Physical activity in pregnancy: a Norwegian-Swedish mother-child birth cohort study.

Autor: Carlsen OCL; Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway (Ms O Carlsen and Dr Svanes)., Gudmundsdóttir HK; Division of Paediatric and Adolescent Medicine, Oslo University Hospital, Oslo, Norway (Drs Gudmundsdóttir, Bains, K Carlsen, Kreyberg, Saunders, and Skjerven).; Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway (Drs Gudmundsdóttir, Bains, KC Carlsen, K-H Carlsen, Endre, Haugen, Kreyberg, and Landrø, Ms Nordhagen, and Drs Saunders, Skjerven, Staff, Vettukattil, Værnesbranden, and Rehbinder)., Bains KES; Division of Paediatric and Adolescent Medicine, Oslo University Hospital, Oslo, Norway (Drs Gudmundsdóttir, Bains, K Carlsen, Kreyberg, Saunders, and Skjerven).; Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway (Drs Gudmundsdóttir, Bains, KC Carlsen, K-H Carlsen, Endre, Haugen, Kreyberg, and Landrø, Ms Nordhagen, and Drs Saunders, Skjerven, Staff, Vettukattil, Værnesbranden, and Rehbinder)., Bertelsen R; Department of Clinical Science, University of Bergen, Bergen, Norway (Ms Bertelsen).; Oral Health Centre of Expertise in Western Norway, Hordaland, Bergen, Norway (Ms Bertelsen)., Carlsen KCL; Division of Paediatric and Adolescent Medicine, Oslo University Hospital, Oslo, Norway (Drs Gudmundsdóttir, Bains, K Carlsen, Kreyberg, Saunders, and Skjerven).; Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway (Drs Gudmundsdóttir, Bains, KC Carlsen, K-H Carlsen, Endre, Haugen, Kreyberg, and Landrø, Ms Nordhagen, and Drs Saunders, Skjerven, Staff, Vettukattil, Værnesbranden, and Rehbinder)., Carlsen KH; Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway (Drs Gudmundsdóttir, Bains, KC Carlsen, K-H Carlsen, Endre, Haugen, Kreyberg, and Landrø, Ms Nordhagen, and Drs Saunders, Skjerven, Staff, Vettukattil, Værnesbranden, and Rehbinder)., Endre KMA; Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway (Drs Gudmundsdóttir, Bains, KC Carlsen, K-H Carlsen, Endre, Haugen, Kreyberg, and Landrø, Ms Nordhagen, and Drs Saunders, Skjerven, Staff, Vettukattil, Værnesbranden, and Rehbinder).; Department of Dermatology and Venerology, Oslo University Hospital, Oslo, Norway (Drs Endre, Landrø, and Rehbinder)., Granum B; Department of Environmental Health, Norwegian Institute of Public Health, Oslo, Norway (Dr Granum)., Haugen G; Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway (Drs Gudmundsdóttir, Bains, KC Carlsen, K-H Carlsen, Endre, Haugen, Kreyberg, and Landrø, Ms Nordhagen, and Drs Saunders, Skjerven, Staff, Vettukattil, Værnesbranden, and Rehbinder).; Division of Obstetrics and Gynaecology, Oslo University Hospital, Oslo, Norway (Drs Haugen and Staff)., Hedlin G; Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden (Dr Hedlin, Ms Mägi, and Drs Nordlund and Söderhäll).; Department of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden (Dr Hedlin, Ms Mägi, and Drs Nordlund and Söderhäll)., Jonassen CM; Genetic Unit, Centre for Laboratory Medicine, Østfold Hospital Trust, Kalnes, Norway (Dr Jonassen).; Faculty of Chemistry, Biotechnology and Food Science, Norwegian University of Life Sciences, Ås, Norway (Dr Jonassen)., Kreyberg I; Division of Paediatric and Adolescent Medicine, Oslo University Hospital, Oslo, Norway (Drs Gudmundsdóttir, Bains, K Carlsen, Kreyberg, Saunders, and Skjerven).; Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway (Drs Gudmundsdóttir, Bains, KC Carlsen, K-H Carlsen, Endre, Haugen, Kreyberg, and Landrø, Ms Nordhagen, and Drs Saunders, Skjerven, Staff, Vettukattil, Værnesbranden, and Rehbinder)., Landrø L; Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway (Drs Gudmundsdóttir, Bains, KC Carlsen, K-H Carlsen, Endre, Haugen, Kreyberg, and Landrø, Ms Nordhagen, and Drs Saunders, Skjerven, Staff, Vettukattil, Værnesbranden, and Rehbinder).; Department of Dermatology and