孕期糖尿病妇女的孕产妇身体活动,健康状况和身体组成:一项前性研究
Line Montandon1, Dan Yedu Quansah1, Alain Lacroix2
1Obstetric service, Department Woman-Mother-Child, Lausanne University Hospital and University of Lausanne, Lausanne, SWITZERLAND.
Medicine and science in sports and exercise
|April 8, 2025
概括
身体活动 (PA) 和身体健康 (PF) 在孕期糖尿病 (GDM) 的妇女中改善了产后. 更高的PF与更好的身体组成 (BC) 有关,这强调了怀孕和产后运动的重要性.
科学领域:
- 生殖健康 生殖健康
- 代谢健康 代谢健康
- 运动生理学 运动生理学
背景情况:
- 孕期糖尿病 (GDM) 具有代谢风险.
- 对于高风险女性来说,了解身体活动 (PA),身体健康 (PF) 和身体成分 (BC) 的周产期变化至关重要.
- 关于在患有GDM的女性中产周期期间这些因素之间的关联存在有限的数据.
研究的目的:
- 在患有GDM的女性中描述PA,PF和BC的围产期变化.
- 在这个群体中调查PA和PF之间以及PF和BC之间的潜在关联.
主要方法:
- 对MySweetheart试验的二次分析,涉及211名患有GDM的女性.
- 通过加速度计评估PA;通过BIA/DXA评估BC;通过手柄强度和切斯特步骤测试 (估计VO2max) 评估PF.
- 在怀孕期间 (24-32周GA) 和产后1年内进行的测量,并对共变量进行调整.
主要成果:
- 静坐时间减少,而产后的PA强度增加 (p < .001).
- 心脏呼吸能力和手握强度保持不变 (p ≥ .07),但脂肪质量和无脂肪质量下降 (p < .001).
- 未经调整的分析显示,怀孕期间的PA与更好的产后PF相关;更高的PF与改善的BC相关 (p < .001).
结论:
- 在患有GDM的女性中,发生了围产期PA和PF变化,PF与改善的BC有关.
- 虽然在怀孕期间的PA显示了与产后PF的未调整的关联,但在调整后,这些并没有持续.
- 在产后保持更高的身体健康对于患有GDM的女性更好的身体组成很重要.
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