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Abstract：
BACKGROUND: Appropriate physical activity (PA) and good sleep are beneficial to maternal and fetal health. This paper sought to explore the associations of PA and sleep quality among healthy women at the first and second trimesters of pregnancy on mental health and pregnancy outcomes.
METHODS: Totally 268 healthy pregnant women were retrospectively analyzed as study subjects, 134 each in the first trimester (FT) and second trimester (ST). Their baseline clinical data were obtained respectively at two stages of pregnancy. The PA/sleep quality of subjects were assessed through the Pregnancy Physical Activity Questionnaire-Chinese version (PPAQ-C)/Pittsburgh Sleep Quality Index (PSQI) scale. The mental health was assessed via the Hospital Anxiety and Depression Scale (HADS). The correlations of PA and sleep quality with mental health were analyzed using Spearman correlation analysis. Pregnancy outcomes of all subjects, associations of moderate intensity (MI) PA and sleep quality with adverse pregnancy outcomes, and independent influencing factors for adverse outcomes were analyzed.
RESULTS: Pregnant women in the ST group exhibited higher levels of MI, worse sleep quality, and lower levels of anxiety and depression than those in the FT group. Anxiety and depression were negatively correlated with MI but positively linked with PSQI scores at the first and second trimesters. MI ≥ 7.5 MET-h/week and good sleep quality were associated with a reduced incidence of adverse pregnancy outcomes.
CONCLUSIONS: MI ≥ 7.5 MET-h/week and good sleep quality at the first and second trimesters of pregnancy benefit mental health and markedly reduce the occurrence of adverse pregnancy outcomes.
METHODS: Totally 268 healthy pregnant women were retrospectively analyzed as study subjects, 134 each in the first trimester (FT) and second trimester (ST). Their baseline clinical data were obtained respectively at two stages of pregnancy. The PA/sleep quality of subjects were assessed through the Pregnancy Physical Activity Questionnaire-Chinese version (PPAQ-C)/Pittsburgh Sleep Quality Index (PSQI) scale. The mental health was assessed via the Hospital Anxiety and Depression Scale (HADS). The correlations of PA and sleep quality with mental health were analyzed using Spearman correlation analysis. Pregnancy outcomes of all subjects, associations of moderate intensity (MI) PA and sleep quality with adverse pregnancy outcomes, and independent influencing factors for adverse outcomes were analyzed.
RESULTS: Pregnant women in the ST group exhibited higher levels of MI, worse sleep quality, and lower levels of anxiety and depression than those in the FT group. Anxiety and depression were negatively correlated with MI but positively linked with PSQI scores at the first and second trimesters. MI ≥ 7.5 MET-h/week and good sleep quality were associated with a reduced incidence of adverse pregnancy outcomes.
CONCLUSIONS: MI ≥ 7.5 MET-h/week and good sleep quality at the first and second trimesters of pregnancy benefit mental health and markedly reduce the occurrence of adverse pregnancy outcomes.
摘要：
背景：适当的身体活动（PA）和良好的睡眠对母体和胎儿健康有益。本文旨在探讨妊娠早期和中期健康女性的PA和睡眠质量与心理健康和妊娠结局的关系。
方法：对268例健康孕妇作为研究对象进行回顾性分析。134分别在妊娠早期（FT）和妊娠中期（ST）。他们的基线临床数据分别在怀孕的两个阶段获得。采用妊娠期体力活动问卷-中文版(PPAQ-C)/匹兹堡睡眠质量指数(PSQI)量表对受试者的PA/睡眠质量进行评定。通过医院焦虑和抑郁量表（HADS）评估心理健康。采用Spearman相关分析法分析PA、睡眠质量与心理健康的相关性。所有受试者的妊娠结局，中等强度（MI）PA和睡眠质量与不良妊娠结局的关联，并分析不良结局的独立影响因素。
结果：ST组的孕妇表现出更高水平的MI，睡眠质量差,焦虑和抑郁水平低于FT组。焦虑和抑郁与MI呈负相关，但与妊娠早期和中期的PSQI评分呈正相关。MI≥7.5MET-h/周和良好的睡眠质量与不良妊娠结局发生率降低相关。
结论：妊娠早期和中期的MI≥7.5MET-h/周和良好的睡眠质量有利于心理健康，并显着减少不良妊娠结局的发生。
方法：对268例健康孕妇作为研究对象进行回顾性分析。134分别在妊娠早期（FT）和妊娠中期（ST）。他们的基线临床数据分别在怀孕的两个阶段获得。采用妊娠期体力活动问卷-中文版(PPAQ-C)/匹兹堡睡眠质量指数(PSQI)量表对受试者的PA/睡眠质量进行评定。通过医院焦虑和抑郁量表（HADS）评估心理健康。采用Spearman相关分析法分析PA、睡眠质量与心理健康的相关性。所有受试者的妊娠结局，中等强度（MI）PA和睡眠质量与不良妊娠结局的关联，并分析不良结局的独立影响因素。
结果：ST组的孕妇表现出更高水平的MI，睡眠质量差,焦虑和抑郁水平低于FT组。焦虑和抑郁与MI呈负相关，但与妊娠早期和中期的PSQI评分呈正相关。MI≥7.5MET-h/周和良好的睡眠质量与不良妊娠结局发生率降低相关。
结论：妊娠早期和中期的MI≥7.5MET-h/周和良好的睡眠质量有利于心理健康，并显着减少不良妊娠结局的发生。
