C L Nguyen1,2, N M Pham3,4, A H Lee3, P T H Nguyen3,5, T K Chu3,6, A V V Ha3,7, D V Duong8, T H Duong9, C W Binns3. 1. School of Public Health, Curtin University, Kent Street, Bentley, Perth, WA, 6102, Australia. luatcong.nguyen@postgrad.curtin.edu.au. 2. National Institute of Hygiene and Epidemiology, Hanoi, Vietnam. luatcong.nguyen@postgrad.curtin.edu.au. 3. School of Public Health, Curtin University, Kent Street, Bentley, Perth, WA, 6102, Australia. 4. Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen, Vietnam. 5. University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam. 6. Hai Phong University of Medicine and Pharmacy, Hai Phong, Vietnam. 7. Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam. 8. United Nations Population Fund, Hanoi, Vietnam. 9. National Institute of Hygiene and Epidemiology, Hanoi, Vietnam.
Abstract
AIMS: To assess the association between physical activity (PA) during pregnancy and the prevalence of gestational diabetes mellitus (GDM) accounting for sitting time. METHODS: The study used data from a cohort study of 2030 pregnant women in Vietnam. Women were recruited from six hospitals in Ha Noi, Hai Phong, and Ho Chi Minh City. Baseline measurements including PA and GDM were taken at 24-28 weeks of gestation. PA was assessed during the past 3 months before the interview using the interviewer-administered Pregnancy Physical Activity Questionnaire. GDM was diagnosed at 24-28 weeks of gestation using the 2013 World Health Organization criteria. RESULTS: 1987 out of 2030 pregnant women were included in the final analysis, of which 432 had GDM (21.7%). Women undertaking the highest level (upper tertile) of PA during pregnancy appeared to have a lower risk of GDM [odds ratio (OR) 0.70, 95% confidence interval (CI) 0.53-0.94, Ptrend 0.017] when compared to those at the lowest tertile of PA. Similarly, women with increased levels of moderate-intensive activity and household/caregiving activity during pregnancy were associated with reduced risks of GDM (OR 0.66, 95% CI 0.50-0.86, Ptrend 0.002 and OR 0.72, 95% CI 0.55-0.95, Ptrend 0.020, respectively). These apparent inverse associations were not attenuated by their sitting time. There were no significant associations between sitting time, light-intensity activity, vigorous-intensity activity, occupation, sports/exercise, commuting, or meeting exercise guidelines and GDM risk. CONCLUSIONS: High levels of PA, particularly moderate-intensity and household/caregiving activities during pregnancy were associated with a lower prevalence of GDM independent of sitting time.
AIMS: To assess the association between physical activity (PA) during pregnancy and the prevalence of gestational diabetes mellitus (GDM) accounting for sitting time. METHODS: The study used data from a cohort study of 2030 pregnant women in Vietnam. Women were recruited from six hospitals in Ha Noi, Hai Phong, and Ho Chi Minh City. Baseline measurements including PA and GDM were taken at 24-28 weeks of gestation. PA was assessed during the past 3 months before the interview using the interviewer-administered Pregnancy Physical Activity Questionnaire. GDM was diagnosed at 24-28 weeks of gestation using the 2013 World Health Organization criteria. RESULTS: 1987 out of 2030 pregnant women were included in the final analysis, of which 432 had GDM (21.7%). Women undertaking the highest level (upper tertile) of PA during pregnancy appeared to have a lower risk of GDM [odds ratio (OR) 0.70, 95% confidence interval (CI) 0.53-0.94, Ptrend 0.017] when compared to those at the lowest tertile of PA. Similarly, women with increased levels of moderate-intensive activity and household/caregiving activity during pregnancy were associated with reduced risks of GDM (OR 0.66, 95% CI 0.50-0.86, Ptrend 0.002 and OR 0.72, 95% CI 0.55-0.95, Ptrend 0.020, respectively). These apparent inverse associations were not attenuated by their sitting time. There were no significant associations between sitting time, light-intensity activity, vigorous-intensity activity, occupation, sports/exercise, commuting, or meeting exercise guidelines and GDM risk. CONCLUSIONS: High levels of PA, particularly moderate-intensity and household/caregiving activities during pregnancy were associated with a lower prevalence of GDM independent of sitting time.
Authors: Phung Thi Hoang Nguyen; Colin W Binns; Cong Luat Nguyen; Anh Vo Van Ha; Khac Tan Chu; Dat Van Duong; Dung Van Do; Andy H Lee Journal: Int J Environ Res Public Health Date: 2019-05-16 Impact factor: 3.390
Authors: Thubasni Kunasegaran; Vinod R M T Balasubramaniam; Valliammai Jayanthi Thirunavuk Arasoo; Uma Devi Palanisamy; Amutha Ramadas Journal: Int J Environ Res Public Health Date: 2021-01-31 Impact factor: 3.390
Authors: Sávio F Camargo; Juliana D Camargo; Daniel Schwade; Raíssa M Silva; Maria da Conceição M Cornetta; Ricardo N Cobucci; Eduardo C Costa Journal: Int J Environ Res Public Health Date: 2021-01-27 Impact factor: 3.390
Authors: Graciliano Ramos do Nascimento; Maria do Carmo Borges; José Natal Figueiroa; Lucas Victor Alves; João Guilherme Alves Journal: SAGE Open Med Date: 2019-09-09
Authors: Heng Yaw Yong; Zalilah Mohd Shariff; Barakatun Nisak Mohd Yusof; Zulida Rejali; Jacques Bindels; Yvonne Yee Siang Tee; Eline M van der Beek Journal: BMC Pregnancy Childbirth Date: 2020-10-07 Impact factor: 3.007