生活の質、身体活動、心配、うつ病、不眠症の関連：健康な妊婦の横断的設計研究

健康関連の生活の質（QOL）は、妊娠中に減少すると報告されています。QOL、身体活動（PA）、不眠症、うつ病、および心配との関連は、妊婦の間では十分に調査されていません。この研究の目的は、健康な妊婦のQOLおよびPAパターンを評価し、QOLがPA、睡眠、心配、うつ病とどのように相関するかを調べることでした。これは、5つのアンケートを使用して141人の健康な妊婦の便利なサンプルの間で実施された観察断面研究です：WHOQOL-BRIEF（WHOの質のアンケート、ブリーフバージョン、ISI（不眠症の重症度インデックス）、PSWQ（Penn State arears Questionnaire）、ZSRDS（Zung Self-Rinatingうつ病スケール）、および妊娠身体活動アンケート（PPPAQ）。全体的な健康と相関して、妊娠の前に喫煙している間、心理的な健康に大きな影響を与えました。環境ドメインは、ZSRDSスコアと妊娠中のQOLに影響を与え、妊娠中のPAを促進することが妊娠中にQOLに影響を与えました。

Health-related quality of life (QOL) is reported to be reduced during pregnancy. Associations between QOL, physical activity (PA), insomnia, depression and worry are insufficiently investigated among pregnant women. The aim of this study was to evaluate QOL and PA patterns among healthy pregnant women, and to examine how QOL might correlate to PA, sleep, worry and depression. This is an observational cross-sectional study, conducted among a convenient sample of 141 healthy pregnant women using five questionnaires: WHOQOL-brief (WHO quality of life questionnaire, brief version, ISI (Insomnia Severity Index), PSWQ (Penn State Worry Questionnaire), ZSRDS (Zung Self-Rating Depression Scale), and Pregnancy Physical Activity Questionnaire (PPAQ). Pre-gestational BMI was inversely correlated to overall health while education was positively correlated to psychological health, social relationships and environment domains. Smoking before and during pregnancy significantly impacted the general health and psychological health. Total and light PA were positively correlated to psychological health and social relationships. Sports/exercise showed positive correlations with several QOL domains. Insomnia and depression were significantly associated with a decrease in all domains of QOL, while worries were associated with a decrease in physical, psychological and environmental domains. There were significant negative correlations between ZSRDS scores and total activity. PA, worries, depression and insomnia affected QOL during pregnancy. Furthermore, pregnant women presenting depression had a reduced total PA. Sleep and mental health as well as encouraging PA during pregnancy are necessary to improve the quality of life of pregnant women.