Objectively Measured Sedentary Behavior and Physical Activity Across 3 Trimesters of Pregnancy: The Monitoring Movement and Health Study.

Objectively Measured Sedentary Behavior and Physical Activity Across 3 Trimesters of Pregnancy: The Monitoring Movement and Health Study.
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DOI:
10.1123/jpah.2020-0398
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发表时间:
2021-03-01
影响因子:
3.1
通讯作者:
Catov JM
Catov JM
中科院分区:
医学4区
文献类型:
--
作者:
Barone Gibbs B;Jones MA;Jakicic JM;Jeyabalan A;Whitaker KM;Catov JM

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虽然建议进行中等至剧烈强度的体力活动(MVPA),但对怀孕期间久坐行为(SED)的研究有限。我们进行了一项前瞻性队列研究,以描述在每个妊娠期的SED和活动的客观测量模式。女性佩戴大腿(activPAL 3)和腰部(Actigraph GT 3x)活动监测器。使用似然比检验比较了三个月的SED和活动,并使用基于组的轨迹进行了描述。探索性分析将SED和活动轨迹与不良妊娠结局(APO)和妊娠期体重过度增加(GWG)相关。孕妇(n=105;平均(SD)年龄=31(5)岁;孕前BMI=26.2(6.6)kg/m2)的平均SED为9.7、9.5、和9.5小时/天(p=0.062)。一些活动在妊娠期不同:站立(增加,p=0.01),踏步(在妊娠后期最高,p=0.04),步数/天(在妊娠后期最高,p=0.008)和MVPA(降低,p<0.001)。延长SED(发作≥30分钟)和插管MVPA(≥10分钟)稳定(p>0.05)。在探索性分析中,较高的SED和较低的站立、踏步和步数/天轨迹与APO的几率增加相关(p<0.05)。没有轨迹与过度GWG相关。孕妇在整个怀孕期间每天表现出稳定的SED近10小时。未来的研究评估SED跨怀孕和载脂蛋白O的风险是必要的。
Though moderate-to-vigorous intensity physical activity (MVPA) is recommended, limited research exists on sedentary behavior (SED) during pregnancy. We conducted a prospective cohort study to describe objectively-measured patterns of SED and activity during each trimester of pregnancy. Women wore thigh- (activPAL3) and waist-mounted (Actigraph GT3x) activity monitors. SED and activity were compared across trimesters using likelihood ratio tests and described using group-based trajectories. Exploratory analyses associated SED and activity trajectories with adverse pregnancy outcomes (APOs) and excessive gestational weight gain (GWG). Pregnant women (n=105; mean (SD) age=31 (5) years; prepregnancy BMI=26.2 (6.6) kg/m2) had mean SED of 9.7, 9.5., and 9.5 hr per day (p=0.062) across trimesters, respectively. Some activities differed across trimesters: standing (increased, p=0.01), stepping (highest in 2nd trimester, p=0.04), steps/day (highest in 2nd trimester, p=0.008), and MVPA (decreased, p<0.001). Prolonged SED (bouts ≥30 minutes) and bouted MVPA (≥10 minutes) were stable (p>0.05). In exploratory analyses, higher SED and lower standing, stepping, and steps/day trajectories were associated with increased odds of APOs (p<0.05). No trajectories were associated with excessive GWG. Pregnant women exhibited stable SED of nearly 10 hr per day across pregnancy. Future research evaluating SED across pregnancy and APO risk is warranted.
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