A Program of Exercise Throughout Pregnancy. Is It Safe to Mother and Newborn?
A Program of Exercise Throughout Pregnancy. Is It Safe to Mother and Newborn?
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DOI：
10.4278/ajhp.130131-quan-56
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发表时间：
2014-09-01
影响因子：
2.7
通讯作者：
Refoyo, Ignacio
中科院分区：
文献类型：
--
作者：
Barakat, Ruben;Perales, Maria;Refoyo, Ignacio
目的.本研究的目的是检查在整个怀孕期间进行适度体育锻炼对母体和胎儿参数的影响。研究设计为随机对照试验。这项研究在西班牙马德里的丰拉夫拉达医院进行。分析了200名孕妇（31.54 +/- 3.86岁），所有孕妇均为无并发症和单胎妊娠。在这些受试者中，107人被分配到运动组（EG），93人被分配到对照组（CG）。来自EG的妇女在整个怀孕期间参加了一项身体调理计划，其中包括每周3天，每周55至60分钟的训练。妊娠结局。母亲：孕龄、体重增加、分娩类型、妊娠期血压、妊娠期糖尿病（n/%）。胎儿：出生体重、出生大小、头围、Apgar评分、脐带pH值。分析.使用学生非配对t检验和X-2检验; p值< .05表示统计学显著性。采用Cohen’s d法确定效应量。CG组在妊娠期间体重增加过多的孕妇明显多于EG组（CG：N = 31，35.6% vs N = 22，21.2%; X-2 = 4.95; p = 0.02）。效应量较小（Phi值= 0.16）。其他妊娠结局两组间无差异。在整个怀孕期间，定期和适度的体育锻炼计划对母亲和胎儿的健康没有风险，它有助于控制过度的体重增加。(Am J Health Promot 2014;29[1]：2-8.）
Purpose. The aim of the present study was to examine the influence of a program of moderate physical exercise throughout pregnancy on maternal and fetal parameters.Design. The study design was a randomized controlled trial.Setting. The study took place at the Hospital of Fuenlabrada in Madrid, Spain.Sample. Analyzed were 200 pregnant women (31.54 +/- 3.86 years), all of whom had uncomplicated and singleton gestation. Of these subjects, 107 were allocated to the exercise group (EG) and 93 to the control group (CG).Intervention. Women from EG participated in a physical conditioning program throughout pregnancy, which included a total of 55- to 60-minute weekly sessions, 3 days per week.Measures. Pregnancy outcomes. Maternal: gestational age, weight gain, type of delivery, blood pressure during pregnancy, gestational diabetes (n/%). Fetal: birth weight, birth size, head circumference, Apgar score, pH of umbilical cord. Analysis. Student's unpaired t-test and X-2 test were used; p values of < .05 indicated statistical significance. Cohen's d was used to determine the effect size.Results. There were significantly more pregnant women in the CG who gained excessive weight during their pregnancies than in the EG group (CG: N = 31, 35.6% versus N = 22, 21.2%; X-2 = 4.95; p =.02). The effect size was small (Phi value =.16). Other pregnancy outcome showed no differences between groups.Conclusion. A regular and moderate physical exercise program throughout pregnancy is not a risk to maternal and fetal well-being, and it helps to control excessive weight gain. (Am J Health Promot 2014;29[1]:2-8.)