Longitudinal analysis of patterns and correlates of physical activity and sedentary behavior in women from preconception to postpartum: The Singapore preconception study of long-term maternal and child outcomes cohort
Longitudinal analysis of patterns and correlates of physical activity and sedentary behavior in women from preconception to postpartum: The Singapore preconception study of long-term maternal and child outcomes cohort
Objective: Longitudinal changes in physical activity (PA) and sedentary behavior patterns from preconception to postpartum are not fully characterized. We examined changes and baseline sociodemographic/clinical correlates of PA and sedentary behavior in women from preconception to postpartum.
Methods: The Singapore Preconception Study of Long-Term Maternal and Child Outcomes cohort recruited 1032 women planning pregnancy. Participants completed questionnaires at preconception, 34 to 36 weeks gestation, and 12 months postpartum. Repeated-measures linear regression models were used to analyze changes in walking, moderate to vigorous PA (MVPA), screen time, and total sedentary time, and to identify sociodemographic/clinical correlates associated with these changes.
Results: Of the 373 women who delivered singleton live births, 281 provided questionnaires for all time points. Walking time increased from preconception to late pregnancy but decreased postpartum (adjusted means [95% CI]: 454 [333-575], 542 [433-651], and 434 [320-547] min/wk, respectively). Vigorous-intensity PA and MVPA decreased from preconception to late pregnancy but increased postpartum (vigorous-intensity PA: 44 [11-76], 1 [-3-5], and 11 [4-19] min/wk, MVPA: 273 [174-372], 165 [95-234], and 226 [126-325] min/wk, respectively). Screen time and total sedentary time remained consistent from preconception to pregnancy but decreased postpartum (screen: 238 [199-277], 244 [211-277], and 162 [136-189] min/d, total: 552 [506-598], 555 [514-596], and 454 [410-498] min/d, respectively). Individual characteristics of ethnicity, body mass index, employment, parity, and self-rated general health significantly influenced women's activity patterns.
Conclusion: During late pregnancy, walking time increased, while MVPA declined significantly, and partially returned to preconception levels postpartum. Sedentary time remained stable during pregnancy but decreased postpartum. The identified set of sociodemographic/clinical correlates underscores need for targeted strategies.
longitudinal study, physical activity behavior, pregnancy, sedentary lifestyle, women’s health, women's health
850-859
Chu, Anne H.Y.
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Padmapriya, Natarajan
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Tan, Shuen Lin
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Goh, Claire Marie J.L.
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Chong, Yap-Seng
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Shek, Lynette P.
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Tan, Kok Hian
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Gluckman, Peter D.
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Yap, Fabian K.P.
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Lee, Yung Seng
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Loy, See Ling
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Chan, Jerry K.Y.
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Godfrey, Keith M.
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Eriksson, Johan G.
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Chan, Shiao-Yng
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Bernard, Jonathan Y.
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Müller-Riemenschneider, Falk
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1 September 2023
Chu, Anne H.Y.
b47cf1e6-4e6c-4102-92c7-db21f1933c91
Padmapriya, Natarajan
7f1fdab4-18f7-4e81-a1cd-4050dfc5abb1
Tan, Shuen Lin
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Goh, Claire Marie J.L.
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Chong, Yap-Seng
7043124b-e892-4d4b-8bb7-6d35ed94e136
Shek, Lynette P.
9a77403c-0e0c-4536-a5ad-628ce94b279a
Tan, Kok Hian
4714c94d-334a-42ad-b879-f3aa3a931def
Gluckman, Peter D.
443aaa52-30fd-452a-b6f6-cc94d11c5aa3
Yap, Fabian K.P.
dc2c3027-c610-4298-be66-6f2792e9d633
Lee, Yung Seng
0e28a8d6-3085-4086-9fa1-ac0684783bcf
Loy, See Ling
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Chan, Jerry K.Y.
42e59d61-c3d1-486b-b33a-22c4645acf12
Godfrey, Keith M.
0931701e-fe2c-44b5-8f0d-ec5c7477a6fd
Eriksson, Johan G.
eb96b1c5-af07-4a52-8a73-7541451d32cd
Chan, Shiao-Yng
3c9d8970-2cc4-430a-86a7-96f6029a5293
Bernard, Jonathan Y.
c831fc27-9e1a-46ca-b335-859e14c5083b
Müller-Riemenschneider, Falk
b308e28e-08ef-4eac-9eab-1cc0a4105c9f
Chu, Anne H.Y., Padmapriya, Natarajan, Tan, Shuen Lin, Goh, Claire Marie J.L., Chong, Yap-Seng, Shek, Lynette P., Tan, Kok Hian, Gluckman, Peter D., Yap, Fabian K.P., Lee, Yung Seng, Loy, See Ling, Chan, Jerry K.Y., Godfrey, Keith M., Eriksson, Johan G., Chan, Shiao-Yng, Bernard, Jonathan Y. and Müller-Riemenschneider, Falk
(2023)
Longitudinal analysis of patterns and correlates of physical activity and sedentary behavior in women from preconception to postpartum: The Singapore preconception study of long-term maternal and child outcomes cohort.
