Skip to main content
Log in

Relationship between maternal physical activities and preterm birth

  • Original Article
  • Published:
Environmental Health and Preventive Medicine Aims and scope

Abstract

A cross-sectional study was conducted in three Municipal Health Centers located in Aichi prefecture, central Japan. The main purpose of this study was to verify the interaction between maternal leisure-time physical activities prior to and/or during pregnancy and preterm birth and also, to determine the risk factors related to preterm birth. In this study of the 2,682 questionnaires delivered within one year to mothers or relatives at the Municipal Health Centers, 1,714 questionnaires were analyzed. In a univariate analysis the results showed that mothers who had a previous low birthweight or a premature baby, or who were hospitalized during pregnancy before the 37th week of gestation, or had an occupational activity, or carried out their household chores, or were sick, or received much medical advice and did not exercise were more likely to have a preterm baby. In multivariable logistic regression analyses, maternal hospitalization before the 37th week of gestation and occupational activities were significant determinants associated with preterm birth. Thus, it was verified that maternal leisure-time physical activities prior to and/or during pregnancy were not related to preterm birth.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. World Health Organization: Prevention of perinatal morbidity and mortality, Public Health Papers 42, Geneva, WHO, 1969.

    Google Scholar 

  2. Berkowitz GS and Papiernik E. Epidemiology of preterm birth. Epidemiologic Reviews 1993; 15: 414–443.

    PubMed  CAS  Google Scholar 

  3. Creasy RK. Preterm labor and delivery. In: Creasy RK and Resnik R. Maternal-fetal medicine: principles and practice. Philadelphia: W.B. Saunders, 1994: 494–520.

    Google Scholar 

  4. Bakketeig LS and Hoffmann HJ. Epidemiology of preterm birth: results from a longitudinal study of births in Norway. In: Elder MG and Hendricks CH, Eds., Obstetrics and Gynecology 1: Preterm Labor. London; Butterworths, 1981: 17–46.

    Google Scholar 

  5. Hobel CJ. Prevention of prematurity. Pediatric Annals 1996; 25(4): 188–198.

    PubMed  CAS  Google Scholar 

  6. Vital Statistics of Japan 1989, Vol. 1, Statistics and Information department, Minister's Secretariat, Ministry of Health & Welfare, p. 103

  7. Vital Statistics of Japan 1998, Vol. 1, Statistics and Information department, Minister's Secretariat, Ministry of Health & Welfare, p. 113

  8. Barros FC, Huttly SRA, Victora CG, Kirkwood BR and Vaughan JP. Comparison of the causes and consequences of prematurity and intrauterine growth retardation: a longitudinal study in southern Brazil. Pediatrics 1992; 90: 238–244.

    PubMed  CAS  Google Scholar 

  9. van den Berg BJ and Oechsli FW. Prematurity. In: Bracken MB, ed. Perinatal epidemiology. New York: Oxford University press, 1984: 69–85.

    Google Scholar 

  10. Ferraz EM, Gray RH and Cunha TM. Determinants of preterm delivery and intrauterine growth retardation in north-east Brazil. Int. J. Epidemiol. 1990; 19: 101–108.

    Article  PubMed  CAS  Google Scholar 

  11. Wen SW, Goldenberg RL, Cutter GR, Hoffmann HJ and Cliver SP. Intrauterine growth retardation and preterm delivery: prenatal risk factors in an indigent population. Am. J. Obstet. Gynecol. 1990; 162: 213–218.

    PubMed  CAS  Google Scholar 

  12. Papiernik E and Kaminski M. Multifactorial study of the risk of prematurity at 32 weeks of gestation I. A study of the frequency of 30 predictive characteristics. J. Perinat. Med. 1974; 2: 30–36.

