Physical activity and associations with health-related quality of life in adults born small for gestational age at term: a prospective cohort study

Abstract Background Adults born small for gestational age (SGA) have increased risk of adverse health outcomes. Physical activity (PA) is a key determinant of health and health-related quality of life (HRQoL). We aimed to investigate if being born SGA at term is associated with lower objectively mea...

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Main Authors: Cathrin Vano Mehl, Silje Dahl Benum, Kristina Anna Djupvik Aakvik, Atle Kongsvold, Paul Jarle Mork, Eero Kajantie, Kari Anne I. Evensen
Format: Article
Language:English
Published: BMC 2023-08-01
Series:BMC Pediatrics
Subjects:
Online Access:https://doi.org/10.1186/s12887-023-04256-y
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author Cathrin Vano Mehl
Silje Dahl Benum
Kristina Anna Djupvik Aakvik
Atle Kongsvold
Paul Jarle Mork
Eero Kajantie
Kari Anne I. Evensen
author_facet Cathrin Vano Mehl
Silje Dahl Benum
Kristina Anna Djupvik Aakvik
Atle Kongsvold
Paul Jarle Mork
Eero Kajantie
Kari Anne I. Evensen
author_sort Cathrin Vano Mehl
collection DOAJ
description Abstract Background Adults born small for gestational age (SGA) have increased risk of adverse health outcomes. Physical activity (PA) is a key determinant of health and health-related quality of life (HRQoL). We aimed to investigate if being born SGA at term is associated with lower objectively measured and self-reported PA during adulthood. We also examined if objectively measured and self-reported PA were associated with HRQoL. Methods As part of the 32-year follow-up in the NTNU Low Birth Weight in a Lifetime Perspective study, SGA and non-SGA control participants wore two tri-axial accelerometers for seven days (37 SGA, 43 control), and completed the International Physical Activity Questionnaire (IPAQ) (42 SGA, 49 control) and the Short Form 36 Health Survey (SF-36) (55 SGA, 67 control). Group differences in objectively measured daily metabolic equivalent of task (MET) minutes spent sedentary (lying, sitting), on feet (standing, walking, running, cycling), on the move (walking, running, cycling) and running/cycling, and group differences in self-reported daily MET minutes spent walking and in moderate and vigorous PA were examined using linear regression. Associations with SF-36 were explored in a general linear model. Results Mean (SD) daily MET minutes on the move were 218 (127) in the SGA group and 227 (113) in the control group. There were no group differences in objectively measured and self-reported PA or associations with HRQoL. In the SGA group, one MET minute higher objectively measured time on the move was associated with 4.0 (95% CI: 0.6–6.5, p = 0.009) points higher SF-36 physical component summary. Conclusion We found no differences in objectively measured and self-reported PA or associations with HRQoL between term-born SGA and non-SGA control participants in adulthood.
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spelling doaj.art-516cd0c1ca2f4127b259776c58c7f5862023-11-26T14:15:32ZengBMCBMC Pediatrics1471-24312023-08-0123111210.1186/s12887-023-04256-yPhysical activity and associations with health-related quality of life in adults born small for gestational age at term: a prospective cohort studyCathrin Vano Mehl0Silje Dahl Benum1Kristina Anna Djupvik Aakvik2Atle Kongsvold3Paul Jarle Mork4Eero Kajantie5Kari Anne I. Evensen6Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, NTNUDepartment of Clinical and Molecular Medicine, Norwegian University of Science and Technology, NTNUDepartment of Clinical and Molecular Medicine, Norwegian University of Science and Technology, NTNUDepartment of Public Health and Nursing, Norwegian University of Science and TechnologyDepartment of Public Health and Nursing, Norwegian University of Science and TechnologyDepartment of Clinical and Molecular Medicine, Norwegian University of Science and Technology, NTNUDepartment of Clinical and Molecular Medicine, Norwegian University of Science and Technology, NTNUAbstract Background Adults born small for gestational age (SGA) have increased risk of adverse health outcomes. Physical activity (PA) is a key determinant of health and health-related quality of life (HRQoL). We aimed to investigate if being born SGA at term is associated with lower objectively measured and self-reported PA during adulthood. We also examined if objectively measured and self-reported PA were associated with HRQoL. Methods As part of the 32-year follow-up in the NTNU Low Birth Weight in a Lifetime Perspective study, SGA and non-SGA control participants wore two tri-axial accelerometers for seven days (37 SGA, 43 control), and completed the International Physical Activity Questionnaire (IPAQ) (42 SGA, 49 control) and the Short Form 36 Health Survey (SF-36) (55 SGA, 67 control). Group differences in objectively measured daily metabolic equivalent of task (MET) minutes spent sedentary (lying, sitting), on feet (standing, walking, running, cycling), on the move (walking, running, cycling) and running/cycling, and group differences in self-reported daily MET minutes spent walking and in moderate and vigorous PA were examined using linear regression. Associations with SF-36 were explored in a general linear model. Results Mean (SD) daily MET minutes on the move were 218 (127) in the SGA group and 227 (113) in the control group. There were no group differences in objectively measured and self-reported PA or associations with HRQoL. In the SGA group, one MET minute higher objectively measured time on the move was associated with 4.0 (95% CI: 0.6–6.5, p = 0.009) points higher SF-36 physical component summary. Conclusion We found no differences in objectively measured and self-reported PA or associations with HRQoL between term-born SGA and non-SGA control participants in adulthood.https://doi.org/10.1186/s12887-023-04256-yObjective measureSelf reportSF-36Health statusLong-term outcomeAdult
spellingShingle Cathrin Vano Mehl
Silje Dahl Benum
Kristina Anna Djupvik Aakvik
Atle Kongsvold
Paul Jarle Mork
Eero Kajantie
Kari Anne I. Evensen
Physical activity and associations with health-related quality of life in adults born small for gestational age at term: a prospective cohort study
BMC Pediatrics
Objective measure
Self report
SF-36
Health status
Long-term outcome
Adult
title Physical activity and associations with health-related quality of life in adults born small for gestational age at term: a prospective cohort study
title_full Physical activity and associations with health-related quality of life in adults born small for gestational age at term: a prospective cohort study
title_fullStr Physical activity and associations with health-related quality of life in adults born small for gestational age at term: a prospective cohort study
title_full_unstemmed Physical activity and associations with health-related quality of life in adults born small for gestational age at term: a prospective cohort study
title_short Physical activity and associations with health-related quality of life in adults born small for gestational age at term: a prospective cohort study
title_sort physical activity and associations with health related quality of life in adults born small for gestational age at term a prospective cohort study
topic Objective measure
Self report
SF-36
Health status
Long-term outcome
Adult
url https://doi.org/10.1186/s12887-023-04256-y
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