PHYSICAL ACTIVITY IN PREGNANCY

怀孕期间的体力活动

• 批准号: 7951322
• 负责人: Danielle Symons Downs
• 金额: $ 2.5万
• 依托单位: PENNSYLVANIA STATE UNIV HERSHEY MED CTR
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-04-01 至 2010-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7951322
• 关键词: Attitude; Behavior; Behavioral; Biological Markers; Birth; Birth Weight; Child; Clinical Research; Cognitive; Computer Retrieval of Information on Scientific Projects Database; Effectiveness; Energy Metabolism; Exercise; Funding; Gestational Diabetes; Goals; Grant; Guidelines; Infant; Institution; Insulin; Intervention; Life; Life Style; Medical Records; Morbidity - disease rate; Non-Insulin-Dependent Diabetes Mellitus; Outcome; Participant; Physical activity; Pregnancy; Quality of life; Randomized; Research; Research Personnel; Resources; Screening procedure; Self Efficacy; Series; Social support; Source; Structure; Testing; United States National Institutes of Health; Weight; Woman; biopsychosocial; depression; fetal; infant outcome; meetings; prevent; primary outcome; programs; psychosocial; secondary outcome; standard care

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. The goal of this proposed research is to test the effectiveness of ACTIVE MOMS, a cognitive behavioral physical activity (PA) program, delivered as two interventions (semi-intensive structured exercise and minimum-contact PA), for increasing PA behaviors of women with gestational diabetes mellitus (GDM), and to determine the impact of this program on maternal/fetal outcomes. Because GDM increases maternal/fetal morbidity and it is associated with the onset of type 2 diabetes later in life for these women and their children, it is critically important that interventions be studied to treat and prevent GDM. To date, there are no studies that have intervened with GDM women with a primary objective of increasing their PA behaviors, and limited research examining the effects of maternal PA on pregnancy/delivery complications and infant outcomes. Women will be identified as having GDM by 18 weeks gestation as a result of early screening procedures. Participants will be randomized to receive either the structured exercise, lifestyle PA, or standard care control condition for the remainder of the pregnancy. All participants will undergo multiple assessments over their pregnancy on a series of biopsychosocial variables. Medical records will be obtained to assess pregnancy biomarkers, pregnancy/delivery complications, and infant birth outcomes. The primary outcome is women's PA behaviors (e.g., mean counts/min, energy expenditure, meeting PA guidelines). Secondary outcomes include the effects of maternal PA on psychosocial correlates (e.g., physical activity attitude, self-efficacy, social support; depression, quality of life), pregnancy/delivery complications (e.g., maternal weight status, need for insulin), and infant outcomes (e.g., birth weight.

该子项目是利用该技术的众多研究子项目之一 资源由 NIH/NCRR 资助的中心拨款提供。子项目和 研究者 (PI) 可能已从 NIH 的另一个来源获得主要资金， 因此可以在其他 CRISP 条目中表示。列出的机构是 对于中心来说，它不一定是研究者的机构。 这项拟议研究的目标是测试 ACTIVE MOMS 的有效性，ACTIVE MOMS 是一种认知行为体力活动 (PA) 计划，以两种干预措施（半强化结构化锻炼和最小接触 PA）的形式提供，以增加妊娠期妇女的 PA 行为。糖尿病（GDM），并确定该计划对孕产妇/胎儿结局的影响。由于 GDM 会增加母婴发病率，并且与这些妇女及其子女晚年罹患 2 型糖尿病有关，因此研究治疗和预防 GDM 的干预措施至关重要。迄今为止，还没有对 GDM 妇女进行干预的研究，其主要目标是增加她们的 PA 行为，并且检查母亲 PA 对妊娠/分娩并发症和婴儿结局影响的研究也很有限。通过早期筛查程序，女性将在妊娠 18 周时被诊断为患有 GDM。参与者将被随机分配接受结构化运动、生活方式 PA 或标准护理控制条件，以维持妊娠的剩余时间。所有参与者都将在怀孕期间接受一系列生物心理社会变量的多重评估。将获得医疗记录来评估妊娠生物标志物、妊娠/分娩并发症和婴儿出生结果。主要结果是女性的 PA 行为（例如，平均计数/分钟、能量消耗、符合 PA 指南）。次要结局包括产妇 PA 对社会心理相关因素（例如身体活动态度、自我效能、社会支持、抑郁、生活质量）、妊娠/分娩并发症（例如产妇体重状况、胰岛素需求）和婴儿的影响结果（例如出生体重。