Association of Physical Activity and Sedentary Behavior with Biological Markers Among U.S. Pregnant Women

Loprinzi, Paul D.; FitzGerald, Elizabeth; Woekel, Erica; Cardinal, Bradley J.

doi:10.1089/jwh.2013.4394

Cited by 52 publications

(66 citation statements)

References 36 publications

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“…Of these, 7 were focused on pregnancy outcomes including gestational weight gain (GWG) and maternal depression [12, 30, 34, 40, 44–46], 5 on metabolic outcomes [10, 36, 44, 47, 49], and 5 on infant outcomes [12, 31, 32, 39, 49]. …”

Section: Resultsmentioning

confidence: 99%

Sedentary behaviours during pregnancy: a systematic review

Fazzi

Saunders

Linton

et al. 2017

Int J Behav Nutr Phys Act

160

106

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BackgroundIn the general population, at least 50% of time awake is spent in sedentary behaviours. Sedentary behaviours are activities that expend less energy than 1.5 metabolic equivalents, such as sitting. The amount of time spent in sedentary behaviours is a risk factor for diseases such as type 2 diabetes, cardiovascular disease, and death from all causes. Even individuals meeting physical activity guidelines are at a higher risk of premature death and adverse metabolic outcomes if they sit for extended intervals. The associations between sedentary behaviour with type 2 diabetes and with impaired glucose tolerance are stronger for women than for men. It is not known whether sedentary behaviour in pregnancy influences pregnancy outcomes, but if those negative outcomes observed in general adult population also occur in pregnancy, this could have implications for adverse outcomes for mothers and offspring.We aimed to determine the proportion of time spent in sedentary behaviours among pregnant women, and the association of sedentary behaviour with pregnancy outcomes in mothers and offspring.MethodsTwo researchers independently performed the literature search using 5 different electronic bibliographic databases. Studies were included if sedentary behaviours were assessed during pregnancy. Two reviewers independently assessed the articles for quality and bias, and extracted the relevant information.ResultsWe identified 26 studies meeting the inclusion criteria. Pregnant women spent more than 50% of their time in sedentary behaviours. Increased time in sedentary behaviour was significantly associated with higher levels of C Reactive Protein and LDL Cholesterol, and a larger newborn abdominal circumference. Sedentary behaviours were significantly higher among women who delivered macrosomic infants. Discrepancies were found in associations of sedentary behaviour with gestational weight gain, hypertensive disorders, and birth weight. No consistent associations were found between sedentary behaviour and other variables such as gestational diabetes. There was considerable variability in study design and methods of assessing sedentary behaviour.ConclusionsOur review highlights the significant time spent in sedentary behaviour during pregnancy, and that sedentary behaviour may impact on pregnancy outcomes for both mother and child. The considerable heterogeneity in the literature suggests future studies should use robust methodology for quantifying sedentary behaviour.Electronic supplementary materialThe online version of this article (doi:10.1186/s12966-017-0485-z) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Sedentary behaviours during pregnancy: a systematic review

Fazzi

Saunders

Linton

et al. 2017

Int J Behav Nutr Phys Act

160

106

View full text Add to dashboard Cite

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“…A correct bodyweight, regular exercise and a reduction in stressful life events are useful actions in addition to a proper diet including a high intake of fluids, fruits and vegetables, low consumption of salt and protein, and limited carbohydrate . Exercise improves insulin sensitivity, the cornerstone of the association between dyslipidemia and urolithiasis, and is expected to improve Mets components …”

Section: Discussionmentioning

confidence: 99%

“…37 Exercise improves insulin sensitivity, the cornerstone of the association between dyslipidemia and urolithiasis, and is expected to improve Mets components. 38,39 Renal tubular cell injury triggers crystal deposition, and lipid metabolites could be involved in the molecular mechanism of calcium oxalate crystallization in particular. Tsujihata et al showed, in an experimental study, that atorvastatin has an inhibitory effect on renal tubular injury and oxidative stress caused by oxalate crystals, and concluded atorvastatin could help to prevent and treat crystal formation.…”

Section: Discussionmentioning

confidence: 99%

Association between blood lipid profile and urolithiasis: A systematic review and meta‐analysis of observational studies

