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Exercise During Pregnancy and its Association with Gestational Weight Gain

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Abstract

We examined the association between exercise during pregnancy and meeting gestational weight gain recommendations. Data came from the 2009 South Carolina Pregnancy Risk Assessment Monitoring System (n = 856). Women reported their participation in exercise/sports activities before and during pregnancy, including the number of months and types of exercise. We developed an exercise index (EI), the product of the number of months spent in exercise and average metabolic equivalents for specific exercise. The 2009 Institute of Medicine’s guideline was used to categorize gestational weight gain into three classes: inadequate, adequate, and excessive. Multinomial logistic regression models were used to adjust for confounders. Over 46 % of women exceeded the recommended weight gain during pregnancy. Nearly one third (31.9 %) of women reported exercising ≥3 times a week at any time during pregnancy. Compared to women who did not report this level of exercise during pregnancy, exercising women were more likely to meet gestational weight gain recommendations (32.7 vs. 18.7 %) and had a lower odds of excessive gestational weight gain [adjusted odds ratio (AOR) 0.43, 95 % confidence interval 0.24–0.78]. Women with an EI above the median value of those women who exercised or women who exercised ≥3 times a week for 6–9 months during pregnancy had lower odds of excessive gestational weight gain (AOR for EI 0.20, 0.08–0.49; AOR for months 0.26, 0.12–0.56, respectively). Our findings support the need to promote or increase exercise during pregnancy to reduce the high proportion of women who are gaining excessive weight.

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References

  1. Stotland, N. E., Hopkins, L. M., & Caughey, A. B. (2004). Gestational weight gain, macrosomia, and risk of cesarean birth in nondiabetic nulliparas. Obstetrics and Gynecology, 104, 671–677. doi:10.1097/01.AOG.0000139515.97799.f6.

    Article  PubMed  Google Scholar 

  2. Weiss, J. L., Malone, F. D., Emig, D., et al. (2004). Obesity, obstetric complications and cesarean delivery rate—a population-based screening study. American Journal of Obstetrics and Gynecology, 190, 1091–1097.

    Article  PubMed  Google Scholar 

  3. Rosenberg, T. J., Garbers, S., Lipkind, H., et al. (2005). Maternal obesity and diabetes as risk factors for adverse pregnancy outcomes: Differences among 4 racial/ethnic groups. American Journal of Public Health, 95, 1545–1551.

    Article  PubMed Central  PubMed  Google Scholar 

  4. Siega-Riz, A. M., Herring, A. H., Carrier, K., et al. (2010). Sociodemographic, perinatal, behavioral, and psychosocial predictors of weight retention at 3 and 12 months Postpartum. Obesity (Silver Spring), 18, 1996–2003.

    Article  Google Scholar 

  5. Mamun, A. A., Kinarivala, M., O’Callaghan, M. J., et al. (2010). Associations of excess weight gain during pregnancy with long-term maternal overweight and obesity: Evidence from 21 y postpartum follow-up. American Journal of Clinical Nutrition, 91, 1336–1341.

    Article  CAS  PubMed  Google Scholar 

  6. Bodnar, L. M., Siega-Riz, A. M., Simhan, H. N., et al. (2010). Severe obesity, gestational weight gain, and adverse birth outcomes. American Journal of Clinical Nutrition, 91, 1642–1648.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  7. Wise, L. A., Palmer, J. R., Heffner, L. J., et al. (2010). Prepregnancy body size, gestational weight gain, and risk of preterm birth in African-American women. Epidemiology, 21, 243–252. doi:10.1097/EDE.0b013e3181cb61a9.

    Article  PubMed Central  PubMed  Google Scholar 

  8. Sewell, M. F., Huston-Presley, L., Super, D. M., et al. (2006). Increased neonatal fat mass, not lean body mass, is associated with maternal obesity. American Journal of Obstetrics and Gynecology, 195, 1100–1103.

