Journal article
Prepregnancy Fitness and Risk of Gestational Diabetes: A Longitudinal Analysis
Medicine and science in sports and exercise, Vol.50(8), pp.1613-1619
08/2018
DOI: 10.1249/MSS.0000000000001600
PMCID: PMC6047908
PMID: 29521721
Abstract
This study aimed to assess the associations of prepregnancy cardiorespiratory fitness, moderate- to vigorous-intensity physical activity (MVPA), and time spent watching television with subsequent development of gestational diabetes mellitus (GDM).
Participants were 1333 women enrolled in the Coronary Artery Risk Development in Young Adults study who did not have diabetes either at baseline (1985-86) or before births occurring after baseline. Baseline fitness was estimated using a graded symptom-limited maximal exercise treadmill test and expressed in MET units. Baseline MVPA (exercise units per day) was measured using the Coronary Artery Risk Development in Young Adults physical activity history questionnaire, and television viewing (h·d) was assessed by self-report in 1990-1991. Logistic regression analysis was used to derive odds ratios and 95% confidence intervals, adjusting for time from baseline to delivery and baseline study center, age, race, education, parity, family history of diabetes, smoking, alcohol, saturated fat intake, waist circumference, homeostasis model assessment of insulin resistance, and HDL cholesterol.
Over 25 yr of follow-up, 164 women developed GDM. The odds of developing GDM were 21% lower for each 1 SD increment in baseline level of fitness (2.3 METs, odds ratio = 0.79, 95% confidence interval = 0.65-0.96). Prepregnancy MVPA and television viewing were not statistically associated with the development of GDM.
Study findings indicate that objectively assessed prepregnancy fitness, but not self-reported MVPA or television time, is associated with GDM. Clinicians should counsel women on the benefits of improving fitness in the preconception period, particularly among women at greater risk for GDM.
Details
- Title: Subtitle
- Prepregnancy Fitness and Risk of Gestational Diabetes: A Longitudinal Analysis
- Creators
- Kara M Whitaker - Department of Health and Human Physiology, University of Iowa, Iowa City, IAKatherine H Ingram - Department of Exercise Science and Sport Management, Kennesaw State University, Kennesaw, GADuke Appiah - Department of Public Health, Texas Tech University Health Sciences Center, Abilene, TXWanda K Nicholson - Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NCWendy L Bennett - Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MDCora E Lewis - Division of Preventive Medicine, School of Medicine, University of Alabama at Birmingham, Birmingham, ALJared P Reis - Division of Cardiovascular Sciences, National Heart, Lung, and Blood Institute, Bethesda, MDPamela J Schreiner - Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MNErica P Gunderson - Division of Research, Kaiser Permanente Northern California, Oakland, CA
- Resource Type
- Journal article
- Publication Details
- Medicine and science in sports and exercise, Vol.50(8), pp.1613-1619
- DOI
- 10.1249/MSS.0000000000001600
- PMID
- 29521721
- PMCID
- PMC6047908
- NLM abbreviation
- Med Sci Sports Exerc
- ISSN
- 0195-9131
- eISSN
- 1530-0315
- Publisher
- United States
- Grant note
- HHSN268201300026C / NHLBI NIH HHS HHSN268201300027C / NHLBI NIH HHS HHSN268201300025C / NHLBI NIH HHS HHSN268200900041C / NHLBI NIH HHS HHSN268201300029C / NHLBI NIH HHS HHSN268201300028C / NHLBI NIH HHS K01 DK059944 / NIDDK NIH HHS T32 HL007779 / NHLBI NIH HHS R01 DK090047 / NIDDK NIH HHS
- Language
- English
- Date published
- 08/2018
- Academic Unit
- Epidemiology; Health, Sport, and Human Physiology
- Record Identifier
- 9984002465102771
Metrics
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