Associations of the Neighborhood Built Environment With Physical Activity Across Pregnancy.

Associations of the Neighborhood Built Environment With Physical Activity Across Pregnancy.
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DOI:
10.1123/jpah.2020-0510
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发表时间:
2021-05-01
影响因子:
3.1
通讯作者:
NICHD nuMoM2b and NHLBI nuMoM2b Heart Health Study Networks
NICHD nuMoM2b and NHLBI nuMoM2b Heart Health Study Networks
中科院分区:
医学4区
文献类型:
--
作者:
Kershaw KN;Marsh DJ;Crenshaw EG;McNeil RB;Pemberton VL;Cordon SA;Haas DM;Debbink MP;Mercer BM;Parry S;Reddy U;Saade G;Simhan H;Wapner RJ;Wing DA;Grobman WA;NICHD nuMoM2b and NHLBI nuMoM2b Heart Health Study Networks

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社区建筑环境的几个特征已被证明可以促进一般人群的休闲体育活动(PA),但很少有研究考察其对怀孕期间PA的影响。数据来自8,362项未分娩妊娠结局研究:监测准妈妈(NuMoM2B)队列参与者(2010-2013年)。住宅地址信息与三个建成环境特征相联系:居住半径3公里内的健身房和娱乐区的数量,以及人口普查街区级别的步行能力。在每三个月中测量自我报告的休闲时间PA,并将其分为是否符合PA指南。使用泊松回归估计邻里特征和符合PA指南的横断面关联的相对风险。健身房和娱乐区越多,在根据社会人口学特征和先前存在的条件进行调整的模型中,达到PA指南的机会就越大。相关性在妊娠晚期最强,健身房和娱乐区的数量每增加一倍,分别与10%(95%可信区间:1.07,1.13)和8%(95%可信区间:1.03,1.12)相关,达到PA指南的可能性更大。协会相似,尽管步行能力较弱。来自大型多地点队列的结果表明,这些建筑环境特征在孕妇中具有类似的促进PA的益处,在更一般的人群中也是如此。
Several features of the neighborhood built environment have been shown to promote leisure-time physical activity (PA) in the general population, but few studies have examined its impact on PA during pregnancy. Data came from 8,362 Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-to-Be (nuMoM2b) cohort participants (2010–2013). Residential address information was linked to three built-environment characteristics: number of gyms and recreation areas within a 3-km radius of residence and census block-level walkability. Self-reported leisure-time PA was measured in each trimester and dichotomized as meeting PA guidelines or not. Relative risks for cross-sectional associations between neighborhood characteristics and meeting PA guidelines were estimated using Poisson regression. More gyms and recreation areas were each associated with a greater chance of meeting PA guidelines in models adjusted for sociodemographic characteristics and pre-existing conditions. Associations were strongest in the third trimester, where each doubling in counts of gyms and recreation areas was associated with 10% (95% CI: 1.07, 1.13) and 8% (95% CI: 1.03, 1.12), respectively, greater likelihood of meeting PA guidelines. Associations were similar though weaker for walkability. Results from a large, multi-site cohort suggest these built-environment characteristics have similar PA-promoting benefits in pregnant women as seen in more general populations.
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