Cardiorespiratory fitness and health‐related quality of life in women at risk for gestational diabetes

Engberg, Elina; Tikkanen, Heikki; Koponen, Anne S.; Hägglund, Harriet; Kukkonen-Harjula, K.; Tiitinen, Aila; Peltonen, Jari; Pöyhönen‐Alho, Maritta

doi:10.1111/sms.12896

Cited by 21 publications

(31 citation statements)

References 39 publications

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“…This scale has been developed by RAND Corporation (Santa Mónica, CA), and it has been validated and translated into Spanish . This questionnaire has been used in previous studies to evaluate the HRQoL during pregnancy . The 36 items of the SF‐36 measure eight health domains: (a) physical functioning (10 items); (b) physical role (4 items); (c) bodily pain (2 items); (d) social functioning (2 items); (e) mental health (5 items); (f) emotional role (3 items); (g) vitality (4 items); and (h) General Health perception .…”

Section: Methodsmentioning

confidence: 99%

“…These 8 domains are grouped in two overall scores: physical component summary (physical function, role‐physical, bodily pain, and general health) and mental component summary (vitality, social function, role‐emotional, and mental health). The scales range from 0 to 100, where higher scores mean better HRQoL …”

Section: Methodsmentioning

confidence: 99%

“…During pregnancy, the relevance of physical fitness has also been highlighted. Low physical fitness levels are associated with low infant birth weight, higher risk of gestational diabetes mellitus (GDM), worse postpartum recovery, and worse delivery outcomes…”

Section: Introductionmentioning

confidence: 99%

“…Bisson et al showed that maternal muscle strength, assessed by handgrip dynamometry, is an independent determinant of infant fetal growth, and that higher handgrip strength can positively influence birth weight. Similarly, CRF appears to be a healthy and protective factor in pregnancy not related to an increased risk of early miscarriage and is positively associated with HRQoL in women at risk for GDM . Consequently, assessing physical fitness levels in clinical practice can provide valuable information.…”

Section: Introductionmentioning

confidence: 99%

“…[4][5][6] During pregnancy, the relevance of physical fitness has also been highlighted. Low physical fitness levels are associated with low infant birth weight, 7 higher risk of gestational diabetes mellitus (GDM), 8,9 worse postpartum recovery, 10 and worse delivery outcomes. 11 Physical fitness can be divided into several health-related components: cardiorespiratory fitness (CRF), the ability to perform large muscle, dynamic, moderate-to-vigorous intensity exercise for prolonged periods of time 12 ; muscle strength, the muscle's ability to exert a maximal force on one occasion 12 ; and flexibility, the ability to move a joint through its complete range of motion 12 ; others.…”

Section: Introductionmentioning

confidence: 99%

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International Fitness Scale—IFIS: Validity and association with health‐related quality of life in pregnant women

Romero‐Gallardo

Soriano‐Maldonado

Ocón‐Hernández

et al. 2019

Scandinavian Med Sci Sports

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This study aimed (a) to examine the construct validity of the International Fitness Scale (IFIS) to discriminate between different objectively measured physical fitness levels in pregnant women and (b) to assess the extent to which IFIS is able to discriminate between pregnant women with different levels of health‐related quality of life (HRQoL). A total of 159 pregnant women were involved in the GESTAtion and FITness project: 106 pregnant women (mean age 32.7, SD 4.4 years) were included. Self‐reported physical fitness—that is, cardiorespiratory fitness, muscular strength, flexibility, and overall fitness—was assessed with the IFIS. Physical fitness was objectively measured using the Bruce test, the handgrip strength test and the back‐scratch test. The HRQoL was assessed with the 36‐item Short Form Health Survey (SF‐36). Higher self‐reported physical fitness measured with IFIS was associated with higher objectively measured physical fitness (P < .05). There was a linear association so that higher self‐reported physical fitness (ie, IFIS; regardless of the fitness component) was related to greater General Health dimension scores (P < .05). Moreover, higher self‐reported physical fitness (all components except muscular strength) was associated with better Physical Functioning, lower Bodily Pain and higher Vitality scores (ie, SF‐36 components). This linear trend was not seen for objectively measured physical fitness. The results of this study suggest that IFIS might be a useful tool for identifying pregnant women with low or very low physical fitness and with low quality of life health‐related. Further research should elucidate whether IFIS can identify women with pregnancy complications before it can be implemented in clinical practice.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

