Journal article
Factors Associated With Leisure Time Physical Activity and Sedentary Behavior in Young Women 2-7 Years After Delivery of a Pregnancy in the nuMoM2b Heart Health Study
American journal of health promotion
01/02/2026
DOI: 10.1177/08901171251413224
PMID: 41481421
Abstract
PurposeIdentify demographic, behavioral lifestyle, psychological, and clinical factors associated with suboptimal activity patterns several years after a first pregnancy and delivery.DesignCross-sectional, secondary analysis.Setting and SampleWomen (n = 2843) from eight U.S. centers assessed 2-7 years after delivery in the nuMom2b Heart Health Study.MeasuresSelf-reported leisure time moderate-to-vigorous intensity physical activity (MVPA) and sedentary behavior (SB) were used to define patterns based on meeting recommendations for MVPA (active at ≥150 minutes/week) and leisure time SB (low SB at ≤3 hours/day). Factors (demographic, behavioral lifestyle, psychological, and clinical) assessed at study visits and hypothesized to be related to MVPA-SB patterns were included.AnalysisMultinomial logistic regression with forward selection identified factors associated with MVPA-SB patterns.ResultsParticipants most frequently reported the optimal active + low SB pattern (37.8%). Modifiable factors significantly associated with suboptimal patterns included lower diet quality (odds ratios [OR] 0.18-0.62;
< 0.001), higher body mass index (BMI) (ORs 1.15-2.49;
= 0.001), less sleep (ORs 1.27-1.46;
= 0.0013), and higher perceived stress (ORs 1.20-1.52,
= 0.0015). Lower income (ORs 0.39-0.60,
= 0.0002), lower education (ORs 0.38-0.40;
= 0.0323) and working/studying full-time (ORs 1.42-1.97,
-0.0021) were also associated with suboptimal patterns.ConclusionsFuture research designing "sit less, move more" interventions following pregnancy and delivery could consider simultaneous intervention for modifiable factors and tailored strategies for low income/education and full-time working/student women who may face additional barriers.
Details
- Title: Subtitle
- Factors Associated With Leisure Time Physical Activity and Sedentary Behavior in Young Women 2-7 Years After Delivery of a Pregnancy in the nuMoM2b Heart Health Study
- Creators
- Bethany Barone Gibbs - West Virginia UniversitySarah Modlin - West Virginia UniversitySubashan Perera - University of PittsburghAlexis N Thrower - West Virginia UniversityKimberly A Huber - University of PittsburghAndrea C Kozai - University of PittsburghJeremy Chiu - Columbia UniversityDavid M Haas - Indiana University – Purdue University IndianapolisPhilip Greenland - Northwestern UniversityWilliam A Grobman - Brown UniversityLauren Theilen - University of UtahNatalie A Cameron - Northwestern UniversityC Noel Bairey Merz - Cedars-Sinai Medical CenterKara M Whitaker - University of Iowa
- Resource Type
- Journal article
- Publication Details
- American journal of health promotion
- DOI
- 10.1177/08901171251413224
- PMID
- 41481421
- NLM abbreviation
- Am J Health Promot
- ISSN
- 2168-6602
- eISSN
- 2168-6602
- Publisher
- Sage
- Grant note
- National Center for Advancing Translational Sciences: UL-1- TR000124, UL-1-TR000153, UL-1-TR000439, UL-1- TR001108 Eunice Kennedy Shriver National Institute of Child Health and Human Development: U10- HL119991, U10-HL119989, U10-HL120034, U10-HL119990, U10-HL120006, U10-HL119992, U10-HL120019, U10- HL119993, U10-HL120018, U01HL145358 National Institutes of Health: U10 HD063036, U10 HD063072, U10 HD063047, U10 HD063037, U10 HD063041, U10 HD063020, U10 HD063046, U10 HD063048, and U10 HD063053 Clinical and Translational Science Institutes: UL1TR001108, UL1TR000153 Barbra Streisand Women's Cardiovascular Research and Education Program: NHLBI R01HL158652, NHLBI T32HL083825
Grant funding from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD): U10 HD063036; U10 HD063072; U10 HD063047; U10 HD063037; U10 HD063041; U10 HD063020; U10 HD063046; U10 HD063048; and U10 HD063053. In addition, support was provided by Clinical and Translational Science Institutes: UL1TR001108 and UL1TR000153. Cooperative agreement funding from the National Heart, Lung, and Blood Institute and the Eunice Kennedy Shriver National Institute of Child Health and Human Development: U10- HL119991; U10-HL119989; U10-HL120034; U10-HL119990; U10-HL120006; U10-HL119992; U10-HL120019; U10- HL119993; U10-HL120018, and U01HL145358; and the National Center for Advancing Translational Sciences through UL-1- TR000124, UL-1-TR000153, UL-1-TR000439, and UL-1- TR001108; and the Barbra Streisand Women's Cardiovascular Research and Education Program, and the Erika J. Glazer Women's Heart Research Initiative, Cedars-Sinai Medical Center, Los Angeles. The Sedentary Behavior and Cardiovascular Health in Young Women ancillary study is supported by NHLBI R01HL158652. ACK is supported under NHLBI T32HL083825.
- Language
- English
- Electronic publication date
- 01/02/2026
- Academic Unit
- Epidemiology; Health, Sport, and Human Physiology
- Record Identifier
- 9985112975902771
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