Gestational diabetes & diabetes in pregnancy
Physical Activity During Pregnancy and Preterm Birth Among Women With Gestational Diabetes
Authors' conclusion
In this prospective cohort study, MVPA during pregnancy exhibited an inverse association with preterm birth among women with GD. Concentrated physical activity was associated with similar benefits in reducing preterm birth risk as regular physical activity.
Study context
- Population
- Pregnant women with gestational diabetes (GD) in Hangzhou, China, Westlake Precision Birth Cohort, August 2019 to August 2023; mean (SD) age 31.3 (3.8) years
- Participants
- 1,427 women80 preterm births
- Exposure
- Accelerometer-derived physical activity metrics and patterns
- Outcome
- Preterm birth (delivery before completing 37 weeks of gestation)
Main finding
As reported in the abstract
OR per 30 minutes of MVPA
0.64
95% CI 0.42–0.98
OR per SD of fraction of physical activity energy expenditure from MVPA
0.69
95% CI 0.55–0.88
Observational data: associations, not effects.
Further findings
Dose-response: MVPA duration per day and preterm birth
- Progressive decrease in odds of preterm birth with increasing MVPA per day, plateau at ≈74 minutes per day
Pattern of active MVPA (≥30 minutes per day): concentrated vs regular
- Concentrated and regular active MVPA had similar beneficial association with preterm birth
Original publication
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