A prospective analysis of recreational physical activity and preeclampsia risk.

作者: CAROLE B. RUDRA , TANYA K. SORENSEN , DAVID A. LUTHY , MICHELLE A. WILLIAMS

DOI: 10.1249/MSS.0B013E31817CAB1

关键词: Medical recordGestationObstetricsPregnancyCohortCohort studyPhysical therapyPreeclampsiaConfidence intervalOdds ratioMedicine

摘要: Purpose: Although literature suggests that physical activity may reduce preeclampsia risk, most prior studies have relied on retrospective exposure assessment. We aimed to assess prospectively the relation between recreational before and during pregnancy risk of preeclampsia. Methods: used data from a 1996-2003 cohort study 2241 pregnant western Washington State residents. During structured interviews conducted at 15 wk gestation, average, women reported activities year previous 7 d. Preeclampsia diagnosis was established for 111 using medical record standard guidelines. Results: Recreational in nonstatistically significantly associated with reduced (adjusted odds ratio [OR] any vs none 0.55, 95% confidence interval [CI] 0.30-1.02). Any early not strongly OR = 1.07, CI 0.67-1.69). Compared who no or pregnancy, nonsignificantly lower among those were active only (OR 0.73, 0.30-1.77) both periods 0.76, 0.34-1.73). Those had increased 2.03, 0.71-5.81). Conclusion: These results corroborate case-control suggesting prepregnancy reduces risk. The absence an association early-pregnancy this be due misclassification usual

参考文章(21)
David L. Ronis, Suzanne M. Leclaire, Suzanne M. Leclaire, Nancy M. Steele, Seon Ae Yeo, Ming Chuan Chang, Robert Hayashi, Effect of exercise on blood pressure in pregnant women with a high risk of gestational hypertensive disorders. Journal of Reproductive Medicine. ,vol. 45, pp. 293- 298 ,(2000)
M Egbor, T Ansari, N Morris, CJ Green, PD Sibbons, Morphometric placental villous and vascular abnormalities in early- and late-onset pre-eclampsia with and without fetal growth restriction. British Journal of Obstetrics and Gynaecology. ,vol. 113, pp. 580- 589 ,(2006) , 10.1111/J.1471-0528.2006.00882.X
Ruth E. Patterson, Alan R. Kristal, Lesley Fels Tinker, Rachel A. Carter, Mary Pat Bolton, Tanya Agurs-Collins, Measurement characteristics of the Women's Health Initiative food frequency questionnaire. Annals of Epidemiology. ,vol. 9, pp. 178- 187 ,(1999) , 10.1016/S1047-2797(98)00055-6
Carl A. Hubel, Oxidative stress in the pathogenesis of preeclampsia. Experimental Biology and Medicine. ,vol. 222, pp. 222- 235 ,(1999) , 10.1046/J.1525-1373.1999.D01-139.X
CAROLE B. RUDRA, MICHELLE A. WILLIAMS, I-MIN LEE, RAYMOND S. MILLER, TANYA K. SORENSEN, Perceived exertion during prepregnancy physical activity and preeclampsia risk. Medicine and Science in Sports and Exercise. ,vol. 37, pp. 1836- 1841 ,(2005) , 10.1249/01.MSS.0000175862.41620.41
GUNNAR A.V. BORG, Psychophysical bases of perceived exertion Medicine and Science in Sports and Exercise. ,vol. 14, pp. 377- 381 ,(1982) , 10.1249/00005768-198205000-00012
DAVID R. JACOBS, BARBARA E. AINSWORTH, TERRYL J. HARTMAN, ARTHUR S. LEON, A simultaneous evaluation of 10 commonly used physical activity questionnaires Medicine and Science in Sports and Exercise. ,vol. 25, pp. 81- 91 ,(1993) , 10.1249/00005768-199301000-00012
Alexander Maly, Gal Goshen, Jona Sela, Alexander Pinelis, Michael Stark, Bella Maly, Histomorphometric study of placental villi vascular volume in toxemia and diabetes. Human Pathology. ,vol. 36, pp. 1074- 1079 ,(2005) , 10.1016/J.HUMPATH.2005.07.021
F C. Dempsey, F L. Butler, F A. Williams, No need for a pregnant pause: physical activity may reduce the occurrence of gestational diabetes mellitus and preeclampsia. Exercise and Sport Sciences Reviews. ,vol. 33, pp. 141- 149 ,(2005) , 10.1097/00003677-200507000-00007
Mark T. Richardson, Arthur S. Leon, David R. Jacobs, Barbara E. Ainsworth, Robert Serfass, Comprehensive evaluation of the Minnesota leisure time physical activity questionnaire Journal of Clinical Epidemiology. ,vol. 47, pp. 271- 281 ,(1994) , 10.1016/0895-4356(94)90008-6