Patterns of physical activity and sedentary behavior before and during pregnancy and cardiometabolic outcomes

McKenzie K. Wallace; Melissa A. Jones; Kara Whitaker; Bethany Barone Gibbs

doi:10.1016/j.midw.2022.103452

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Patterns of physical activity and sedentary behavior before and during pregnancy and cardiometabolic outcomes

Journal article

Peer reviewed

Patterns of physical activity and sedentary behavior before and during pregnancy and cardiometabolic outcomes

McKenzie K. Wallace, Melissa A. Jones, Kara Whitaker and Bethany Barone Gibbs

Midwifery, Vol.114, 103452

11/2022

DOI: 10.1016/j.midw.2022.103452

PMCID: PMC9588711

PMID: 35969919

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https://www.ncbi.nlm.nih.gov/pmc/articles/9588711View

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Abstract

To assess how physical activity and sedentary behavior change from pre-pregnancy to pregnancy, and if pre-pregnancy and pregnancy physical activity and sedentary behavior are related to gestational weight gain, blood pressure, or blood glucose across pregnancy. Secondary analysis of two prospective cohort studies. Prenatal research centers in Pittsburgh, PA and Iowa City, IA. Pregnant individuals (n=131), 18-45 years old, of any BMI, with no medical condition limiting physical activity or use of hypertension/diabetes medications. Participants self-reported physical activity and sedentary behavior pre-pregnancy and in each trimester using validated questionnaires. Blood pressure, blood glucose, and weight were obtained from study visits and/or electronic medical records. Multivariable regression examined associations between pre-pregnancy, trimester-specific, and changes in physical activity and sedentary behavior with weight gain and blood pressure outcomes in each trimester, and blood glucose in the second trimester. Compared to pre-pregnancy, physical activity was lower in each trimester, and sedentary behavior was higher in each trimester (p<0.05). Increasing physical activity from pre-pregnancy levels was associated with lower first trimester SBP (p<0.05). Unexpectedly, higher pre-pregnancy physical activity was associated with higher SBP in the first trimester (p=0.02) and higher weight gain in the third trimester (p=0.02). Higher and increasing sedentary behavior was associated with greater weight gain in the third trimester (p=0.03). Future research should investigate the opportune time (before or during pregnancy) to deliver behavior modification interventions that could prevent excessive gestational weight gain or elevated blood pressure to improve maternal health outcomes.

Gestational diabetes

Gestational hypertension

Gestational weight gain

Physical activity

Sedentary behavior

Details

Title: Subtitle: Patterns of physical activity and sedentary behavior before and during pregnancy and cardiometabolic outcomes
Creators: McKenzie K. Wallace - University of Pittsburgh
Melissa A. Jones - University of Iowa
Kara Whitaker - University of Iowa
Bethany Barone Gibbs - West Virginia University
Resource Type: Journal article
Publication Details: Midwifery, Vol.114, 103452
DOI: 10.1016/j.midw.2022.103452
PMID: 35969919
PMCID: PMC9588711
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, award: UL1TR000005; DOI: 10.13039/100010554, name: Clinical and Translational Science Institute, University of Pittsburgh; DOI: 10.13039/100000056, name: National Institute of Nursing Research, award: T32NR009759
Language: English
Date published: 11/2022
Academic Unit: Epidemiology; Health, Sport, and Human Physiology
Record Identifier: 9984283581702771

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