Associations of objectively measured physical activity and sedentary time with pregnancy-specific health-related quality of life

Kara M Whitaker; Melissa A Jones; McKenzie K Wallace; Janet Catov; Bethany Barone Gibbs

doi:10.1016/j.midw.2021.103202

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Associations of objectively measured physical activity and sedentary time with pregnancy-specific health-related quality of life

Journal article

Peer reviewed

Associations of objectively measured physical activity and sedentary time with pregnancy-specific health-related quality of life

Kara M Whitaker, Melissa A Jones, McKenzie K Wallace, Janet Catov and Bethany Barone Gibbs

Midwifery, Vol.104, pp.103202-103202

01/2022

DOI: 10.1016/j.midw.2021.103202

PMCID: PMC8671341

PMID: 34801955

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https://www.ncbi.nlm.nih.gov/pmc/articles/8671341View

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Abstract

To examine associations of objectively measured moderate-to-vigorous-intensity physical activity (MVPA) and sedentary behavior (SED) with pregnancy-specific health-related quality of life (QoL) across pregnancy trimesters. Women (N=131, mean age 30.9 years ± 4.9) were recruited from two large health care systems in the United States. MVPA and SED were estimated using a waist-worn ActiGraph GT3X and thigh-worn activPAL3 micro, respectively, for seven days in each trimester of pregnancy. Questionnaires were administered in each trimester to assess pregnancy-specific health-related QoL using the Nausea and Vomiting of Pregnancy Specific health Related Quality of Life (NVPQoL) questionnaire. Mixed effects linear regression examined associations of MVPA and SED with the NVPQoL total score and domain-specific scores (physical symptoms, fatigue, emotions, and limitations) across trimesters. The NVPQoL total score and domain-specific scores significantly varied across trimesters, with highest scores (indicating worse QoL) observed in the first trimester and lowest scores (indicating better QoL) in the second trimester. A 1-standard deviation (SD) increment in MVPA (16.0 min/day or 1.8%) was associated with better QoL as indicated by the lower NVPQoL total score (β=-4.06, p=0.024) and limitations score (β = -2.80, p<0.001). A 1-SD increment in SED (1.5 hr/day or 10.0%) was associated with worse QoL as indicated by the higher fatigue score (β = 0.82, p=0.041). Pregnancy-specific health-related QoL varies across trimesters. Both lower SED, and to a greater extent higher MVPA are potential behavioral targets for improving pregnancy-specific health-related QoL.

Pregnancy

health-related quality of life

moderate-to-vigorous-intensity physical activity

sedentary behavior

Details

Title: Subtitle: Associations of objectively measured physical activity and sedentary time with pregnancy-specific health-related quality of life
Creators: Kara M Whitaker - University of Iowa
Melissa A Jones - University of Iowa
McKenzie K Wallace - University of Pittsburgh
Janet Catov - University of Pittsburgh
Bethany Barone Gibbs - University of Pittsburgh
Resource Type: Journal article
Publication Details: Midwifery, Vol.104, pp.103202-103202
DOI: 10.1016/j.midw.2021.103202
PMID: 34801955
PMCID: PMC8671341
NLM abbreviation: Midwifery
ISSN: 0266-6138
eISSN: 1532-3099
Publisher: Elsevier Ltd
Grant note: DOI: 10.13039/100000968, name: American Heart Association, award: 17GRNT3340016; DOI: 10.13039/100008893, name: University of Iowa; DOI: 10.13039/100000002, name: National Institutes of Health; DOI: 10.13039/100010554, name: Clinical and Translational Science Institute, University of Pittsburgh, award: UL1TR000005; DOI: 10.13039/100000050, name: National Heart, Lung, and Blood Institute, award: R01HL153095
Language: English
Date published: 01/2022
Academic Unit: Epidemiology; Health, Sport, and Human Physiology
Record Identifier: 9984245881002771

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