Manuel Martín Pineda , Felipe Santiago Fernández Méndez , Juan de Dios Gutiérrez Henares , Beatriz Rodríguez Villegas , Nieves Luisa González González , Erika Padrón Pérez
{"title":"妊娠和分娩对肥胖妇女会阴肌肉组织的影响。纵向队列研究","authors":"Manuel Martín Pineda , Felipe Santiago Fernández Méndez , Juan de Dios Gutiérrez Henares , Beatriz Rodríguez Villegas , Nieves Luisa González González , Erika Padrón Pérez","doi":"10.1016/j.enfcle.2023.10.006","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>Evaluating the changes of the perineal muscles in primigravid women with obesity (BMI ≥ 30) and to compare the progress with primigravid women in normal BMI range.</p></div><div><h3>Methods</h3><p>A prospective longitudinal cohort study was carried out. The pregnant women were studied at three moments: at 12 weeks' gestation, at 34 weeks' gestation and at 12 weeks after delivery. During the ckeck-up, perinometric measurements were taken to determine basal tone (BT), maximum contractile force (FMax) and applied forced (AF). In addition, the Oxford test (MOS) was used. General statistical mixed models were used for the statistical study.</p></div><div><h3>Results</h3><p>Fifty nulliparous pregnant women (25 with BMI ≥ 30 and 25 with BMI < 25) were recruited at the beginning of the study and 39 completed the entire study. Basal tone (BT) was 4.62 ± 0.24 Nw at the beginning of pregnancy and decreased to 4.18 ± 0.26 Nw after delivery. Contractile capacity was 5.56 ± 0.79 Nw at week 12 and increased to 6.34 ± 1.24 Nw after delivery. When comparing the FCMax at week 12 in obese VS normal weight pregnant women, values of 5.51 ± 87 Nw vs. 5.61 ± 0.71 Nw were observed (<em>P</em> = .941). Postpartum values were 6.72 ± 1.17 Nw vs 5.95 ± 1.21 Nw (<em>P</em> = .024), higher in the obese population.</p></div><div><h3>Conclusions</h3><p>There is an increase in contractile strength (Fmax) at 12 weeks postpartum in order to counteract the significant decrease in basal tone (BT). The body has compensatory mechanisms that allow recovery after 3 months postpartum, with greater muscle strength in obese patients.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"33 6","pages":"Pages 412-423"},"PeriodicalIF":0.0000,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effect of pregnancy and childbirth on perineal musculature in women with obesity. A longitudinal cohort study\",\"authors\":\"Manuel Martín Pineda , Felipe Santiago Fernández Méndez , Juan de Dios Gutiérrez Henares , Beatriz Rodríguez Villegas , Nieves Luisa González González , Erika Padrón Pérez\",\"doi\":\"10.1016/j.enfcle.2023.10.006\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>Evaluating the changes of the perineal muscles in primigravid women with obesity (BMI ≥ 30) and to compare the progress with primigravid women in normal BMI range.</p></div><div><h3>Methods</h3><p>A prospective longitudinal cohort study was carried out. The pregnant women were studied at three moments: at 12 weeks' gestation, at 34 weeks' gestation and at 12 weeks after delivery. During the ckeck-up, perinometric measurements were taken to determine basal tone (BT), maximum contractile force (FMax) and applied forced (AF). In addition, the Oxford test (MOS) was used. General statistical mixed models were used for the statistical study.</p></div><div><h3>Results</h3><p>Fifty nulliparous pregnant women (25 with BMI ≥ 30 and 25 with BMI < 25) were recruited at the beginning of the study and 39 completed the entire study. Basal tone (BT) was 4.62 ± 0.24 Nw at the beginning of pregnancy and decreased to 4.18 ± 0.26 Nw after delivery. Contractile capacity was 5.56 ± 0.79 Nw at week 12 and increased to 6.34 ± 1.24 Nw after delivery. When comparing the FCMax at week 12 in obese VS normal weight pregnant women, values of 5.51 ± 87 Nw vs. 5.61 ± 0.71 Nw were observed (<em>P</em> = .941). Postpartum values were 6.72 ± 1.17 Nw vs 5.95 ± 1.21 Nw (<em>P</em> = .024), higher in the obese population.