怀孕期间定期体育活动与围产期结果之间的关联:基于人口的队列研究
Šejla Heljezović1, Miha Lučovnik2, Ivan Verdenik1
1Division of Obstetrics and Gynaecology, University Medical Centre Ljubljana, Šlajmerjeva Street 3, 1000, Slovenia.
概括
怀孕期间定期体育活动有利于孕产妇和新生儿的健康,降低了早产,妊娠前和妊娠糖尿病的风险. 这项研究证实了这些积极的结果在不同的人口.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 围产儿医学 围产儿医学
背景情况:
- 孕产妇的体力活动对健康有好处,但研究往往缺乏概括性,因为研究主要集中在有限人群中的特定炼.
- 了解定期体育活动对不同孕妇群体的广泛影响对于公共卫生建议至关重要.
研究的目的:
- 调查单独怀孕期间定期体育活动与广泛的围产期结果之间的关联.
- 为了利用国家围产期登记册进行大规模,基于人口的分析.
主要方法:
- 一项基于人口的队列研究分析了斯洛文尼亚国家围产信息系统 (2013-2022) 中190,331例单独怀孕的数据.
- 定期体育活动被定义为每周至少两次的活动. 结果包括早产,妊娠前,妊娠高血压,妊娠糖尿病 (GDM),盆腰痛,胎儿生长异常 (SGA/LGA),剖腹产和产后尿失禁.
- 多变量逻辑回归调整为关键的孕产妇和怀孕因素.
主要成果:
- 69%的女性报告说经常进行体育活动.
- 在定期体力活动和早产 (<37周和<32周) 的几率降低,孕前,妊娠高血压,骨盆腰带疼痛,妊娠年龄小 (SGA),妊娠年龄大 (LGA) 和低Apgar分数之间发现了显著的关联.
- 活跃的女性患有GDM显示需要胰岛素的几率降低;没有观察到与剖腹产或尿失禁的显著联系.
结论:
- 怀孕期间的定期体育活动,无论是什么类型,都与改善围产期的结果有关,并且没有显示出安全问题.
- 这些发现支持在不同人群中促进孕妇身体活动,以提高孕妇和新生儿的健康.
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