在怀孕前和两年COVID大流行期间的身体活动,久坐行为和睡眠模式
Andrea C Kozai1, Melissa A Jones2, Jaclyn D Borrowman3
1Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA, USA.
Midwifery
|December 25, 2024
概括
在COVID大流行期间,孕妇的身体活动较少,比大流行前的孕妇更久坐. 这种趋势在疫情爆发多年后仍然存在,凸显了潜在的健康影响和需要产前支持的需要.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 身体活动在怀孕期间至关重要,但高静坐行为和睡眠不足与增加怀孕并发症风险有关.
- 虽然COVID大流行对许多人群的活动和睡眠模式产生了负面影响,但它对孕妇的影响仍未得到充分研究.
- 了解流行病时代的生活方式变化对于孕产妇健康结果至关重要.
研究的目的:
- 为了比较COVID大流行之前和期间的孕妇身体活动,久坐时间和睡眠模式.
- 评估COVID大流行对母亲生活方式行为的长期影响.
- 在与流行病有关的障碍的背景下,为产前护理策略提供见解.
主要方法:
- 通过使用相同的数据收集方法,比较了两个平行前性观察队列 (COVID前:2017-2019,n=111;COVID时代:2021-2023,n=117).
- 使用activPAL3微型加速度计客观测量身体活动和久坐时间.
- 睡眠时间是自我报告的,统计分析 (线性回归) 用于队列之间的和COVID时代内的比较.
主要成果:
- 与COVID时代的队列相比,在所有季度中,COVID前的参与者表现出明显更高的中等至强烈的体力活动 (57-77分钟/周) 和较低的静坐时间 (0.77-1.13小时/天).
- 睡眠时间在COVID前队列与COVID时代队列相比,在第三季度的睡眠时间明显较低 (0.8小时/天).
- 在COVID时代队伍中没有观察到活动模式的显著变化,因为流行病限制放松了.
结论:
- 在COVID大流行期间,怀孕的个体不那么活跃,比大流行前的同行更久坐不动,几年后的影响仍然存在.
- 怀孕期间越来越久坐的行为可能会给健康带来风险,需要主动干预.
- 产前护理提供者应指导孕妇在面临疫情时代挑战的情况下采取积极的生活方式.
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