Effects of physical activity during pregnancy on preterm delivery and mode of delivery: The Japan Environment and Children's Study, birth cohort study.
BACKGROUND:The aim of this study was to examine how physical activity (PA) before and during pregnancy influences pregnancy outcomes, particularly preterm delivery and mode of delivery. METHODS:This study was based on the Japan Environment and Children's Study. A total of 92,796 pregnant women...
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| Format: | Article |
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Public Library of Science (PLoS)
2018-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC6205641?pdf=render |
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| author | Mio Takami Akiko Tsuchida Ayako Takamori Shigeru Aoki Mika Ito Mika Kigawa Chihiro Kawakami Fumiki Hirahara Kei Hamazaki Hidekuni Inadera Shuichi Ito Japan Environment & Children’s Study (JECS) Group |
| author_facet | Mio Takami Akiko Tsuchida Ayako Takamori Shigeru Aoki Mika Ito Mika Kigawa Chihiro Kawakami Fumiki Hirahara Kei Hamazaki Hidekuni Inadera Shuichi Ito Japan Environment & Children’s Study (JECS) Group |
| author_sort | Mio Takami |
| collection | DOAJ |
| description | BACKGROUND:The aim of this study was to examine how physical activity (PA) before and during pregnancy influences pregnancy outcomes, particularly preterm delivery and mode of delivery. METHODS:This study was based on the Japan Environment and Children's Study. A total of 92,796 pregnant women who gave birth to live singleton babies were included. Information on mean PA per week during pregnancy was extracted from the responses to questionnaires completed by women during the second and third trimesters of pregnancy. Information on PA before pregnancy was obtained from questionnaires answered based on recall at participation. The level of PA was stratified into the following quartiles for categorical analysis: Very low, Low, Medium, and High. Pregnancy outcomes, gestational age at delivery (whether preterm delivery or not), and mode of delivery (spontaneous, instrumental, or caesarean delivery) were compared between the different groups adjusted for multiple covariates. RESULTS:With respect to PA during pregnancy, the risk of preterm delivery and instrumental delivery increased significantly in the Very low group compared to that in the Medium group (odds ratios [OR] 1.16, 95% confidence interval [CI], 1.05-1.29; OR 1.12, 95% CI, 1.03-1.22, respectively). Moreover, the risks of caesarean delivery in the Low group and instrumental delivery in the High group were significantly higher than the risks in the Medium group (OR 1.07, 95% CI, 1.00-1.15; OR 1.12, 95% CI, 1.02-1.22, respectively). In contrast, with respect to PA before pregnancy, there were no statistically significant differences when the other groups were compared to the Medium group. CONCLUSIONS:Pre-pregnancy PA has no negative effects on preterm birth and caesarean delivery. In contrast, both may be affected by PA during pregnancy because a low level of PA appears to slightly increase the risk of preterm delivery and operative delivery (caesarean and instrumental). |
| first_indexed | 2024-04-13T23:25:58Z |
| format | Article |
| id | doaj.art-4976f27d7b8241ebac56546bb445d277 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-13T23:25:58Z |
| publishDate | 2018-01-01 |
| publisher | Public Library of Science (PLoS) |
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| series | PLoS ONE |
| spelling | doaj.art-4976f27d7b8241ebac56546bb445d2772022-12-22T02:25:04ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-011310e020616010.1371/journal.pone.0206160Effects of physical activity during pregnancy on preterm delivery and mode of delivery: The Japan Environment and Children's Study, birth cohort study.Mio TakamiAkiko TsuchidaAyako TakamoriShigeru AokiMika ItoMika KigawaChihiro KawakamiFumiki HiraharaKei HamazakiHidekuni InaderaShuichi ItoJapan Environment & Children’s Study (JECS) GroupBACKGROUND:The aim of this study was to examine how physical activity (PA) before and during pregnancy influences pregnancy outcomes, particularly preterm delivery and mode of delivery. METHODS:This study was based on the Japan Environment and Children's Study. A total of 92,796 pregnant women who gave birth to live singleton babies were included. Information on mean PA per week during pregnancy was extracted from the responses to questionnaires completed by women during the second and third trimesters of pregnancy. Information on PA before pregnancy was obtained from questionnaires answered based on recall at participation. The level of PA was stratified into the following quartiles for categorical analysis: Very low, Low, Medium, and High. Pregnancy outcomes, gestational age at delivery (whether preterm delivery or not), and mode of delivery (spontaneous, instrumental, or caesarean delivery) were compared between the different groups adjusted for multiple covariates. RESULTS:With respect to PA during pregnancy, the risk of preterm delivery and instrumental delivery increased significantly in the Very low group compared to that in the Medium group (odds ratios [OR] 1.16, 95% confidence interval [CI], 1.05-1.29; OR 1.12, 95% CI, 1.03-1.22, respectively). Moreover, the risks of caesarean delivery in the Low group and instrumental delivery in the High group were significantly higher than the risks in the Medium group (OR 1.07, 95% CI, 1.00-1.15; OR 1.12, 95% CI, 1.02-1.22, respectively). In contrast, with respect to PA before pregnancy, there were no statistically significant differences when the other groups were compared to the Medium group. CONCLUSIONS:Pre-pregnancy PA has no negative effects on preterm birth and caesarean delivery. In contrast, both may be affected by PA during pregnancy because a low level of PA appears to slightly increase the risk of preterm delivery and operative delivery (caesarean and instrumental).http://europepmc.org/articles/PMC6205641?pdf=render |
| spellingShingle | Mio Takami Akiko Tsuchida Ayako Takamori Shigeru Aoki Mika Ito Mika Kigawa Chihiro Kawakami Fumiki Hirahara Kei Hamazaki Hidekuni Inadera Shuichi Ito 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 |
| title | Effects of physical activity during pregnancy on preterm delivery and mode of delivery: The Japan Environment and Children's Study, birth cohort study. |
| title_full | Effects of physical activity during pregnancy on preterm delivery and mode of delivery: The Japan Environment and Children's Study, birth cohort study. |
| title_fullStr | Effects of physical activity during pregnancy on preterm delivery and mode of delivery: The Japan Environment and Children's Study, birth cohort study. |
| title_full_unstemmed | Effects of physical activity during pregnancy on preterm delivery and mode of delivery: The Japan Environment and Children's Study, birth cohort study. |
| title_short | Effects of physical activity during pregnancy on preterm delivery and mode of delivery: The Japan Environment and Children's Study, birth cohort study. |
| title_sort | effects of physical activity during pregnancy on preterm delivery and mode of delivery the japan environment and children s study birth cohort study |
| url | http://europepmc.org/articles/PMC6205641?pdf=render |
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