</p></div><div><h3>Conclusions</h3><p>There is an increase in contractile strength (Fmax) at 12 weeks postpartum in order to counteract the significant decrease in basal tone (BT). The body has compensatory mechanisms that allow recovery after 3 months postpartum, with greater muscle strength in obese patients.</p></div>\",\"PeriodicalId\":72917,\"journal\":{\"name\":\"Enfermeria clinica (English Edition)\",\"volume\":\"33 6\",\"pages\":\"Pages 412-423\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Enfermeria clinica (English Edition)\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2445147923000759\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Enfermeria clinica (English Edition)","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2445147923000759","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
评估肥胖(BMI≥30)初潮女性会阴肌肉的变化，并与正常BMI范围的初潮女性进行比较。进行了一项前瞻性纵向队列研究。研究人员分别在怀孕12周、34周和分娩后12周对孕妇进行了研究。在检查期间，采用围周测量来确定基底张力(BT)、最大收缩力(FMax)和施加力(AF)。此外，采用牛津测验(MOS)。采用一般统计混合模型进行统计研究。在研究开始时招募50名未分娩孕妇(25名BMI≥30,25名BMI < 25)，其中39名完成了整个研究。妊娠初基底压(BT)为4.62±0.24 Nw，分娩后降至4.18±0.26 Nw。第12周收缩能力为5.56±0.79 Nw，分娩后增加到6.34±1.24 Nw。肥胖孕妇与正常体重孕妇第12周的FCMax比较，分别为5.51±87 Nw和5.61±0.71 Nw (p = 0.941)。产后值为6.72±1.17 Nw vs 5.95±1.21 Nw (p = 0.024)，肥胖人群较高。产后12周收缩强度(Fmax)增加，以抵消基底张力(BT)的显著下降。身体有代偿机制，产后3个月后恢复，肥胖患者肌肉力量更大。通过与evolución会阴肌瘤与IMC在正常情况下的比较，评价evolución会阴肌瘤对肥胖(IMC≥30)的影响。Se realizó unestudio队列纵向前瞻性研究了Se estudió在3个时刻的妊娠:en semana 12 de gestación, la semana 34 de gestación, y a las 12 semana tras el parto。En estas consultas se realizó medición mediante perinometría para determinar el Tono basal (TB)， la Fuerza máxima Contráctil (FMax);(e)。Además，参见utilizó el test de Oxford (MOS)。Para el estudio estadístico se utilitzaron modelos estadísticos generales mixtos。随访50例孕妇nulíparas(25例妊娠期IMC≥30例，25例妊娠期IMC < 25例)，术后随访39例。会阴部基底部基底部为4,62±0,24 Nw; descendió为4,18±0,26 Nw;La capacidad contráctil fue de 5,56±0,79 Nw, La semana 12, y aumento 6,34±1,24 Nw trel parto。结果表明:肥胖组与正常组的FCMax值分别为5.51±87 Nw和5.61±0.71 Nw (p = 0.941)。6、72±1,17 Nw vs 5、95±1,21 Nw (p = 0,024)，均优于población。存在一个disminución显著的基础模型，与此相对立的是，在未来的研究中contráctil可获得12个语义。1 .组织排解机制补偿机制与许可机制之间的关系(recuperación):一个人在患肥胖症后的3个小时内的存在。
Effect of pregnancy and childbirth on perineal musculature in women with obesity. A longitudinal cohort study
Objective
Evaluating the changes of the perineal muscles in primigravid women with obesity (BMI ≥ 30) and to compare the progress with primigravid women in normal BMI range.
Methods
A prospective longitudinal cohort study was carried out. The pregnant women were studied at three moments: at 12 weeks' gestation, at 34 weeks' gestation and at 12 weeks after delivery. During the ckeck-up, perinometric measurements were taken to determine basal tone (BT), maximum contractile force (FMax) and applied forced (AF). In addition, the Oxford test (MOS) was used. General statistical mixed models were used for the statistical study.
Results
Fifty nulliparous pregnant women (25 with BMI ≥ 30 and 25 with BMI < 25) were recruited at the beginning of the study and 39 completed the entire study. Basal tone (BT) was 4.62 ± 0.24 Nw at the beginning of pregnancy and decreased to 4.18 ± 0.26 Nw after delivery. Contractile capacity was 5.56 ± 0.79 Nw at week 12 and increased to 6.34 ± 1.24 Nw after delivery. When comparing the FCMax at week 12 in obese VS normal weight pregnant women, values of 5.51 ± 87 Nw vs. 5.61 ± 0.71 Nw were observed (P = .941). Postpartum values were 6.72 ± 1.17 Nw vs 5.95 ± 1.21 Nw (P = .024), higher in the obese population.
Conclusions
There is an increase in contractile strength (Fmax) at 12 weeks postpartum in order to counteract the significant decrease in basal tone (BT). The body has compensatory mechanisms that allow recovery after 3 months postpartum, with greater muscle strength in obese patients.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
