在非常早产或出生体重非常低的成年人中,身体活动和认知功能 - - 一个个参与者的数据元分析
Kristina Anna Djupvik Aakvik1, Silje Dahl Benum1, Marjaana Tikanmäki2,3
1Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway.
PloS one
|February 13, 2024
概括
非常早产或出生体重非常低的成年人身体活动较少,尤其是女性. 认知功能不能解释这种差异,这表明这个人群的身体活动干预措施.
科学领域:
- 围产期流行病学 围产期流行病学
- 发育神经科学的发展神经科学.
- 公共卫生 公共卫生
背景情况:
- 非常早产 (孕期<32周) 或出生时体重非常低 (<1500克) 的个体往往与按期出生的同龄人相比表现出降低的认知功能.
- 以前的研究表明,成年期身体活动水平可能存在差异,但早产,身体活动和认知功能之间的关系尚不清楚.
研究的目的:
- 调查出生时非常早产/出生时体重非常低与成年后身体活动水平之间的关联.
- 为了确定认知功能是否调解了早产/低出生体重和成人身体活动之间的关系.
主要方法:
- 用五个队伍的数据进行了个人参与者数据元分析.
- 参与者包括22-28岁的成年人,包括出生时间非常早/出生体重非常低的婴儿和出生时间控制的婴儿.
- 在PubMed和Embase中进行了系统的文献搜索,以确定相关的队列.
主要成果:
- 与对照组相比,非常早产/出生体重非常低的成年人报告每周减少1.11小时的中度至剧烈的体力活动.
- 这种关联在女性中更为明显.
- 无论是智商系数还是执行功能都没有介导观察到的关联.
结论:
- 非常早产/出生时体重非常低的成年人,特别是女性,比他们出生时的同行从事的体力活动不那么适度到剧烈.
- 认知功能似乎没有调解这种减少的身体活动.
- 鉴于这种人群中不良健康结果的风险增加,建议进行体育活动干预.
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