第一季度身体活动水平与围产期结果之间的关联
Virginia Y Watkins1, Peinan Zhao2, Antonina I Frolova2
1Department of Obstetrics and Gynecology, Duke University Health System, Durham, NC (Watkins).
American journal of obstetrics & gynecology MFM
|November 4, 2024
概括
在怀孕的第一季度进行定期的体育活动与改善分娩结果有关. 较高的活动水平与新生儿并发症和妊娠高血压风险的降低相关.
科学领域:
- 产科和妇科 产科和妇科
- 围产期健康 围产期健康
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 怀孕期间的体力活动对于减少孕产妇和新生儿不良后果至关重要.
- 怀孕早期的身体活动评估对于了解其对围产期健康的影响至关重要.
研究的目的:
- 评估凯泽体育活动调查 (KPAS) 评分测量的第一季度体育活动与不良围产期结局之间的关联.
- 为了确定怀孕早期的高体力活动水平是否会影响出生体重,新生儿发病率和高血压疾病.
主要方法:
- 一项前性队列研究的二次分析,涉及1,045名孕妇.
- 凯泽体力活动调查 (KPAS) 在第一季度进行,以评估身体活动水平.
- 多变量逻辑回归用于比较高 (≥75百分位数) 和低 (<75百分位数) KPAS得分组之间的结果,调整为混因素.
主要成果:
- 较高的第一季度体力活动与数值较高的出生体重有关 (P=.03),但在妊娠年龄小 (SGA) 或妊娠年龄大 (LGA) 率中没有显著差异.
- 在高度活跃的个体中,综合新生儿发病率 (aRR 0.59; 95% CI 0.37, 0.89) 和妊娠高血压 (aRR 0.56; 95% CI 0.33, 0.89) 显著降低.
- 两组之间在妊娠期体重增加,妊娠期糖尿病或孕前发病率方面没有发现显著差异.
结论:
- 在怀孕的第一季度,身体活动水平的提高与改善围产期的结果有关.
- 妊娠早期较高的体力活动与出生体重增加和综合新生儿发病率和妊娠高血压率降低有关.
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