背景: 孕婦的睡眠品質被認為是孕婦面臨的首要問題，傳統觀點認為，良好的睡眠品質有益於孕婦及其胎兒。而運動已被證實可改善睡眠問題，而孕婦執行運動能否有助於改善睡眠問題，有待探討。另外孕婦在懷孕期間進行規律運動，會擔心可能對懷孕結果產生不利影響。目的: 這項研究的目的是評估特定運動計劃對孕婦睡眠品質與新生兒出生健康的影響。方法: 從七個資料庫執行搜尋搜尋2020年02月28日以前，關於運動計畫對孕婦睡眠品質與失眠改善之隨機對照試驗，其選擇的研究對象標準為健康的孕婦。另外從五個資料庫執行搜尋搜尋2020年09月30日以前，關於運動計畫對新生兒出生健康之隨機對照試驗，其選擇的研究對象標準為健康的孕婦。結果: 運動計畫對孕婦睡眠品質與失眠改善部分，分析7篇臨床試驗研究，分析688位孕婦，整合分析結果指出運動可改善孕婦的睡眠品質，但運動訓練卻無能改善孕婦失眠之證據。運動計畫對新生兒出生健康部分，整合分析31篇臨床試驗研究，共分析7220位孕婦，整合分析結果指出運動之孕婦，其新生兒體重較輕，其新生兒體重過輕與巨嬰之風險較少，而早產與新生兒Apgar之分數並無差異。 Background: Sleep quality was considered a priority concern facing pregnant women. The traditional view argues that good sleep quality benefits pregnant women and their fetuses. Doing exercise has been proven to improve sleep problems, and whether or not pregnant women perform exercises can help improve sleep problems remains to be discussed. In addition, pregnant women who exercise regularly during pregnancy may be worried that this habit may have an adverse effect on pregnancy results.Purpose: The purpose of this study is to evaluate the impact of specific exercise programs on pregnant women’s sleep quality and newborn health.Methods:Studies were executed in seven databases since their inceptions until February 28th, 2020 for randomized controlled trials (RCTs) evaluating the effects of an exercise program on the sleep quality and insomnia in health pregnant women. In addition, a search was performed from five databases. Before September 30, 2020, the randomized controlled trial evaluating the effects of an exercise program on newborn health in health pregnant women. Results: In the part of exercise programs for improving pregnant women’s sleep quality and insomnia, seven studies were included for meta-analysis and analyzed 688 pregnant women. The meta-analysis showed that exercise can improve pregnant women’s sleep quality, but exercise training has no evidence that it can deal with pregnant women’s insomnia. In the part of the affecting the health of newborns in the performing exercises in pregnant women, 31 RCTs were integrated and analyzed. A total of 7220 pregnant women were analyzed. The results of the meta-analysis indicated that the pregnant women who doing exercise had a lighter newborn weight, and the risk in underweight of newborns and macrosomia were lower than the control group. There is no difference in premature and Apgar scores in newborns.