International Fitness Scale—IFIS: Validity and association with health‐related quality of life in pregnant women

Romero‐Gallardo

Soriano‐Maldonado

Ocón‐Hernández

et al. 2019

Scandinavian Med Sci Sports

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Association of Exercise Intolerance With Emotional Distress, Attainment of Social Roles, and Health-Related Quality of Life Among Adult Survivors of Childhood Cancer

Hayek¹,

Brinkman

Plana

et al. 2020

JAMA Oncol

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IMPORTANCEExercise intolerance is associated with increased risk for morbidity and mortality in childhood cancer survivors. However, an association between exercise intolerance and psychosocial outcomes has not been fully explored.OBJECTIVE To examine the associations between exercise intolerance and emotional distress, attainment of social roles, and health-related quality of life in childhood cancer survivors. DESIGN, SETTING, AND PARTICIPANTS A cross-sectional study including 1041 adult survivors of childhood cancer and 286 community controls in the St Jude Lifetime Cohort was conducted at St Jude Children's Research Hospital. The study was performed from April 1, 2012, to March 15, 2020.EXPOSURES Exercise intolerance was defined as relative peak oxygen uptake less than 85% of age-and sex-estimated levels from maximal cardiopulmonary exercise testing. MAIN OUTCOMES AND MEASURESEmotional distress was measured with the 18-item Brief Symptom Inventory-18, which includes overall Global Severity Index and depression, anxiety, and somatization subscales. Participants with T scores greater than or equal to 63 were classified as having elevated levels of distress. Social attainment was evaluated using patient-reported educational, employment, and marital status. Health-related quality of life was examined with the Medical Outcomes Survey Short Form-36. Participants with T scores less than or equal to 40 were classified as reporting poor health-related quality of life. RESULTSOf the 1041 participants, 528 were women (50.7%). The prevalence of exercise intolerance among survivors (mean [SD] age, 35.5 [9.2] years) was higher than that among controls (age, 34.5 [10.0] years) (survivors: 634 [60.9%] vs controls: 75 [26.2%], P < .001). After adjusting for age at diagnosis and cardiopulmonary exercise testing, sex, race/ethnicity, smoking, physical activity, and exercise intolerance were associated with an increased risk for anxiety (prevalence rate ratio [PRR], 1.95; 95% CI, 1.20-3.16), somatization (PRR, 1.86; 95% CI, 1.23-2.80), and unemployment (PRR, 1.76; 95% CI, 1.23-2.52); an inverse association was noted with having a college degree (PRR, 0.67; 95% CI, 0.50-0.88). Exercise intolerance was associated with an increased the risk for scoring less than or equal to 40 on the physical component summary of the Medical Outcomes Survey Short Form-36 (PRR, 3.69; 95% CI, 2.34-5.84). These associations persisted when either cancer treatment exposures or chronic health conditions were added to the model. CONCLUSIONS AND RELEVANCEThe findings of this study suggest that exercise intolerance is independently associated with emotional distress, attainment of social roles, and health-related quality of life of long-term survivors of childhood cancer. The results also suggest that improving physiologic capacity may benefit general health and wellness, as well as emotional health, ability to participate in social roles, and health-related quality of life.

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Quality of life, physical activity and cardiorespiratory fitness in black African women: B-Healthy project

et al. 2019

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Cardiorespiratory fitness and health‐related quality of life in women at risk for gestational diabetes

Cited by 21 publications

References 39 publications

International Fitness Scale—IFIS: Validity and association with health‐related quality of life in pregnant women

International Fitness Scale—IFIS: Validity and association with health‐related quality of life in pregnant women

Association of Exercise Intolerance With Emotional Distress, Attainment of Social Roles, and Health-Related Quality of Life Among Adult Survivors of Childhood Cancer

Quality of life, physical activity and cardiorespiratory fitness in black African women: B-Healthy project

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