    Article  PubMed  CAS  Google Scholar 

  13. Papiernik E, Bouyer J, Gueguen S. The principal risk factors for preterm delivery. In: Papiernik E, Keith LG, Bouyer J et al., Eds. Effective prevention of preterm birth: the French experience measured at Haguenau. (Birth defects: original article series, vol. 25) White Plains, NY, March of Dimes Birth Defects Foundation. 1989: 29–37.

    Google Scholar 

  14. Haas I, Harlow BL, Cramer DW, Frigoletto FD. Spontaneous preterm birth: A case-control study. Am. J. Obstet. Gynecol. 1991 165: 1290–1296.

    PubMed  Google Scholar 

  15. McDonald AD, Armstrong BG, Sloan M. Cigarette, alcohol, and coffee consumption and prematurity. Am. J. Public Health 1992; 82: 87–90.

    PubMed  CAS  Google Scholar 

  16. Andres RL and Jones KL. Social and illicit drug use in pregnancy. In: Creasy RK and Resnik R. Maternal-fetal medicine: principles and practice. Philadelphia; W.B. Saunders, 1994: 182–187.

    Google Scholar 

  17. Copper RL, Goldenberg RL, Das A, Elder N, Swain M, Norman G, Ramsey R, Cotroneo P, Collins BA, Johnson F, Jones P, Meier A and the National Institute of child health and human development maternal-fetal medicine units network. The preterm prediction study: maternal stress is associated with spontaneous preterm birth at less than thirty-five weeks' gestation. Am. J. Obstet. Gynecol. 1996; 175: 1286–1292.

    Article  PubMed  CAS  Google Scholar 

  18. Nordentoft M, Lou HC, Hansen D, Nim J, Pryds O, Rubin P and Hemmingsen R. Intrauterine growth retardation and premature delivery: the influence of maternal smoking and psychosocial factors. Am. J. Public Health 1996; 86: 347–354.

    PubMed  CAS  Google Scholar 

  19. Rini CK, Dunkel-Schetter C, Wadhwa PD, Sandman CA. Psychological adaptation and birth outcomes: The role of personal resources, stress, and sociocultural context in pregnancy. Health Psychology 1999; 18: 333–345.

    Article  PubMed  CAS  Google Scholar 

  20. Newton RW and Hunt LP. Psychosocial stress in pregnancy and its relation to low birth weight. Brit. Med. Journal 1984; 288: 1191–1194.

    CAS  Google Scholar 

  21. Katz VL, Jenkins T, Haley L and Bowes WA. Catecholamine levels in pregnant physicians and nurses: a pilot study of stress and pregnancy. Obstet. Gynecol. 1991; 77: 338–342.

    PubMed  CAS  Google Scholar 

  22. Lou HC, Nordentoft M, Jensen F, Pryds O, Nim J, Hemmingsen R. Psychosocial stress and severe prematurity. The Lancet 1992; 340: 54.

    Article  CAS  Google Scholar 

  23. Homer CJ, James SA and Siegel E. Work-related psychosocial stress and risk of preterm, low birthweight delivery. Am. J. Public Health 1990; 80(2): 173–177.

    PubMed  CAS  Google Scholar 

  24. Hedegaard M, Henriksen TB, Sabroe S, Secher NJ. Psychological distress in pregnancy and preterm delivery. BMJ 1993; 307: 234–239.

    PubMed  CAS  Google Scholar 

  25. Klebanoff MA, Shiono PH and Carey JC. The effect of physical activity during pregnancy on preterm delivery and birth weight. Am. J. Obstet. Gynecol. 1990; 163: 1450–1456.

    PubMed  CAS  Google Scholar 

  26. Teitelman AM, Welch LS, Hellenbrand KG and Bracken MB. Effect of maternal work activity on preterm birth and low birth weight. Am. J. Epidemiol. 1990; 131: 104–113.

    PubMed  CAS  Google Scholar 

  27. Launer LJ, Villar J, Kestler E, De Onis M. The effect of maternal work on fetal growth and duration of pregnancy: a prospective study. Br. J. Obstet. Gynaecol. 1990; 97: 62–70.

