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When and How Should Chinese Pregnant Women Exercise? A Longitudinal Study in China

Author

Listed:
  • Mi Xiang

    (School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China)

  • Masayuki Konishi

    (Faculty of Health Science, Tokoha University, Shizuoka 431-2102, Japan)

  • Huanhuan Hu

    (National Center for Global Health and Medicine, Tokyo 162-8655, Japan)

  • Mio Nishimaki

    (Japan Institute of Sports Sciences, Tokyo 115-0056, Japan)

  • Hyeon-Ki Kim

    (School of Advanced Science and Engineering, Waseda University, Tokyo 162-8480, Japan)

  • Hiroki Tabata

    (Faculty of Sport Sciences, Waseda University, Saitama 359-1192, Japan)

  • Hisao Shimizu

    (Faculty of Sport Sciences, Waseda University, Saitama 359-1192, Japan)

  • Yue Fang

    (School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China)

  • Xueyuan Li

    (School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China)

  • Jiawei Xu

    (School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China)

  • Zhiruo Zhang

    (School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China)

  • Huigang Liang

    (Department of Business Information & Technology, Fogelman College of Business & Economics, University of Memphis, Memphis, TN 38152, USA)

  • Takashi Arao

    (Meiji Yasuda Life Foundation of Health and Welfare, Physical Fitness Research Institute, Tokyo 192-0001, Japan)

  • Shizuo Sakamoto

    (Faculty of Sport Sciences, Waseda University, Saitama 359-1192, Japan)

Abstract

This study aimed to examine when and how physical activity (PA) influences gestational weight gain (GWG) and infant birthweight (BW) by considering the PA’s total volume, timing, intensity, and type, controlling for the influence of energy intake. A total of 1272 participants in different stages of pregnancy were recruited from hospital. The associations between PA and GWG or BW in the latter half of pregnancy were significant. Women with the highest PA volume in the third trimester had significantly lower risks of inadequate and excessive GWG by 69% (OR = 0.31, 95%CI: 0.10–0.91) and 67% (OR = 0.33, 95% CI: 0.12–0.91), respectively, compared to women in the lowest quartile. Women who achieved the recommended moderate intensity of PA during their second and third trimesters, independent of total volume of PA, had infants with significantly lower BWs compared to those who did not (β = −0.15, SE = 66.33, p = 0.04; β = −0.20, SE = 64.54, p = 0.01, respectively). Therefore, the effects of total volume and intensity of PA on GWG and BW were different. Interventions to prevent inappropriate GWG and macrosomia may need to set different priorities and timing regarding total volume or intensity of PA.

Suggested Citation

  • Mi Xiang & Masayuki Konishi & Huanhuan Hu & Mio Nishimaki & Hyeon-Ki Kim & Hiroki Tabata & Hisao Shimizu & Yue Fang & Xueyuan Li & Jiawei Xu & Zhiruo Zhang & Huigang Liang & Takashi Arao & Shizuo Saka, 2019. "When and How Should Chinese Pregnant Women Exercise? A Longitudinal Study in China," IJERPH, MDPI, vol. 17(1), pages 1-16, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2019:i:1:p:180-:d:302101
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