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
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
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.
child-rearing, exercise, inactivity, preconception
803-811
Hesketh, Kathryn R
548af96f-db9e-499d-b2f9-bdd2af55ce5f
Baird, Janis
f4bf2039-6118-436f-ab69-df8b4d17f824
Crozier, Sarah R
9c3595ce-45b0-44fa-8c4c-4c555e628a03
Godfrey, Keith M
0931701e-fe2c-44b5-8f0d-ec5c7477a6fd
Harvey, Nicholas C
ce487fb4-d360-4aac-9d17-9466d6cba145
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
van Sluijs, Esther M F
5780f1b8-f519-45dd-903f-7a21b9ecad32
September 2023
Hesketh, Kathryn R
548af96f-db9e-499d-b2f9-bdd2af55ce5f
Baird, Janis
f4bf2039-6118-436f-ab69-df8b4d17f824
Crozier, Sarah R
9c3595ce-45b0-44fa-8c4c-4c555e628a03
Godfrey, Keith M
0931701e-fe2c-44b5-8f0d-ec5c7477a6fd
Harvey, Nicholas C
ce487fb4-d360-4aac-9d17-9466d6cba145
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
van Sluijs, Esther M F
5780f1b8-f519-45dd-903f-7a21b9ecad32
Hesketh, Kathryn R, Baird, Janis, Crozier, Sarah R, Godfrey, Keith M, Harvey, Nicholas C, Cooper, Cyrus and van Sluijs, Esther M F
(2023)
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.
Journal of Physical Activity and Health, 20 (9), .
(doi:10.1123/jpah.2022-0630).
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.
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jpah-article-10.1123-jpah.2022-0630
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Accepted/In Press date: 1 August 2023
e-pub ahead of print date: 12 August 2023
Published date: September 2023
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Funding Information:
We thank the participants in the SWS for their commitment to, and involvement in, the study, and the dedicated team of research nurses and ancillary staff for their assistance in collecting and processing the data. The authors would also like to thank Kate Westgate and Stephanie Hollidge (MRC Epidemiology Unit) for their assistance in the processing of the physical activity data, and Stephen Sharp for his statistical advice. This work was conducted by the Medical Research Council (Unit Program number: MC_UU_00006/5) and the Center for Diet and Activity Research (CEDAR), a UK Clinical Research Collaboration Public Health Research Center 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 Baird, Cooper, Godfrey, Harvey, and Crozier 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 Frame-work Program (FP7/2007-2013) EarlyNutrition project under grant agreement 289346, the European Union’s Horizon 2020 research and innovation program under grant agreement no.: 733206, LIFE-CYCLE project, NIHR Southampton Biomedical Research Center, and National Institute of Health Research Musculoskeletal Biomedical Research Unit, Oxford. Godfrey is supported by the NIHR as an NIHR Senior Investigator (NF-SI-0515-10042). Hesketh is funded by the Wellcome Trust (107337/ Z/15/Z). For the purpose of Open Access, the author has applied a Creative Commons Attribution (CC BY) license to any Author Accepted Manuscript version arising from this submission.
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© 2023 Human Kinetics Publishers Inc.. All rights reserved.
Keywords:
child-rearing, exercise, inactivity, preconception
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Local EPrints ID: 481173
URI: http://eprints.soton.ac.uk/id/eprint/481173
ISSN: 1543-3080
PURE UUID: b75c9448-5819-4622-a65f-ae84112122c0
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Date deposited: 17 Aug 2023 16:47
Last modified: 18 Mar 2024 02:59
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Author:
Kathryn R Hesketh
Author:
Esther M F van Sluijs
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