Physical activity counseling in maternity and child health care - a controlled trial.
Physical activity counseling in maternity and child health care - a controlled trial.
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DOI：
10.1186/1472-6874-8-14
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发表时间：
2008-08-14
期刊：
影响因子：
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通讯作者：
Luoto, Riitta
中科院分区：
文献类型：
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作者：
Aittasalo, Minna;Pasanen, Matti;Luoto, Riitta
背景：本研究的目的是探讨芬兰妇幼保健诊所中个体体力活动（PA）咨询的效果和可行性。方法：三个诊所（包括妇幼保健诊所）报名参加实验（EXP），三个诊所报名参加对照组（CON）。参与者包括 132 名孕妇和 92 名产后初产妇。 EXP 的护士将初级 PA 咨询课程和四次辅助 PA 咨询课程纳入日常就诊中。提供了监督小组锻炼的选项。在 CON 中，延续了以前的做法，通常包括简短的 PA 建议。通过问卷调查得出怀孕前的闲暇时间 PA (LTPA)，并在妇产诊所进行妊娠 16-18 周和 36-37 周的随访，在儿童健康诊所进行产后 5 个月和 10 个月的随访。可行性包括安全性、参与者的反应性、咨询的实现和适用性。 结果：根据基线 LTPA 和可能的混杂因素调整的协方差分析，在妇产科或儿童保健诊所的第一次随访中没有发现 LTPA 的相对组间差异。在产科诊所的最后一次随访中，与 CON 相比，EXP 每周至少中等强度 LTPA 天数高出 43% (95% CI: 9, 87)，每周至少中等强度 LTPA 持续时间高出 154% (95% CI: 16, 455)。事实证明，咨询在妇幼保健诊所中是可行的。结论：咨询鼓励孕妇维持中等强度的 LTPA，并且在常规实践中是可行的。如果产后开始咨询，则不会观察到任何影响。试验注册：当前对照试验 ISRCTN21512277。
BACKGROUND: The purpose of the study is to examine the effects and feasibility of individual physical activity (PA) counseling in maternity and child health clinics in Finland.METHODS: Three clinics including both maternity and child health care signed up for the experimental (EXP) and three for the control group (CON). The participants were 132 pregnant and 92 postpartum primiparas. The nurses in EXP integrated a primary and four booster PA counseling sessions into routine visits. An option for supervised group exercise was offered. In CON former practices, usually including brief PA advice, were continued. Leisure-time PA (LTPA) prior to pregnancy was elicited by questionnaire and followed 16-18 and 36-37 weeks' gestation in maternity clinics and 5 and 10 months postpartum in child health clinics. Feasibility included safety, participant responsiveness, realization of counseling and applicability.RESULTS: According to analysis of covariance adjusted for baseline LTPA and possible confounders, no relative between-group differences in LTPA were found at the first follow-up in either maternity or child health clinics. At the last follow-up in maternity clinics the weekly number of at least moderate-intensity LTPA days was 43% (95% CI: 9, 87) higher and the weekly duration of at least moderate-intensity LTPA 154% (95% CI: 16, 455) higher in EXP compared with CON. Counseling proved feasible in both maternity and child health clinics.CONCLUSION: Counseling encouraged pregnant women to sustain their moderate-intensity LTPA and was feasible in routine practices. No effects were observed if counseling was initiated postpartum.TRIAL REGISTRATION: Current Controlled Trials ISRCTN21512277.