摘要
目的探究北京地区孕晚期妇女总静坐行为和不同类型静坐行为与抑郁和妊娠相关焦虑的关系。方法以中国孕产妇队列研究(CPWCS)·协和项目中的576例孕晚期妇女为研究对象。CPWCS项目自2018年5月起,在北京市通州区妇幼保健院采用方便抽样的方法纳入年龄≥16岁,孕5~12周的孕早期妇女,并进行基线调查。于研究对象孕晚期进行随访调查,采用孕期身体活动问卷(PPAQ)调查其静坐行为,分别采用爱丁堡产后抑郁量表(EPDS)和妊娠相关焦虑量表(PAQ)调查抑郁和妊娠相关焦虑状况。结果孕妇孕晚期抑郁检出率为25.0%,妊娠相关焦虑检出率为28.8%。Logistic回归显示,非工作时间高水平使用电脑或写东西、看电视或录像均与抑郁的发生风险相关(OR=1.72,95%CI:1.08~2.75;OR=1.90,95%CI:1.15~3.14);总静坐行为中等水平和高水平的孕妇相对于低水平的孕妇,妊娠相关焦虑的发生风险较高(OR=1.80,95%CI:1.14~2.84;OR=1.72,95%CI:1.07~2.75);非工作时间中等水平和高水平坐着看电视或录像与妊娠相关焦虑的发生风险相关(OR=2.69,95%CI:1.52~4.78;OR=2.82,95%CI:1.68~4.75),高水平坐着打电话、阅读和交谈与妊娠相关焦虑的发生相关(OR=2.37,95%CI:1.23~4.57)。结论孕晚期妇女静坐行为与抑郁及妊娠相关焦虑发生相关,减少非工作时间使用电脑或写东西、看电视或录像、打电话、阅读和交谈等静坐行为可能有助于孕妇预防和减轻抑郁及妊娠相关焦虑症状。
Objective To explore the associations of total sedentary behavior and different types of sedentary behavior with depressive symptoms and pregnancy-related anxiety among pregnant women in the third trimester in Beijing.Methods Data of 576 participates from the Chinese Pregnant Women Cohort study(CPWCS)were studied.Pregnant women aged ≥16 years old and 5-12 weeks of gestation were included by using non-randomized sampling and their general information was collected.CPWSC followed the participants in their third trimester,and the sedentary behaviors were collected by using the Pregnancy Physical Activity Questionnaire(PPAQ).The depressive symptoms and pregnancy-related anxiety were evaluated using the Edinburgh postpartum depression scale(EPDS)and pregnancy-related anxiety scale(PAQ),respectively.Logistic regression models were conducted to analyze the associations.Results Pregnant women with elevated depressive symptoms and pregnancy-related anxiety accounted for 25.00% and 28.82%,respectively.Logistic regression models showed that women with high level of using a computer or writing or watching TV or videos during non-working time had higher odds to have elevated depressive symptoms(OR=1.72,95%CI:1.08-2.75;OR=1.90,95%CI:1.15-3.14).Women with moderate or high levels of total sedentary behavior had higher odds to develop elevated pregnancy-related anxiety(OR=1.80,95%CI:1.14-2.84;OR=1.72,95%CI:1.07-2.75),as compared with those with low level.Moderate and high levels of watching TV or videos during non-working time were associated with higher odds of pregnancy-related anxiety(OR=2.69,95%CI:1.52-4.78;OR=2.82,95%CI:1.68-4.75).High level of calling,reading,and talking during non-working time was associated with higher odds of pregnancy-related anxiety(OR=2.37,95%CI:1.23-4.57).Conclusion Sedentary behavior of women in the third trimester was associated with depression and pregnancy-related anxiety.Reducing the use of computer or writing,watching TV or video,calling,reading,and talking during non-working time may help pr
作者
冯雅慧
吕嬿
湛永乐
吴散散
王雅文
蔡姝雅
石英杰
陈云利
马良坤
江宇
FENG Yahui;LYU Yan;ZHAN Yongle;WU Sansan;WANG Yawen;CAI Shuya;SHI Yingjie;CHEN Yunli;MA Liangkun;JIANG Yu(School of Public Health in Peking Union Medical College,Beijing 100730,China)
出处
《中国生育健康杂志》
2021年第2期106-110,共5页
Chinese Journal of Reproductive Health
基金
中国医学科学院医学与健康科技创新工程(2019-I2M-2-007)
中央高校基本科研业务费专项资金资助(3332018019)。
关键词
孕妇
静坐行为
抑郁
妊娠相关焦虑
pregnant women
sedentary behavior
depressive symptoms
pregnancy-related anxiety
