Moderate and Vigorous Intensity Exercise During Pregnancy and Gestational Weight Gain in Women with Gestational Diabetes.
Moderate and Vigorous Intensity Exercise During Pregnancy and Gestational Weight Gain in Women with Gestational Diabetes.
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DOI：
10.1007/s10995-016-1926-z
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发表时间：
2016-06
影响因子：
2.3
通讯作者：
Ferrara, Assiamira
中科院分区：
文献类型：
--
作者：
Ehrlich, Samantha F.;Sternfeld, Barbara;Krefman, Amy E.;Hedderson, Monique M.;Brown, Susan D.;Mevi, Ashley;Chasan-Taber, Lisa;Quesenberry, Charles P., Jr.;Ferrara, Assiamira
关键词：
评估妊娠期间中等强度和剧烈强度运动与妊娠期体重增加率（GWG）的相关性，从妊娠期糖尿病（GDM）诊断到分娩，总体和按孕前超重/肥胖分层。一项前瞻性队列研究，在GDM诊断后不久报告了体力活动，并从电子病历中获得了孕前体重和诊断后GWG（n= 1，055）。多项逻辑回归模型在整个队列中，并按孕前超重/肥胖分层，估计中等强度和剧烈强度运动与GWG低于和高于医学研究所（IOM）孕前BMI特定推荐范围的GWG在第二和第三个三个月的每周率的关联。在整个队列中，与不参与相比，任何参与剧烈强度运动的参与与GWG高于推荐范围的几率降低相关[比值比（95%置信区间）：0.63（0.40，0.99）]，随着剧烈强度运动水平的增加，过量GWG的几率显著降低。按孕前超重/肥胖分层后，仅在BMI ≥ 25.0 kg/m2时观察到显著相关性：任何剧烈强度的运动，与没有运动相比，与过度GWG的几率降低54%相关[0.46（0.27，0.79）]随着剧烈运动水平的增加，GWG的发生率在IOM推荐范围以下和以上都有明显的下降趋势。运动（均P ≤ 0.03）。没有观察到中等强度运动的相关性。在GDM女性中，特别是超重和肥胖的女性，怀孕期间的剧烈运动可能会降低过量GWG的几率。
To estimate the associations of moderate and vigorous intensity exercise during pregnancy with the rate of gestational weight gain (GWG) from gestational diabetes (GDM) diagnosis to delivery, overall and stratified by prepregnancy overweight/obesity. Prospective cohort study with physical activity reported shortly after the GDM diagnosis and prepregnancy weight and post-diagnosis GWG obtained from electronic medical records (n= 1,055). Multinomial logistic regression models in the full cohort and stratified by prepregnancy overweight/obesity estimated associations of moderate and vigorous intensity exercise with GWG below and above the Institute of Medicine’s (IOM) prepregnancy BMI-specific recommended ranges for weekly rate of GWG in the second and third trimesters. In the full cohort, any participation in vigorous intensity exercise was associated with decreased odds of GWG above recommended ranges as compared to no participation [Odds Ratio (95% Confidence Interval): 0.63 (0.40, 0.99)], with a significant trend for decreasing odds of excess GWG with increasing level of vigorous intensity exercise. Upon stratification by prepregnancy overweight/obesity, significant associations were only observed for BMI ≥ 25.0 kg/m2: any vigorous intensity exercise, as compared to none, was associated with 54% decreased odds of excess GWG [0.46 (0.27, 0.79)] and significant trends were detected for decreasing odds of GWG both below and above the IOM’s recommended ranges with increasing level of vigorous exercise (both P ≤ 0.03). No associations were observed for moderate intensity exercise. In women with GDM, particularly overweight and obese women, vigorous intensity exercise during pregnancy may reduce the odds of excess GWG.
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影响因子：
9.8
作者：
Ehrlich SF;Crites YM;Hedderson MM;Darbinian JA;Ferrara A
通讯作者：
Ferrara A
影响因子：
7.2
作者：
Ehrlich SF;Hedderson MM;Feng J;Davenport ER;Gunderson EP;Ferrara A
通讯作者：
Ferrara A
产后体重的发育轨迹出生后3年：挪威母亲和儿童队列研究。
影响因子：
2.3
作者：
Abebe DS;Von Soest T;Von Holle A;Zerwas SC;Torgersen L;Bulik CM
通讯作者：
Bulik CM
影响因子：
2.1
作者：
Kinoshita, T;Itoh, M
通讯作者：
Itoh, M
影响因子：
5
作者：
BLOCK, G;HARTMAN, AM;GARDNER, L
通讯作者：
GARDNER, L