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Physical activity and sedentary behaviour patterns before and during pregnancy in a multi-ethnic sample of Asian women in Singapore

Physical activity and sedentary behaviour patterns before and during pregnancy in a multi-ethnic sample of Asian women in Singapore
Physical activity and sedentary behaviour patterns before and during pregnancy in a multi-ethnic sample of Asian women in Singapore
OBJECTIVES: To describe physical activity (PA) and sedentary behavior (SB) patterns before and during pregnancy among Chinese, Malay and Indian women. In addition, to investigate determinants of change in PA and SB during pregnancy.

METHODS: The Growing Up in Singapore Towards healthy Outcomes cohort recruited first trimester pregnant women. PA and SB (sitting time and television time) before and during pregnancy were assessed as a part of an interview questionnaire at weeks 26-28 gestational clinic visit. Total energy expenditure (TEE) on PA and time in SB were calculated. Determinants of change in PA and SB were investigated using multiple logistic regression analysis.

RESULTS: PA and SB questions were answered by 94 % (n = 1171) of total recruited subjects. A significant reduction in TEE was observed from before to during pregnancy [median 1746.0-1039.5 metabolic equivalent task (MET) min/week, p < 0.001]. The proportion of women insufficiently active (<600 MET-min/week) increased from 19.0 to 34.1 % (p < 0.001). Similarly, sitting time (median 56.0-63.0 h/week, p < 0.001) and television time (mean 16.1-16.7 h/week, p = 0.01) increased. Women with higher household income, lower level of perceived health, nausea/vomiting during pregnancy and higher level of pre-pregnancy PA were more likely to reduce PA. Women with children were less likely to reduce PA. Women reporting nausea/vomiting and lower level of pre-pregnancy sitting time were more likely to increase sitting time.

CONCLUSIONS FOR PRACTICE: Participants substantially reduced PA and increased SB by 26-28 weeks of pregnancy. Further research is needed to better understand determinants of change in PA and SB and develop effective health promotion strategies.
pregnancy, physical activity, sedentary behaviour, changes in pregnancy, television
1092-7875
2523-2535
Padmapriya, N.
7d80581d-383f-4adc-b127-ea68748cce84
Shen, L.
29f27adf-0b27-4190-bef3-cee229a9fcdb
Soh, S.E.
00a5ad13-4c5b-4fad-aaa9-d080d9aa63e8
Shen, Z.
ec1bb31c-8895-4755-8f29-2d19ce6ad53e
Kwek, K.
1a9b6c6e-a5e9-40a2-9bfe-44c2cea62a98
Godfrey, K.M.
0931701e-fe2c-44b5-8f0d-ec5c7477a6fd
Gluckman, P.D.
492295c0-ef71-4871-ad5a-771c98e1059a
Chong, Y.S.
b50c99c9-4d83-46c5-a1c7-23f9a553ab8a
Saw, S.M.
0684517e-f27e-49f0-98c3-7630e8fd1bbd
Muller-Riemenschneider, F.
7c3f34f9-4ffb-4d50-a033-f59233f4cdd3
Padmapriya, N.
7d80581d-383f-4adc-b127-ea68748cce84
Shen, L.
29f27adf-0b27-4190-bef3-cee229a9fcdb
Soh, S.E.
00a5ad13-4c5b-4fad-aaa9-d080d9aa63e8
Shen, Z.
ec1bb31c-8895-4755-8f29-2d19ce6ad53e
Kwek, K.
1a9b6c6e-a5e9-40a2-9bfe-44c2cea62a98
Godfrey, K.M.
0931701e-fe2c-44b5-8f0d-ec5c7477a6fd
Gluckman, P.D.
492295c0-ef71-4871-ad5a-771c98e1059a
Chong, Y.S.
b50c99c9-4d83-46c5-a1c7-23f9a553ab8a
Saw, S.M.
0684517e-f27e-49f0-98c3-7630e8fd1bbd
Muller-Riemenschneider, F.
7c3f34f9-4ffb-4d50-a033-f59233f4cdd3

Padmapriya, N., Shen, L. and Soh, S.E. et al. (2015) Physical activity and sedentary behaviour patterns before and during pregnancy in a multi-ethnic sample of Asian women in Singapore. Maternal and Child Health Journal, 19 (11), 2523-2535. (doi:10.1007/s10995-015-1773-3). (PMID:26140834)

Record type: Article

Abstract

OBJECTIVES: To describe physical activity (PA) and sedentary behavior (SB) patterns before and during pregnancy among Chinese, Malay and Indian women. In addition, to investigate determinants of change in PA and SB during pregnancy.

METHODS: The Growing Up in Singapore Towards healthy Outcomes cohort recruited first trimester pregnant women. PA and SB (sitting time and television time) before and during pregnancy were assessed as a part of an interview questionnaire at weeks 26-28 gestational clinic visit. Total energy expenditure (TEE) on PA and time in SB were calculated. Determinants of change in PA and SB were investigated using multiple logistic regression analysis.

RESULTS: PA and SB questions were answered by 94 % (n = 1171) of total recruited subjects. A significant reduction in TEE was observed from before to during pregnancy [median 1746.0-1039.5 metabolic equivalent task (MET) min/week, p < 0.001]. The proportion of women insufficiently active (<600 MET-min/week) increased from 19.0 to 34.1 % (p < 0.001). Similarly, sitting time (median 56.0-63.0 h/week, p < 0.001) and television time (mean 16.1-16.7 h/week, p = 0.01) increased. Women with higher household income, lower level of perceived health, nausea/vomiting during pregnancy and higher level of pre-pregnancy PA were more likely to reduce PA. Women with children were less likely to reduce PA. Women reporting nausea/vomiting and lower level of pre-pregnancy sitting time were more likely to increase sitting time.

CONCLUSIONS FOR PRACTICE: Participants substantially reduced PA and increased SB by 26-28 weeks of pregnancy. Further research is needed to better understand determinants of change in PA and SB and develop effective health promotion strategies.

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More information

e-pub ahead of print date: 4 July 2015
Published date: November 2015
Keywords: pregnancy, physical activity, sedentary behaviour, changes in pregnancy, television
Organisations: Faculty of Medicine

Identifiers

Local EPrints ID: 381359
URI: http://eprints.soton.ac.uk/id/eprint/381359
ISSN: 1092-7875
PURE UUID: afdc2609-8146-43ab-939c-28d75121225d
ORCID for K.M. Godfrey: ORCID iD orcid.org/0000-0002-4643-0618

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Date deposited: 06 Oct 2015 13:04
Last modified: 07 Oct 2020 01:35

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Contributors

Author: N. Padmapriya
Author: L. Shen
Author: S.E. Soh
Author: Z. Shen
Author: K. Kwek
Author: K.M. Godfrey ORCID iD
Author: P.D. Gluckman
Author: Y.S. Chong
Author: S.M. Saw
Author: F. Muller-Riemenschneider

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