تعیین تاثیر ورزش های مدیریت شده در بارداری درزنان باردار نخست زا بر معیارهای رشد نوزادان: یک مطالعه کارآزمایی بالینی تصادفی
محورهای موضوعی : فصلنامه زیست شناسی جانوری
طیبه زارع زاده
1
,
نعمت الله نعمتی
2
,
حسام رمضان زاده
3
,
طاهره باقرپور
4
1 - گروه تربیت بدنی و علوم ورزشی، واحد دامغان، دانشگاه آزاد اسلامی، دامغان، ایران
2 - گروه تربیت بدنی و علوم ورزشی، واحد دامغان، دانشگاه آزاد اسلامی، دامغان، ایران
3 - دکترای رفتار حرکتی، استادیار گروه علوم ورزشی، دانشکده علوم انسانی، دانشگاه دامغان، دامغان، ایران
4 - گروه تربیت بدنی و علوم ورزشی، واحد دامغان، دانشگاه آزاد اسلامی، دامغان، ایران
کلید واژه: ورزش در بارداری, زنان نخست زا, وزن نوزاد, قد نوزاد, دور سر نوزاد,
چکیده مقاله :
اثرات فعالیت فیزیکی مادران در دوران بارداری بر پیامدهای نوزادی اخیراً موضوع تحقیقات بسیاری بوده است. ارزیابی معیارهای رشد یکی از عوامل اصلی تعیین کننده رشد جسمانی و مغزی کودک در آینده و نشانه معتبری از رشد داخل رحمی می باشد بنابراین هر نوع مداخله ای در بارداری که بر رشد جنین تاثیر گذار باشد از اهمیت ویژه ای برخوردار است. هدف از این پژوهش بررسی تاثیر ورزش های مدیریت شده در بارداری بر معیارهای رشد نوزادان در زنان نخست زا میباشد. مطالعه حاضر یک کار آزمایی بالینی تصادفی کنترل شده میباشد که بر روی 80 زن باردار نخست زای سالم شهرستان دامغان انجام شده است. زنان باردار دارای شرایط ورود به مطالعه انتخاب و به روش تصادفی به دو گروه مقایسه و مداخله تقسیم شدند. گروه مداخله از هفته 18-20 حاملگی تا هفته 37-39 بارداری در برنامه مداخله ورزشی مدیریت شده به تعداد تقریبی 60 جلسه تمرینی قرار گرفتند و گروه مقایسه مراقبت های استاندارد دوران بارداری را داشتند. نتایج آزمون های تی مستقل نشان داد که در متغیرهای وزن نوزاد (342/0 = p و 957/0 = t)، دور سر نوزاد (342/0 = p و 921/0 = t)، قد نوزاد (492/0 = p و 739/0 = t) و سن بارداری (277/0 = p و 218/1 = t) بین دو گروه تفاوت معناداری وجود ندارد. یک برنامه ورزشی مدیریت شده با شدت متوسط در طول دوران بارداری، وضعیت سلامتی و رشد جنین را به خطر نمی اندازد و موجب کاهش رشد جنین نمی شود.
Recently, mothers’ physical activity during pregnancy has been the subject of many studies and no human studies have reported negative effects of prenatal exercise on fetus. This study aimed to determine the effect of managed exercise during pregnancy on fetal growth. This randomized controlled clinical trial enrolled 80 pregnant women in Damghan meeting the inclusion criteria. Samples were randomly selected using randomization website and divided into control and intervention groups. The intervention consisted of a structured individual and group aerobic exercises including individual walking, aerobic exercise, sitting Pilates exercise, and moderate to intense gestational aerobic exercise three times a week from gestational age of 18-20 weeks to 37-39 weeks. There were approximately 60 training sessions. The control group received standard care and had routine activities. The independent t-test revealed an insignificant difference between the control and intervention groups in infant weight (t = 0.957, p = 0.342), head circumference (t = 0.921, p = 0.342), and height (t = 0.739, p = 0.492) and gestational age t=1.218, p=0.277. A moderate intensity managed exercise during pregnancy does not pose a risk to maternal and fetal well-being and it does not endanger the health and growth of the fetus.
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