Change in level of physical activity during pregnancy in obese women: findings from the UPBEAT pilot trial
Maternal obesity is associated with an increased risk of pregnancy complications, including gestational diabetes. Physical activity (PA) might improve glucose metabolism and reduce the incidence of gestational diabetes. The purpose of this study was to explore patterns of PA and factors associated w...
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| creator | Hayes, Louise Mcparlin, Catherine Kinnunen, Tarja I Poston, Lucilla Robson, Stephen C Bell, Ruth |
| description | Maternal obesity is associated with an increased risk of pregnancy complications, including gestational diabetes. Physical activity (PA) might improve glucose metabolism and reduce the incidence of gestational diabetes. The purpose of this study was to explore patterns of PA and factors associated with change in PA in obese pregnant women.
PA was assessed objectively by accelerometer at 16 - 18 weeks' (T0), 27 - 28 weeks' (T1) and 35 - 36 weeks' gestation (T2) in 183 obese pregnant women recruited to a pilot randomised trial of a combined diet and PA intervention (the UPBEAT study).
Valid PA data were available for 140 (77%), 76 (42%) and 54 (30%) women at T0, T1 and T2 respectively. Moderate and vigorous physical activity as a proportion of accelerometer wear time declined with gestation from a median of 4.8% at T0 to 3% at T2 (p |
| doi_str_mv | 10.1186/s12884-015-0479-2 |
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PA was assessed objectively by accelerometer at 16 - 18 weeks' (T0), 27 - 28 weeks' (T1) and 35 - 36 weeks' gestation (T2) in 183 obese pregnant women recruited to a pilot randomised trial of a combined diet and PA intervention (the UPBEAT study).
Valid PA data were available for 140 (77%), 76 (42%) and 54 (30%) women at T0, T1 and T2 respectively. Moderate and vigorous physical activity as a proportion of accelerometer wear time declined with gestation from a median of 4.8% at T0 to 3% at T2 (p < 0.05). Total activity as a proportion of accelerometer wear time did not change. Being more active in early pregnancy was associated with a higher level of PA later in pregnancy. The intervention had no effect on PA.
PA in early pregnancy was the factor most strongly associated with PA at later gestations. Women should be encouraged to participate in PA before becoming pregnant and to maintain their activity levels during pregnancy. There is a need for effective interventions, tailored to the needs of individuals and delivered early in pregnancy to support obese women to be sufficiently active during pregnancy.
Current Controlled Trials ISRCTN89971375 (Registered 28/11/2008).</description><identifier>ISSN: 1471-2393</identifier><identifier>EISSN: 1471-2393</identifier><identifier>DOI: 10.1186/s12884-015-0479-2</identifier><identifier>PMID: 25886590</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Accelerometers ; Accelerometry - methods ; Adult ; Behavior Control - methods ; Behavior Control - psychology ; Body Mass Index ; Care and treatment ; Diabetes ; Diabetes, Gestational - blood ; Diabetes, Gestational - prevention & control ; Diet ; Employment ; Ethics ; Exercise ; Female ; Gestational Age ; Glucose - metabolism ; Health aspects ; Health care ; Health Promotion ; Humans ; Intervention ; Obesity ; Obesity - complications ; Obesity - diagnosis ; Obesity - psychology ; Obesity - therapy ; Outcome Assessment, Health Care ; Physiological aspects ; Pilot Projects ; Preconception Care - methods ; Preconception Care - organization & administration ; Pregnancy ; Pregnancy Complications - diagnosis ; Pregnancy Complications - psychology ; Pregnancy Complications - therapy ; Pregnant women ; Risk Factors ; Software ; Systematic review ; Womens health</subject><ispartof>BMC Pregnancy and Childbirth, 2015-03, Vol.15 (1), p.52-52, Article 52</ispartof><rights>COPYRIGHT 2015 BioMed Central Ltd.</rights><rights>2015. This work is licensed under http://creativecommons.org/licenses/by/4.0 (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Hayes et al.; licensee BioMed Central. 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b658t-440ddfaadd546aac693c13d7a68c15d49a861276b62ccc738653738cee694cdd3</citedby><cites>FETCH-LOGICAL-b658t-440ddfaadd546aac693c13d7a68c15d49a861276b62ccc738653738cee694cdd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4352291/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4352291/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25886590$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hayes, Louise</creatorcontrib><creatorcontrib>Mcparlin, Catherine</creatorcontrib><creatorcontrib>Kinnunen, Tarja I</creatorcontrib><creatorcontrib>Poston, Lucilla</creatorcontrib><creatorcontrib>Robson, Stephen C</creatorcontrib><creatorcontrib>Bell, Ruth</creatorcontrib><creatorcontrib>UPBEAT Consortium</creatorcontrib><creatorcontrib>On behalf of the UPBEAT Consortium</creatorcontrib><title>Change in level of physical activity during pregnancy in obese women: findings from the UPBEAT pilot trial</title><title>BMC Pregnancy and Childbirth</title><addtitle>BMC Pregnancy Childbirth</addtitle><description>Maternal obesity is associated with an increased risk of pregnancy complications, including gestational diabetes. Physical activity (PA) might improve glucose metabolism and reduce the incidence of gestational diabetes. The purpose of this study was to explore patterns of PA and factors associated with change in PA in obese pregnant women.