Venerology, Oslo University Hospital, Oslo, Norway (Drs Endre, Landrø, and Rehbinder)., Mägi CO; Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden (Dr Hedlin, Ms Mägi, and Drs Nordlund and Söderhäll).; Department of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden (Dr Hedlin, Ms Mägi, and Drs Nordlund and Söderhäll)., Nordlund B; Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden (Dr Hedlin, Ms Mägi, and Drs Nordlund and Söderhäll).; Department of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden (Dr Hedlin, Ms Mägi, and Drs Nordlund and Söderhäll)., Nordhagen LS; Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway (Drs Gudmundsdóttir, Bains, KC Carlsen, K-H Carlsen, Endre, Haugen, Kreyberg, and Landrø, Ms Nordhagen, and Drs Saunders, Skjerven, Staff, Vettukattil, Værnesbranden, and Rehbinder).; VID Specialized University, Oslo, Norway (Ms Nordhagen)., Pehrson K; Faculty of Mathematics and Natural Sciences, University of Oslo, Norway (Pehrson)., Saunders CM; Division of Paediatric and Adolescent Medicine, Oslo University Hospital, Oslo, Norway (Drs Gudmundsdóttir, Bains, K Carlsen, Kreyberg, Saunders, and Skjerven).; Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway (Drs Gudmundsdóttir, Bains, KC Carlsen, K-H Carlsen, Endre, Haugen, Kreyberg, and Landrø, Ms Nordhagen, and Drs Saunders, Skjerven, Staff, Vettukattil, Værnesbranden, and Rehbinder)., Sjøborg K; Department of Obstetrics and Gynecology, Østfold Hospital Trust, Kalnes, Norway (Drs Sjøborg, Værnesbranden, and Wiik)., Skjerven HO; Division of Paediatric and Adolescent Medicine, Oslo University Hospital, Oslo, Norway (Drs Gudmundsdóttir, Bains, K Carlsen, Kreyberg, Saunders, and Skjerven).; Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway (Drs Gudmundsdóttir, Bains, KC Carlsen, K-H Carlsen, Endre, Haugen, Kreyberg, and Landrø, Ms Nordhagen, and Drs Saunders, Skjerven, Staff, Vettukattil, Værnesbranden, and Rehbinder)., Staff AC; Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway (Drs Gudmundsdóttir, Bains, KC Carlsen, K-H Carlsen, Endre, Haugen, Kreyberg, and Landrø, Ms Nordhagen, and Drs Saunders, Skjerven, Staff, Vettukattil, Værnesbranden, and Rehbinder).; Division of Obstetrics and Gynaecology, Oslo University Hospital, Oslo, Norway (Drs Haugen and Staff)., Svanes C; Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway (Ms O Carlsen and Dr Svanes)., Söderhäll C; Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden (Dr Hedlin, Ms Mägi, and Drs Nordlund and Söderhäll).; Department of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden (Dr Hedlin, Ms Mägi, and Drs Nordlund and Söderhäll)., Vettukattil R; Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway (Drs Gudmundsdóttir, Bains, KC Carlsen, K-H Carlsen, Endre, Haugen, Kreyberg, and Landrø, Ms Nordhagen, and Drs Saunders, Skjerven, Staff, Vettukattil, Værnesbranden, and Rehbinder)., Værnesbranden M; Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway (Drs Gudmundsdóttir, Bains, KC Carlsen, K-H Carlsen, Endre, Haugen, Kreyberg, and Landrø, Ms Nordhagen, and Drs Saunders, Skjerven, Staff, Vettukattil, Værnesbranden, and Rehbinder).; Department of Obstetrics and Gynecology, Østfold Hospital Trust, Kalnes, Norway (Drs Sjøborg, Værnesbranden, and Wiik)., Wiik J; Department of Obstetrics and Gynecology, Østfold Hospital Trust, Kalnes, Norway (Drs Sjøborg, Værnesbranden, and Wiik).; Department of Obstetrics and Gynecology, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden (Dr Wiik)., Rehbinder EM; Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway (Drs Gudmundsdóttir, Bains, KC Carlsen, K-H Carlsen, Endre, Haugen, Kreyberg, and Landrø, Ms Nordhagen, and Drs Saunders, Skjerven, Staff, Vettukattil, Værnesbranden, and Rehbinder).; Department of Dermatology and Venerology, Oslo University Hospital, Oslo, Norway (Drs Endre, Landrø, and Rehbinder).
