怀孕期间的活动限制和早产风险:AWARE研究
Anthony C Sciscione1, Whitney A Booker, Rebecca G Clifton
1Columbia University, New York, New York; Ochsner Health, New Orleans, Louisiana; the University of Alabama at Birmingham, Birmingham, Alabama; the Hospital of the University of Pennsylvania, Philadelphia, and the University of Pittsburgh, Pittsburgh, Pennsylvania; The Ohio State University, Columbus, and Case Western Reserve University, Cleveland, Ohio; Northwestern University, Chicago, Illinois; the University of Texas Medical Branch at Galveston, Galveston, and the University of Texas at Austin, Austin, Texas; the University of Utah Health Sciences Center, Salt Lake City, Utah; Brown University, Providence, Rhode Island; the University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; the George Washington University Biostatistics Center, Washington, DC; the Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland; and Christiana Hospital, Newark, Delaware.
在怀孕期间限制活动缺乏证据. 在高风险怀孕中,久坐不动 (每天不到3,500步) 与早产和34周前早产风险增加有关.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 产周研究 产周研究
背景情况:
- 对于高风险怀孕,经常建议限制活动,但支持其益处的科学证据有限.
- 这项研究调查了早产风险的个体体体育活动水平和怀孕结果之间的关系.
研究的目的:
- 评估身体活动水平对怀孕延迟和早产发病率的影响.
- 为了确定每天步骤的门是否会影响高风险怀孕的这些结果.
主要方法:
- 一项辅助研究涉及117名宫长短的参与者,使用手腕加速度计监测每天的步骤.
- 参与者根据平均每日步数进行分类:不到3,500步 (久坐) 与3,500步或以上.
- 主要结局是延迟到分娩;次要结局包括怀孕32周,34周和37周的早产.
主要成果:
- 在活动组之间没有观察到延迟到分娩的显著差异.
- 与3500+步 (37.7周) 相比,每天平均步数少于3500的参与者更早 (34.9周) 达成目标.
- 久坐不动的群体在34周前 (47.3%) 出生早产的可能性明显高于活跃的群体 (17.7%).
结论:
- 在这个队列中,活动限制并没有显著改变怀孕延迟.
- 在怀孕第二个三个月的宫短的人中,久坐活动 (每天不到3,500步) 与早产和34周前早产风险增加有关.
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