Morphometric and neurodevelopmental outcome at age five years of the offspring of women who continued to exercise regularly throughout pregnancy

Morphometric and neurodevelopmental outcome at age five years of the offspring of women who continued to exercise regularly throughout pregnancy
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DOI:
10.1016/s0022-3476(96)70029-x
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发表时间:
1996-12-01
影响因子:
5.1
通讯作者:
Clapp, JF
Clapp, JF
中科院分区:
医学2区
文献类型:
--
作者:
Clapp, JF

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目的:为了检验这一假设,即持续定期,剧烈,持续的运动在整个怀孕期间对后代在5岁时的形态和神经发育结果产生不利影响。研究设计:20名妇女谁行使的后代进行了比较,与20名身体活动的控制对象。这些妇女和她们的后代在已知影响结果的多个产前和产后变量方面进行了匹配。所有妇女均在指数妊娠前入组,全程监测,产前、产时和产后病程临床正常。形态测量:由一名受过训练的观察者在出生时和5岁时进行测量。神经发育由发展心理学家进行评估,但不知道母亲的运动状况。结果:出生时,稳定的周长和长度是相似的,但锻炼女性的后代体重较轻(3.40 +/- 0.80 vs 3.64 +/- 0.70 kg),脂肪较少(10.5% +/- 0.9% vs 15.1% +/- 0.6%)。在5岁时,头围和身高相似,但运动女性的后代体重较轻(18.0 +/- 0.5 vs 19.5 +/- 0.6 kg),五个部位皮褶的总和(Sigma)较低(37 +/- 1 vs 44 +/- 2 mm)。运动、综合和学术准备能力相似。然而,运动后代表现出显着更好的韦氏量表(125 +/- 2比116 +/- 3)和测试的口头语言技能(119 +/- 2比109 +/- 3)。结论:这些数据反驳了这一假设,并表明,在怀孕期间的运动减少了皮下脂肪量的后代。
Objective: To test the hypothesis that continuing regular, vigorous, sustained exercise throughout pregnancy adversely affects morphometric and neurodevelopmental outcome in offspring at 5 years of age.Study design: The offspring of 20 women who exercised were compared with those of 20 physically active control subjects. The women and their offspring were matched for multiple prenatal and postnatal variables known to influence outcome. All women were enrolled before the index pregnancy, monitored throughout, and had clinically normal antenatal, intrapartum, and postnatal courses. Morphometric: measures were obtained at birth and at 5 years of age by a single, trained observer. Neurodevelopment was assessed by developmental psychologists masked to maternal exercise status. Data were analyzed with an unpaired Student t test.Results: At birth, stead circumference and length were similar, but the offspring of the exercising women weighed less (3.40 +/- 0.80 vs 3.64 +/- 0.70 kg) and had less fat (10.5% +/- 0.9% vs 15.1% +/- 0.6%). At 5 years of age, head circumference and height were similar, but the offspring of the women who exercised weighed less (18.0 +/- 0.5 vs 19.5 +/- 0.6 kg) and had a lower sum (Sigma) of five site skinfolds (37 +/- 1 vs 44 +/- 2 mm). Motor, integrative, and academic readiness skills were similar. However, the exercise offspring performed significantly better on the Wechsler scales (125 +/- 2 vs 116 +/- 3) and tests of oral language skills (119 +/- 2 vs 109 +/- 3).Conclusions: These data refute the hypothesis and suggest that exercise during pregnancy reduces the subcutaneous fat mass of the offspring.