Journal of Physical Activity and Health, 20 (9), .
(doi:10.1123/jpah.2022-0642).
Abstract
Objective: Longitudinal changes in physical activity (PA) and sedentary behavior patterns from preconception to postpartum are not fully characterized. We examined changes and baseline sociodemographic/clinical correlates of PA and sedentary behavior in women from preconception to postpartum.
Methods: The Singapore Preconception Study of Long-Term Maternal and Child Outcomes cohort recruited 1032 women planning pregnancy. Participants completed questionnaires at preconception, 34 to 36 weeks gestation, and 12 months postpartum. Repeated-measures linear regression models were used to analyze changes in walking, moderate to vigorous PA (MVPA), screen time, and total sedentary time, and to identify sociodemographic/clinical correlates associated with these changes.
Results: Of the 373 women who delivered singleton live births, 281 provided questionnaires for all time points. Walking time increased from preconception to late pregnancy but decreased postpartum (adjusted means [95% CI]: 454 [333-575], 542 [433-651], and 434 [320-547] min/wk, respectively). Vigorous-intensity PA and MVPA decreased from preconception to late pregnancy but increased postpartum (vigorous-intensity PA: 44 [11-76], 1 [-3-5], and 11 [4-19] min/wk, MVPA: 273 [174-372], 165 [95-234], and 226 [126-325] min/wk, respectively). Screen time and total sedentary time remained consistent from preconception to pregnancy but decreased postpartum (screen: 238 [199-277], 244 [211-277], and 162 [136-189] min/d, total: 552 [506-598], 555 [514-596], and 454 [410-498] min/d, respectively). Individual characteristics of ethnicity, body mass index, employment, parity, and self-rated general health significantly influenced women's activity patterns.
Conclusion: During late pregnancy, walking time increased, while MVPA declined significantly, and partially returned to preconception levels postpartum. Sedentary time remained stable during pregnancy but decreased postpartum. The identified set of sociodemographic/clinical correlates underscores need for targeted strategies.
Text
Revised.PA_pre-preg-post-SPRESTO_4Apr(no.figs)_JPAH
- Accepted Manuscript
Text
TitlePage-Longitudinal analysis of patterns and correlates of physical activity and sedentary behaviour preconception to postpartum_JPAH
- Accepted Manuscript
More information
Accepted/In Press date: 1 May 2023
e-pub ahead of print date: 5 May 2023
Published date: 1 September 2023
Additional Information:
K.M.G. is supported by the UK Medical Research Council (MC_UU_12011/4), the National Institute for Health Research, United Kingdom (NIHR Senior Investigator (NF-SI-0515-10042)) and NIHR Southampton Biomedical Research Centre, United Kingdom (IS-BRC-1215-20004), the European Union (Erasmus+ Program ImpENSA 598488-EPP-1-2018-1-DE-EPPKA2-CBHE-JP) and the British Heart Foundation, United Kingdom (RG/15/17/3174).
Keywords:
longitudinal study, physical activity behavior, pregnancy, sedentary lifestyle, women’s health, women's health
Identifiers
Local EPrints ID: 476821
URI: http://eprints.soton.ac.uk/id/eprint/476821
ISSN: 1543-3080
PURE UUID: 2effb8cc-fd5e-4a46-87e4-68ce783770b0
Catalogue record
Date deposited: 17 May 2023 16:33
Last modified: 17 Mar 2024 02:38
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Contributors
Author:
Anne H.Y. Chu
Author:
Natarajan Padmapriya
Author:
Shuen Lin Tan
Author:
Claire Marie J.L. Goh
Author:
Yap-Seng Chong
Author:
Lynette P. Shek
Author:
Kok Hian Tan
Author:
Peter D. Gluckman
Author:
Fabian K.P. Yap
Author:
Yung Seng Lee
Author:
See Ling Loy
Author:
Jerry K.Y. Chan
Author:
Johan G. Eriksson
Author:
Shiao-Yng Chan
Author:
Jonathan Y. Bernard
Author:
Falk Müller-Riemenschneider
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