Perception and reality: The mismatch between absolute and relative physical activity intensity during pregnancy and postpartum in United States women.

Perception and reality: The mismatch between absolute and relative physical activity intensity during pregnancy and postpartum in United States women.
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感知与现实:美国女性在怀孕期间和产后的绝对和相对体力活动强度之间的不匹配。

DOI:
10.1016/j.ypmed.2024.107948
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发表时间:
2024
影响因子:
5.1
通讯作者:
Evenson,KellyR
Evenson,KellyR
中科院分区:
医学2区
文献类型:
--
作者:
Hesketh,KathrynR;Wen,Fang;Herring,AmyH;Siega-Riz,AnnaMaria;Evenson,KellyR

文献摘要

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目的探讨绝对体力活动强度(派)和相对自我报告的派之间是否存在不匹配存在于pregnancy and postpartum.MethodsWomen从PIN 3/Postpartum研究完成体力活动问卷在怀孕期间(n= 770; Trimester 2:T2,Trimester 3:T3)和产后(n= 181; 3个月:PP 3,12个月PP 12)(2001-2005)。女性参与的活动被分配为绝对强度的代谢当量(MET)值;女性自我报告的每项活动的感知用力(使用博格量表)以提供相对强度。分层回归模型用于确定绝对和相对派(中度或剧烈体力活动(MPA; VPA))之间的不匹配是否在妊娠期间和产后不同。模型进行了调整的社会人口因素。结果妇女通常高估了MPA和VPA的量,他们从事[T2 MPA平均60.5分钟/周(49.1,72.0),VPA 3.7(−1.4,8.8); T3:MPA 47.7(38.9,56.4),2.9(−1.7,7.4); PP3:MPA 69.5(43.9,95.1),VPA 15.8(1.8,29.7); PP12:MPA 42.20(26.8,57.6),VPA 2.75(−7.8,12.9)]。与T2相比,T3时女性高估MPA和VPA的程度较小(MPA:差异β:-12.6 [95%CI:-26.0,-0.9]; VPA:-0.9 [-6.4,4.6])。在PP 3和PP 12时,妇女继续高估其MPA。结论与绝对派相比,MPA的感知派大于VPA,并且从妊娠到产后持续存在差异。未来的研究应该集中在如何与妇女的实际生理能力的看法,以及这种不匹配是否会影响妇女在过渡到母亲的身体活动量。
ObjectiveTo explore whether a mismatch between absolute physical activity intensity (PAI) and relative self-reported PAI exists during pregnancy and postpartum.MethodsWomen from the PIN3/Postpartum study completed physical activity questionnaires during pregnancy (n= 770; Trimester 2: T2, Trimester 3: T3) and postpartum (n= 181; 3 months: PP3, 12 months PP12) (2001–2005). Activities women engaged in were assigned Metabolic Equivalent (MET) values for absolute intensity; women self-reported perceived exertion (using the Borg scale) for each activity to provide relative intensity. Hierarchical regression models were used to determine whether a mismatch between absolute and relative PAI (for moderate or vigorous physical activity (MPA; VPA)) differed during pregnancy and postpartum. Models were adjusted for socio-demographic factors.ResultsWomen commonly overestimated the amount of MPA and VPA they engaged in [T2 MPA mean 60.5 min/week (49.1, 72.0), VPA 3.7 (−1.4, 8.8); T3: MPA 47.7 (38.9, 56.4), 2.9 (−1.7, 7.4); PP3: MPA 69.5 (43.9, 95.1), VPA 15.8 (1.8, 29.7); PP12: MPA 42.20 (26.8, 57.6), VPA 2.75 (−7.8, 12.9)]. Women overestimated both MPA and VPA to a lesser extent at T3 compared to T2 (MPA: β for difference:-12.6 [95%CI: −26.0, −0.9]; VPA: −0.9 [−6.4, 4.6]). Women continued to overestimate their MPA at PP3 and PP12.ConclusionsCompared to absolute PAI, perceived PAI was greater for MPA compared to VPA and differences persisted from pregnancy through postpartum. Future research should focus on how perceptions relate to women's actual physiological capacity and whether this mismatch influences the amount of physical activity women engage in during the transition to motherhood.