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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Maternal exercise and growth in breastfed infants: A meta-analysis of randomized controlled trials
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Maternal exercise and growth in breastfed infants: A meta-analysis of randomized controlled trials

机译：母乳喂养婴儿的母亲运动和生长：一项随机对照试验的荟萃分析

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BACKGROUND AND OBJECTIVES: Studies have revealed that women who breastfeed their infants may be reluctant to exercise due to concerns that to do so would adversely affect their breast milk and consequently the growth of their infants. In this review, we seek to systematically review and statistically synthesize evidence from randomized controlled trials (RCTs) that have assessed the effects of maternal exercise on breastfed infant growth (weight gain and gain in length). METHODS: Searches of the following electronic bibliographic databases were performed to identify RCTs: Cochrane Library (CENTRAL), Medline/PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature, and SPORT Discus. RCTs that compared any type of exercise intervention with other treatments or no treatment in women exclusively or predominately breastfeeding were eligible for inclusion, as were trials involving exercise as a cointervention. Two authors extracted data from studies independently. RESULTS: Four RCTs (5 comparisons) were included in the metaanalysis of infant weight gain that incorporated 170 participants. In breastfed infants, maternal exercise did not significantly affect infant weight gain (difference in mean weight gain = 18.6 g [95% confidence interval: -113.52 to 150.80, P = .73]). Only 1 trial assessed infant gain in length; no difference between the exercise and control groups was reported. Trials were classified as moderate or good methodological quality (moderate risk of bias). CONCLUSIONS: It appears that mothers can exercise and breastfeed without detriment to the growth of their infants, but this is based on limited evidence, and more research is required before this finding is confirmed.
机译：背景和目的：研究表明，母乳喂养婴儿的妇女可能不愿运动，因为担心这样做会对母乳产生不利影响，从而影响婴儿的成长。在这篇综述中，我们寻求系统地回顾和统计综合来自随机对照试验（RCT）的证据，这些试验评估了孕产妇运动对母乳喂养婴儿生长（体重增加和体长增加）的影响。方法：对以下电子书目数据库进行搜索以识别RCT：Cochrane图书馆（CENTRAL），Medline / PubMed，Embase，护理和相关健康文献累积索引以及SPORT讨论。将所有类型的运动干预与其他治疗或仅对母乳喂养的女性不进行任何治疗的RCT进行比较，以及将运动作为共同干预的试验也纳入了研究。两位作者独立地从研究中提取了数据。结果：纳入4个RCT（5个比较）纳入了170名参与者的婴儿体重增加的荟萃分析。在母乳喂养的婴儿中，母亲运动对婴儿的体重增加没有显着影响（平均体重增加差异= 18.6 g [95％置信区间：-113.52至150.80，P = 0.73]）。只有1个试验评估了婴儿的体长增加。运动组与对照组之间无差异。试验被分类为中等或良好的方法学质量（中等偏见风险）。结论：看来母亲可以运动和母乳喂养而不会损害婴儿的成长，但这是基于有限的证据，在证实这一发现之前还需要进行更多的研究。

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