孕妇住院和门诊患者的体力活动以及与焦虑的关联
Danielle M Panelli1, Hayley E Miller1, Samantha L Simpson1
1Division of Maternal-Fetal Medicine and Obstetrics, Department of Obstetrics and Gynecology, Stanford University, Stanford, CA, USA.
概括
与门诊患者相比,孕妇住院患者体验的体力活动水平明显较低. 孕妇每天步数减少与焦虑增加有关,这强调了有针对性的身体活动干预措施的必要性.
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
- 行为医学是一种行为医学.
背景情况:
- 身体活动与减少焦虑有关,但其在怀孕期间的作用,特别是对于住院患者,仍未得到充分研究.
- 产前住院患者经常经历过高的焦虑,可能面临在达到推的身体活动水平的限制.
研究的目的:
- 为了比较孕妇住院患者和门诊患者之间的身体活动指标.
- 探索孕妇身体活动水平和焦虑之间的相关性.
主要方法:
- 一项前性队列研究,涉及58名怀孕参与者 (18-55岁,怀孕≥16周) 从2021-2022.
- 参与者被分为三个组:一般产科门诊患者,高风险的产妇胎儿医学门诊患者和产前住院患者,根据妊娠年龄进行匹配.
- 使用加速度计 (Actigraph GT9X Link) 测量体力活动长达7天,评估每天的步数,METs,kcals和中度至强度体力活动 (MVPA) 爆发. 焦虑是使用国家-海峡焦虑库存 (STAI) 来测量的.
主要成果:
- 与门诊患者相比,产前住院患者的平均每日步数,METs,MVPA爆发和kcals显著降低.
- 身体活动,特别是步数,在住院患者中在一周内逐渐减少,但在门诊患者中却没有.
- 在整个队列中,较低的步数和更高的焦虑得分之间观察到显著的正相关性.
结论:
- 这项研究为体育活动指标及其与焦虑的关联建立了产前人口规范.
- 与门诊同行相比,住院的孕妇表现出明显减少的体力活动.
- 这些发现强调了开发和实施体育活动干预措施的关键需要,特别是对于产前住院患者,以潜在地减轻焦虑水平.
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