步骤和体重跟踪与目标和辅导干预措施在妊娠糖尿病:一个随机因数可行性试验
Kaberi Dasgupta1, Deborah Chan2, Rachel Bond3
1Department of Medicine, Faculty of Medicine and Health Sciences, McGill University, Montreal, Quebec, Canada; Centre for Outcomes Research and Evaluation, Research Institute of McGill University Health Centre, McGill University Health Centre, Montreal, Quebec, Canada.
Diabetes research and clinical practice
|May 11, 2025
概括
一个由算法驱动的步骤目标策略帮助孕妇保持每日步数,防止其他组的下降. 这种方法需要进一步研究其对围产期结果的潜在影响.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 数字健康干预措施 数字健康干预措施
背景情况:
- 怀孕指南建议特定的体力活动 (≥150分钟/周或7000步/天) 和体重增加.
- 在怀孕期间评估身体活动和体重管理的干预措施对于母亲和婴儿的健康至关重要.
- 这项研究评估了帮助孕妇满足体力活动和体重增加建议的策略.
研究的目的:
- 评估在孕妇中跟踪步骤和体重的可行性.
- 评估个性化的目标和关于体育活动和体重管理的指导的有效性.
- 确定针对围产期结局的更大试验的干预措施.
主要方法:
- 一项可行性试验将227名参与者随机分为"追踪和目标"",教练"",两者"或"两者都不是"臂.
- "跟踪和目标"臂使用了一种算法来实现每周的步骤和体重目标.
- 辅导包括每周进行激励性沟通会.
- 步骤/天和体重的变化被检查到怀孕37周.
主要成果:
- 体重变化与所有组的指导方针一致.
- "跟踪和目标"组保持了他们每天的步数 (基线时平均每天6385步).
- 其他群体的每日步数有所下降:指导 (-915),两者 (-1183),没有 (-1456).
结论:
- 一个由算法驱动的步骤目标策略有效地防止了怀孕期间每天步数的下降.
- 这种干预措施对保持孕妇身体活动水平有希望.
- 需要进一步的研究来评估这一策略对围产期的影响.
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