A case-control study of maternal recreational physical activity and risk of gestational diabetes mellitus
A case-control study of maternal recreational physical activity and risk of gestational diabetes mellitus
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DOI：
10.1016/j.diabres.2004.03.010
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发表时间：
2004-11-01
影响因子：
5.1
通讯作者：
Williams, MA
中科院分区：
文献类型：
--
作者：
Dempsey, JC;Butler, CL;Williams, MA
尽管与妊娠期糖尿病(GDM)相关的母婴发病率很高，但几乎没有可改变的危险因素被确定。我们探讨了怀孕前一年和怀孕前20周进行的娱乐性体育活动与妊娠期糖尿病风险的关系。155例妊娠期糖尿病患者和386名血压正常的非糖尿病孕妇对照组提供了在这些时间段内进行的体力活动的类型、强度、频率和持续时间的信息。与不运动的妇女相比，在怀孕前20周内参加任何娱乐体育活动的妇女患妊娠期糖尿病的风险降低48%(优势比[OR]=0.52；95%可信区间[CI]0.33-0.80)。进行娱乐活动的小时数和消耗的能量与妊娠期糖尿病风险的降低有关。没有出现与步行距离和步行速度相关的明确模式。每天爬楼梯与不爬楼梯相比，妊娠期糖尿病的风险降低49%-78%(P代表趋势
Despite the maternal and infant morbidity associated with gestational diabetes mellitus (GDM), few modifiable risk factors have been identified. We explored the relation between recreational physical activity performed during the year before and during the first 20 weeks of pregnancy and the risk of GDM. 155 GDM cases and 386 normotensive, non-diabetic pregnant controls provided information about the type, intensity, frequency, and duration of physical activity performed during these time periods. Women who participated in any recreational physical activity during the first 20 weeks of pregnancy, as compared with inactive women, experienced a 48% reduction in risk of GDM (odds ratio [OR] = 0.52; 95% confidence interval [CI] 0.33-0.80). The number of hours spent performing recreational activities and the energy expended were related to a decrease in GDM risk. No clear patterns related to distance walked and pace of walking emerged. Daily stair climbing, when compared with no stair climbing, was associated with a 49-78% reduction in GDM risk (P for trend