Leisure-time physical activity in Amazonian pregnant women and offspring birth weight: A prospective cohort study
Compelling evidence supports the current international recommendation of at least 150 min/week of leisure-time physical activity (LTPA) during pregnancy. However, the potential relationship between LTPA and birth weight (BW) remains unclear in low- and middle-income countries. The purpose of this st...
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| description | Compelling evidence supports the current international recommendation of at least 150 min/week of leisure-time physical activity (LTPA) during pregnancy. However, the potential relationship between LTPA and birth weight (BW) remains unclear in low- and middle-income countries. The purpose of this study was to examine the association between LTPA during pregnancy and offspring BW in an Amazonian population. Prospective cohort study was carried-out with 500 pregnant women and their offspring followed-up in the MINA-Brazil study, which was conducted in Cruzeiro do Sul, Western Brazilian Amazon. LTPA was assessed in the second (mean 19.6, SD 2.4 weeks) and third (mean 27.8, SD 1.6 weeks) gestational trimesters by a standardised interview and categorised according to the recommended cut-off of at least 150 min/week. We calculated offspring BW z-scores by sex and gestational age. We then explored the effect of LTPA during pregnancy on offspring BW, the association between LTPA and small-for-gestational-age (SGA) or large-for-gestational-age (LGA) births, and the mediating role of excessive and insufficient gestational weight gain (GWG). At least 150 min/week of LTPA during the third gestational trimester was associated with an offspring BW decrease of -0.35 z-score (95% CI: -0.65, -0.05) or -147.9 grams (95% CI: -260.9, -14.8), without increasing the frequency of SGA foetuses either in the second or third gestational trimester (p > 0.05). Excessive GWG mediated the effect of LTPA on the offspring BW (indirect effect = -0.05 z-score [95% CI: -0.10, -0.00] or -34.7 grams (95% CI: -66.1, -3.3]). This mediation effect was not observed for insufficient GWG. LTPA in the third, but not in the second, trimester of pregnancy was inversely associated with offspring BW without increasing the frequency of SGA, an effect that was partly mediated by excessive GWG. |
| doi_str_mv | 10.1371/journal.pone.0265164 |
| format | Article |
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However, the potential relationship between LTPA and birth weight (BW) remains unclear in low- and middle-income countries. The purpose of this study was to examine the association between LTPA during pregnancy and offspring BW in an Amazonian population. Prospective cohort study was carried-out with 500 pregnant women and their offspring followed-up in the MINA-Brazil study, which was conducted in Cruzeiro do Sul, Western Brazilian Amazon. LTPA was assessed in the second (mean 19.6, SD 2.4 weeks) and third (mean 27.8, SD 1.6 weeks) gestational trimesters by a standardised interview and categorised according to the recommended cut-off of at least 150 min/week. We calculated offspring BW z-scores by sex and gestational age. We then explored the effect of LTPA during pregnancy on offspring BW, the association between LTPA and small-for-gestational-age (SGA) or large-for-gestational-age (LGA) births, and the mediating role of excessive and insufficient gestational weight gain (GWG). At least 150 min/week of LTPA during the third gestational trimester was associated with an offspring BW decrease of -0.35 z-score (95% CI: -0.65, -0.05) or -147.9 grams (95% CI: -260.9, -14.8), without increasing the frequency of SGA foetuses either in the second or third gestational trimester (p > 0.05). Excessive GWG mediated the effect of LTPA on the offspring BW (indirect effect = -0.05 z-score [95% CI: -0.10, -0.00] or -34.7 grams (95% CI: -66.1, -3.3]). This mediation effect was not observed for insufficient GWG. LTPA in the third, but not in the second, trimester of pregnancy was inversely associated with offspring BW without increasing the frequency of SGA, an effect that was partly mediated by excessive GWG.