怀孕期间体育活动对孕产妇高血压疾病的影响:随机对照试验的系统审查和元分析
Rubén Barakat1, Cristina Silva-Jose1, Dingfeng Zhang1
1AFIPE Research Group, Faculty of Physical Activity and Sport Sciences-INEF, Universidad Politécnica de Madrid, 28040 Madrid, Spain.
Journal of personalized medicine
|January 26, 2024
概括
在怀孕期间从事体育活动 (PA) 显著降低了妊娠高血压的风险,并改善了血压. 这一发现强调了运动在怀孕期间对母亲健康的重要性.
科学领域:
- 产科和妇科 产科和妇科
- 心血管健康 心血管健康
- 公共卫生 公共卫生
背景情况:
- 孕期高血压对母亲和胎儿的健康构成风险.
- 身体活动 (PA) 被认为是关键的预防措施.
- 关于各种PA形式对高血压疾病的具体影响的综合数据有限.
研究的目的:
- 系统地审查和元分析身体活动对怀孕期间高血压疾病的影响.
- 评估PA与妊娠高血压,孕前和血压水平发生率之间的关联.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 包括2010年至2023年间发表的随机临床试验 (RCT).
- 搜索了多个数据库,包括PubMed,科学网,Scopus和PEDro.
主要成果:
- 怀孕期间的体力活动显著降低了高血压疾病的风险 (RR = 0.44).
- 动脉压与较低的静脉压 (MD = -2.64) 和静脉压 (MD = -1.99) 血压水平有关.
- 在PA和被诊断为孕前的发病率之间没有发现统计学意义上的关联 (RR = 0.81).
结论:
- 怀孕期间的体育活动是改善孕产妇健康的有希望的干预措施.
- 它有效地降低了妊娠高血压的风险,并对血压产生积极影响.
- 进一步的研究可能会澄清PA对孕前发病率的具体影响.
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