A Gamble1, B M Beech2, C Blackshear3, S J Herring4, M A Welsch5, J B Moore6. 1. Department of Preventive Medicine, University of Mississippi Medical Center, Jackson, Mississippi; Department of Pediatrics, University of Mississippi Medical Center, Jackson, Mississippi. Electronic address: agamble2@umc.edu. 2. Office of the Provost, University of Houston, Houston, Texas; College of Medicine, University of Houston, Houston, Texas. 3. Department of Data Science, University of Mississippi Medical Center, Jackson, Mississippi. 4. Program for Maternal Health Equity, Center for Urban Bioethics, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania. 5. Department of Population Health Science, University of Mississippi Medical Center, Jackson, Mississippi. 6. Department of Implementation Science, Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Abstract
STUDY OBJECTIVE: Adolescent pregnancy contributes to accelerated trajectories of adiposity and cardiometabolic diseases. Two potentially low-cost prevention strategies include promoting physical activity (PA) and limiting television (TV) viewing. Few studies have explored these behavior patterns in perinatal adolescents. This study sought to characterize PA and TV viewing in a socioeconomically disadvantaged perinatal adolescent population. DESIGN, SETTING, PARTICIPANTS, AND INTERVENTIONS: A cross-sectional, retrospective, 10-item survey was used to explore behavior patterns in 79 predominantly Black (86%) postpartum adolescents. MAIN OUTCOME MEASURES: Outcomes included self-reported changes in PA from pre-pregnancy through pregnancy, and 7-day recall of PA and TV viewing in postpartum. RESULTS: The majority of adolescents (66%) reported being active on ≥3 days/week in pre-pregnancy; however, many reported low PA (≤2 days/wk) in their first (59%), second (66%), and third (54%) trimesters. Adolescents who reported being active on ≥5 days/wk in pre-pregnancy (19%) experienced first trimester PA decline, which subsequently plateaued. This group remained the most active throughout pregnancy. In postpartum, over half (54%) of all adolescents reported low PA and irrespective of PA, spent considerable time watching TV (median = 1680.0 minutes, inerquartile range = 2940). CONCLUSION: Interventions promoting PA coupled with reducing TV viewing during pregnancy and in postpartum may benefit perinatal adolescents. The findings from this study suggest that PA history is a predictor of gestational PA, and low PA and high TV viewing in postpartum underscore the need for behavioral intervention. Conducting a brief assessment of PA history in early gestation may offer important insight. Published by Elsevier Inc.
STUDY OBJECTIVE: Adolescent pregnancy contributes to accelerated trajectories of adiposity and cardiometabolic diseases. Two potentially low-cost prevention strategies include promoting physical activity (PA) and limiting television (TV) viewing. Few studies have explored these behavior patterns in perinatal adolescents. This study sought to characterize PA and TV viewing in a socioeconomically disadvantaged perinatal adolescent population. DESIGN, SETTING, PARTICIPANTS, AND INTERVENTIONS: A cross-sectional, retrospective, 10-item survey was used to explore behavior patterns in 79 predominantly Black (86%) postpartum adolescents. MAIN OUTCOME MEASURES: Outcomes included self-reported changes in PA from pre-pregnancy through pregnancy, and 7-day recall of PA and TV viewing in postpartum. RESULTS: The majority of adolescents (66%) reported being active on ≥3 days/week in pre-pregnancy; however, many reported low PA (≤2 days/wk) in their first (59%), second (66%), and third (54%) trimesters. Adolescents who reported being active on ≥5 days/wk in pre-pregnancy (19%) experienced first trimester PA decline, which subsequently plateaued. This group remained the most active throughout pregnancy. In postpartum, over half (54%) of all adolescents reported low PA and irrespective of PA, spent considerable time watching TV (median = 1680.0 minutes, inerquartile range = 2940). CONCLUSION: Interventions promoting PA coupled with reducing TV viewing during pregnancy and in postpartum may benefit perinatal adolescents. The findings from this study suggest that PA history is a predictor of gestational PA, and low PA and high TV viewing in postpartum underscore the need for behavioral intervention. Conducting a brief assessment of PA history in early gestation may offer important insight. Published by Elsevier Inc.
Authors: Sharon J Herring; Deborah B Nelson; Adam Davey; Alicia A Klotz; La Vette Dibble; Emily Oken; Gary D Foster Journal: Womens Health Issues Date: 2012-07-17
Authors: Megan S Grace; Paddy C Dempsey; Parneet Sethi; Piyushkumar A Mundra; Natalie A Mellett; Jacquelyn M Weir; Neville Owen; David W Dunstan; Peter J Meikle; Bronwyn A Kingwell Journal: J Clin Endocrinol Metab Date: 2017-06-01 Impact factor: 5.958
Authors: Loretta Dipietro; Kelly R Evenson; Bonny Bloodgood; Kyle Sprow; Richard P Troiano; Katrina L Piercy; Alison Vaux-Bjerke; Kenneth E Powell Journal: Med Sci Sports Exerc Date: 2019-06 Impact factor: 5.411
Authors: Anh Vo Van Ha; Yun Zhao; Colin W Binns; Ngoc Minh Pham; Phung Thi Hoang Nguyen; Cong Luat Nguyen; Tan Khac Chu; Andy H Lee Journal: Int J Environ Res Public Health Date: 2020-02-10 Impact factor: 3.390
Authors: Keith M Diaz; Virginia J Howard; Brent Hutto; Natalie Colabianchi; John E Vena; Monika M Safford; Steven N Blair; Steven P Hooker Journal: Ann Intern Med Date: 2017-09-12 Impact factor: 25.391
Authors: Sarah S Cohen; Charles E Matthews; Lisa B Signorello; David G Schlundt; William J Blot; Maciej S Buchowski Journal: PLoS One Date: 2013-04-03 Impact factor: 3.240