在产后出生的成年人中,身体活动,健身和心脏自主功能
Päivi Oksanen1,2,3, Marjaana Tikanmäki1,2,3, Mikko P Tulppo3,4
1Research Unit of Clinical Medicine, University of Oulu, Oulu, Finland.
American journal of epidemiology
|June 25, 2024
概括
产后 (42周后) 出生的婴儿在中年时体力活动和心肺健康水平较低. 这表明过期分娩是成人心脏代谢疾病的危险因素.
科学领域:
- 心血管健康 心血管健康
- 围产儿医学 围产儿医学
- 公共卫生 公共卫生
背景情况:
- 期后分娩的不良结果可能会持续到成年期,包括心脏代谢风险因素.
- 之前的研究表明,分娩后和以后的健康问题之间存在联系,例如葡萄糖代谢受损和肥胖.
研究的目的:
- 调查产后产妇对中年心血管健康决定因素的长期影响.
- 为了检查产后分娩与身体活动,肌肉力量,心肺呼吸能力和心脏自主功能之间的关联.
主要方法:
- 该研究包括来自北芬兰出生队列的46岁成年人,将分娩后出生的人 (n=805) 与分娩后出生的人 (n=2645) 进行比较.
- 通过加速度计评估体力活动,通过手握强度评估肌肉强度,通过4分钟步骤测试评估心脏呼吸能力,以及评估心脏自主功能 (心率恢复,变化,巴罗反射灵敏度).
- 使用多重线性回归,调整相关共变量.
主要成果:
- 按期出生的成年人与按期出生的成年人相比,每天进行2.0分钟的体力活动较少.
- 期后分娩与心肺呼吸能力的降低有关,这在步骤测试中通过更高的峰值心率 (2.1 bpm) 表明.
- 在分娩后出生的人群中,观察到心率恢复速度较慢 (30岁时每分钟0.7次).
结论:
- 过期分娩与中年人体活力活动和心肺呼吸能力的下降有关.
- 中年运动后心率恢复缓慢与产后出生史有关.
- 结果支持包括分娩后作为成人心脏代谢疾病的围产期风险因素.
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