    Article  PubMed  Google Scholar 

  9. Oken, E., Rifas-Shiman, S. L., Field, A. E., et al. (2008). Maternal gestational weight gain and offspring weight in adolescence. Obstetrics and Gynecology, 112, 999–1006.

    Article  PubMed Central  PubMed  Google Scholar 

  10. Oken, E., Taveras, E. M., Kleinman, K. P., et al. (2007). Gestational weight gain and child adiposity at age 3 years. American Journal of Obstetrics and Gynceology, 196(322), e1–e8.

    Google Scholar 

  11. Institute of Medicine Committee to Reexamine IOM Pregnancy Weight Guidelines. (2009). Weight gain during pregnancy: Reexamining the guidelines. Washington, DC: Institute of Medicine and National Research Council of the National Academies.

    Google Scholar 

  12. Olson, C. M. (2008). Achieving a healthy weight gain during pregnancy. Annual Review of Nutrition, 28, 411–423.

    Article  CAS  PubMed  Google Scholar 

  13. US Department of Health and Human Services. (2010) Healthy People 2020. http://www.healthypeople.gov/2020/default.aspx. Accessed May 26 2011.

  14. American College of Obstetricians and Gynecologists. (2002). Exercise during pregnancy and the postpartum period. ACOG Committee opinion 267. Obstetrics and Gynecology, 99, 171–173.

    Article  Google Scholar 

  15. Sorensen, T. K., Williams, M. A., Lee, I. M., et al. (2003). Recreational physical activity during pregnancy and risk of preeclampsia. Hypertension, 41, 1273–1280.

    Article  CAS  PubMed  Google Scholar 

  16. Ning, Y., Williams, M. A., Dempsey, J. C., et al. (2003). Correlates of recreational physical activity in early pregnancy. Journal of Maternal-Fetal and Neonatal Medicine, 13, 385–393.

    Article  CAS  PubMed  Google Scholar 

  17. Martin, C. L., & Brunner Huber, L. R. (2010). Physical activity and hypertensive complications during pregnancy: Findings from 2004 to 2006 North Carolina Pregnancy Risk Assessment Monitoring System. Birth, 37, 202–210.

    Article  PubMed  Google Scholar 

  18. Lee, I. M., Djousse, L., Sesso, H. D., et al. (2010). Physical activity and weight gain prevention. JAMA, 303, 1173–1179.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  19. Mekary, R. A., Feskanich, D., Malspeis, S., et al. (2009). Physical activity patterns and prevention of weight gain in premenopausal women. International Journal of Obesity(London), 33, 1039–1047.

    Article  CAS  Google Scholar 

  20. Donnelly, J. E., Blair, S. N., Jakicic, J. M., et al. (2009). American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Medicine and Science in Sports and Exercise, 41, 459–471.

    Article  PubMed  Google Scholar 

  21. Kraschnewski, J. L., Chuang, C. H., Downs, D. S., et al. (2013). Association of prenatal physical activity and gestational weight gain: Results from the first baby study. Womens Health Issues, 23, e233–e238.

    Article  PubMed Central  PubMed  Google Scholar 

  22. Stuebe, A. M., Oken, E., & Gillman, M. W. (2009). Associations of diet and physical activity during pregnancy with risk for excessive gestational weight gain. American Journal of Obstetrics and Gynecology, 201(58), e1–e8.

    Google Scholar 

  23. Haakstad, L. A. H., Voldner, N., Henriksen, T., et al. (2007). Physical activity level and weight gain in a cohort of pregnant Norwegian women. Acta Obstetricia et Gynecologica Scandinavica, 86, 559–564.

    Article  PubMed  Google Scholar 

  24. Olson, C. M., & Strawderman, M. S. (2003). Modifiable behavioral factors in a biopsychosocial model predict inadequate and excessive gestational weight gain. Journal of the American Dietetic Association, 103, 48–54.

