Can physical activity reduce excessive gestational weight gain? Findings from a Chinese urban pregnant women cohort study

Jiang, Hong; Qian, Xu; Li, Mu; Lynn, Henry; Fan, Yanyan; Jiang, Honghua; He, Fei; He, Gengsheng

doi:10.1186/1479-5868-9-12

Cited by 70 publications

(108 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Similar recommendations have been proposed in Canada [8], Denmark [9], and the United Kingdom [10]. However, most of the studies used to develop those guidelines involved Caucasian women [11,12]; only a few involved Asian populations, [13], and there is no physical activity guideline for pregnant women in China.…”

Section: Objectivesmentioning

confidence: 76%

See 1 more Smart Citation

Reliability and Validity of a Chinese-Translated Version of a Pregnancy Physical Activity Questionnaire

Xiang

Konishi

et al. 2016

Matern Child Health J

View full text Add to dashboard Cite

Objectives The objectives of the present study were to translate the English version of the Pregnancy Physical Activity Questionnaire into Chinese (PPAQ-C) and to determine its reliability and validity for use by pregnant Chinese women. Methods The study included 224 pregnant women during their first, second, or third trimesters of pregnancy who completed the PPAQ-C on their first visit and wore a uniaxial accelerometer (Lifecorder; Suzuken Co. Ltd) for 7 days. One week after the first visit, we collected the data from the uniaxial accelerometer records, and the women were asked to complete the PPAQ-C again. Results We used intraclass correlation coefficients to determine the reliability of the PPAQ-C. The intraclass correlation coefficients were 0.77 for total activity (light and above), 0.76 for sedentary activity, 0.75 for light activity, 0.59 for moderate activity, and 0.28 for vigorous activity. The intraclass correlation coefficients were 0.74 for "household and caregiving", 0.75 for "occupational" activities, and 0.34 for "sports/exercise". Validity between the PPAQ-C and accelerometer data was determined by Spearman correlation coefficients. Although there were no significant correlations for moderate activity (r = 0.19, P > 0.05) or vigorous activity (r = 0.15, P > 0.05), there were significant correlations for total activity [light and above; r = 0.35, P < 0.01)] and for light activity (r = 0.33, P < 0.01). Conclusions for Practice The PPAQ-C is reliable and moderately accurate for measuring physical activity in pregnant Chinese women.

show abstract

Section: Objectivesmentioning

confidence: 76%

“…A study of 862 pregnant Chinese women found that [50 % of participants experienced excessive weight gain during pregnancy [13]. The rates of macrosomia and cesarean section in urban Chinese areas have increased significantly [15,16].…”

Section: Objectivesmentioning

confidence: 99%

Reliability and Validity of a Chinese-Translated Version of a Pregnancy Physical Activity Questionnaire

Xiang

Konishi

et al. 2016

Matern Child Health J

View full text Add to dashboard Cite

show abstract

“…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

View full text Add to dashboard Cite

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.

show abstract

“…Similarly, Jiang et al [20] showed that PA levels during pregnancy, as well as pre-pregnancy BMI are inversely associated with gestational weight gain. Using pedometry to measure PA, they showed that the sedentary group (<5 000 steps per day) gained 1.45 kg (8% of the total GWG for the sedentary group) more weight during the last two trimesters of pregnancy than the active group (>10 000 steps per day).…”

Section: The Role Of Physical Activity In Pregnancymentioning

confidence: 87%

“…Using pedometry to measure PA, they showed that the sedentary group (<5 000 steps per day) gained 1.45 kg (8% of the total GWG for the sedentary group) more weight during the last two trimesters of pregnancy than the active group (>10 000 steps per day). [20] In addition, a recent review has highlighted the beneficial effect of PA in reducing the risk of pre-eclampsia, [21] possibly via its role in weight management.…”

Section: The Role Of Physical Activity In Pregnancymentioning

confidence: 99%

The role of physical activity during pregnancy in determining maternal and foetal outcomes

Pearson¹,

Watson²,

Lambert³

et al. 2015

S. Afr. j. sports med.

View full text Add to dashboard Cite

Background. A woman's health status prior to, and during, pregnancy has been shown to influence maternal and foetal health outcomes, and therefore healthy behaviours should be encouraged to optimise weight gain during pregnancy. Discussion. Pre-gravid overweight and obesity, and excessive weight gain during pregnancy, are associated with several adverse pregnancy outcomes for the mother and the foetus. Despite the fact that physical activity during pregnancy reduces the risk of excessive gestational weight gain, physical activity levels typically decline during pregnancy. Several factors have been shown to influence physical activity during pregnancy, and preliminary data is available on identifying these factors in South African women. Conclusion. Very little is known about physical activity patterns in pregnant South African women in whom overweight and obesity is prevalent. Examining these patterns, as well as the barriers and facilitators of physical activity in this population will assist in informing future interventions.

show abstract

Can physical activity reduce excessive gestational weight gain? Findings from a Chinese urban pregnant women cohort study

Cited by 70 publications

References 21 publications

Reliability and Validity of a Chinese-Translated Version of a Pregnancy Physical Activity Questionnaire

Reliability and Validity of a Chinese-Translated Version of a Pregnancy Physical Activity Questionnaire

Sedentary behaviours during pregnancy: a systematic review

The role of physical activity during pregnancy in determining maternal and foetal outcomes

Contact Info

Product

Resources

About