Prevalence of U.S. Pregnant Women Meeting 2015 ACOG Physical Activity Guidelines.
Prevalence of U.S. Pregnant Women Meeting 2015 ACOG Physical Activity Guidelines.
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DOI：
10.1016/j.amepre.2016.05.023
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发表时间：
2016-09
影响因子：
5.5
通讯作者：
Evenson KR
中科院分区：
文献类型：
--
作者：
Hesketh KR;Evenson KR
研究设计数据来自一项评估美国人口健康状况的人口调查，即国家健康和营养检查调查 (NHANES)（2007-2014 年 4 收集；2016 年 2 月分析）。 PA 是在对 247 名 20-44 岁孕妇进行访谈时通过问卷自我报告的。得出女性在典型一周内进行适度和剧烈的休闲时间 PA (LTPA) 以及主动交通（步行/骑自行车）的时间为 5、6 分钟/周。计算了妇女每周进行 PA 的总天数和怀孕三个月的天数（仅在 2007-2012 年报告；n = 131）。指南实施为≥ 100 或≥ 150 分钟/周 LTPA（即≥ 20 或≥ 30 分钟，≥ 5 天/周），有或没有“大多数（5）天/周”的要求。还探讨了每周主动交通是否会影响符合 PA 指南的女性的患病率。所有估计值均经过加权以反映美国人口。 NHANES 参与者提供了书面知情同意书；北卡罗来纳大学 IRB 批准了这项研究。 结果 孕妇的平均年龄为 28.8 (SD= 6.0) 岁，平均 BMI 为 29.6 (SD= 8.0)； 65% 的女性受过一定程度的大学教育，51% 的女性为非白人。 60% 的女性表示没有参与 LTPA；那些这样做的人 (n = 148) 每周活跃时间中位数为 150 分钟（四分位距 [IQR]，80–240），随着孕期的增加而减少（T1 n= 19: 180 [60–300]；T2 n= 15: 120 [60–150]；T3 n= 18: 97.5 [60–200]； Kruskal-Wallis 检验，p= 0.34）。那些从事主动交通的人 (n= 81) 每周平均花费 140 (60–270) 分钟 (T1 n= 17: 180 [60–360]; T2 n= 15: 180 [60–360]; T3 n= 14:[60–270]; p= 0.63]。符合 ACOG PA 指南的女性比例范围为12.7% 至 45.0%，取决于运营情况（表 1)，并且子样本之间在三个月内没有差异。当指定 ≥ 5 天时，女性符合指南的比例几乎没有差异 (12.7%–13.3%)。忽略“大多数日子”，包括每周 ≥ 100 分钟或每周 ≥ 150 分钟 LTPA 的女性，患病率分别为 28.9% 和 23.4%。纳入主动交通与满足指南的较高发生率相关。
Study DesignData were from a population-based survey assessing the US population’s health, the National Health and Nutrition Examination Survey (NHANES)(collected 2007–2014 4; analyzed February 2016). PA was self-reported during interviews with 247 pregnant women aged 20–44 years, using a questionnaire. 5, 6 Minutes/week women spent in moderate and vigorous leisure-time PA (LTPA) and in active transport (walking/cycling) during a typical week were derived. The number of days women engaged in weekly PA overall and by trimester of pregnancy (reported in 2007–2012 only; n= 131) was calculated. Guidelines were operationalized as≥ 100 or≥ 150 minutes/week LTPA (ie,≥ 20 or≥ 30 minutes on≥ 5 days/week), with and without the requirement of “on most (5) days/week.” Whether including weekly active transport influenced the prevalence of women meeting PA guidelines was also explored. All estimates were weighted to reflect the US population. NHANES participants gave informed written consent; the University of North Carolina IRB approved this study.ResultsPregnant women were aged 28.8 (SD= 6.0) years on average and had a mean BMI of 29.6 (SD= 8.0); 65% women had some/college education, and 51% were of non-white ethnicity. Sixty percent of women reported engaging in no LTPA; those who did (n= 148) were active for a median 150 (interquartile range [IQR], 80–240) minutes/week, which decreased by trimester (T1 n= 19: 180 [60–300]; T2 n= 15: 120 [60–150]; T3 n= 18: 97.5 [60–200]; Kruskal–Wallis test, p= 0.34). Those engaging in active transport (n= 81) did so for a median 140 (60–270) minutes/week (T1 n= 17: 180 [60–360]; T2 n= 15: 180 [60–360]; T3 n= 14:[60–270]; p= 0.63]. The proportion of women meeting ACOG PA guidelines ranged from 12.7% to 45.0%, depending on operationalization (Table 1), and did not differ by trimester among the subsample. There was little difference in prevalence of women meeting guidelines when≥ 5 days was specified (12.7%–13.3%). Ignoring “most days,” including women with any≥ 100 minutes/week or≥ 150 minutes/week of LTPA resulted in prevalences of 28.9% and 23.4%, respectively. Inclusion of active transport was associated with higher prevalence of meeting guidelines.