Physical activity level in women with gestational diabetes mellitus: Lifestyle INtervention for Diabetes prevention After pregnancy (LINDA-Brasil) study
妊娠糖尿病妇女的体力活动水平:妊娠后生活方式干预预防糖尿病(LINDA-巴西)研究
Abstract
enBackground
The aim of this study was to investigate physical activity and associated factors in women with gestational diabetes mellitus (GDM).
Methods
This cross-sectional study was performed on 2706 women as part of the Lifestyle INtervention for Diabetes prevention After pregnancy (LINDA-Brasil) study, recruited between 2012 and 2016 in Brazil. A structured questionnaire was used to assess physical activity. Descriptive and Poisson regression analyses were used to investigate physical activity and associated factors.
Results
Counseling regarding physical activity practices was reported by 47.4% and 34.3% of women before and after a diagnosis of GDM, respectively. During pregnancy, 26% of women were classified as inactive, 39.7% were classified as insufficiently active, and 34.3% were classified as active. Compared with prepregnancy, 63.1% of women reported a decrease in physical activity levels during pregnancy. The prevalence of being inactive during pregnancy was higher among women who did not live with a partner (P = 0.003), had a lower household income (P = 0.01), were employed (P < 0.001), and who had four or more children (P < 0.001).
Conclusion
Among Brazilian women with GDM, physical activity levels and practices were low, with most women reporting decreased physical activity during pregnancy. A low socioeconomic status was associated with lower physical activity. These findings indicate the need to reinforce the importance of physical activity in the management of GDM in Brazil.
Abstract
zh摘要
背景
这项研究的目的是在妊娠糖尿病(gestational diabetes Mellitus，GDM)妇女中调查体力活动与相关因素对糖尿病的影响。
方法
这项研究是妊娠后生活方式干预预防糖尿病研究(Lifestyle INtervention for Diabetes prevention After pregnancy [LINDA-Brasil] study)的一部分，2012至2016年间从巴西招募了2706名妇女进行了横断面研究。通过结构化问卷测量体力活动。采用了描述性与泊松回归分析方法，研究体力活动及其相关因素对糖尿病的影响。
结果
在诊断GDM之前及之后，分别有47.4%与34.3%的妇女接受了体力活动咨询。在妊娠期间，有26%的妇女被归类为不活动类别，39.7%被归类为活动不足，34.3%被归类为积极活动。与妊娠前相比，63.1%的妇女报告妊娠期间的体力活动水平下降。未与伴侣一起生活的妇女，其妊娠期间不活动的比例明显更高(P = 0.003)，并且她们的家庭收入也较低(P = 0.01)，是有工作的(P < 0.001)，而且她们有4个或者更多的小孩(P < 0.001)。
结论
在巴西GDM妇女中，体力活动水平与锻炼程度都较低，并且大部分妇女都报告妊娠期间的体力活动水平下降。社会经济地位较低与体力活动较少有关。这些研究结果表明在巴西GDM的管理中，需要强调体力活动的重要性。
