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Article: Physical Activity during Pregnancy: Comparisons between Objective Measures and Self-Reports in Relation to Blood Glucose Levels

TitlePhysical Activity during Pregnancy: Comparisons between Objective Measures and Self-Reports in Relation to Blood Glucose Levels
Authors
Keywordsblood sugar
fasting plasma glucose
gestational diabetes mellitus
international physical activity questionnaire
pregnant
Issue Date2022
Citation
International Journal of Environmental Research and Public Health, 2022, v. 19, n. 13, article no. 8064 How to Cite?
AbstractObjective: to quantify pregnant women’s physical activity during pregnancy using wear-able accelerometers and a self-reported scale and to examine the variation in these two physical activity measures in relation to fasting plasma glucose (FPG) levels and presence of gestational diabetes mellitus (GDM). Methods: this prospective observational study included 197 pregnant women from one of the largest regional hospitals in South China. Women with singleton pregnancy, absence of pre-existing comorbidities and pre-specified contraindications, wore an accelerometer on their waist for 7 consecutive days to objectively record their physical activity, followed by com-pleting a past-7-day physical activity questionnaire, three times, respectively, in three trimesters. GDM was determined by 2-h 75 g oral glucose tolerance test (OGTT) in 24–28th week’s gestation and FPG was obtained in both 1st and 2nd trimesters following standard practice. Results: pregnant women engaged highest levels of various physical activity types in 2nd trimester, except accelerom-eter-based moderate-to-vigorous physical activity which gradually decreased in pregnancy. Pregnant women were more likely to walk in 3rd trimester. The relationship between objective total physical activity and self-reported total physical activity was non-linear. Increased trend of FPG from 1st trimester to 2nd trimester disappeared when adjusting for accelerometer-based light physical activity and attenuated when including walking. Self-reported moderate physical activity was surprisingly positively associated with GDM. Conclusions: different patterns in physical activity between objective measure and self-report in relation to gestational glucose levels were observed. Short-term increase in moderate physical activity prior to OGTT may not be necessary for reducing presence of GDM. Future glucose management for pregnant women may be targeted at lower in-tensity physical activity.
Persistent Identifierhttp://hdl.handle.net/10722/330829
ISSN
2019 Impact Factor: 2.849
2023 SCImago Journal Rankings: 0.808
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChen, Hanqing-
dc.contributor.authorFang, Xuanbi-
dc.contributor.authorWong, Tak Hap-
dc.contributor.authorChan, Sze Ngai-
dc.contributor.authorAkinwunmi, Babatunde-
dc.contributor.authorMing, Wai Kit-
dc.contributor.authorZhang, Casper J.P.-
dc.contributor.authorWang, Zilian-
dc.date.accessioned2023-09-05T12:15:00Z-
dc.date.available2023-09-05T12:15:00Z-
dc.date.issued2022-
dc.identifier.citationInternational Journal of Environmental Research and Public Health, 2022, v. 19, n. 13, article no. 8064-
dc.identifier.issn1661-7827-
dc.identifier.urihttp://hdl.handle.net/10722/330829-
dc.description.abstractObjective: to quantify pregnant women’s physical activity during pregnancy using wear-able accelerometers and a self-reported scale and to examine the variation in these two physical activity measures in relation to fasting plasma glucose (FPG) levels and presence of gestational diabetes mellitus (GDM). Methods: this prospective observational study included 197 pregnant women from one of the largest regional hospitals in South China. Women with singleton pregnancy, absence of pre-existing comorbidities and pre-specified contraindications, wore an accelerometer on their waist for 7 consecutive days to objectively record their physical activity, followed by com-pleting a past-7-day physical activity questionnaire, three times, respectively, in three trimesters. GDM was determined by 2-h 75 g oral glucose tolerance test (OGTT) in 24–28th week’s gestation and FPG was obtained in both 1st and 2nd trimesters following standard practice. Results: pregnant women engaged highest levels of various physical activity types in 2nd trimester, except accelerom-eter-based moderate-to-vigorous physical activity which gradually decreased in pregnancy. Pregnant women were more likely to walk in 3rd trimester. The relationship between objective total physical activity and self-reported total physical activity was non-linear. Increased trend of FPG from 1st trimester to 2nd trimester disappeared when adjusting for accelerometer-based light physical activity and attenuated when including walking. Self-reported moderate physical activity was surprisingly positively associated with GDM. Conclusions: different patterns in physical activity between objective measure and self-report in relation to gestational glucose levels were observed. Short-term increase in moderate physical activity prior to OGTT may not be necessary for reducing presence of GDM. Future glucose management for pregnant women may be targeted at lower in-tensity physical activity.-
dc.languageeng-
dc.relation.ispartofInternational Journal of Environmental Research and Public Health-
dc.subjectblood sugar-
dc.subjectfasting plasma glucose-
dc.subjectgestational diabetes mellitus-
dc.subjectinternational physical activity questionnaire-
dc.subjectpregnant-
dc.titlePhysical Activity during Pregnancy: Comparisons between Objective Measures and Self-Reports in Relation to Blood Glucose Levels-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.3390/ijerph19138064-
dc.identifier.pmid35805717-
dc.identifier.scopuseid_2-s2.0-85133125852-
dc.identifier.volume19-
dc.identifier.issue13-
dc.identifier.spagearticle no. 8064-
dc.identifier.epagearticle no. 8064-
dc.identifier.eissn1660-4601-
dc.identifier.isiWOS:000822139600001-

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