Prenatal determinants of physical activity and cardiorespiratory fitness in adolescence – Northern Finland Birth Cohort 1986 study

Abstract Background Lower levels of physical activity and cardiorespiratory fitness are key risk factors of chronic adult diseases. Physical activity and cardiorespiratory fitness are predicted by birth weight, but the underlying parental and pregnancy-related factors remain largely unknown. We exam...

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Main Authors: Marjaana Tikanmäki, Tuija Tammelin, Marja Vääräsmäki, Marika Sipola-Leppänen, Satu Miettola, Anneli Pouta, Marjo-Riitta Järvelin, Eero Kajantie
Format: Article
Language:English
Published: BMC 2017-04-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-017-4237-4
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author Marjaana Tikanmäki
Tuija Tammelin
Marja Vääräsmäki
Marika Sipola-Leppänen
Satu Miettola
Anneli Pouta
Marjo-Riitta Järvelin
Eero Kajantie
author_facet Marjaana Tikanmäki
Tuija Tammelin
Marja Vääräsmäki
Marika Sipola-Leppänen
Satu Miettola
Anneli Pouta
Marjo-Riitta Järvelin
Eero Kajantie
author_sort Marjaana Tikanmäki
collection DOAJ
description Abstract Background Lower levels of physical activity and cardiorespiratory fitness are key risk factors of chronic adult diseases. Physical activity and cardiorespiratory fitness are predicted by birth weight, but the underlying parental and pregnancy-related factors remain largely unknown. We examined how prenatal determinants are associated with physical activity and cardiorespiratory fitness in adolescence. Methods Of the 16-year-old members of the population-based Northern Finland Birth Cohort 1986 (NFBC 1986), 6682 singletons with no major physical disability reported their amount of physical activity outside school hours, and 4706 completed a submaximal cycle ergometer test assessing cardiorespiratory fitness. Physical activity was expressed as metabolic equivalent hours per week (METh/week) and cardiorespiratory fitness as peak oxygen uptake (ml·kg−1·min−1). Prenatal determinants included birth weight, length of gestation, mother’s and father’s body mass index (BMI), maternal gestational diabetes mellitus (GDM), and maternal hypertension and smoking during pregnancy. Data were analyzed by multiple linear regression. Results A higher birth weight and longer length of gestation predicted lower levels of physical activity and cardiorespiratory fitness at 16 years, although the association between length of gestation and physical activity was inverse U-shaped. Mother’s or father’s overweight or obesity before pregnancy were associated with lower levels of their offspring’s physical activity and fitness in adolescence. Adjusting for maternal pregnancy disorders and the adolescent’s own BMI attenuated the associations with the mother’s but not the father’s overweight/obesity. Furthermore, maternal GDM predicted lower cardiorespiratory fitness. Conclusions A high birth weight and parental overweight/obesity are associated with lower levels of both physical activity and cardiorespiratory fitness in adolescence, while maternal GDM and longer length of gestation are associated with lower cardiorespiratory fitness. Both long and short lengths of gestation predict low physical activity.
