Physical activity during pregnancy and adverse birth outcome: a prospective cohort study in China

被引:8
作者
Li, Jinxiu [1 ]
Huang, Dongping [2 ]
Liang, Jun [1 ]
Chen, Jiehua [1 ]
Lei, Lei [1 ]
Lin, Mengrui [2 ]
Wu, Kaili [1 ]
Xiao, Suyang [1 ]
Lai, Mingshuang [1 ]
Qiu, Xiaoqiang [1 ]
Qian, Zhengmin [3 ]
Vaughn, Michael G. [4 ]
McMillin, Stephen Edward [4 ]
Dong, GuangHui [5 ]
Zeng, Xiaoyun [1 ,8 ]
Liu, Shun [6 ,7 ]
机构
[1] Guangxi Med Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, Nanning, Guangxi, Peoples R China
[2] Guangxi Med Univ, Sch Publ Hlth, Dept Sanit Chem, Nanning, Guangxi, Peoples R China
[3] St Louis Univ, Coll Publ Hlth & Social Justice, Dept Epidemiol & Biostat, St Louis, MO USA
[4] St Louis Univ, Coll Publ Hlth & Social Justice, Sch Social Work, St Louis, MO USA
[5] Sun Yat Sen Univ, Sch Publ Hlth, Dept Environm & Occupat Hlth, Guangzhou, Guangdong, Peoples R China
[6] Guangxi Med Univ, Sch Publ Hlth, Dept Maternal Child & Adolescent Hlth, Nanning, Guangxi, Peoples R China
[7] Guangxi Med Univ, Sch Publ Hlth, Dept Maternal Child & Adolescent Hlth, Nanning 530021, Guangxi, Peoples R China
[8] Guangxi Med Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, Nanning 530021, Guangxi, Peoples R China
基金
中国国家自然科学基金;
关键词
Pregnancy; physical activity; Preterm birth; small-for-gestational age; cohort study; INTRAUTERINE GROWTH RESTRICTION; FOR-GESTATIONAL-AGE; PRETERM BIRTH; RISK; METAANALYSIS; EXERCISE; WOMEN; OVERWEIGHT; VOLUME;
D O I
10.1080/14767058.2022.2162819
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objectives The relationship between prenatal physical activity (PA) and adverse birth outcomes is still inconclusive. We aimed to investigate the association between PA during pregnancy and adverse birth outcomes by using data from the Guangxi Zhuang birth cohort (GZBC) in China. Study Design A total of 11,292 mother-infant pairs were included from GZBC in China. The information on PA status, intensity, adequacy, and volume and birth outcomes were collected. Multivariable linear and logistic regression models were applied to analyze the effects of PA during pregnancy on birth weight z-scores (BW z-scores) and gestational age and risk of small-for-gestational age (SGA) and preterm birth (PTB), respectively. Cubic spline analysis was conducted to detect a nonlinear dose-response of total weekly activity metabolic equivalents (MET) and birth outcomes. Results Compared to no regular PA during pregnancy, moderate and high-intensity PA (MVPA) was associated with increase BW z-scores (beta = 0.08, 95%CI: 0.002, 0.15, p = .044) and associated with a marginal significant decrease in risk of PTB (OR = 0.73, 95%CI: 0.51, 1.05, p = .093). However, PA had no relationship with gestational age and risk of SGA, and Nonlinear relationships were not observed between total weekly activity MET and risk of SGA and PTB. Conclusion These finding shows that PA during pregnancy may increase the BW z-score and reduce risk of PTB, supporting the guidelines that pregnant women should be encouraged to engage in appropriate physical activity during pregnancy in China.
引用
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页数:8
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