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The association between objectively-measured physical activity during pregnancy and the risk of cesarean delivery: a prospective study
Affiliations- 1st Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
- School of Public Health, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong, China
open access
Abstract
Objectives: To evaluate the association between physical activity (PA) and risk of cesarean delivery. Material and methods: 197 singleton pregnant women recruited in this study. Participants were divided into vaginal and cesarean delivery group. PA based objectively monitoring between the two groups was compared. Logistic regression was used to analyze the association between PA and cesarean delivery. Results: Moderate PA (MPA) of cesarean delivery group was less in the first (21.5 vs 27.5 min/day; p = 0.006) and second trimester (19.4 vs 26.8 min/day; p = 0.001). Light PA of cesarean delivery group was less (195.9 vs 217.3 min/day; p = 0.006) with more sedentary time (551.7 vs 529.1 min/day; p = 0.041) in the third trimester. Increased risk of cesarean delivery was noted in cases with MPA < 37.8 min/day compared to MPA ≥ 37.8 min/day (aOR 2.62; 95% CI 1.09 to 6.32; p = 0.031) in the first trimester. MPA < 17.9 min/day in the second trimester increased the risk of cesarean delivery (aOR 3.01; 95% CI 1.57 to 5.75; p = 0.001) compared to MPA ≥ 17.9 min/day. Conclusions: MPA in the first two trimesters were associated with the risk of cesarean section. Women should increase MPA from early pregnancy.
Abstract
Objectives: To evaluate the association between physical activity (PA) and risk of cesarean delivery. Material and methods: 197 singleton pregnant women recruited in this study. Participants were divided into vaginal and cesarean delivery group. PA based objectively monitoring between the two groups was compared. Logistic regression was used to analyze the association between PA and cesarean delivery. Results: Moderate PA (MPA) of cesarean delivery group was less in the first (21.5 vs 27.5 min/day; p = 0.006) and second trimester (19.4 vs 26.8 min/day; p = 0.001). Light PA of cesarean delivery group was less (195.9 vs 217.3 min/day; p = 0.006) with more sedentary time (551.7 vs 529.1 min/day; p = 0.041) in the third trimester. Increased risk of cesarean delivery was noted in cases with MPA < 37.8 min/day compared to MPA ≥ 37.8 min/day (aOR 2.62; 95% CI 1.09 to 6.32; p = 0.031) in the first trimester. MPA < 17.9 min/day in the second trimester increased the risk of cesarean delivery (aOR 3.01; 95% CI 1.57 to 5.75; p = 0.001) compared to MPA ≥ 17.9 min/day. Conclusions: MPA in the first two trimesters were associated with the risk of cesarean section. Women should increase MPA from early pregnancy.
Keywords
delivery; physical activity; pregnancy; risk
About this articleTitle
The association between objectively-measured physical activity during pregnancy and the risk of cesarean delivery: a prospective study
Journal
Issue
Article type
Research paper
Pages
916-921
Published online
2022-10-06
Page views
3745
Article views/downloads
374
DOI
Pubmed
Bibliographic record
Ginekol Pol 2022;93(11):916-921.
Keywords
delivery
physical activity
pregnancy
risk
Authors
Hanqing Chen
Casper J.P. Zhang
Wai-Kit Ming
Zilian Wang
References (18)- Keag OE, Norman JE, Stock SJ. Long-term risks and benefits associated with cesarean delivery for mother, baby, and subsequent pregnancies: Systematic review and meta-analysis. PLoS Med. 2018; 15(1): e1002494.
- Li HT, Luo S, Trasande L, et al. Geographic variations and temporal trends in cesarean delivery rates in China, 2008-2014. JAMA. 2017; 317(1): 69–76.
- Zhang HX, Zhao YY, Wang YQ. Analysis of the characteristics of pregnancy and delivery before and after implementation of the two-child policy. Chin Med J (Engl). 2018; 131(1): 37–42.
- Leskinen T, Stenholm S, Heinonen OJ, et al. Change in physical activity and accumulation of cardiometabolic risk factors. Prev Med. 2018; 112: 31–37.
- International Weight Management in Pregnancy (i-WIP) Collaborative Group. Effect of diet and physical activity based interventions in pregnancy on gestational weight gain and pregnancy outcomes: meta-analysis of individual participant data from randomised trials. BMJ. 2017; 358: j3119.
- Karabulut A, Derbent AU, Yildirim M, et al. Evaluation of risk factors and effect of physical activity in caesarean section in nulliparous women. J Matern Fetal Neonatal Med. 2012; 25(8): 1456–1459.
- Freedson PS, Melanson E, Sirard J. Calibration of the computer science and applications, Inc. accelerometer. Med Sci Sports Exerc. 1998; 30(5): 777–781.
- Baena-García L, Ocón-Hernández O, Acosta-Manzano P, et al. Association of sedentary time and physical activity during pregnancy with maternal and neonatal birth outcomes. The GESTAFIT Project. Scand J Med Sci Sports. 2019; 29(3): 407–414.
- Ko YL, Chen CP, Lin PC. Physical activities during pregnancy and type of delivery in nulliparae. Eur J Sport Sci. 2016; 16(3): 374–380.
- Sanda B, Vistad I, Sagedal LR, et al. What is the effect of physical activity on duration and mode of delivery? Secondary analysis from the Norwegian Fit for Delivery trial. Acta Obstet Gynecol Scand. 2018; 97(7): 861–871.
- Ferreira CL, Guerra CM, Silva AI, et al. Exercise in pregnancy: the impact of an intervention program in the duration of labor and mode of delivery. Rev Bras Ginecol Obstet. 2019; 41(2): 68–75.
- Domenjoz I, Kayser B, Boulvain M. Effect of physical activity during pregnancy on mode of delivery. Am J Obstet Gynecol. 2014; 211(4): 401.e1–401.11.
- Tinius RA, Cahill AG, Cade WT. Impact of physical activity during pregnancy on obstetric outcomes in obese women. J Sports Med Phys Fitness. 2017; 57(5): 652–659.
- Koushkie Jahromi M, Namavar Jahromi B, Hojjati S. Relationship between daily physical activity during last month of pregnancy and pregnancy outcome. Iran Red Crescent Med J. 2011; 13(1): 15–20.
- Russo LM, Harvey MW, Pekow P, et al. Physical activity and risk of cesarean delivery in hispanic women. J Phys Act Health. 2019; 16(2): 116–124.
- Takami M, Tsuchida A, Takamori A, et al. Japan Environment & Children’s Study (JECS) Group. Effects of physical activity during pregnancy on preterm delivery and mode of delivery: The Japan Environment and Children's Study, birth cohort study. PLoS One. 2018; 13(10): e0206160.
- Bovbjerg ML, Siega-Riz AM, Evenson KR, et al. Exposure analysis methods impact associations between maternal physical activity and cesarean delivery. J Phys Act Health. 2015; 12(1): 37–47.
- Mizgier M, Mruczyk K, Jarząbek-Bielecka G, et al. The impact of physical activity during pregnancy on maternal weight and obstetric outcomes. Ginekol Pol. 2018; 89(2): 80–88.
