TY -非盟的克努森,就非盟- Alomairah,沙特阿卜杜阿齐兹AU -罗兰,卡罗琳·博盟——洁森安妮Dsane盟——Hergel Ida-Marie AU -克劳森,齿D AU - Larsen Jakob如非盟- van大厅,Gerrit AU -詹森,安德烈亚斯Kryger盟——Molsted斯蒂格盟——Bendix简M AU - Løkkegaard,艾伦盟——Stallknecht Bente PY - 2022 DA - 2022/7/20 TI -结构化指导运动训练或动机的影响对孕妇的身体活动水平咨询:FitMum地中海-随机对照试验乔J互联网Res SP - e37699六世24 - 7 KW -动机KW -身体活动KW -怀孕KW -怀孕KW -个随机对照试验KW -随机对照试验KW -干预KW -商业活动追踪KW -追踪千瓦COVID-19 KW -孕产妇健康KW双标记水KW -身体活动问卷KW -女性健康千瓦孕产妇KW -孕妇KW -数字医疗KW -锻炼KW -健身KW -健康结果AB -背景:怀孕期间的体育活动(PA)是改善无并发症妊娠产妇健康的有效和安全方法。然而，孕妇遵守PA建议的比例仍然很低。目的:本研究旨在探讨妊娠期提供结构性监督运动训练(EXE)或动机性辅导对妊娠期PA (MOT)中至高强度体力活动(MVPA)水平的影响。此外，采用妊娠身体活动问卷(PPAQ)和金标准双标记水(DLW)技术对PA进行了补充研究。假设与标准护理(CON)相比，EXE和MOT都能增加妊娠期MVPA，并且EXE比MOT更有效。此外，还探讨了MVPA与参加会议次数之间的关系。方法:一项随机对照试验包括220名中位孕龄为12.9 (IQR 9.4-13.9)周的健康、不活动的孕妇。总共219名女性被随机分为CON(45/219)、EXE(87/219)和MOT(87/219)。 The primary outcome was MVPA (minutes per week) from randomization to the 29th gestational week obtained by a wrist-worn commercial activity tracker (Vivosport, Garmin International). PA was measured by the activity tracker throughout pregnancy, PPAQ, and DLW. The primary outcome analysis was performed as an analysis of covariance model adjusting for baseline PA. Results: The average MVPA (minutes per week) from randomization to the 29th gestational week was 33 (95% CI 18 to 47) in CON, 50 (95% CI 39 to 60) in EXE, and 40 (95% CI 30 to 51) in MOT. When adjusted for baseline MVPA, participants in EXE performed 20 (95% CI 4 to 36) minutes per week more MVPA than participants in CON (P=.02). MOT was not more effective than CON; EXE and MOT also did not differ. MVPA was positively associated with the number of exercise sessions attended in EXE from randomization to delivery (P=.04). Attendance was higher for online (due to COVID-19 restrictions) compared with physical exercise training (P=.03). Adverse events and serious adverse events did not differ between groups. Conclusions: Offering EXE was more effective than CON to increase MVPA among pregnant women, whereas offering MOT was not. MVPA in the intervention groups did not reach the recommended level in pregnancy. Changing the intervention to online due to COVID-19 restrictions did not affect MVPA level but increased exercise participation. Trial Registration: ClinicalTrials.gov NCT03679130; https://clinicaltrials.gov/ct2/show/NCT03679130 International Registered Report Identifier (IRRID): RR2-10.1136/bmjopen-2020-043671 SN - 1438-8871 UR - //www.mybigtv.com/2022/7/e37699 UR - https://doi.org/10.2196/37699 UR - http://www.ncbi.nlm.nih.gov/pubmed/35857356 DO - 10.2196/37699 ID - info:doi/10.2196/37699 ER -