在怀孕和婴儿成长结果的24小时内进行理论行为替代
Sylvia E Badon1, Assiamira Ferrara1, Kelley Pettee Gabriel2
1Center for Upstream Prevention of Adiposity and Diabetes Mellitus (UPSTREAM), Kaiser Permanente Northern California Division of Research, Pleasanton, CA.
Medicine and science in sports and exercise
|October 1, 2024
概括
在怀孕期间将睡眠时间,久坐行为或轻度活动转换为中度/强度的体力活动,可以降低怀孕年龄大出生体重和婴儿快速生长的风险,特别是在怀孕早期.
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
- 儿科生长与发展 儿科生长与发展
背景情况:
- 怀孕涉及显著的生理变化,影响母亲的健康和胎儿的发育.
- 孕妇的生活方式因素,包括身体活动和久坐不动的行为,在怀孕结果中起着至关重要的作用.
- 了解怀孕期间身体活动的最佳时间分配对于促进婴儿健康成长至关重要.
研究的目的:
- 调查从睡眠,久坐行为或轻强度体力活动 (LPA) 到怀孕和婴儿生长期间中度/强度体力活动 (MVPA) 之间的时间重新分配之间的联系.
- 在妊娠的不同阶段 (怀孕早期和晚期) 评估这些关联.
主要方法:
- 利用来自116名超重或肥胖的孕妇队列的数据.
- 使用加速度计测量清醒运动和通过怀孕9-15周和30-36周的自我报告测量睡眠时间.
- 采用组合性同时代替代模型来分析时间重新配置和婴儿成长结果 (出生体重,婴儿成长到12个月).
主要成果:
- 在怀孕早期将10分钟的时间重新分配给MVPA与20-25%降低孕期大出生体重 (LGA) 的风险有关.
- 在怀孕早期,类似的时间重新配置也将婴儿快速生长的风险降低了17-22%.
- 在怀孕晚期,将时间重新分配给MVPA与降低LGA出生体重风险有关,但与婴儿快速生长无关.
结论:
- 从理论上讲,在怀孕期间从睡眠,久坐行为或LPA重新分配时间到MVPA,这对婴儿生长有有益的关联.
- 这些好处,特别是减少LGA出生体重和婴儿快速生长,在怀孕早期实施时最为明显.
- 进一步的研究可能会探索最佳策略,以在怀孕期间纳入MVPA,以改善母亲和婴儿的结果.
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