检查联合开发的多组件移动电子健康生活方式干预对体力活动及其与低收入妇女妊娠期体重增加的关联的影响:全州随机对照试验
Hannah E Cabre1, Kaja Falkenhain1, Abby D Altazan1
1Pennington Biomedical Research Center, Baton Rouge, LA, United States.
Journal of medical Internet research
|November 11, 2025
概括
在接受WIC支持的孕妇中,移动电子健康干预并没有显著改变身体活动或久坐时间. 这项研究强调了需要有效的策略来管理在服务不足的人群中妊娠期体重增加的需要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 数字健康干预措施 数字健康干预措施
背景情况:
- 缺乏服务的孕妇面临着过度/不充分的妊娠体重增加 (GWG) 和不良周产期结果的更高风险.
- 妇女,婴儿和儿童特殊补充营养计划 (WIC) 能够很好地支持该人口中推的GWG.
- 之前没有任何随机对照试验评估了WIC内GWG管理的行为策略.
研究的目的:
- 评估一项全州随机的多组件移动eHealth生活方式干预措施,用于管理GWG.
- 检查干预措施对怀孕期间身体活动和久坐时间的变化的影响.
- 探索身体活动,久坐时间和GWG之间的关联.
主要方法:
- 来自路易斯安那州WIC诊所的351名孕妇被随机分配到移动电子健康干预或常规护理.
- 干预包括每天权衡,步骤跟踪,辅导,运动视频和健康教练互动.
- 身体活动,久坐时间和GWG使用加速度计,问卷和研究访问重量进行评估.
主要成果:
- 两组都显著增加了久坐时间,并且从怀孕早期到晚期减少了中度至剧烈的体力活动.
- 与通常护理组相比,干预组的体育参与显著增加.
- 在身体活动或久坐时间的变化与GWG之间没有发现显著的关联.
结论:
- 移动电子健康干预并没有对怀孕WIC参与者的体育活动结果产生重大影响.
- 该干预措施旨在增加身体活动,以达到国家指导方针,在这种情况下没有效果.
- 需要进一步的研究,以开发有效的干预措施,在服务不足的孕妇群体中进行GWG管理.
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