Associations between social support and physical activity in postpartum: a Norwegian multi-ethnic cohort study

Background Social support is associated with higher self-reported physical activity (PA) in postpartum women, but it is unknown if similar association occur when using objective PA data. The aim was to explore the associations between social support and objectively recorded moderate-to-vigorous phys...

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Main Authors: Karin Elisabeth Bennetter, Kåre Rønn Richardsen, Nina Køpke Vøllestad, Anne Karen Jenum, Hilde Stendal Robinson, Ibrahimu Mdala, Christin Wiegels Waage
Format: Article
Language:English
Published: BMC 2023-04-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-023-15507-z
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author Karin Elisabeth Bennetter
Kåre Rønn Richardsen
Nina Køpke Vøllestad
Anne Karen Jenum
Hilde Stendal Robinson
Ibrahimu Mdala
Christin Wiegels Waage
author_facet Karin Elisabeth Bennetter
Kåre Rønn Richardsen
Nina Køpke Vøllestad
Anne Karen Jenum
Hilde Stendal Robinson
Ibrahimu Mdala
Christin Wiegels Waage
author_sort Karin Elisabeth Bennetter
collection DOAJ
description Background Social support is associated with higher self-reported physical activity (PA) in postpartum women, but it is unknown if similar association occur when using objective PA data. The aim was to explore the associations between social support and objectively recorded moderate-to-vigorous physical activity (MVPA) postpartum, and if associations differed across ethnic groups. Methods We used data from 636 women who participated in the STORK Groruddalen cohort study (2008–2010). MVPA minutes/day in bouts of ≥ 10 minutes was recorded by SenseWear Armband™ Pro3 (SWA) over 7 days, 14 weeks postpartum. Social support for PA from family or friends was measured by a modified 12-item version of the Social Support for Exercise Scale. We used single items, family support mean score (6 items) and friends’ support mean score (6-items) in four separate count models, and adjusted for SWA week, age, ethnicity, education, parity, body mass index and time since birth. We tested interactions between social support and ethnicity. Analyses were performed on complete cases and imputed data. Results Based on imputed data, we observed that women who reported low and high support from family accumulated 16.2 (IQR: 6.1–39.1) and 18.6 (IQR: 5.0-46.5) MVPA minutes/day, respectively. Women who reported low and high support from friends accumulated 18.7 (IQR: 5.9–43.6) and 16.8 (IQR: 5.0-45.8) MVPA minutes/day. We observed a 12% increase in MVPA minutes/day for each additional increase in mean family support score (IRR = 1.12, 95% CI: 1.02 to 1.25). Women reporting high level of support from family on ‘discuss PA’, ‘co-participation’ and ‘take over chores’ accumulated 33%, 37% and 25% more MVPA minutes/day than women reporting low level of support respectively (‘discuss PA’: IRR = 1.33, 95% CI: 1.03 to 1.72, ‘co-participation’: IRR = 1.37, 95% CI: 1.13 to 1.66 and ‘take over chores’: IRR = 1.25, 95% CI: 1.02 to 1.54). Associations were not modified by ethnicity. No statistically significant association between support from friends and MVPA was observed. Similar results were found in complete case analyses, with a few exceptions. Conclusion Overall family support and specific forms of support from family were associated with MVPA across ethnic groups, while support from friends was not associated with MVPA postpartum.
