身体活动对怀孕期间生理压力的异质影响
Jenifer Rim1, Qi Xu2, Xiwei Tang3
1Department of Statistics, University of California, Irvine, California, United States of America.
PLOS digital health
|October 22, 2025
概括
身体活动在怀孕期间显著提高心率变化 (HRV),在情绪高压的日子里. 这一发现凸显了移动卫生工具对监测和支持母亲福祉的重要性.
科学领域:
- 生殖健康 生殖健康
- 数字健康和移动健康
- 心理生理学 心理生理学
背景情况:
- 怀孕需要持续的健康监测,因为生理和心理的变化.
- 移动健康 (mHealth) 为妊娠期间的纵向健康评估和及时干预提供了可扩展的解决方案.
- 了解情绪困扰,身体活动和生理压力指标 (如心率变化) 之间的相互作用对于母亲的福祉至关重要.
研究的目的:
- 调查情绪困扰对孕妇身体活动和夜间心率变化 (HRV) 之间的关系的缓解作用.
- 将可穿戴传感器数据 (Oura ring) 与生态瞬间评估 (EMA) 整合起来,以全面分析日常健康模式.
- 为了确定身体活动是否在情绪困扰较高的日子里为HRV提供更大的好处.
主要方法:
- 利用了mHealth技术,包括Oura智能戒指用于持续的夜间HRV监测和移动应用程序用于每日EMA关于情绪痛苦的调查.
- 收集了健康孕妇在第二个三个月 (18-40岁) 的临时对齐的可穿戴和自我报告数据.
- 采用统计建模来检查HRV上的情绪应急水平和身体活动 (以步骤计量) 之间的相互作用.
主要成果:
- 在情绪困扰较高的日子里,每增加1000步都与夜间HRV增加3.5% (p < 0.001) 有关.
- 在中度 (0.6%) 和低 (0.6%) 情绪困扰的日子里,身体活动与HRV的相关性很小.
- 观察到显著的适度效应,表明身体活动和HRV之间的积极关联在高情绪困扰的日子里最强烈.
结论:
- 身体活动可能特别有利于生理压力调节 (如HRV所示),尤其是在怀孕期间情绪压力较高的日子.
- 研究结果支持开发适应性mHealth干预措施,鼓励在怀孕期间增加情绪困扰期间进行体育活动.
- 针对身体活动的个性化建议可能需要考虑日常情绪状态,以对母亲生理健康产生最佳影响.
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