身体活动对孕妇睡眠障碍的影响:随机对照试验的元分析
Dongmei Liu1, Keqin Liu1, La Xie1
1Nursing Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Avenue, Wuhan, Hubei, 430030, China.
BMC pregnancy and childbirth
|February 11, 2025
概括
身体活动干预措施显著减少孕妇睡眠障碍. 这些发现为医疗保健专业人员提供了有价值的指导,以改善母亲的睡眠健康.
科学领域:
- 产科和妇科 产科和妇科
- 睡眠医学 睡眠医学
- 运动科学 运动科学
背景情况:
- 睡眠障碍在怀孕期间很常见,导致母亲和孩子的不良后果.
- 当前对怀孕期间睡眠问题的管理策略往往是不充分的.
- 需要安全和实用的干预措施来解决孕妇的睡眠问题.
研究的目的:
- 评估身体活动 (PA) 干预措施在孕妇睡眠障碍管理中的有效性.
- 综合现有研究关于PA与怀孕期间睡眠质量之间的关联的证据.
主要方法:
- 在七个数据库中进行了系统的文献搜索,搜索到2024年1月的随机对照试验.
- 选择了比较PA干预措施与对照条件对孕妇睡眠障碍的研究.
- 用随机效应模型提取和分析数据,通过Cochrane风险偏差工具评估质量.
主要成果:
- 分析包括了18项研究,共有1541名参与者;14项被分析.
- 睡眠干预与睡眠障碍的显著减少有关 (SMD = -1.48,P < 0.00001).
- 在夜间睡眠持续时间 (MD = 0.52) 和夜间睡眠时间的比例 (MD = 5.65) 中发现了改善.
结论:
- 身体活动干预措施对孕妇睡眠障碍有积极影响.
- 干预特征 (持续时间,设置,类型) 和参与者因素 (并发症) 调节治疗疗效.
- 这些发现支持制定基于证据的指导方针,用于PA在怀孕期间管理睡眠障碍.
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