Volume 4, Issue 2 (12-2018)
Caspian J Reprod Med 2018, 4(2): 10-16 |
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Nikpour M, Ahmadi N, Sadeghi M, Mohammadi G, Delavar M A. Patterns of physical activity across pregnancy and adverse pregnancy outcomes. Caspian J Reprod Med 2018; 4 (2) :10-16
URL: http://caspjrm.ir/article-1-174-en.html
URL: http://caspjrm.ir/article-1-174-en.html
Infertility and Reproductive Health Research Center, Babol University of Medical Sciences, Babol, Iran
Abstract: (3996 Views)
Background: This study aimed to identify patterns of physical activity in pregnancy contributions to the development of adverse pregnancy outcomes.
Methods: In a prospective study, physical activity of 374 pregnant women was measured using Pregnancy Physical Activity Questionnaire (PPAQ) during the first half and the second half of pregnancy. Pregnancy outcomes were recorded as birth weight, preterm delivery, hypertension without proteinuria, preeclampsia, mode of delivery, and gestational diabetes.
Results: There was a significant decrease in values of self-reported physical activity from the first half of pregnancy to the second half of pregnancy in light (P <0.001), moderate (P <0.001), vigorous (P= 0.029), total (P <0.001) intensity. The women with the highest tertile of total physical activity in the first half of pregnancy had significantly lower adjusted odds (OR: 0.07, 95% CI: 0.02-0.32) of having a macrosomia newborn and higher adjusted odds (OR: 6.44, 95% CI: 1.38-30.14) of having a low birth weight infant. The risks of cesarean section for women in the highest category of total physical activity in the second half of pregnancy was higher those in the lower and lowest category (OR: 1.89, 95% CI: 0.29-3.36).
Conclusion: It is necessary to emphasis on physical activity guideline for reduction of pregnancy complications.
Methods: In a prospective study, physical activity of 374 pregnant women was measured using Pregnancy Physical Activity Questionnaire (PPAQ) during the first half and the second half of pregnancy. Pregnancy outcomes were recorded as birth weight, preterm delivery, hypertension without proteinuria, preeclampsia, mode of delivery, and gestational diabetes.
Results: There was a significant decrease in values of self-reported physical activity from the first half of pregnancy to the second half of pregnancy in light (P <0.001), moderate (P <0.001), vigorous (P= 0.029), total (P <0.001) intensity. The women with the highest tertile of total physical activity in the first half of pregnancy had significantly lower adjusted odds (OR: 0.07, 95% CI: 0.02-0.32) of having a macrosomia newborn and higher adjusted odds (OR: 6.44, 95% CI: 1.38-30.14) of having a low birth weight infant. The risks of cesarean section for women in the highest category of total physical activity in the second half of pregnancy was higher those in the lower and lowest category (OR: 1.89, 95% CI: 0.29-3.36).
Conclusion: It is necessary to emphasis on physical activity guideline for reduction of pregnancy complications.
Type of Study: Original Research |
Subject:
Reproductive Health
Received: 2018/11/16 | Accepted: 2018/12/25 | Published: 2018/12/27
Received: 2018/11/16 | Accepted: 2018/12/25 | Published: 2018/12/27
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