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0265164</identifier><identifier>PMID: 35294475</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Age ; Behavior ; Biology and Life Sciences ; Birth size ; Birth Weight ; Body Mass Index ; Body weight gain ; Childrens health ; Cohort analysis ; Consent ; Data collection ; Epidemiology ; Exercise ; Female ; Fetuses ; Gestational age ; Gestational diabetes ; Health aspects ; Health risks ; Households ; Humans ; Leisure ; Leisure Activities ; Maternal & child health ; Medicine and Health Sciences ; Nutrition ; Offspring ; Overweight ; Physical activity ; Physical Sciences ; Population ; Population studies ; Pregnancy ; Pregnant Women ; Prenatal influences ; Prospective Studies ; Public health ; Questionnaires ; Research and Analysis Methods ; Statistics ; Urban areas ; White people ; Womens health</subject><ispartof>PloS one, 2022-03, Vol.17 (3), p.e0265164-e0265164</ispartof><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 Malta et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 Malta et al 2022 Malta et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-b2bd50b29690a6c972ab6e11861334ec7a005d498919cce9269618ac031e67e3</citedby><cites>FETCH-LOGICAL-c692t-b2bd50b29690a6c972ab6e11861334ec7a005d498919cce9269618ac031e67e3</cites><orcidid>0000-0002-2006-674X ; 0000-0003-0973-3908 ; 0000-0003-4606-2795</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8926278/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8926278/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23847,27903,27904,53769,53771,79346,79347</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35294475$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Jaafar, Zulkarnain</contributor><creatorcontrib>Malta, Maíra B</creatorcontrib><creatorcontrib>Neves, Paulo A R</creatorcontrib><creatorcontrib>Lourenço, Bárbara H</creatorcontrib><creatorcontrib>Benício, Maria Helena D A</creatorcontrib><creatorcontrib>Werneck, Guilherme L</creatorcontrib><creatorcontrib>Castro, Marcia C</creatorcontrib><creatorcontrib>Cardoso, Marly A</creatorcontrib><creatorcontrib>MINA-Brazil Study Working Group</creatorcontrib><creatorcontrib>for the MINA-Brazil Study Working Group</creatorcontrib><title>Leisure-time physical activity in Amazonian pregnant women and offspring birth weight: A prospective cohort study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Compelling evidence supports the current international recommendation of at least 150 min/week of leisure-time physical activity (LTPA) during pregnancy. However, the potential relationship between LTPA and birth weight (BW) remains unclear in low- and middle-income countries. The purpose of this study was to examine the association between LTPA during pregnancy and offspring BW in an Amazonian population. Prospective cohort study was carried-out with 500 pregnant women and their offspring followed-up in the MINA-Brazil study, which was conducted in Cruzeiro do Sul, Western Brazilian Amazon. LTPA was assessed in the second (mean 19.6, SD 2.4 weeks) and third (mean 27.8, SD 1.6 weeks) gestational trimesters by a standardised interview and categorised according to the recommended cut-off of at least 150 min/week. We calculated offspring BW z-scores by sex and gestational age. We then explored the effect of LTPA during pregnancy on offspring BW, the association between LTPA and small-for-gestational-age (SGA) or large-for-gestational-age (LGA) births, and the mediating role of excessive and insufficient gestational weight gain (GWG). At least 150 min/week of LTPA during the third gestational trimester was associated with an offspring BW decrease of -0.35 z-score (95% CI: -0.65, -0.05) or -147.9 grams (95% CI: -260.9, -14.8), without increasing the frequency of SGA foetuses either in the second or third gestational trimester (p > 0.05). Excessive GWG mediated the effect of LTPA on the offspring BW (indirect effect = -0.05 z-score [95% CI: -0.10, -0.00] or -34.7 grams (95% CI: -66.1, -3.3]). This mediation effect was not observed for insufficient GWG. LTPA in the third, but not in the second, trimester of pregnancy was inversely associated with offspring BW without increasing the frequency of SGA, an effect that was partly mediated by excessive GWG.