Jazyk: angličtina
Zdroj: AJOG global reports [AJOG Glob Rep] 2021 Jan 27; Vol. 1 (1), pp. 100002. Date of Electronic Publication: 2021 Jan 27 (Print Publication: 2021).
DOI: 10.1016/j.xagr.2020.100002
Abstrakt: Background: Physical activity during pregnancy is important for maternal and offspring health. Optimal conditions during pregnancy may help reduce the burden of noncommunicable diseases. National and international guidelines recommend at least 150 minutes of physical activity of at least moderate intensity per week. To optimize physical activity in pregnant women, it is important to identify factors associated with higher levels of physical activity.
Objective: This study aimed to explore types and levels of physical activity in midpregnancy in Norway and Sweden and to identify factors associated with higher levels of physical activity.
Materials and Methods: From the population-based mother-child cohort Preventing Atopic Dermatitis and Allergies in Children study recruiting 2697 women in Norway and Sweden from 2014 to 2016, we included 2349 women who answered an electronic questionnaire at enrollment in midpregnancy. Women were asked about regular physical activity in the last 2 weeks of pregnancy and afterward for types and levels of physical activity in pregnancy and before pregnancy and socioeconomic status, lifestyle, and maternal health. Logistic regression analyses were used to identify factors associated with higher levels of physical activity in pregnancy, defined as >30 minutes per session of ≥2 times per week of moderate- or high-intensity brisk walking, strength training, jogging, and bicycling.
Results: No regular physical activity during the last 2 weeks before answering the questionnaire at midpregnancy was reported by 689 women (29%). In this study, 1787 women (76%) reported weekly strolling during pregnancy. Regular physical activity at least twice weekly in the first half of pregnancy was reported as brisk walking by 839 women (36%), bicycling by 361 women (15%), strength training by 322 women (14%), and other activities by <10% of women. Among the 1430 women with regular moderate- or high-intensity physical activity, the estimated median duration per week was 120 minutes. Higher physical activity levels were achieved in 553 women (23.5%) by brisk walking, 287 women (12.2%) by strength training, 263 women (11.2%) by bicycling, and 114 women (4.9%) by jogging. Higher physical activity levels were positively associated with regular physical activity before pregnancy, dog ownership, and atopic dermatitis and negatively associated with higher body mass index, study location in Østfold, previous pregnancy or pregnancies, non-Nordic origin, suburban living, and sick leave.
Conclusion: At midpregnancy, 29% of women were inactive, and less than 50% of women had at least 2 hours of moderate-intensity physical activity weekly. Awareness of physical activity in pregnancy should be discussed at pregnancy follow-up visits, particularly among women with higher body mass index, sick leave, previous pregnancy or pregnancies, and non-Nordic origin.
(© 2020 The Authors.)
Databáze: MEDLINE