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Physical activity during pregnancy and risk of hyperglycemia

机译:怀孕期间的体育活动和高血糖的风险

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Objective: To determine the association between moderate and vigorous physical activities (MVPA) during midpregnancy and the risk of hyperglycemia. Methods: Data were from 1437 pregnant women. Frequency, duration, and intensity of MVPA during the previous 7 days were collected via questionnaire at 17-22 weeks' gestation. Modes of MVPA included work, recreation, transportation, caregiving, and indoor and outdoor household activities. Hyperglycemia was defined as a glucose concentration ≥130 mg/dL on a 1-hour, 50-g glucose challenge test or gestational diabetes mellitus (GDM) assessed at ~27 weeks' gestation. Multivariable Poisson regression estimated risks of hyperglycemia associated with total and mode-specific MVPA. Results: There were 269 women (18.7%) with hyperglycemia. Any metabolic equivalent (MET) hours/week of recreational MVPA was associated with a 27% lower risk of hyperglycemia (adjusted relative risk, [aRR] 0.73, 95% confidence interval [95%CI] 0.54-0.99). Multiplicative interaction terms were significant for prepregnancy body mass index (BMI) and recreational MVPA (p=0.01). Among women with prepregnancy BMI 25 kg/m 2, recreational MVPA was associated with a 48% lower risk of hyperglycemia (aRR 0.52, 95%CI 0.33-0.83) compared to women who reported none. There was no association of hyperglycemia and recreational MVPA among women with prepregnancy BMI 25 kg/m 2. Conclusions: Recreational MVPA during pregnancy is associated with a lower risk of hyperglycemia, specifically among women with prepregnancy BMI 25 kg/m 2. Further research is warranted to determine recommended amounts and intensities of physical activity and to discern whether there are differences in the effects of physical activity between specific modes of physical activity or among subgroups of women in relation to hyperglycemia.
机译:目的:确定妊娠中期中等强度的体育活动(MVPA)与高血糖风险之间的关系。方法:数据来自1437名孕妇。在妊娠17-22周时通过问卷调查收集前7天的MVPA频率,持续时间和强度。 MVPA的模式包括工作,娱乐,运输,护理以及室内和室外家庭活动。高血糖症的定义是在妊娠27周左右评估1小时,50 g葡萄糖激发试验或妊娠糖尿病(GDM)时的葡萄糖浓度≥130mg / dL。多变量泊松回归估计与总和特定于模式的MVPA相关的高血糖风险。结果:有269名女性(18.7%)患有高血糖症。娱乐性MVPA的任何代谢当量(MET)小时/周与高血糖风险降低27%相关(校正后相对风险[aRR] 0.73,95%置信区间[95%CI] 0.54-0.99)。乘性交互作用项对孕前体重指数(BMI)和娱乐性MVPA均具有重要意义(p = 0.01)。与没有报告的女性相比,在BMI <25 kg / m 2的孕妇中,娱乐性MVPA与高血糖风险降低48%(aRR 0.52,95%CI 0.33-0.83)。 BMI <25 kg / m 2的孕妇高血糖与休闲性MVPA无关。结论:孕期BMV <25 kg / m 2的孕妇进行娱乐性MVPA降低了血糖风险。特别是BMI <25 kg / m 2的孕妇。有必要进行研究以确定建议的体育锻炼量和强度,并确定在特定体育锻炼方式之间或在与高血糖有关的女性亚组之间,体育锻炼的效果是否存在差异。

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