    Article  PubMed  Google Scholar 

  25. Chasan-Taber, L., Silveira, M., Lynch, K. E., et al. (2014). Physical activity and gestational weight gain in Hispanic women. Obesity (Silver Spring), 22, 909–918.

    Article  Google Scholar 

  26. Chasan-Taber, L., Schmidt, M. D., Pekow, P., et al. (2008). Predictors of excessive and inadequate gestational weight gain in Hispanic women. Obesity (Silver Spring), 16, 1657–1666.

    Article  Google Scholar 

  27. Flegal, K. M., Carroll, M. D., Kit, B. K., et al. (2012). Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999–2010. JAMA, 307, 491–497.

    Article  PubMed  Google Scholar 

  28. Olson, C. M. (2008). Achieving a healthy weight gain during pregnancy. Annual Review of Nutrition, 28, 411–423.

    Article  CAS  PubMed  Google Scholar 

  29. Parker, J. D., & Abrams, B. (1993). Differences in postpartum weight retention between black and white mothers. Obstetrics and Gynecology, 81, 768–774.

    CAS  PubMed  Google Scholar 

  30. Salihu, H. M., Lynch, O., Alio, A. P., et al. (2008). Obesity subtypes and risk of spontaneous versus medically indicated preterm births in singletons and twins. American Journal of Epidemiology, 168, 13–20.

    Article  PubMed  Google Scholar 

  31. Shulman, H.B., Gilbert, B.C., Lansky, A. (2006). The Pregnancy Risk Assessment Monitoring System (PRAMS): Current Methods and Evaluation of 2001 Response Rates. 2006. Public Health Report. Association of Schools of Public Health: Atlanta. pp 74–83.

  32. Centers for Disease Control and Prevention. (2004). Birth Edit Specifications for the 2003 Proposed Revision of the U.S. Standard Certificate of Birth. http://www.cdc.gov/nchs/data/dvs/birth_edit_specifications.pdf. Accessed December 3 2012.

  33. Bodnar, L. M., Siega-Riz, A. M., Arab, L., et al. (2004). Predictors of pregnancy and postpartum haemoglobin concentrations in low-income women. Public Health Nutrition, 7, 701–711.

    Article  PubMed  Google Scholar 

  34. Bodnar, L. M., Siega-Riz, A. M., Simhan, H. N., et al. (2010). Severe obesity, gestational weight gain, and adverse birth outcomes. American Journal of Clinical Nutrition, 91, 1642–1648.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  35. Zhang, J., & Savitz, D. A. (1996). Exercise during pregnancy among US women. Annals of Epidemiology, 6, 53–59.

    Article  CAS  PubMed  Google Scholar 

  36. Liu, J., Laditka, J. N., Mayer-Davis, E. J., et al. (2008). Does physical activity during pregnancy reduce the risk of gestational diabetes among previously inactive women? Birth, 35, 188–195.

    Article  PubMed  Google Scholar 

  37. Ainsworth, B. E., Haskell, W. L., Whitt, M. C., et al. (2000). Compendium of physical activities: An update of activity codes and MET intensities. Medicine and Science in Sports and Exercise, 32, S498–S504.

    Article  CAS  PubMed  Google Scholar 

  38. Clapp, J. F, 3rd, & Little, K. D. (1995). Effect of recreational exercise on pregnancy weight gain and subcutaneous fat deposition. Medicine and Science in Sports and Exercise, 27, 170–177.

    Article  PubMed  Google Scholar 

  39. Löf, M., Hilakivi-Clarke, L., Sandin, S., et al. (2008). Effects of pre-pregnancy physical activity and maternal BMI on gestational weight gain and birth weight. Acta Obstetricia et Gynecologica Scandinavica, 87, 524–530.

    Article  PubMed  Google Scholar 

  40. Probst, J. C., Bellinger, J. D., Walsemann, K. M., et al. (2011). Higher risk of death in rural blacks and whites than urbanites is related to lower incomes, education, and health coverage. Health Affairs (Millwood), 30, 1872–1879.

