在怀孕期间运动剂量的叙述性审查
Alex Claiborne1,2,3, Filip Jevtovic1,2,3, Linda E May1,2,3,4
1Department of Kinesiology, East Carolina University, Greenville, North Carolina, USA.
Birth defects research
|September 22, 2023
概括
目前的产前运动指南建议每周进行150分钟的运动. 研究表明,运动对母亲和婴儿健康的作用取决于剂量,适度的频率和强度显示有好处. 需要对最佳运动剂量进行更多的研究.
科学领域:
- 产科和妇科 产科和妇科
- 运动医学 运动医学
- 运动生理学 运动生理学
背景情况:
- 目前的产前运动建议建议每周进行150分钟的中等强度运动.
- 新出现的证据表明,产前运动和母亲/子女健康结果之间存在剂量依赖的关系.
- 不同的剂量 (低,中,高) 可能会独特地影响健康指标.
研究的目的:
- 从1950年到2023年,系统地审查有关产前运动"FITT-V" (频率,强度,时间,类型,体积) 的文献.
- 总结有关各种产前运动参数安全性和有效性的证据.
- 在确定最佳产前运动剂量方面发现研究缺口.
主要方法:
- 对1950年至2023年间发表的研究进行文献搜索.
- 专注于五个关键的产前运动指标:频率,强度 (METs),时间,类型和体积 (MET*mins).
- 综合了与临床医生,医疗保健专业人员和运动专家相关的数据.
主要成果:
- 适度的运动频率 (每周3-4次) 似乎是安全有效的;更高的频率 (>每周5次) 有混合的证据.
- 适度 (3-6 MET) 和强烈 (>6 MET) 强度的运动对母亲和后代的健康有好处;低强度 (<3 MET) 的研究不足.
- 运动时间小于1小时是安全的;较长时间需要仔细监测. 有氧,阻力或综合运动类型在中高体积下耐受良好.
结论:
- 适度频率和强度的产前运动通常是安全和有益的.
- 需要进一步的研究来确定最低有效的和最大有益的运动剂量.
- 需要更多的标准化随机对照试验,特别是在不同的妊娠季度和人群中.
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