Physical activity and pregnancy outcomes: an expert review.
Physical activity and pregnancy outcomes: an expert review.
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DOI：
10.1016/j.ajogmf.2022.100758
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发表时间：
2023-01
影响因子：
6.3
通讯作者：
中科院分区：
文献类型：
--
作者：
本专家综述的目的是评估目前关于妊娠期间体育活动的影响和跟踪及其相关结果的文献。考虑到问卷的主观性，自我报告的身体活动可能不准确。加速度计ActiGraph被认为是客观测量身体活动的“黄金标准”。然而，其他更加用户友好的可穿戴设备现在已经广泛使用，并且可以准确地跟踪身体活动。来自有效活动问卷和加速度计的结论性数据表明，怀孕期间体育活动是安全的。此外，对怀孕期间进行体育锻炼以评估怀孕结果的研究发现，定期进行体育锻炼的人患早产、先兆子痫和妊娠糖尿病的风险降低，心理健康状况也有所改善。在美国，大约48%的孕妇在怀孕期间体重增加超过了推荐量；妊娠期体重增加过多与母婴并发症（包括早产、先兆子痫和妊娠期糖尿病）的风险增加有关，并相应增加了孕产妇和后代健康的短期和长期不良后果。虽然孕期体育活动是安全的，并且可以减少孕期体重的过度增加和由此引起的妊娠并发症，但需要进一步的研究来确定孕期特定类型体育活动的频率和持续时间。提供者应鼓励怀孕前和怀孕期间的身体活动，并教育患者关于身体活动的好处和安全性。怀孕期间具体的体力活动时间和频率建议可以降低妊娠相关并发症的风险。
The objective of this expert review is to assess current literature on the impact and tracking of physical activity during pregnancy and associated outcomes. Self-reported physical activity may be inaccurate given the subjective nature of questionnaires. The accelerometer ActiGraph is considered the “gold standard” to objectively measure physical activity. However, other more user-friendly wearable devices are now widely available and may accurately track physical activity. Conclusive data from both validated activity questionnaires and accelerometers indicate that physical activity is safe during pregnancy. In addition, studies of physical activity during pregnancy that evaluate pregnancy outcomes have found reduced risks of preterm birth, preeclampsia, and gestational diabetes and improved mental health among individuals who regularly engage in physical activity. In the United States, approximately 48% of pregnant individuals gain more than the recommended amount of weight during pregnancy; excessive gestational weight gain is associated with an increased risk of maternal and fetal complications including preterm birth, preeclampsia, and gestational diabetes and corresponding higher adverse short- and long-term maternal and offspring health outcomes. Although physical activity is safe during pregnancy and may reduce excessive gestational weight gain and resultant pregnancy complications, further research is needed to determine the frequency and duration of specific types of physical activity during pregnancy. Providers should encourage physical activity before and during pregnancy and educate patients regarding the benefits and safety of physical activity. Specific duration and frequency recommendations of physical activity during pregnancy may reduce the risk of pregnancy-related complications.
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影响因子：
3.7
作者：
Bai Y;Tompkins C;Gell N;Dione D;Zhang T;Byun W
通讯作者：
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DOI：
10.1249/00005768-198205000-00012
发表时间：
1982-01-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
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通讯作者：
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影响因子：
2.3
作者：
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