Influences of prior miscarriage and weight status on perinatal psychological well-being, exercise motivation and behavior.
Influences of prior miscarriage and weight status on perinatal psychological well-being, exercise motivation and behavior.
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DOI：
10.1016/j.midw.2016.10.010
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发表时间：
2016-12
期刊：
影响因子：
2.7
通讯作者：
Downs DS
中科院分区：
文献类型：
--
作者：
Devlin CA;Huberty J;Downs DS
经历过流产的妇女在随后的怀孕中出现抑郁和焦虑症状的风险可能会增加。锻炼可能是应对这些症状的有效策略。关于流产如何影响产前运动行为，我们知之甚少。本研究旨在运用计划行为理论探讨流产史和孕前体重状况对孕妇心理健康、运动动机和行为的影响。美国东北部孕妇（N=203； 41有流产史；72超重/肥胖；BMI > 25.0）。通过邮寄调查，妇女前瞻性地报告了她们的抑郁/焦虑症状和运动动机/行为在第1、2和3个月。使用卡方分析和单变量和多变量协方差分析来检验抑郁/焦虑症状、运动行为及其动机决定因素的组间差异。与没有流产史的妇女相比，有流产史的妇女在妊娠早期和晚期有较高的抑郁/焦虑症状，在妊娠早期对运动和妊娠早期和晚期感知行为控制的态度较低。超重/肥胖妇女在妊娠前和妊娠中期有较高的抑郁/焦虑症状，孕前运动较少，整个妊娠期间的运动意图、态度和感知行为控制水平低于正常体重妇女。与没有流产史和体重正常的女性相比，有流产史的女性和超重/肥胖的女性在怀孕期间的心理健康状况较差，锻炼的动力也较低。旨在促进围产期运动行为和心理健康的干预措施和保健提供者沟通应考虑到孕前体重状况和妊娠史，以确定帮助妇女，特别是有流产史的超重/肥胖妇女克服运动障碍的策略。
women who have experienced miscarriage may be at increased risk for elevated depressive and anxiety symptoms in subsequent pregnancies. Exercise may be a useful strategy for coping with these symptoms. Little is known about how miscarriage influences prenatal exercise behavior. The study purpose was to examine the influences of miscarriage history and prepregnancy weight status on pregnant women’s psychological health, exercise motivation, and behavior using the Theory of Planned Behavior. Pregnant women (N=203; 41 with prior miscarriage; 72 overweight/obese; BMI > 25.0) in the northeast United States. Women prospectively reported their depressive/anxiety symptoms and exercise motivation/behavior in the 1st, 2nd, and 3rd trimesters via mailed surveys. Group differences in depressive/anxiety symptoms, exercise behavior, and its motivational determinants were examined using Chi Square analyses and Univariate and Multivariate Analyses of Covariance. Women with a history of miscarriage had higher 1st and 2nd trimester depressive/anxiety symptoms and lower 1st trimester attitudes about exercise and 1st and 2nd trimester perceived behavior control than women without a history of miscarriage. Overweight/obese women had higher 1st and 2nd trimester pregnancy depressive/anxiety symptoms, engaged in less prepregnancy exercise, and had lower levels of exercise intention, attitude, and perceived behavior control throughout pregnancy than normal weight women. Women with a history of miscarriage and overweight/obese women have poorer psychological health and lower motivation to exercise during pregnancy than women without a history of miscarriage and normal weight women. Interventions and healthcare provider communications aimed at promoting perinatal exercise behavior and psychological health should take into account pre-pregnancy weight status and pregnancy history to identify strategies to help women, particularly overweight/obese women with a history of miscarriage, to overcome exercise barriers.