Gestational diabetes mellitus(GDM)is the most prevalent metabolic disorder during pregnancy.Women diagnosed with GDM have a substantially greater risk of developing type 2 diabetes within 5-10 years after delivery,and...Gestational diabetes mellitus(GDM)is the most prevalent metabolic disorder during pregnancy.Women diagnosed with GDM have a substantially greater risk of developing type 2 diabetes within 5-10 years after delivery,and the risk is increased by excess body weight.Uncontrolled hyperglycemia during pregnancy is potentially harmful to both mother and fetus,resulting in a greater need for Caesarian-section deliveries,delivery of larger infants with more excess body fat,a greater risk of infant death and stillbirth,and an elevated risk of infant hypoglycemia immediately after birth.Fortunately,engaging in physical activity prior to and during pregnancy may lower the risk of developing GDM.Pregnant women should also be advised how to safely increase their physical activity during pregnancy and the postpartum period.An initial approach to becoming more physically active can simply be to encourage women to incorporate more unstructured physical activity into daily living,both before and during pregnancy.Giving women an appropriate exercise prescription can encourage them to participate in physical activity safely and effectively throughout pregnancy to prevent and/or manage GDM.Engaging in 30 min of moderate intensity physical activity on most,if not all,days of the week has been adopted as a recommendation for all pregnant women.展开更多
目的精神分裂症患者需进行抗精神病药物治疗,部分患者由此引起药源性肥胖(drug-induced obesity,DIO)。本文观察精准运动处方干预对精神分裂症患者药源性肥胖的作用,分析其机制。方法选取2020年6月—2021年12月泉州市第三医院收治的100...目的精神分裂症患者需进行抗精神病药物治疗,部分患者由此引起药源性肥胖(drug-induced obesity,DIO)。本文观察精准运动处方干预对精神分裂症患者药源性肥胖的作用,分析其机制。方法选取2020年6月—2021年12月泉州市第三医院收治的100例首发精神分裂症患者为研究对象,经抽签法将其分为试验组和对照组,每组50例。对照组予以常规治疗,试验组由运动处方师和精神科专业人员进行临床生化和体成分等相关体适能指标评测,根据测评结果为每位患者制订个体化运动处方。通过每周集中锻炼和患者自主锻炼相结合的方式监督处方执行情况。在干预前、干预6个月后、出院1个月后分别收集患者相关生理、生化指标数据进行对比分析。结果在不同干预方式下,两组干预6个月后、出院1个月后的体征指标均有改善,且试验组干预6个月后、出院1个月后的体质量、身体质量指数(body mass index,BMI)、腰臀比、内脏脂肪等级均高于对照组,差异有统计学意义(P<0.05)。结论精准运动处方能部分缓解抗精神病药物引起的DIO,本研究所采取干预措施也可为预防或减缓精神分裂症患者的药源性肥胖和并发症提供方案参考。展开更多
文摘Gestational diabetes mellitus(GDM)is the most prevalent metabolic disorder during pregnancy.Women diagnosed with GDM have a substantially greater risk of developing type 2 diabetes within 5-10 years after delivery,and the risk is increased by excess body weight.Uncontrolled hyperglycemia during pregnancy is potentially harmful to both mother and fetus,resulting in a greater need for Caesarian-section deliveries,delivery of larger infants with more excess body fat,a greater risk of infant death and stillbirth,and an elevated risk of infant hypoglycemia immediately after birth.Fortunately,engaging in physical activity prior to and during pregnancy may lower the risk of developing GDM.Pregnant women should also be advised how to safely increase their physical activity during pregnancy and the postpartum period.An initial approach to becoming more physically active can simply be to encourage women to incorporate more unstructured physical activity into daily living,both before and during pregnancy.Giving women an appropriate exercise prescription can encourage them to participate in physical activity safely and effectively throughout pregnancy to prevent and/or manage GDM.Engaging in 30 min of moderate intensity physical activity on most,if not all,days of the week has been adopted as a recommendation for all pregnant women.
文摘目的精神分裂症患者需进行抗精神病药物治疗,部分患者由此引起药源性肥胖(drug-induced obesity,DIO)。本文观察精准运动处方干预对精神分裂症患者药源性肥胖的作用,分析其机制。方法选取2020年6月—2021年12月泉州市第三医院收治的100例首发精神分裂症患者为研究对象,经抽签法将其分为试验组和对照组,每组50例。对照组予以常规治疗,试验组由运动处方师和精神科专业人员进行临床生化和体成分等相关体适能指标评测,根据测评结果为每位患者制订个体化运动处方。通过每周集中锻炼和患者自主锻炼相结合的方式监督处方执行情况。在干预前、干预6个月后、出院1个月后分别收集患者相关生理、生化指标数据进行对比分析。结果在不同干预方式下,两组干预6个月后、出院1个月后的体征指标均有改善,且试验组干预6个月后、出院1个月后的体质量、身体质量指数(body mass index,BMI)、腰臀比、内脏脂肪等级均高于对照组,差异有统计学意义(P<0.05)。结论精准运动处方能部分缓解抗精神病药物引起的DIO,本研究所采取干预措施也可为预防或减缓精神分裂症患者的药源性肥胖和并发症提供方案参考。
