Objectively measured physical activity during pregnancy a study in obese and overweight women 英文参考文献.docVIP

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Objectively measured physical activity during pregnancy a study in obese and overweight women 英文参考文献.doc

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Objectively measured physical activity during pregnancy a study in obese and overweight women 英文参考文献

McParlinetal.BMCPregnancyandChildbirth2010,10:76 /1471-2393/10/76 RESEARCH ARTICLE OpenAccess Objectivelymeasuredphysicalactivity duringpregnancy:astudyinobeseand overweightwomen CatherineMcParlin1,3,StephenCRobson2,PeterWGTennant3,HervéBesson4,JudithRankin3,AshleyJAdamson3, MarkSPearce3,RuthBell3* Abstract Background:Obeseandoverweightwomenmaybenefitfromincreasedphysicalactivity(PA)duringpregnancy. ThereislimitedpublisheddatadescribingobjectivelymeasuredPAinsuchwomen. Methods:AlongitudinalobservationalstudyofPAintensity,typeanddurationusingobjectiveandsubjective measurementmethods.Fiftyfivepregnantwomenwithbookingbodymassindex(BMI)≥25kg/m2wererecruited fromahospitalultrasoundclinicinNorthEastEngland.26(47%)werenulliparousand22(40%)wereobese(BMI≥ 30kg/m2).PAwasmeasuredbyaccelerometryandselfreportquestionnaireat13weeks,26weeksand/or36weeks gestation.Outcomemeasuresweredailydurationoflight,moderateorvigorousactivityassessedbyaccelerometry; calculatedoverallPAenergyexpenditure,(PAEE),andPAEEwithinfourdomainsofactivitybasedonselfreport. Results:Atmedian13weeksgestation,womenrecordedamedian125mins/daylightactivityand35mins/day moderateorvigorousactivity(MVPA).65%achievedtheminimumrecommended30mins/dayMVPA.This proportionwasmaintainedat26weeks(62%)and36weeks(71%).Womenachievingmorethan30mins/day MVPAinthefirsttrimestershowedasignificantreductionindurationofMVPAbythethirdtrimester(11mins/day, p=0.003).Walking,swimmingandfloorexerciseswerethemostcommonlyreportedrecreationalactivitiesbut theircontributiontoestimatedenergyexpenditurewassmall. Conclusion:OverweightandobesepregnantwomencanachieveandmaintainrecommendedlevelsofPA throughoutpregnancy.InterventionstopromotePAshouldtargetchangesinhabitualactivitiesatworkandat home,andinparticularwalking. Background foritspotentialtoimprovepregnancyoutcomeforboth Theprevalenceofobesityinthematernalpopulationhas mother andinfant [11-18]. Professional bodies recom- increasedsharply,reflectingthetrendinthewiderpopu- mendtha