Exercise in Pregnancy: A Clinical Review
Exercise in Pregnancy: A Clinical Review
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DOI：
10.1177/1941738115599358
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发表时间：
2015-11-01
影响因子：
3.3
通讯作者：
Smith, M. Seth
中科院分区：
文献类型：
--
作者：
Hinman, Sally K.;Smith, Kristy B.;Smith, M. Seth
护理孕妇的卫生专业人员应该讨论运动的潜在健康益处和危害。虽然大多数孕妇不符合最低限度的运动建议，有越来越多的体力活动的妇女谁希望在整个pregnancy.Evidence收购继续训练：搜索Web of Science数据库的文章和评论，到2014年可用的英文。研究设计：临床回顾。证据等级：3级。结果：在适当注意危险分层和监测的情况下，运动对母亲和胎儿是安全的。怀孕期间运动的好处包括降低剖腹产率，适当的母亲和胎儿体重增加，以及管理妊娠期糖尿病。运动作为预防妊娠期糖尿病、先兆子痫或围产期抑郁症的一种手段并没有得到可靠的支持。总体而言，目前的证据缺乏严格的研究设计和遵守体力活动interventions.Conclusion：迄今为止的研究一直无法始终如一地证明拟议的好处，在怀孕期间的运动，如预防妊娠期糖尿病，先兆子痫，或围产期抑郁症。然而，在正常妊娠中进行中等强度和高强度的运动对发育中的胎儿是安全的，并且显然有几个重要的好处。因此，应根据妇女的孕前体力活动水平，鼓励运动。
Context: Health professionals who care for pregnant women should discuss potential health benefits and harms of exercise. Although most pregnant women do not meet minimal exercise recommendations, there are a growing number of physically active women who wish to continue training throughout pregnancy.Evidence Acquisition: A search of the Web of Science database of articles and reviews available in English through 2014. The search terms exercise pregnancy, strenuous exercise pregnancy, and vigorous exercise pregnancy were used.Study Design: Clinical review.Level of Evidence: Level 3.Results: With proper attention to risk stratification and surveillance, exercise is safe for the mother and fetus. Benefits of exercise in pregnancy include reduction in Cesarean section rates, appropriate maternal and fetal weight gain, and managing gestational diabetes. Exercise as a means of preventing gestational diabetes, preeclampsia, or perinatal depression cannot be reliably supported. Overall, the current evidence suffers from a lack of rigorous study design and compliance with physical activity interventions.Conclusion: Research thus far has been unable to consistently demonstrate proposed benefits of exercise in pregnancy, such as preventing gestational diabetes, preeclampsia, or perinatal depression. However, moderate- and high-intensity exercise in normal pregnancies is safe for the developing fetus and clearly has several important benefits. Thus, exercise should be encouraged according to the woman's preconception physical activity level.