Flannery, Caragh, Dahly, Darren, Byrne, Molly, Khashan, Ali, McHugh, Sheena, Kenny, Louise C ORCID: 0000-0002-9011-759X, McAuliffe, Fionnuala and Kearney, Patricia M
(2019)
Social, biological, behavioural and psychological factors related to physical activity during early pregnancy in the Screening for Pregnancy Endpoints (Cork, Ireland) cohort study.
BMJ OPEN, 9 (6).
e025003-.
Text
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Abstract
<h4>Objective</h4>The aim of this study was to identify the social, biological, behavioural and psychological factors related to physical activity (PA) in early pregnancy.<h4>Design</h4>This is a secondary analysis of data from a prospective cohort study.<h4>Setting</h4>The study was conducted in Cork, Ireland.<h4>Participants</h4>Nulliparous women with singleton pregnancies were recruited and then interviewed at 15±1 weeks' gestation.<h4>Primary and secondary outcomes</h4>The biopsychosocial model identified factors including social (age), biological (body mass index), behavioural (diet) and psychological (anxiety) at 15±1 weeks' gestation. PA subgroups were identified based on a latent class analysis of their responses to a set of questions about the amount and intensity of activity they were engaging in during the pregnancy. Associations were estimated with multivariable multinomial logistic regression models.<h4>Results</h4>From a total of 2579, 1774 (69%) women were recruited; ages ranged from 17 to 45 years. Based on a combination of model fit, theoretical interpretability and classification quality, the latent class analyses identified three PA subgroups: <i>low</i> PA (n=393), <i>moderate</i> PA (n=960) and <i>high</i> PA (n=413). The fully adjusted model suggests non-smokers, and consumers of fruit and vegetables were more likely to be in the high PA subgroup (vs low). Women with more than 12 years of schooling and a higher socioeconomic status were more likely to be in the moderate PA subgroup (vs low).<h4>Conclusion</h4>The findings highlight potential links between PA, a low education level and a low socioeconomic background. These factors should be considered for future interventions to improve low PA levels during pregnancy.<h4>Trial registration number</h4>ACTRN 12607000551493.
Item Type: | Article |
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Uncontrolled Keywords: | Humans, Body Mass Index, Exercise, Diet, Prospective Studies, Health Behavior, Social Behavior, Anxiety, Maternal Age, Pregnancy, Adult, Ireland, Female, Latent Class Analysis |
Depositing User: | Symplectic Admin |
Date Deposited: | 15 Jan 2020 15:36 |
Last Modified: | 19 Jan 2023 00:09 |
DOI: | 10.1136/bmjopen-2018-025003 |
Open Access URL: | http://dx.doi.org/10.1136/bmjopen-2018-025003 |
Related URLs: | |
URI: | https://livrepository.liverpool.ac.uk/id/eprint/3070713 |