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Physical activity and sedentary behavior during pregnancy and postpartum, measured using hip and wrist-worn accelerometers.

Hesketh, KR; Evenson, KR; Stroo, M; Clancy, SM; Østbye, T; Benjamin-Neelon, SE; (2018) Physical activity and sedentary behavior during pregnancy and postpartum, measured using hip and wrist-worn accelerometers. Prev Med Rep , 10 pp. 337-345. 10.1016/j.pmedr.2018.04.012. Green open access

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Abstract

BACKGROUND: Physical activity in pregnancy and postpartum is beneficial to mothers and infants. To advance knowledge of objective physical activity measurement during these periods, this study compares hip to wrist accelerometer compliance; assesses convergent validity (correlation) between hip- and wrist-worn accelerometry; and assesses change in physical activity from pregnancy to postpartum. METHODS: We recruited women during pregnancy (n = 100; 2014–2015), asking them to wear hip and wrist accelerometers for 7 days during Trimester 2 (T2), Trimester 3 (T3), and 3-, 6-, 9- and 12-months postpartum. We assessed average wear-time and correlations (axis-specific counts/minute, vector magnitude counts/day and step counts/day) at T2, T3, and postpartum. RESULTS: Compliance was higher for wrist-worn accelerometers. Hip and wrist accelerometers showed moderate to high correlations (Pearson's r 0.59 to 0.84). Hip-measured sedentary and active time differed little between T2 and T3. Moderate-to-vigorous physical activity decreased at T3 and remained low postpartum. Light physical activity increased and sedentary time decreased throughout the postpartum period. CONCLUSIONS: Wrist accelerometers may be preferable during pregnancy and appear comparable to hip accelerometers. As physical activity declines during later pregnancy and may not rebound post birth, support for re-engaging in physical activity earlier in the postpartum period may benefit women.

Type: Article
Title: Physical activity and sedentary behavior during pregnancy and postpartum, measured using hip and wrist-worn accelerometers.
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.pmedr.2018.04.012
Publisher version: https://doi.org/10.1016/j.pmedr.2018.04.012
Language: English
Additional information: © 2018 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/BY/4.0/).
Keywords: LPA, Light physical activity, MPA, Moderate physical activity, MVPA, Moderate-to-vigorous physical activity, Measurement, PP12, 12 months postpartum, PP3, 3 months postpartum, PP6, 6 months postpartum, PP9, 9 months postpartum, Physical activity, Postpartum, Pregnancy, SED, Sedentary time, Sedentary behavior, T2, Trimester 2, T3, Trimester 3, US, United States, VM, Vector magnitude, VPA, Vigorous physical activity
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10053249
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