Physical activity and health-related quality of life among high-risk women for type 2 diabetes in the early years after pregnancy.
Background: Previous studies have shown that physical activity (PA) correlates positively with health-related quality of life (HRQoL) in the general population. Few studies have investigated associations between device-measured PA and HRQoL among premenopausal women at risk for type 2 diabetes (T2D)...
| Publicado en: | BMC Women's Health Vol. 22; no. 1; pp. 1 - 14 |
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| Autores principales: | , , , , , , |
| Formato: | research Journal Article |
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BioMed Central
3/21/2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=155887434&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 155887434 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14726874 1CIP jtl: BMC Women's Health issn: 14726874 maglogo: N pubinfo: dt: 3/21/2022 vid: 22 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 155887434 155887434 NLM35313870 155887434 10.1186/s12905-022-01664-7 NLM35313870 155887434 ppf: 1 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Physical activity and health-related quality of life among high-risk women for type 2 diabetes in the early years after pregnancy. aug: au: Sahrakorpi, Niina Engberg, Elina Stach-Lempinen, Beata Tammelin, Tuija H. Kulmala, Janne Roine, Risto P. Koivusalo, Saila B. affil: City of Vantaa Preventive Medical Services, Communal Maternity Care, Kielotie 40, 01300, Vantaa, Finland sug: subj: Physical Activity Quality of Life Risk Assessment Postnatal Period Diabetes Mellitus, Type 2 Diabetes Mellitus, Gestational Obesity Human Pregnancy Female Adult Sleep Sedentary Behavior Body Mass Index Body Weight Accelerometers Cross Sectional Studies Descriptive Statistics Adult: 19-44 years Female ab: Background: Previous studies have shown that physical activity (PA) correlates positively with health-related quality of life (HRQoL) in the general population. Few studies have investigated associations between device-measured PA and HRQoL among premenopausal women at risk for type 2 diabetes (T2D). In addition to physical well-being, general well-being improved by PA has been suggested to strengthen PA's benefits in reducing metabolic diseases. The aim of this study was to examine the associations between PA and HRQoL (general and dimensions) among high-risk women in the early post-pregnancy years when T2D risk is highest and to estimate whether current obesity or prior gestational diabetes (GDM) modified these associations.Methods: This cross-sectional study of high-risk women [body mass index (BMI) ≥ 30 kg/m2 and/or prior GDM)]4-6 years after delivery measured sleep, sedentary time, daily steps, and light (LPA), moderate-to-vigorous (MVPA), and vigorous PA (VPA) with the SenseWear ArmbandTM accelerometer for seven days and HRQoL with the 15D instrument.Results: The analyses included 204 women with a median (IQR) age of 39 (6.0) years and a median BMI of 31.1 kg/m2 (10.9). 54% were currently obese (BMI ≥ 30 kg/m2), and 70% had prior gestational diabetes (GDM+). Women with obesity had lower PA levels than women with normal weight or overweight (p < 0.001) but there was no difference between the GDM+ or GDM- women. Women with both current obesity and GDM+ had highest sedentary time and lowest PA levels. The whole sample's median 15D score was 0.934 (IQR 0.092), lower among women with obesity compared to the others (p < 0.001), but not different between GDM+ or GDM-. There was a positive correlation between VPA (adjusted rs = 0.262 p = 0.001) and the 15D score. After grouping according to BMI (< and ≥ 30 kg/m2), the associations remained significant only in women without obesity. Among them, sleep, total steps, MVPA, and VPA were positively associated with 15D.Conclusions: Higher PA levels are associated with better HRQoL among high-risk women with normal weight and overweight but no differences were found among women affected by obesity in the early years after pregnancy. Trial registration Ethics committees of Helsinki University Hospital (Dnro 300/e9/06) and South Karelian Central Hospital (Dnro 06/08). pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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