摘要
目的:系统评价运动干预对孕妇疲乏的改善效果,为临床更加规范地指导孕妇运动提供参考.方法:计算机检索PubMed、Web of Science、Embase、CINAHL、The Cochrane Library、中国知网、万方数据库、维普中文期刊数据库和中国生物医学文献数据库,纳入自建库起至 2023 年 8月关于运动对孕妇疲乏干预效果的实验研究.由2名研究员独立进行文献筛选、资料提取,并对文献进行偏倚风险评估.采用RevMan 5.3 软件进行Meta分析.结果:最终7 篇文献进入Meta分析,共 643 例孕妇.结果显示,孕期运动干预对孕妇疲乏改善有统计学意义[SMD=-0.39,95%CI(-0.67,-0.11),P=0.007],运动类型包括瑜伽、抗阻运动、呼吸训练等,其中瑜伽可以改善孕妇的疲乏症状[SMD=-0.71,95%CI(-1.34,-0.08),P=0.030],干预时长>8周可改善疲乏症状[SMD=-0.75,95%CI(-1.29,-0.21),P=0.006],不同运动强度在改善疲乏症状方面无统计学意义.全程线下监督可改善孕妇的疲乏症状[SMD=-0.27,95%CI(-0.49,-0.05),P=0.020].结论:孕期运动有助于改善孕妇疲乏症状;建议未来研究进一步规范干预方案策略,以促进运动安全性和依从性.
Abstract
Objective:To systematically review the effect of exercise intervention on reducing fatigue in pregnant women.Methods:We searched the literature in PubMed,Web of Science,Embase,CINAHL,The Cochrane Library,CNKI,Wanfang Data,VIP Science,and Chinese Biomedical Literature Database from the inception to August 2023.Data extraction,quality evaluation,and result analysis were carried out by two researchers independently.Meta-analysis was performed using RevMan 5.3 software.Results:Seven studies were entered into Meta-analysis with a total of 643 pregnant women.The results showed that exercise interventions during pregnancy were significant for the improvement of fatigue in pregnant women[SMD=-0.39,95%CI(-0.67,-0.11),P=0.007],and the types of exercise included yoga,resistance exercise,and breathing training,among which yoga could reduce the fatigue symptoms of pregnant women[SMD=-0.71,95%CI(-1.34,-0.08),P=0.030],intervention duration more than eight weeks improved fatigue symptoms[SMD=-0.75,95%CI(-1.29,-0.21),P=0.006],and exercise intensity was not statistically significant in improving fatigue symptoms.Full offline supervision improved fatigue symptoms in pregnant women[SMD=-0.27,95%CI(-0.49,-0.05),P=0.020].Conclusion:Exercise during pregnancy can help ease fatigue symptoms in pregnant women.So future studies should focus on further standardization of intervention program strategies to promote exercise safety and compliance.
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万方数据