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spelling doaj.art-392bcaa5a7a8473c9e8579a9297b573a2022-12-21T17:33:43ZengBMCBMC Public Health1471-24582017-04-0117111210.1186/s12889-017-4237-4Prenatal determinants of physical activity and cardiorespiratory fitness in adolescence – Northern Finland Birth Cohort 1986 studyMarjaana Tikanmäki0Tuija Tammelin1Marja Vääräsmäki2Marika Sipola-Leppänen3Satu Miettola4Anneli Pouta5Marjo-Riitta Järvelin6Eero Kajantie7Chronic Disease Prevention Unit, Department of Health, National Institute for Health and WelfareLIKES Research Center for Physical Activity and HealthPediatrics and Adolescence and Obstetrics and Gynecology, Medical Research Center Oulu, Oulu University Hospital and University of OuluChronic Disease Prevention Unit, Department of Health, National Institute for Health and WelfareChronic Disease Prevention Unit, Department of Health, National Institute for Health and WelfarePediatrics and Adolescence and Obstetrics and Gynecology, Medical Research Center Oulu, Oulu University Hospital and University of OuluDepartment of Epidemiology and Biostatistics, MRC–PHE Centre for Environment & Health, School of Public Health, Imperial College LondonChronic Disease Prevention Unit, Department of Health, National Institute for Health and WelfareAbstract Background Lower levels of physical activity and cardiorespiratory fitness are key risk factors of chronic adult diseases. Physical activity and cardiorespiratory fitness are predicted by birth weight, but the underlying parental and pregnancy-related factors remain largely unknown. We examined how prenatal determinants are associated with physical activity and cardiorespiratory fitness in adolescence. Methods Of the 16-year-old members of the population-based Northern Finland Birth Cohort 1986 (NFBC 1986), 6682 singletons with no major physical disability reported their amount of physical activity outside school hours, and 4706 completed a submaximal cycle ergometer test assessing cardiorespiratory fitness. Physical activity was expressed as metabolic equivalent hours per week (METh/week) and cardiorespiratory fitness as peak oxygen uptake (ml·kg−1·min−1). Prenatal determinants included birth weight, length of gestation, mother’s and father’s body mass index (BMI), maternal gestational diabetes mellitus (GDM), and maternal hypertension and smoking during pregnancy. Data were analyzed by multiple linear regression. Results A higher birth weight and longer length of gestation predicted lower levels of physical activity and cardiorespiratory fitness at 16 years, although the association between length of gestation and physical activity was inverse U-shaped. Mother’s or father’s overweight or obesity before pregnancy were associated with lower levels of their offspring’s physical activity and fitness in adolescence. Adjusting for maternal pregnancy disorders and the adolescent’s own BMI attenuated the associations with the mother’s but not the father’s overweight/obesity. Furthermore, maternal GDM predicted lower cardiorespiratory fitness. Conclusions A high birth weight and parental overweight/obesity are associated with lower levels of both physical activity and cardiorespiratory fitness in adolescence, while maternal GDM and longer length of gestation are associated with lower cardiorespiratory fitness. Both long and short lengths of gestation predict low physical activity.http://link.springer.com/article/10.1186/s12889-017-4237-4ExerciseBirth weightLength of gestationPreterm birthGestational diabetesGestational hypertension
spellingShingle Marjaana Tikanmäki
Tuija Tammelin
Marja Vääräsmäki
Marika Sipola-Leppänen
Satu Miettola
Anneli Pouta
Marjo-Riitta Järvelin
Eero Kajantie
Prenatal determinants of physical activity and cardiorespiratory fitness in adolescence – Northern Finland Birth Cohort 1986 study
BMC Public Health
Exercise
Birth weight
Length of gestation
Preterm birth
Gestational diabetes
Gestational hypertension
title Prenatal determinants of physical activity and cardiorespiratory fitness in adolescence – Northern Finland Birth Cohort 1986 study
title_full Prenatal determinants of physical activity and cardiorespiratory fitness in adolescence – Northern Finland Birth Cohort 1986 study
title_fullStr Prenatal determinants of physical activity and cardiorespiratory fitness in adolescence – Northern Finland Birth Cohort 1986 study
title_full_unstemmed Prenatal determinants of physical activity and cardiorespiratory fitness in adolescence – Northern Finland Birth Cohort 1986 study
title_short Prenatal determinants of physical activity and cardiorespiratory fitness in adolescence – Northern Finland Birth Cohort 1986 study
title_sort prenatal determinants of physical activity and cardiorespiratory fitness in adolescence northern finland birth cohort 1986 study
topic Exercise
Birth weight
Length of gestation
Preterm birth
Gestational diabetes
Gestational hypertension
url http://link.springer.com/article/10.1186/s12889-017-4237-4
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