身体活动干预对高风险怀孕的影响:系统性审查和元分析
Cristina Silva-Jose1, Michelle F Mottola2, Montse Palacio3
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
怀孕期间的体力活动,即使有像床上休息这样的限制,也会显著改善出生体重. 保持日常活动对于母亲和新生儿的健康至关重要,减轻与不活动相关的风险.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 围产期健康 围产期健康
背景情况:
- 在怀孕期间限制体力活动,包括床上休息,有时是必要的,因为禁忌.
- 这些限制可能会增加新生儿并发症的风险,并对儿童发育产生负面影响.
- 了解限制活动期间体育活动干预措施的影响至关重要.
研究的目的:
- 为了调查身体活动干预措施在怀孕期间与床上休息或活动限制的影响.
- 分析对出生体重,早产,孕妇高血压,妊娠年龄和剖腹产的影响.
主要方法:
- 按照系统审查和元分析 (PRISMA) 准则的优先报告项目进行系统审查和元分析.
- 在PROSPERO注册的协议 (CRD42022370875).
- 包括9项研究,涉及来自四大洲六个国家的3173名女性.
主要成果:
- 在体育活动干预措施与改善出生体重 (MD = 142.57g,p = 0.008) 之间发现了显著的积极关联.
- 在早产,孕妇高血压,分娩时的妊娠年龄或剖腹产发生率方面没有发现显著差异.
- 这些发现有利于活跃的群体,而不是在出生体重方面严格的床上休息.
结论:
- 在床上休息或活动限制的孕妇应该保持最低水平的日常体力活动.
- 身体活动干预可以缓解与怀孕期间不活动相关的生理并发症.
- 医疗保健提供者必须认识到怀孕期间身体不活动的后果,并促进适当的活动水平.
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