增加怀孕期间自我报告的身体活动的干预措施:一项系统综述。

Women's health (London, England) Pub Date : 2025-01-01 Epub Date: 2025-07-11 DOI:10.1177/17455057251351729
Kallie Nowell, Deirdre Dlugonski, Emily DeFranco, Linda May, Johanna M Hoch
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引用次数: 0

摘要

背景:只有52%的孕妇在整个孕期达到了建议的运动量。许多研究旨在通过在怀孕期间引入体育活动干预来改善与健康相关的结果。有必要进行系统的搜索,总结使用自我报告的身体活动测量的研究,因为这是一种临床结果测量,可以在临床实践中常规使用。目的:本系统综述的目的是综合、批判性评价和确定旨在改善孕妇身体活动自我报告测量的干预措施的有效性。设计:系统回顾。数据来源和方法:检索EBSCO和PubMed从2014年1月1日至2024年1月1日。还进行了参考文献的手工搜索。纳入的研究必须采用随机对照试验或临床试验设计,其中实施了身体活动干预,包括健康孕妇,并在干预前和干预后使用自我报告的身体活动测量。两名审稿人用物理治疗证据数据库量表独立评估每篇文章。推荐强度分类法被用来给出推荐的总体强度。结果:12项研究符合本系统评价的纳入标准。7项研究被评为“一般”质量,5项研究被评为“良好”质量。干预措施的主要分类包括:基于电话或应用程序,面对面咨询,或团体健身课程/获取当地资源。8项研究提供了足够的数据来计算效应大小和相关的95%置信区间。基于手机或应用程序的干预措施的效应值最大。结论:对于支持基于手机或应用程序的干预措施、咨询干预措施、团体健身或获取当地资源干预措施的证据,我们给予B级推荐。未来的研究应侧重于进一步调查使用基于手机或应用程序的干预措施或咨询干预措施来促进孕妇的身体活动。报名:普洛斯彼罗CRD42024526761。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Interventions to increase self-reported physical activity during pregnancy: A systematic review.

Background: Only 52% of pregnant women achieve the recommended amount of physical activity throughout pregnancy. Many studies have aimed to improve health-related outcomes by introducing physical activity interventions during pregnancy. A systematic search summarizing studies using self-reported physical activity measures is necessary, as this is a clinical outcome measure that can be utilized routinely in clinical practice.

Objectives: The purpose of this systematic review was to synthesize, critically appraise, and determine the effectiveness of interventions designed to improve self-reported measures of physical activity in pregnant women.

Design: Systematic review.

Data sources and methods: EBSCO and PubMed were searched from January 1, 2014, through January 1, 2024. A hand search of references was also performed. Included studies must have utilized a randomized controlled trial or clinical trial design where a physical activity intervention was implemented, included healthy pregnant women, and utilized a self-reported physical activity measure pre- and post-intervention. Two reviewers independently appraised each article with the Physiotherapy Evidence Database scale. The Strength of Recommendation Taxonomy was used to make an overall strength of recommendation.

Results: Twelve studies met the inclusion criteria for this systematic review. Seven studies were ranked as "fair" quality, and five studies were ranked as "good" quality. The primary groupings of the interventions included the following: phone or app-based, face-to-face counseling, or group fitness classes/access to local resources. Eight studies provided sufficient data to calculate effect sizes and associated 95% confidence intervals. The largest effect sizes were calculated for the phone or app-based interventions.

Conclusions: A level B strength of recommendation was given to evidence supporting phone or app-based interventions, counseling interventions, and group fitness or access to local resources interventions. Future research should focus on further investigating the use of phone or app-based interventions or counseling interventions to promote physical activity among pregnant women.

Registration: Prospero CRD42024526761.

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