A review of public health guidelines for postpartum physical activity and sedentary behavior from around the world  

作　　者：Kelly R.Evenson Wendy J.Brown Alison K.Brinson Emily Budzynski-Seymour Melanie Hayman 

机构地区：[1]Department of Epidemiology,Gillings School of Global Public Health,University of North Carolina at Chapel Hill,Chapel Hill,NC 27599-8050,USA [2]Faculty of Health Sciences and Medicine,Bond University,Gold Coast,QLD 4226,Australia [3]School of Human Movement and Nutrition Sciences,The University of Queensland,Brisbane,QLD 4072,Australia [4]Department of Anthropology,University of North Carolina at Chapel Hill,Chapel Hill,NC 27599-3115,USA [5]Carolina Population Center,University of North Carolina at Chapel Hill,Chapel Hill,NC 27599-8120,USA [6]Faculty of Sport,Health and Social Sciences,Solent University,Southampton,SO140YN,UK [7]Appleton Institute,School of Health,Medical and Applied Sciences,Central Queensland University,Rockhampton,QLD 4701,Australia

出　　处：《Journal of Sport and Health Science》2024年第4期472-483,F0003,共13页运动与健康科学（英文）

基　　金：support by the National Institutes of Health (NIH),National Institute of Child Health and Human Development,award number T32 HD091058

摘　　要：Background:The period following pregnancy is a critical time window when future habits with respect to physical activity(PA) and sedentary behavior(SB) are established;therefore,it warrants guidance.The purpose of this scoping review was to summarize public health-oriented country-specific postpartum PA and SB guidelines worldwide.Methods:To identity guidelines published since 2010,we performed a(a) systematic search of 4 databases(CINAHL,Global Health,PubMed,and SPORTDiscus),(b) structured repeatable web-based search separately for 194 countries,and(c) separate web-based search.Only the most recent guideline was included for each country.Results:We identified 22 countries with public health-oriented postpartum guidelines for PA and 11 countries with SB guidelines.The continents with guidelines included Europe(n=12),Asia(n=5),Oceania(n=2),Africa(n=1),North America(n=1),and South America(n=1).The most common benefits recorded for PA included weight control/management(n=10),reducing the risk of postpartum depression or depressive symptoms(n=9),and improving mood/well-being(n=8).Postpartum guidelines specified exercises to engage in,including pelvic floor exercises(n=17);muscle strengthening,weight training,or resistance exercises(n=13);aerobics/general aerobic activity(n=13);walking(n=11);cycling(n=9);and swimming(n=9).Eleven guidelines remarked on the interaction between PA and breastfeeding;several guidelines stated that PA did not impact breast milk quantity(n=7),breast milk quality(n=6),or infant growth(n=3).For SB,suggestions included limiting long-term sitting and interrupting sitting with PA.Conclusion:Country-specific postpartum guidelines for PA and SB can help promote healthy behaviors using a culturally appropriate context while providing specific guidance to public health practitioners.

关 键 词：BREASTFEEDING Caesarean section GUIDELINES POSTNATAL RECOMMENDATIONS 

分 类 号：G811[文化科学—体育学] R173[医药卫生—妇幼卫生保健]