Assessment of physical activity status among pregnant women in southwestern China
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摘要
Objective: To assess the patterns and intensities of physical activity among pregnant women in southwestern China, which help us create a fitness regimen based on the 2002 American College of Obstetricians and Gynecologists(ACOG) guidelines for exercise during pregnancy.Methods: A cross-sectional study was performed to recruit pregnant women at a prenatal checking visit clinic with the self-administered Chinese version of Pregnancy Physical Activity Questionnaire(PPAQ).Results: A total of 1179 Chinese pregnant women were enrolled, of whom 92.60% were classified as not meeting the ACOG guidelines. By intensity, 47.36% of the score was attributed to light-intensity activities(1.5 to <3.0 metabolic equivalent [MET]) in the first trimester; the other 2 trimesters were similar. By patterns, about 45.15% of the score was attributed to inactivity. More than 82.35% of enrolled pregnant women regarded slowly walking as the most common type of exercise during pregnancy.Conclusions: This study represents a group of Chinese women who maintained an inactive lifestyle, including low-intensity activities and unitary type of exercises during their pregnancy. Health-care providers are advised to provide appropriate physical activity guidelines to pregnant women. Development of MET-hours/week recommendations is warranted to promote greater physical activity during pregnancy.
Objective: To assess the patterns and intensities of physical activity among pregnant women in southwestern China, which help us create a fitness regimen based on the 2002 American College of Obstetricians and Gynecologists(ACOG) guidelines for exercise during pregnancy.Methods: A cross-sectional study was performed to recruit pregnant women at a prenatal checking visit clinic with the self-administered Chinese version of Pregnancy Physical Activity Questionnaire(PPAQ).Results: A total of 1179 Chinese pregnant women were enrolled, of whom 92.60% were classified as not meeting the ACOG guidelines. By intensity, 47.36% of the score was attributed to light-intensity activities(1.5 to <3.0 metabolic equivalent [MET]) in the first trimester; the other 2 trimesters were similar. By patterns, about 45.15% of the score was attributed to inactivity. More than 82.35% of enrolled pregnant women regarded slowly walking as the most common type of exercise during pregnancy.Conclusions: This study represents a group of Chinese women who maintained an inactive lifestyle, including low-intensity activities and unitary type of exercises during their pregnancy. Health-care providers are advised to provide appropriate physical activity guidelines to pregnant women. Development of MET-hours/week recommendations is warranted to promote greater physical activity during pregnancy.
Objective: To assess the patterns and intensities of physical activity among pregnant women in southwestern China, which help us create a fitness regimen based on the 2002 American College of Obstetricians and Gynecologists(ACOG) guidelines for exercise during pregnancy.Methods: A cross-sectional study was performed to recruit pregnant women at a prenatal checking visit clinic with the self-administered Chinese version of Pregnancy Physical Activity Questionnaire(PPAQ).Results: A total of 1179 Chinese pregnant women were enrolled, of whom 92.60% were classified as not meeting the ACOG guidelines. By intensity, 47.36% of the score was attributed to light-intensity activities(1.5 to <3.0 metabolic equivalent [MET]) in the first trimester; the other 2 trimesters were similar. By patterns, about 45.15% of the score was attributed to inactivity. More than 82.35% of enrolled pregnant women regarded slowly walking as the most common type of exercise during pregnancy.Conclusions: This study represents a group of Chinese women who maintained an inactive lifestyle, including low-intensity activities and unitary type of exercises during their pregnancy. Health-care providers are advised to provide appropriate physical activity guidelines to pregnant women. Development of MET-hours/week recommendations is warranted to promote greater physical activity during pregnancy.
引文
1.Schlüssel MM,Souza EB,Reichenheim ME,et al.Physical activity during pregnancy and maternal-child health outcomes:a systematic literature review.Cadernos de Saude Publica.2008;24:s531-s544.
2.Streuling I,Beyerlein A,Rosenfeld E,et al.Physical activity and gestational weight gain:a meta-analysis of intervention trials.BJOG Int J Obstet Gynaecol.2011;118:278-284.
3.Olson CM,Strawderman MS.Modifiable behavioral factors in a biopsychosocial model predict inadequate and excessive gestational weight gain.J Am Diet Assoc.2003;103:48-54.
4.Dempsey JC,Sorensen TK,Williams MA,et al.Prospective study of gestational diabetes mellitus risk in relation to maternal recreational physical activity before and during pregnancy.Am J Epidemiol.2004;159:663-670.
5.Dempsey JC,Butler CL,Sorensen TK,et al.Acase-control study of maternal recreational physical activity and risk of gestational diabetes mellitus.Diabetes Res Clin Pract.2004;66:203-215.
