在妊娠糖尿病后预防2型糖尿病:一个系统性审查,使用社会生态模型绘制身体活动组件
Elysa Ioannou1, Helen Humphreys2, Catherine Homer3
1Sport and Physical Activity Research Centre, Sheffield Hallam University, Sheffield, UK. E.ioannou@shu.ac.uk.
Maternal and child health journal
|June 3, 2024
概括
妊娠糖尿病后的体力活动干预是预防2型糖尿病的关键. 社会和组织的支持,而不仅仅是个人的努力,显著提高产后妇女的体育活动水平.
科学领域:
- 公共卫生 公共卫生
- 运动科学 运动科学
- 生殖健康 生殖健康
背景情况:
- 孕期糖尿病 (GDM) 增加了女性患2型糖尿病 (T2D) 的长期风险.
- 产后身体活动对于减轻后续T2D风险至关重要.
- 现有的干预措施可能无法充分解决怀孕后身体活动的各种障碍.
研究的目的:
- 系统地绘制旨在预防T2D后GDM的干预组件.
- 为了利用社会生态模型 (SEM) 作为这个映射的框架.
- 调查身体活动变化与各种干预组件之间的对齐.
主要方法:
- 在主要数据库 (MEDLINE,Scopus等) 进行系统的文献搜索. 在2022年10月.
- 包括在GDM诊断后5年内针对身体活动的研究.
- 根据身体活动的意义对结果的分类增加.
主要成果:
- 包括37项独特干预措施的48项研究;大多数是充足的或质量有限的.
- 对于个人内部层面的组件,结果各不相同,与SEM的社会和组织层面相关的体力活动增加更大.
- 包括儿童保育,小组会议和远程分娩的干预措施显示了更高的体育活动参与度.
结论:
- 未来的T2D预防干预后GDM应优先考虑社会和组织层面的组成部分.
- 整合多层次的SEM因素对于有效促进体育活动至关重要.
- 干预设计应考虑实际支持,如儿童保育和灵活的交付方法.
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