Effects of recommended levels of physical activity on pregnancy outcomes

Effects of recommended levels of physical activity on pregnancy outcomes
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DOI:
10.1016/j.ajog.2009.10.876
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发表时间:
2010-03-01
影响因子:
9.8
通讯作者:
Kayser, Bengt
Kayser, Bengt
中科院分区:
医学1区
文献类型:
--
作者:
Melzer, Katarina;Schutz, Yves;Kayser, Bengt

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目的:我们试图研究之间的关系,建议在怀孕期间的体力活动水平和怀孕outcomes.Study设计:我们进行了一项观察性研究,能量消耗,有氧健身和睡眠心率测量44名健康妇女在怀孕后期。医疗记录检查妊娠outcome.RESULTS:积极的妇女,从事>= 30分钟的中等体力活动,每天,有显着更好的健身和较低的睡眠心率相比,不活跃。第二产程的持续时间分别为88和146分钟,活跃与非活跃的妇女,分别(P = 0.05)。非活动组与活动组手术分娩的粗比值比为3.7(95%置信区间,0.87-16.08)。体重、母体体重增加和产次调整的比值比为7.6(95%置信区间,1.23-45.8)。新生儿的条件和其他产科结果是相似的groups.CONCLUSION:活跃的妇女有更好的有氧健身相比,不活跃的妇女。当控制出生体重、母体体重增加和产次时,活跃妇女的手术分娩风险低于不活跃妇女。需要更大样本量的进一步研究来证实体力活动与妊娠结局之间的关联。
OBJECTIVE: We sought to examine the relation between recommended levels of physical activity during pregnancy and pregnancy outcomes.STUDY DESIGN: We conducted an observational study with energy expenditure, aerobic fitness, and sleeping heart rate measured in 44 healthy women in late pregnancy. Medical records were examined for pregnancy outcome.RESULTS: Active women, who engaged in >= 30 minutes of moderate physical activity per day, had significantly better fitness and lower sleeping heart rate compared to the inactive. Duration of second stage of labor was 88 and 146 minutes in the active vs inactive women, respectively (P = .05). Crude odds ratio of operative delivery in the inactive vs the active was 3.7 (95% confidence interval, 0.87-16.08). Birth-weight, maternal weight gain, and parity adjusted odds ratio was 7.6 (95% confidence interval, 1.23-45.8). Neonatal condition and other obstetric outcomes were similar between groups.CONCLUSION: Active women have better aerobic fitness as compared to inactive women. The risk for operative delivery is lower in active women compared to inactive, when controlled for birthweight, maternal weight gain, and parity. Further studies with larger sample size are required to confirm the association between physical activity and pregnancy outcomes.