高龄产妇产后6个月体力活动水平与超重/肥胖的相关性研究

Correlation of physical activity level with overweight/obesity in parturients with advanced paternal age at 6 months postpartum

  • 摘要:
    目的 分析高龄产妇产后6个月体力活动水平现状及其影响因素,探讨其与超重/肥胖发生情况的相关性。
    方法 以399例高龄产妇作为研究对象,采用国际体力活动问卷长卷、爱丁堡产后抑郁量表、匹兹堡睡眠质量指数量表、家庭支持评定量表进行调查。采用单因素分析及二元Logistic回归分析探讨高龄产妇产后6个月体力活动水平的影响因素,采用Spearman相关性分析探讨体力活动水平与超重/肥胖发生的相关性。
    结果 高龄产妇产后6个月分别有134例(33.6%)和265例(66.4%)处于低体力活动水平和中体力活动水平,无高体力活动水平; 产后6个月体质量为(61.31±8.16) kg, 体质量指数(BMI)为(23.57±2.39) kg/m2, 超重/肥胖发生率为42.9%。高龄产妇产后6个月体力活动水平与超重/肥胖发生情况呈负相关(r=-0.566, P < 0.001)。不同孕前BMI、睡眠质量、家庭支持的高龄产妇产后体力活动水平差异具有统计学意义(P < 0.05)。
    结论 高龄产妇产后6个月体力活动水平越高,超重/肥胖发生率越低。体力活动水平受孕前BMI、睡眠质量、家庭支持的综合影响。

     

    Abstract:
    Objective To analyze the current status of physical activity level and its influencing factors in parturients with advanced paternal age at 6 months postpartum, and to explore the correlation between physical activity level and the incidence of overweight/obesity.
    Methods A total of 399 parturients with advanced paternal age were included as study subjects. Surveys were conducted using the International Physical Activity Questionnaire-Long Form, the Edinburgh Postnatal Depression Scale, the Pittsburgh Sleep Quality Index, and the Family Support Rating Scale. Univariate analysis and binary Logistic regression analysis were used to investigate the influencing factors of physical activity level in parturients with advanced paternal age at 6 months postpartum. Spearman correlation analysis was used to explore the correlation between physical activity level and the incidence of overweight/obesity.
    Results Among the parturients with advanced paternal age at 6 months postpartum, 134 cases (33.6%) and 265 cases (66.4%) were at low and moderate physical activity levels respectively, with no cases at a high physical activity level. The body mass at 6 months postpartum was (61.31±8.16) kg, and the body mass index (BMI) was (23.57±2.39) kg/m2. The incidence of overweight/obesity was 42.9%. A negative correlation was observed between the physical activity level and the incidence of overweight/obesity in parturients with advanced paternal age at 6 months postpartum (r=-0.566, P < 0.001). There were significant differences in postpartum physical activity levels among with parturients with advanced paternal age at different pre-pregnancy BMI, sleep qualities, and family supports (P < 0.05).
    Conclusion A higher physical activity level at 6 months postpartum in parturients with advanced paternal age is associated with a lower incidence of overweight/obesity. The physical activity level is comprehensively influenced by pre-pregnancy BMI, sleep quality, and family support.

     

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