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spelling doaj.art-91b6f07b07c1400c816f80e42fd08a302023-04-23T11:30:25ZengBMCBMC Public Health1471-24582023-04-0123111210.1186/s12889-023-15507-zAssociations between social support and physical activity in postpartum: a Norwegian multi-ethnic cohort studyKarin Elisabeth Bennetter0Kåre Rønn Richardsen1Nina Køpke Vøllestad2Anne Karen Jenum3Hilde Stendal Robinson4Ibrahimu Mdala5Christin Wiegels Waage6Institute of Health and Society, Department of General Practice, Faculty of Medicine, University of OsloDepartment of Rehabilitation Science and Health Technology, Faculty of Health Science, Oslo Metropolitan UniversityInstitute of Health and Society, Department of Interdisciplinary Health Sciences, University of OsloInstitute of Health and Society, Department of General Practice, Faculty of Medicine, University of OsloInstitute of Health and Society, Department of Interdisciplinary Health Sciences, University of OsloInstitute of Health and Society, Department of General Practice, Faculty of Medicine, University of OsloInstitute of Health and Society, Department of General Practice, Faculty of Medicine, University of OsloBackground Social support is associated with higher self-reported physical activity (PA) in postpartum women, but it is unknown if similar association occur when using objective PA data. The aim was to explore the associations between social support and objectively recorded moderate-to-vigorous physical activity (MVPA) postpartum, and if associations differed across ethnic groups. Methods We used data from 636 women who participated in the STORK Groruddalen cohort study (2008–2010). MVPA minutes/day in bouts of ≥ 10 minutes was recorded by SenseWear Armband™ Pro3 (SWA) over 7 days, 14 weeks postpartum. Social support for PA from family or friends was measured by a modified 12-item version of the Social Support for Exercise Scale. We used single items, family support mean score (6 items) and friends’ support mean score (6-items) in four separate count models, and adjusted for SWA week, age, ethnicity, education, parity, body mass index and time since birth. We tested interactions between social support and ethnicity. Analyses were performed on complete cases and imputed data. Results Based on imputed data, we observed that women who reported low and high support from family accumulated 16.2 (IQR: 6.1–39.1) and 18.6 (IQR: 5.0-46.5) MVPA minutes/day, respectively. Women who reported low and high support from friends accumulated 18.7 (IQR: 5.9–43.6) and 16.8 (IQR: 5.0-45.8) MVPA minutes/day. We observed a 12% increase in MVPA minutes/day for each additional increase in mean family support score (IRR = 1.12, 95% CI: 1.02 to 1.25). Women reporting high level of support from family on ‘discuss PA’, ‘co-participation’ and ‘take over chores’ accumulated 33%, 37% and 25% more MVPA minutes/day than women reporting low level of support respectively (‘discuss PA’: IRR = 1.33, 95% CI: 1.03 to 1.72, ‘co-participation’: IRR = 1.37, 95% CI: 1.13 to 1.66 and ‘take over chores’: IRR = 1.25, 95% CI: 1.02 to 1.54). Associations were not modified by ethnicity. No statistically significant association between support from friends and MVPA was observed. Similar results were found in complete case analyses, with a few exceptions. Conclusion Overall family support and specific forms of support from family were associated with MVPA across ethnic groups, while support from friends was not associated with MVPA postpartum.https://doi.org/10.1186/s12889-023-15507-zPhysical activityMVPASocial supportPostpartumFamilyFriends
spellingShingle Karin Elisabeth Bennetter
Kåre Rønn Richardsen
Nina Køpke Vøllestad
Anne Karen Jenum
Hilde Stendal Robinson
Ibrahimu Mdala
Christin Wiegels Waage
Associations between social support and physical activity in postpartum: a Norwegian multi-ethnic cohort study
BMC Public Health
Physical activity
MVPA
Social support
Postpartum
Family
Friends
title Associations between social support and physical activity in postpartum: a Norwegian multi-ethnic cohort study
title_full Associations between social support and physical activity in postpartum: a Norwegian multi-ethnic cohort study
title_fullStr Associations between social support and physical activity in postpartum: a Norwegian multi-ethnic cohort study
title_full_unstemmed Associations between social support and physical activity in postpartum: a Norwegian multi-ethnic cohort study
title_short Associations between social support and physical activity in postpartum: a Norwegian multi-ethnic cohort study
title_sort associations between social support and physical activity in postpartum a norwegian multi ethnic cohort study
topic Physical activity
MVPA
Social support
Postpartum
Family
Friends
url https://doi.org/10.1186/s12889-023-15507-z
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