Strategies to Promote Physical Activity During Pregnancy: A Systematic Review of Intervention Evidence.
Strategies to Promote Physical Activity During Pregnancy: A Systematic Review of Intervention Evidence.
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DOI：
10.1177/1559827612446416
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发表时间：
2013-01-01
影响因子：
1.9
通讯作者：
Steckler A
中科院分区：
文献类型：
--
作者：
Pearce EE;Evenson KR;Downs DS;Steckler A
怀孕期间的身体活动与显着的健康益处有关，但美国的大多数妇女不符合现行指南。这项系统性综述评估了改善怀孕期间身体活动的干预措施的证据，以确定最佳实践并为未来的研究提供信息。2011年7月检索了电子数据库（PubMed、CINAHL、SportDISCUS、Embase、ERIC、Psych Info和ISI Web of Science）中的同行评审期刊文章。如果研究是英语随机对照试验，测量针对孕妇的干预措施的有效性，并设计改变体力活动作为主要或次要结局，则纳入研究。在通过系统检索确定的777项研究中，多位评审员确定了9项干预措施。数据是抽象使用抽象形式仿照“指南社区预防服务。”在审查中包括的九项干预措施中，有三项报告了体育活动的统计学显著积极结果。虽然干预措施包括各种战略和技术，但没有一项与积极成果有独特的联系。总体而言，这项综述表明，人们对怀孕期间身体活动干预措施的有效性知之甚少。我们为未来的研究和干预设计提供了一些建议。
Physical activity during pregnancy has been associated with significant health benefits, however most women in the United States do not meet current guidelines. This systematic review evaluates evidence for interventions to improve physical activity during pregnancy in order to identify best practices and inform future research. Electronic databases (PubMed, CINAHL, SportDISCUS, Embase, ERIC, Psych Info and ISI Web of Science) were searched in July 2011 for peer-reviewed journal articles. Studies were included if they were English-language randomized control trials that measured the efficacy of an intervention targeted to pregnant women and designed to change physical activity as a primary or secondary outcome. Out of 777 studies identified through the systematic search, nine interventions were identified for inclusion by multiple reviewers. Data was abstracted using an abstraction form modeled after the “Guide to Community Preventive Services.” Of the nine interventions included in the review, three reported statistically significant positive results for physical activity. While interventions included a variety of strategies and techniques, none were uniquely associated with positive outcomes. Overall this review suggests that little is known about the efficacy of interventions for physical activity during pregnancy. We provide several recommendations for future research and intervention design.