</description><subject>Age</subject><subject>Behavior</subject><subject>Biology and Life Sciences</subject><subject>Birth size</subject><subject>Birth Weight</subject><subject>Body Mass Index</subject><subject>Body weight gain</subject><subject>Childrens health</subject><subject>Cohort analysis</subject><subject>Consent</subject><subject>Data collection</subject><subject>Epidemiology</subject><subject>Exercise</subject><subject>Female</subject><subject>Fetuses</subject><subject>Gestational age</subject><subject>Gestational diabetes</subject><subject>Health aspects</subject><subject>Health risks</subject><subject>Households</subject><subject>Humans</subject><subject>Leisure</subject><subject>Leisure Activities</subject><subject>Maternal & child health</subject><subject>Medicine and Health 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supports the current international recommendation of at least 150 min/week of leisure-time physical activity (LTPA) during pregnancy. However, the potential relationship between LTPA and birth weight (BW) remains unclear in low- and middle-income countries. The purpose of this study was to examine the association between LTPA during pregnancy and offspring BW in an Amazonian population. Prospective cohort study was carried-out with 500 pregnant women and their offspring followed-up in the MINA-Brazil study, which was conducted in Cruzeiro do Sul, Western Brazilian Amazon. LTPA was assessed in the second (mean 19.6, SD 2.4 weeks) and third (mean 27.8, SD 1.6 weeks) gestational trimesters by a standardised interview and categorised according to the recommended cut-off of at least 150 min/week. We calculated offspring BW z-scores by sex and gestational age. We then explored the effect of LTPA during pregnancy on offspring BW, the association between LTPA and small-for-gestational-age (SGA) or large-for-gestational-age (LGA) births, and the mediating role of excessive and insufficient gestational weight gain (GWG). At least 150 min/week of LTPA during the third gestational trimester was associated with an offspring BW decrease of -0.35 z-score (95% CI: -0.65, -0.05) or -147.9 grams (95% CI: -260.9, -14.8), without increasing the frequency of SGA foetuses either in the second or third gestational trimester (p > 0.05). Excessive GWG mediated the effect of LTPA on the offspring BW (indirect effect = -0.05 z-score [95% CI: -0.10, -0.00] or -34.7 grams (95% CI: -66.1, -3.3]). This mediation effect was not observed for insufficient GWG. LTPA in the third, but not in the second, trimester of pregnancy was inversely associated with offspring BW without increasing the frequency of SGA, an effect that was partly mediated by excessive GWG.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>35294475</pmid><doi>10.1371/journal.pone.0265164</doi><tpages>e0265164</tpages><orcidid>https://orcid.org/0000-0002-2006-674X</orcidid><orcidid>https://orcid.org/0000-0003-0973-3908</orcidid><orcidid>https://orcid.org/0000-0003-4606-2795</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2022-03, Vol.17 (3), p.e0265164-e0265164 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2640116890 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Age Behavior Biology and Life Sciences Birth size Birth Weight Body Mass Index Body weight gain Childrens health Cohort analysis Consent Data collection Epidemiology Exercise Female Fetuses Gestational age Gestational diabetes Health aspects Health risks Households Humans Leisure Leisure Activities Maternal & child health Medicine and Health Sciences Nutrition Offspring Overweight Physical activity Physical Sciences Population Population studies Pregnancy Pregnant Women Prenatal influences Prospective Studies Public health Questionnaires Research and Analysis Methods Statistics Urban areas White people Womens health |
| title | Leisure-time physical activity in Amazonian pregnant women and offspring birth weight: A prospective cohort study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-27T14%3A55%3A19IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Leisure-time%20physical%20activity%20in%20Amazonian%20pregnant%20women%20and%20offspring%20birth%20weight:%20A%20prospective%20cohort%20study&rft.jtitle=PloS%20one&rft.au=Malta,%20Ma%C3%ADra%20B&rft.aucorp=MINA-Brazil%20Study%20Working%20Group&rft.date=2022-03-16&rft.volume=17&rft.issue=3&rft.spage=e0265164&rft.epage=e0265164&rft.pages=e0265164-e0265164&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0265164&rft_dat=%3Cgale_plos_%3EA697005301%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2640116890&rft_id=info:pmid/35294475&rft_galeid=A697005301&rft_doaj_id=oai_doaj_org_article_0eb37542aaa74007ad1a4580f9448e3e&rfr_iscdi=true |