregnancy and pregnancy outcome.孕期运动与妊娠结局
Med Sci Sports Exerc. 1995 May;27(5):634-40.
10
Thermoregulation during aerobic exercise in pregnancy.孕期有氧运动中的体温调节
Obstet Gynecol. 1985 Mar;65(3):340-5.