6.Dempsey FC,Butler FL,Williams FA.No need for a pregnant pause:physical activity may reduce the occurrence of gestational diabetes mellitus and preeclampsia.Exerc Sport Sci Rev.2005;33:141-149.
7.Bungum TJ,Peaslee DL,Jackson AW,et al.Exercise during pregnancy and type of delivery in nulliparae.J Obstet Gynecol Neonatal Nurs.2000;29:258-264.
8.ACOG Committee on Obstetric Practice.Committee opinion#267:exercise during pregnancy and the postpartum period.Obstet Gynecol.2002;99:171-173.
9.U.S.Department of Health and Human Services.2008 physical activity guidelines for Americans Washington,D.C.2008,1-61.http://www.health.gov/paguidelines.Accessed November 1,2008.
10.Borodulin K,Evenson KR,Wen F,et al.Physical activity patterns during pregnancy.Med Sci Sports Exerc.2008;40:1901.
11.Ning Y,Williams MA,Dempsey JC,et al.Correlates of recreational physical activity in early pregnancy.J Matern Fetal Neonatal Med.2003;13:385-393.
12.Jiang H,He G,Li M,et al.Reliability and validity of a physical activity scale among urban pregnant women in eastern China.Asia Pac J Public Health,2015;27:1208-1216.
13.Wang YL,Zhao XH.Occupational health of working women in China.Asia-Pac J Public Health.1987;1:66-71.
14.Center for Health Statistics and Information,Ministry of Health.An Analysis Report of National Health Services Survey in China,2008.Beijing,China:China Xiehe Medical University;2009:409.
15.Chasan-Taber L,Schmidt MD,Roberts DE,et al.Development and validation of a pregnancy physical activity questionnaire.Med Sci Sports Exerc.2004;36:1750-1760.
16.Schmidt MD,Pekow P,Freedson PS,et al.Physical activity patterns during pregnancy in a diverse population of women.J Womens Health.2006;15:909-918.
17.Ainsworth BE,Haskell WL,Leon AS,et al.Compendium of physical activities:classification of energy costs of human physical activities.Med Sci Sports Exerc.1993;25:71-80.
18.Chasan-Taber L,Fortner RT,Gollenberg A,et al.Aprospective cohort study of modifiable risk factors for gestational diabetes among Hispanic women:design and baseline characteristics.J Women’s Health.2010;19:117-124.
19.Fell DB,Joseph KS,Armson BA,et al.The impact of pregnancy on physical activity level.Matern Child Health J.2009;13:597-603.
20.Leiferman JA,Evenson KR.The effect of regular leisure physical activity on birth outcomes.Matern Child Health J.2003;7:59-64.
21.Redden SL,LaMonte MJ,Freudenheim JL,et al.The association between gestational diabetes mellitus and recreational physical activity.Matern Child Health J.2011;15:514-519.
22.Evenson KR,Pompeii LA.Obstetrician practice patterns and recommendations for physical activity during pregnancy.J Womens Health.2010;19:1733-1740.
23.Yeo SA,Davidge S,Ronis DL,et al.A comparison of walking versus stretching exercises to reduce the incidence of preeclampsia:a randomized clinical trial.Hypertens Pregnancy,2008;27:113-130.
24.Mudd LM,Nechuta S,Pivarnik JM,et al.Factors associated with women’s perceptions of physical activity safety during pregnancy.Prev Med.2009;49:194-199.
25.Duncombe D,Wertheim EH,Skouteris H,et al.Factors related to exercise over the course of pregnancy including women’s beliefs about the safety of exercise during pregnancy.Midwifery.2009;25:430-438.
26.Chasan-Taber L,Schmidt MD,Pekow P,et al.Correlates of physical activity in pregnancy among Latina women.Matern Child Health J.2007;11:353-363.
27.Chasan-Taber L,Schmidt MD,Pekow P,et al.Physical activity and gestational diabetes mellitus among Hispanic women.J Womens Health.2008;17:999-1008.
28.Zhang J,Savitz DA.Exercise during pregnancy among US women.Ann Epidemiol.1996;6:53-59.
29.Wang TW,Apgar BS.Exercise during pregnancy.Am Fam Phys.1998;57:1846-1859.
2.Streuling I,Beyerlein A,Rosenfeld E,et al.Physical activity and gestational weight gain:a meta-analysis of intervention trials.BJOG Int J Obstet Gynaecol.2011;118:278-284.
3.Olson CM,Strawderman MS.Modifiable behavioral factors in a biopsychosocial model predict inadequate and excessive gestational weight gain.J Am Diet Assoc.2003;103:48-54.
