@article{oai:setsunan.repo.nii.ac.jp:00000980,
 author = {宮本, 雅子 and 小神野, 雅子 and 松田, 佳子 and Miyamoto, Masako and Okano, Masako and Matsuda, Yoshiko},
 issue = {1},
 journal = {摂南大学看護学研究, Setsunan University Nursing Research},
 month = {Mar},
 note = {Background: Antenatal exercise is considered to have both physical and psychological effects and helps
prepare pregnant women for labour. This study aims to examine the evidence indicating that antenatal physical
exercise improves the quality of life (QOL) in pregnant women.
Methods: We conducted a literature review and meta-analysis of randomised controlled trials (RCTs) using the
Patient Intervention Comparison Outcomes (PICO) strategy to construct the following research question: In
pregnant women (Patient), do physical antenatal exercises (Intervention) improve the QOL (Outcomes) when
compared to routine daily activities, including suitable general physical activity (Comparison)? We searched the
Cochrane Library, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and PubMed for
studies published before July 2016.
Results: We identified nine RCTs, two of which were included in our meta-analysis. The nine identified studies
included 1,376 pregnant women, most of whom were in normal health. Of the nine RCTs, three showed
statistically significant improvement in the 36-Item Short Form Health Survey Physical Function and General
Health subscales. Two RCTs involving 154 women with a body mass index over 25 or 26 kg/m2 were used for
the meta-analysis. Our analysis showed a trend towards the intervention groups having higher scores in the
World Health Organisation Quality of Life-BREF (WHOQOL-BREF) Psychological and Environmental
domains than the control groups.
Conclusions: Physical and Psychological domains of the QOL measurements showed statistically significant
improvement in antenatal exercise intervention groups using relaxation techniques. However, a previous metaanalysis
found no evidence of improvement in four WHOQOL-BREF domains. There were many interventional
methods in the nine RCTs included; therefore, the relationship between enhancement of QOL and relaxation
techniques is unclear.},
 pages = {37--47},
 title = {妊娠期のエクササイズによる妊婦のQOL：文献検討},
 volume = {5},
 year = {2017}
}