Water aerobics II: maternal body composition and perinatal outcomes after a program for low risk pregnant women.

Water aerobics II: maternal body composition and perinatal outcomes after a program for low risk pregnant women.
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水氧训练II:针对低风险孕妇计划后的母体体内和围产期结局。

DOI:
10.1186/1742-4755-6-1
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发表时间:
2009-01-06
影响因子:
3.4
通讯作者:
Silveira C
Silveira C
中科院分区:
医学2区
文献类型:
--
作者:
Cavalcante SR;Cecatti JG;Pereira RI;Baciuk EP;Bernardo AL;Silveira C

文献摘要

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目的:评价水中有氧运动在妊娠期的有效性和安全性。一项随机对照试验在71名低风险久坐孕妇中进行,随机分配到水中有氧运动或没有体育锻炼。评价孕妇身体成分和围产期结局。对于统计分析卡方,应用Fisher或Student t检验。估计主要结局的风险比及其95% CI。使用MANOVA或Friedman多重分析评估了一段时间内的身体成分。两组孕妇在怀孕期间体重增加、BMI或体脂百分比方面没有显著差异。早产(RR = 0.84; 95%CI:0.28-2.53)、阴道分娩(RR = 1.24; 95%CI:0.73-2.09)、低出生体重(RR = 1.30; 95%CI:0.61-2.79)和适合胎龄体重(RR = 1.50; 95%CI:0.65-3.48)的发生率在两组之间也没有显著差异。水中有氧运动前后收缩压、舒张压和心率无显著性差异。对久坐的孕妇进行水中有氧运动被证明是安全的,并且与孕妇身体成分、分娩类型、早产率、新生儿健康或体重的任何改变无关。
To evaluate the effectiveness and safety of water aerobics during pregnancy. A randomized controlled trial carried out in 71 low-risk sedentary pregnant women, randomly allocated to water aerobics or no physical exercise. Maternal body composition and perinatal outcomes were evaluated. For statistical analysis Chi-square, Fisher's or Student's t-tests were applied. Risk ratios and their 95% CI were estimated for main outcomes. Body composition was evaluated across time using MANOVA or Friedman multiple analysis. There were no significant differences between the groups regarding maternal weight gain, BMI or percentage of body fat during pregnancy. Incidence of preterm births (RR = 0.84; 95%CI:0.28–2.53), vaginal births (RR = 1.24; 95%CI:0.73–2.09), low birthweight (RR = 1.30; 95%CI:0.61–2.79) and adequate weight for gestational age (RR = 1.50; 95%CI:0.65–3.48) were also not significantly different between groups. There were no significant differences in systolic and diastolic blood pressure and heart rate between before and immediately after the water aerobics session. Water aerobics for sedentary pregnant women proved to be safe and was not associated with any alteration in maternal body composition, type of delivery, preterm birth rate, neonatal well-being or weight.