4.Dempsey JC,Sorensen TK,Williams MA,et al.Prospective study of gestational diabetes mellitus risk in relation to maternal recreational physical activity before and during pregnancy.Am J Epidemiol.2004;159:663-670.
5.Dempsey JC,Butler CL,Sorensen TK,et al.Acase-control study of maternal recreational physical activity and risk of gestational diabetes mellitus.Diabetes Res Clin Pract.2004;66:203-215.
6.Dempsey FC,Butler FL,Williams FA.No need for a pregnant pause:physical activity may reduce the occurrence of gestational diabetes mellitus and preeclampsia.Exerc Sport Sci Rev.2005;33:141-149.
7.Bungum TJ,Peaslee DL,Jackson AW,et al.Exercise during pregnancy and type of delivery in nulliparae.J Obstet Gynecol Neonatal Nurs.2000;29:258-264.
8.ACOG Committee on Obstetric Practice.Committee opinion#267:exercise during pregnancy and the postpartum period.Obstet Gynecol.2002;99:171-173.
9.U.S.Department of Health and Human Services.2008 physical activity guidelines for Americans Washington,D.C.2008,1-61.http://www.health.gov/paguidelines.Accessed November 1,2008.
10.Borodulin K,Evenson KR,Wen F,et al.Physical activity patterns during pregnancy.Med Sci Sports Exerc.2008;40:1901.
11.Ning Y,Williams MA,Dempsey JC,et al.Correlates of recreational physical activity in early pregnancy.J Matern Fetal Neonatal Med.2003;13:385-393.
12.Jiang H,He G,Li M,et al.Reliability and validity of a physical activity scale among urban pregnant women in eastern China.Asia Pac J Public Health,2015;27:1208-1216.
13.Wang YL,Zhao XH.Occupational health of working women in China.Asia-Pac J Public Health.1987;1:66-71.
14.Center for Health Statistics and Information,Ministry of Health.An Analysis Report of National Health Services Survey in China,2008.Beijing,China:China Xiehe Medical University;2009:409.
15.Chasan-Taber L,Schmidt MD,Roberts DE,et al.Development and validation of a pregnancy physical activity questionnaire.Med Sci Sports Exerc.2004;36:1750-1760.
16.Schmidt MD,Pekow P,Freedson PS,et al.Physical activity patterns during pregnancy in a diverse population of women.J Womens Health.2006;15:909-918.
17.Ainsworth BE,Haskell WL,Leon AS,et al.Compendium of physical activities:classification of energy costs of human physical activities.Med Sci Sports Exerc.1993;25:71-80.
18.Chasan-Taber L,Fortner RT,Gollenberg A,et al.Aprospective cohort study of modifiable risk factors for gestational diabetes among Hispanic women:design and baseline characteristics.J Women’s Health.2010;19:117-124.
19.Fell DB,Joseph KS,Armson BA,et al.The impact of pregnancy on physical activity level.Matern Child Health J.2009;13:597-603.
20.Leiferman JA,Evenson KR.The effect of regular leisure physical activity on birth outcomes.Matern Child Health J.2003;7:59-64.
21.Redden SL,LaMonte MJ,Freudenheim JL,et al.The association between gestational diabetes mellitus and recreational physical activity.Matern Child Health J.2011;15:514-519.
22.Evenson KR,Pompeii LA.Obstetrician practice patterns and recommendations for physical activity during pregnancy.J Womens Health.2010;19:1733-1740.
23.Yeo SA,Davidge S,Ronis DL,et al.A comparison of walking versus stretching exercises to reduce the incidence of preeclampsia:a randomized clinical trial.Hypertens Pregnancy,2008;27:113-130.
24.Mudd LM,Nechuta S,Pivarnik JM,et al.Factors associated with women’s perceptions of physical activity safety during pregnancy.Prev Med.2009;49:194-199.
25.Duncombe D,Wertheim EH,Skouteris H,et al.Factors related to exercise over the course of pregnancy including women’s beliefs about the safety of exercise during pregnancy.Midwifery.2009;25:430-438.
26.Chasan-Taber L,Schmidt MD,Pekow P,et al.Correlates of physical activity in pregnancy among Latina women.Matern Child Health J.2007;11:353-363.
27.Chasan-Taber L,Schmidt MD,Pekow P,et al.Physical activity and gestational diabetes mellitus among Hispanic women.J Womens Health.2008;17:999-1008.
28.Zhang J,Savitz DA.Exercise during pregnancy among US women.Ann Epidemiol.1996;6:53-59.
29.Wang TW,Apgar BS.Exercise during pregnancy.Am Fam Phys.1998;57:1846-1859.