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Activity Behaviors Before and During Pregnancy Are Associated With Women's Device-Measured Physical Activity and Sedentary Time in Later Parenthood: A Longitudinal Cohort Analysis.

Accepted version
Peer-reviewed

Change log

Abstract

PURPOSE: To explore how activity behaviors before/during pregnancy relate to those in later parenthood, we assessed associations between sitting and moderate-/strenuous exercise before/during pregnancy, and sedentary time (SED) and moderate to vigorous physical activity (MVPA) 4-7 years postpartum ("later parenthood"). METHODS: Longitudinal data were from the Southampton Women's Survey, United Kingdom. Women reported time spent sitting (in hours per day), in moderate-strenuous exercise (hours per week), and in strenuous exercise (hours per week) at 3 time points before/during pregnancy (ie, preconception, at ∼12-wk and ∼34-wk gestation). From this, we derived 3 behavior trajectories for each woman. In later parenthood, women wore an accelerometer for ≤7 days (mean: 5.4 [SD: 1.8] d), which we used to derive 2 outcomes: minutes per day SED and in MVPA. Multilevel linear regression was used to explore associations between trajectories before/during pregnancy and device-measured SED/MVPA in later parenthood. RESULTS: A total of 780 women provided valid data before/during pregnancy and in later parenthood. Consistent high sitters (vs low) were more sedentary 4-7 years postpartum (β = 39.5 min/d [95% confidence interval, 23.26 to 55.82]), as were women in groups who sat more in later pregnancy. Consistently high moderate/-strenuous exercisers (vs low) were 22% (95% confidence interval, 2%-47%) more active in later parenthood; those engaging in strenuous activity preconception tended to have higher MVPA as parents. CONCLUSIONS: Trajectories of sitting and exercise before/during pregnancy are associated with SED and MVPA, respectively, in later parenthood. Interventions to reduce sitting in pregnancy and to encourage higher intensity activity preconception may benefit maternal and child health.

Description

Keywords

child-rearing, exercise, inactivity, preconception, Child, Humans, Female, Pregnancy, Male, Exercise, Sedentary Behavior, Cohort Studies, Parents, Postpartum Period, Accelerometry

Journal Title

J Phys Act Health

Conference Name

Journal ISSN

1543-3080
1543-5474

Volume Title

Publisher

Human Kinetics
Sponsorship
Wellcome Trust (107337/A/15/Z)
MRC (MC_UU_00006/5)
Wellcome Trust (087636/Z/08/Z)
Medical Research Council (MR/K023187/1)
Economic and Social Research Council (ES/G007462/1)
European Commission (289346)
This work was conducted by the Medical Research Council [Unit Programme number MC_UU_00006/5] and the Centre for Diet and Activity Research (CEDAR), a UKCRC Public Health Research Centre of Excellence. Funding from the British Heart Foundation, Cancer Research UK, Economic and Social Research Council, Medical Research Council, the National Institute for Health Research, and the Wellcome Trust, under the auspices of the UK Clinical Research Collaboration, is gratefully acknowledged (CEDAR grant numbers: ES/G007462/1; 087636/Z/08/Z; MR/K023187/1). The work of JB, CC, KMG, NCH and SMR was supported by funding from the Medical Research Council, British Heart Foundation, the UK Food Standards Agency, Arthritis Research UK, National Osteoporosis Society, International Osteoporosis Foundation, Cohen Trust, the European Union Seventh Framework Programme (FP7/2007-2013) EarlyNutrition project under grant agreement 289346, the European Union’s Horizon 2020 research and innovation programme under grant agreement N: 733206, LIFE-CYCLE project, NIHR Southampton Biomedical Research Centre, and National Institute of Health Research Musculoskeletal Biomedical Research Unit, Oxford. KMG is supported by the NIHR as an NIHR Senior Investigator (NF-SI-0515-10042). KRH is funded by the Wellcome Trust (107337/Z/15/Z).