    Article  Google Scholar 

  41. Bovell-Benjamin, A., Dawkins, N., Pace, R., et al. (2010). Dietary consumption practices and cancer risk in African Americans in the rural South. Journal of Health Care for the Poor and Underserved, 21, 57–75.

    Article  PubMed  Google Scholar 

  42. Chasan-Taber, L., Schmidt, M. D., Roberts, D. E., et al. (2004). Development and validation of a pregnancy physical activity questionnaire. Medicine and Science in Sports and Exercise, 36, 1750–1760.

    Article  PubMed  Google Scholar 

  43. Chasan-Taber, L., Schmidt, M. D., Pekow, P., et al. (2007). Correlates of physical activity in pregnancy among Latina women. Maternal and Child Health Journal, 11, 353–363.

    Article  PubMed  Google Scholar 

  44. Evenson, K. R., & Wen, F. (2010). National trends in self-reported physical activity and sedentary behaviors among pregnant women: NHANES 1999–2006. Preventive Medicine, 50, 123–128.

    Article  PubMed  Google Scholar 

  45. Laraia, B., Messer, L., Evenson, K., et al. (2007). Neighborhood factors associated with physical activity and adequacy of weight gain during pregnancy. Journal of Urban Health, 84, 793–806.

    Article  PubMed Central  PubMed  Google Scholar 

  46. Schmidt, M. D., Pekow, P., Freedson, P. S., et al. (2006). Physical activity patterns during pregnancy in a diverse population of women. Journal of Women’s Health, 15, 909–918.

    Article  PubMed  Google Scholar 

  47. Fell, D., Joseph, K., Armson, B., et al. (2009). The impact of pregnancy on physical activity level. Maternal and Child Health Journal, 13, 597–603.

    Article  PubMed  Google Scholar 

  48. Hinton, P. S., & Olson, C. M. (2001). Predictors of pregnancy-associated change in physical activity in a rural white population. Maternal and Child Health Journal, 5, 7–14.

    Article  CAS  PubMed  Google Scholar 

  49. Petersen, A. M., Leet, T. L., & Brownson, R. C. (2005). Correlates of physical activity among pregnant women in the United States. Medicine and Science in Sports and Exercise, 37, 1748–1753.

    Article  PubMed  Google Scholar 

  50. Pereira, M. A., Rifas-Shiman, S. L., Kleinman, K. P., et al. (2007). Predictors of change in physical activity during and after pregnancy: Project viva. American Journal of Preventive Medicine, 32, 312–319.

    Article  PubMed Central  PubMed  Google Scholar 

  51. Mottola, M. F., & Campbell, M. K. (2003). Activity patterns during pregnancy. Canadian Journal of Applied Physiology, 28, 642–653.

    Article  PubMed  Google Scholar 

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Acknowledgments

Funding for the South Carolina Pregnancy Risk Assessment Monitoring System Program is provided by the Center for Disease Control and Prevention, Atlanta, GA (grant no. 5UR6 DP000502-02). We thank Michael Smith and other staff members of South Carolina Department of Health and Environmental Control (DHEC) for providing us with the data for this study. The authors received no outside funding for this work.

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Authors and Affiliations

  1. Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, 800 Sumter Street, Columbia, SC, 29208, USA

    Shericka T. Harris, Jihong Liu, Robert Moran & Alexa Gallagher

  2. Department of Exercise Science and Prevention Research Center, Arnold School of Public Health, University of South Carolina, 921 Assembly Street, Columbia, SC, 29208, USA

    Sara Wilcox

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  1. Shericka T. Harris
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  2. Jihong Liu
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Correspondence to Jihong Liu.

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Harris, S.T., Liu, J., Wilcox, S. et al. Exercise During Pregnancy and its Association with Gestational Weight Gain. Matern Child Health J 19, 528–537 (2015). https://doi.org/10.1007/s10995-014-1534-8

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