PA was assessed objectively by accelerometer at 16 - 18 weeks' (T0), 27 - 28 weeks' (T1) and 35 - 36 weeks' gestation (T2) in 183 obese pregnant women recruited to a pilot randomised trial of a combined diet and PA intervention (the UPBEAT study).
Valid PA data were available for 140 (77%), 76 (42%) and 54 (30%) women at T0, T1 and T2 respectively. Moderate and vigorous physical activity as a proportion of accelerometer wear time declined with gestation from a median of 4.8% at T0 to 3% at T2 (p < 0.05). Total activity as a proportion of accelerometer wear time did not change. Being more active in early pregnancy was associated with a higher level of PA later in pregnancy. The intervention had no effect on PA.
PA in early pregnancy was the factor most strongly associated with PA at later gestations. Women should be encouraged to participate in PA before becoming pregnant and to maintain their activity levels during pregnancy. There is a need for effective interventions, tailored to the needs of individuals and delivered early in pregnancy to support obese women to be sufficiently active during pregnancy.
Current Controlled Trials ISRCTN89971375 (Registered 28/11/2008).</description><subject>Accelerometers</subject><subject>Accelerometry - methods</subject><subject>Adult</subject><subject>Behavior Control - methods</subject><subject>Behavior Control - psychology</subject><subject>Body Mass Index</subject><subject>Care and treatment</subject><subject>Diabetes</subject><subject>Diabetes, Gestational - blood</subject><subject>Diabetes, Gestational - prevention & control</subject><subject>Diet</subject><subject>Employment</subject><subject>Ethics</subject><subject>Exercise</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Glucose - metabolism</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Health Promotion</subject><subject>Humans</subject><subject>Intervention</subject><subject>Obesity</subject><subject>Obesity - complications</subject><subject>Obesity - diagnosis</subject><subject>Obesity - psychology</subject><subject>Obesity - therapy</subject><subject>Outcome Assessment, Health Care</subject><subject>Physiological aspects</subject><subject>Pilot Projects</subject><subject>Preconception Care - methods</subject><subject>Preconception Care - organization & administration</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - diagnosis</subject><subject>Pregnancy Complications - psychology</subject><subject>Pregnancy Complications - therapy</subject><subject>Pregnant women</subject><subject>Risk Factors</subject><subject>Software</subject><subject>Systematic review</subject><subject>Womens health</subject><issn>1471-2393</issn><issn>1471-2393</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkkuL1TAUx4sozkM_gBsJuHHTMe-mLoTrnfEBA7qYWYc0SXtzaZOatFfutzel4zAjChJIDjm_8-e8iuIVghcICf4uISwELSFiJaRVXeInxSmiFSoxqcnTB_ZJcZbSHkJUCQafFyeYCcFZDU-L_XanfGeB86C3B9uD0IJxd0xOqx4oPbmDm47AzNH5DozRdl55fVzw0Nhkwc8wWP8etM6bTCTQxjCAaWfB7fePV5sbMLo-TGCKTvUvimet6pN9efeeF7efrm62X8rrb5-_bjfXZcOZmEpKoTGtUsYwypXSvCYaEVMpLjRihtZKcIQr3nCsta5ILoTkW1vLa6qNIefFh1V3nJvBGm39FFUvx-gGFY8yKCcfe7zbyS4cJCUM4xplgctVoHHhHwKPPToMcp2FzLOQyywkzjJv7_KI4cds0yQHl7Tte-VtmJNEXFSQYA7Rf6AV5TkzvKBv_kD3YY4-N1RiDGsuIGYwUxcr1aneSufbkBPV-Rg7OB28bV3-3zCKKCQQLgFoDdAxpBRte18ugnJZtr8W-Ppho-8jfm8X-QWOuNBd</recordid><startdate>20150301</startdate><enddate>20150301</enddate><creator>Hayes, Louise</creator><creator>Mcparlin, Catherine</creator><creator>Kinnunen, Tarja I</creator><creator>Poston, Lucilla</creator><creator>Robson, Stephen C</creator><creator>Bell, Ruth</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IAO</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>5PM</scope></search><sort><creationdate>20150301</creationdate><title>Change in level of physical activity during pregnancy in obese women: findings from the UPBEAT pilot trial</title><author>Hayes, Louise ; Mcparlin, Catherine ; Kinnunen, Tarja I ; Poston, Lucilla ; Robson, Stephen C ; Bell, Ruth</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b658t-440ddfaadd546aac693c13d7a68c15d49a861276b62ccc738653738cee694cdd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Accelerometers</topic><topic>Accelerometry - methods</topic><topic>Adult</topic><topic>Behavior Control - methods</topic><topic>Behavior Control - psychology</topic><topic>Body Mass Index</topic><topic>Care and treatment</topic><topic>Diabetes</topic><topic>Diabetes, Gestational - blood</topic><topic>Diabetes, Gestational - prevention & control</topic><topic>Diet</topic><topic>Employment</topic><topic>Ethics</topic><topic>Exercise</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Glucose - metabolism</topic><topic>Health aspects</topic><topic>Health care</topic><topic>Health