Beşiroğlu

Özbek

2018

Int J of Urology

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The objective of this study was to pool individual studies regarding the association of blood lipid profiles with urolithiasis to carry out a systematic review and meta-analysis. We searched MEDLINE, PubMed, Embase and Cochrane Library to identify the relevant studies up to November 2017. Studies that met all inclusion criteria were chosen, and a pooled analysis of the odds ratio between urolithiasis and dyslipidemia traits was calculated. A total of 11 observational studies (seven cross-sectional, three cohort, one case-control) with a total of 282 479 participants were examined. The overall pooled analysis of eight studies showed that high triglyceride was associated with increased estimated risk of urolithiasis (odds ratio 1.287, 95% CI 1.073-1.544; P = 0.007). Estimates of the total effect size were consistent in the sensitivity analysis. No evidence of publication bias was detected. The overall pooled analysis of nine studies showed low high-density lipoprotein was weakly associated with increased estimated risk of urolithiasis (odds ratio 1.171, 95% CI 1.010-1.358; P = 0.032). The sensitivity analysis showed conflicting results. No evidence of publication bias was detected. Three studies on the association between any dyslipidemia traits and urolithiasis showed a significant association (odds ratio 1.309, 95% CI 1.202-1.425; P < 0.001). The present meta-analysis showed that patients with higher triglyceride and lower high-density lipoprotein had an increased estimated risk of urolithiasis. A triglyceride-urolithiasis association was found to be more coherent and consistent compared with the high-density lipoprotein-urolithiasis association. Although somewhat contradictory results have been found, the meta-analysis is encouraging for evaluating urolithiasis as a systemic disorder. Further well-designed prospective randomized controlled or cohort studies are necessary to better elucidate the causal association of dyslipidemia and urolithiasis.

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“…Increased physical activity in pregnant women in conjunction with a proper diet was connected with a lower risk of excessive weight gain in pregnancy, cesarean delivery, macrosomia, and neonatal respiratory morbidity [2], had a positive effect on the concentration of cholesterol, C-reactive protein (CRP), and blood pressure [3], and reduced the risk of preeclampsia [4] and gestational diabetes [5]. Regular exercise helped to maintain cardiovascular fitness levels throughout pregnancy, recovery of shape after childbirth [6], and improved sleep quality in pregnant women [7].…”

Section: Introductionmentioning

confidence: 99%

Validation of the Pregnancy Physical Activity Questionnaire (PPAQ)

Suliga¹,

Sobaś²,

Król³

2017

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Introduction: The results of many studies confirm the positive effect of physical activity during pregnancy on the health of both mother and child. Due to this, it is important to use standardised methods of its assessment. In 2004, Chasan-Taber et al. developed the Pregnancy Physical Activity Questionnaire (PPAQ ), taking into account household/caregiving activities, occupational activities, sports/exercise activities, transportation activities, and inactivity. Aim of the research: The validation of the Pregnancy Physical Activity Questionnaire (PPAQ ) by determination of its reproducibility. Material and methods:The questionnaire was validated from June 2014 to February 2015 among 164 women. The respondents were surveyed twice in a 2-week interval. The repeatability of the questionnaire was verified by determining the Pearson correlation coefficient between the results obtained for the same people in the first and second interview, thus determining the intra-subject variability. Inter-subject variability was analysed by comparing the average values of physical activity for the whole group using the Student's t-test for dependent samples. Results: For all levels of physical activity, a high correlation between the results obtained in both interviews was found. The correlation coefficient for total physical activity was r = 0.96. The reproducibility of the results obtained from PPAQ questionnaire was the highest for inactivity and moderate activity (r = 0.96). The analysis according to the type of activity showed that the reproducibility was the highest for occupational activity (r = 0.98). Conclusions: High reproducibility of results obtained using PPAQ questionnaire was found. This allows the assessed questionnaire to be considered as an accurate measurement tool that can be a source of reliable information about physical activity in pregnant women.

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Association of Physical Activity and Sedentary Behavior with Biological Markers Among U.S. Pregnant Women

Cited by 52 publications

References 36 publications

Sedentary behaviours during pregnancy: a systematic review

Sedentary behaviours during pregnancy: a systematic review

Association between blood lipid profile and urolithiasis: A systematic review and meta‐analysis of observational studies

Validation of the Pregnancy Physical Activity Questionnaire (PPAQ)

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