在患有严重子宫前后的妇女中,心肺呼吸能力
Lasse Gronningsaeter1, Mette-Elise Estensen2, Helge Skulstad2
1Department of Anesthesia and Intensive Care Medicine, Oslo University Hospital, Oslo, Nydalen, Norway.
Hypertension in pregnancy
|August 10, 2023
概括
多年后,有严重子前史的女性心肺呼吸能力 (CRF) 和体力活动 (PA) 水平较低. 心血管限制和身体不适是很常见的,这突显了对随访和运动干预的需要.
科学领域:
- 心血管健康 心血管健康
- 生殖医学 生殖医学
- 运动生理学 运动生理学
背景情况:
- 严重的先兆子是一种怀孕并发症,具有潜在的长期健康后果.
- 心肺健康 (CRF) 和体力活动 (PA) 对整体健康至关重要.
- 了解子宫前后的运动不耐受症对于患者的管理至关重要.
研究的目的:
- 客观地评估妇女在严重前症后几年的CRF和PA.
- 确定限制运动能力并导致CRF差的因素.
- 为了评估与严重前后的不良CRF相关的运动不耐受.
主要方法:
- 一项横截面研究,涉及96名有严重子宫前史的妇女和65名对照.
- 通过心肺运动测试 (CPET) 测量CRF作为氧气吸收峰值 (VO2峰值).
- 心脏输出 (CO) 通过阻抗心脏学评估,并通过加速度计测定PA.
主要成果:
- 在重度孕前后的女性,VO2峰值 (31.4比39.1mL·kg-1·min-1) 和COpeak (16%低) 显著降低.
- 心血管限制影响了19%的患者,而37%的患者没有心肺限制而不适合.
- 患者的PA水平降低了25%,静坐时间增加了14%,并且不太可能满足世卫组织的PA建议.
结论:
- 长期随访显示,在严重的先兆子后,CRF和PA水平显著降低.
- 心血管限制和身体不适 (与肥胖和低血压相关) 是普遍存在的.
- 建议对这些妇女进行临床随访和有针对性的运动干预.
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