    PubMed  CAS  Google Scholar 

  28. Lokey EA, Tran ZV, Wells CL, Myers BC and Tran AC. Effects of physical exercise on pregnancy outcomes: a meta-analytic review. Med. Sci. Sports Exerc. 1991; 23: 1234–1239.

    PubMed  CAS  Google Scholar 

  29. Hall DC and Kaufmann DA. Effects of aerobic and strength conditioning on pregnancy outcomes. Am. J. Obstet. Gynecol. 1987; 157: 1199–1203.

    PubMed  CAS  Google Scholar 

  30. Clapp JF, Capeless EL. Neonatal morphometrics after endurance exercise during pregnancy. Am. J. Obstet. Gynecol. 1990; 163: 1805–1811.

    PubMed  Google Scholar 

  31. Kulpa PJ, White BM, Visscher R. Aerobic exercise in pregnancy. Am. J. Obstet. Gynecol. 1987; 156: 1395–1403.

    PubMed  CAS  Google Scholar 

  32. Work J. Study: exercise okay in normal pregnancy. The Phys. Sportsmed. 1987; 15(7): 51.

    Google Scholar 

  33. Beckmann CRB and Beckmann CA. Effect of a structured antepartum exercise program on pregnancy and labor outcome in primiparas. J. Reprod. Med. 1990; 35: 704–709.

    PubMed  CAS  Google Scholar 

  34. Berkowitz GS, Kelsey JL, Holford TR, Berkowtiz RL. Physical activity and the risk of spontaneous preterm delivery. The Journal of Reproductive Med. 1983; 28: 581–588.

    CAS  Google Scholar 

  35. Misra DP, Strobino DM, Stashinko EE, Nagey DA, Nanda J. Effects of physical activity on preterm birth. Am. J. Epidemiol. 1998; 147(7): 628–635.

    PubMed  CAS  Google Scholar 

  36. Clapp JF, Dickstein S. Endurance exercise and pregnancy outcome. Med. Sci. Sports Exerc. 1984; 16: 556–562.

    PubMed  Google Scholar 

  37. Cavalli AS and Tanaka T. Maternal leisure-time physical activities are not determinant risk factors of low birthweight babies: A cross-sectional study of 1,714 pregnant women. Environ. Health Prev. Med. 2000; 5(2): 72–80.

    Article  Google Scholar 

  38. Mamelle N, Laumon B and Lazar P. Prematurity and occupational activity during pregnancy. Am. J. Epidemiol. 1984; 119: 309–322.

    PubMed  CAS  Google Scholar 

  39. Artal R, Platt LD, Sperling M, Kammula RK, Jilek J and Nakamura R. Exercise in pregnancy I. Maternal cardiovascular and metabolic responses in normal pregnancy. Am. J. Obstet. Gynecol. 1981; 140: 123–127.

    PubMed  CAS  Google Scholar 

  40. Katz VL, McMurray R, Berry MJ and Cefalo RC. Fetal and uterine responses to immersion and exercise. Obstet. Gynecol. 1988; 72: 225–230.

    PubMed  CAS  Google Scholar 

  41. Veille J, Hohimer AR, Burry K and Speroff L. The effect of exercise on uterine activity in the last eight weeks of pregnancy. Am. J. Obstet. Gynecol. 1985; 151: 727–730.

    PubMed  CAS  Google Scholar 

  42. American College of Obstetricians and Gynecologists Technical Bulletin no 189. Exercise during pregnancy and the postpartum period. Washington, DC: ACCG, 1994.

  43. Fedrick J and Anderson ABM. Factors associated with spontaneous pre-term birth. Brit. J. Obstet. Gynaecol. 1976; 83: 342–350.

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Cavalli, A.S., Tanaka, T. Relationship between maternal physical activities and preterm birth. Environ Health Prev Med 6, 74–81 (2001). https://doi.org/10.1007/BF02897949

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02897949

Key words

Navigation