Promotion</topic><topic>Humans</topic><topic>Intervention</topic><topic>Obesity</topic><topic>Obesity - complications</topic><topic>Obesity - diagnosis</topic><topic>Obesity - psychology</topic><topic>Obesity - therapy</topic><topic>Outcome Assessment, Health Care</topic><topic>Physiological aspects</topic><topic>Pilot Projects</topic><topic>Preconception Care - methods</topic><topic>Preconception Care - organization & administration</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - diagnosis</topic><topic>Pregnancy Complications - psychology</topic><topic>Pregnancy Complications - therapy</topic><topic>Pregnant women</topic><topic>Risk Factors</topic><topic>Software</topic><topic>Systematic review</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hayes, Louise</creatorcontrib><creatorcontrib>Mcparlin, Catherine</creatorcontrib><creatorcontrib>Kinnunen, Tarja I</creatorcontrib><creatorcontrib>Poston, Lucilla</creatorcontrib><creatorcontrib>Robson, Stephen C</creatorcontrib><creatorcontrib>Bell, Ruth</creatorcontrib><creatorcontrib>UPBEAT Consortium</creatorcontrib><creatorcontrib>On behalf of the UPBEAT Consortium</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale Academic OneFile</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMC Pregnancy and Childbirth</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hayes, Louise</au><au>Mcparlin, Catherine</au><au>Kinnunen, Tarja I</au><au>Poston, Lucilla</au><au>Robson, Stephen C</au><au>Bell, Ruth</au><aucorp>UPBEAT Consortium</aucorp><aucorp>On behalf of the UPBEAT Consortium</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Change in level of physical activity during pregnancy in obese women: findings from the UPBEAT pilot trial</atitle><jtitle>BMC Pregnancy and Childbirth</jtitle><addtitle>BMC Pregnancy Childbirth</addtitle><date>2015-03-01</date><risdate>2015</risdate><volume>15</volume><issue>1</issue><spage>52</spage><epage>52</epage><pages>52-52</pages><artnum>52</artnum><issn>1471-2393</issn><eissn>1471-2393</eissn><abstract>Maternal obesity is associated with an increased risk of pregnancy complications, including gestational diabetes. Physical activity (PA) might improve glucose metabolism and reduce the incidence of gestational diabetes. The purpose of this study was to explore patterns of PA and factors associated with change in PA in obese pregnant women.
PA was assessed objectively by accelerometer at 16 - 18 weeks' (T0), 27 - 28 weeks' (T1) and 35 - 36 weeks' gestation (T2) in 183 obese pregnant women recruited to a pilot randomised trial of a combined diet and PA intervention (the UPBEAT study).
Valid PA data were available for 140 (77%), 76 (42%) and 54 (30%) women at T0, T1 and T2 respectively. Moderate and vigorous physical activity as a proportion of accelerometer wear time declined with gestation from a median of 4.8% at T0 to 3% at T2 (p < 0.05). Total activity as a proportion of accelerometer wear time did not change. Being more active in early pregnancy was associated with a higher level of PA later in pregnancy. The intervention had no effect on PA.
PA in early pregnancy was the factor most strongly associated with PA at later gestations. Women should be encouraged to participate in PA before becoming pregnant and to maintain their activity levels during pregnancy. There is a need for effective interventions, tailored to the needs of individuals and delivered early in pregnancy to support obese women to be sufficiently active during pregnancy.
Current Controlled Trials ISRCTN89971375 (Registered 28/11/2008).</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>25886590</pmid><doi>10.1186/s12884-015-0479-2</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; SpringerLink Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; PubMed Central Open Access; Springer Nature OA Free Journals |
| subjects | Accelerometers Accelerometry - methods Adult Behavior Control - methods Behavior Control - psychology Body Mass Index Care and treatment Diabetes Diabetes, Gestational - blood Diabetes, Gestational - prevention & control Diet Employment Ethics Exercise Female Gestational Age Glucose - metabolism Health aspects Health care Health Promotion Humans Intervention Obesity Obesity - complications Obesity - diagnosis Obesity - psychology Obesity - therapy Outcome Assessment, Health Care Physiological aspects Pilot Projects Preconception Care - methods Preconception Care - organization & administration Pregnancy Pregnancy Complications - diagnosis Pregnancy Complications - psychology Pregnancy Complications - therapy Pregnant women Risk Factors Software Systematic review Womens health |
| title | Change in level of physical activity during pregnancy in obese women: findings from the UPBEAT pilot trial |
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