Increased time in sedentary behaviour was significantly associated with higher levels of C Reactive Protein and LDL Cholesterol , and a larger newborn abdominal circumference .
Discrepancies were found in associations of sedentary behaviour with gestational weight gain , hypertensive disorders , and birth weight .
No consistent associations were found between sedentary behaviour and other variables such as gestational diabetes .
Conclusions Our review highlights the significant time spent in sedentary behaviour during pregnancy , and that sedentary behaviour may impact on pregnancy outcomes for both mother and child .
Background In the general population , at least 50 % of time awake is spent in sedentary behaviours .
Sedentary behaviours are activities that expend less energy than 1.5 metabolic equivalents , such as sitting .
The amount of time spent in sedentary behaviours is a risk factor for diseases such as type 2 diabetes , cardiovascular disease , and death from all causes .
Even individuals meeting physical activity guidelines are at a higher risk of premature death and adverse metabolic outcomes if they sit for extended intervals .
The associations between sedentary behaviour with type 2 diabetes and with impaired glucose tolerance are stronger for women than for men .
It is not known whether sedentary behaviour in pregnancy influences pregnancy outcomes , but if those negative outcomes observed in general adult population also occur in pregnancy , this could have implication s for adverse outcomes for mothers and offspring .
We aim ed to determine the proportion of time spent in sedentary behaviours among pregnant women , and the association of sedentary behaviour with pregnancy outcomes in mothers and offspring .
Antenatal lifestyle advice for women who are overweight or obese: LIMIT randomised trial
Objective To determine the effect of antenatal dietary and lifestyle interventions on health outcomes in overweight and obese pregnant women . Design Multicentre r and omised trial . We utilised a central telephone r and omisation server , with computer generated schedule , balanced variable blocks , and stratification for parity , body mass index ( BMI ) category , and hospital . Setting Three public maternity hospitals across South Australia . Participants 2212 women with a singleton pregnancy , between 10 + 0 and 20 + 0 weeks ’ gestation , and BMI ≥25 . Interventions 1108 women were r and omised to a comprehensive dietary and lifestyle intervention delivered by research staff ; 1104 were r and omised to st and ard care and received pregnancy care according to local guidelines , which did not include such information . Main outcome measures Incidence of infants born large for gestational age ( birth weight ≥90th centile for gestation and sex ) . Prespecified secondary outcomes included birth weight > 4000 g , hypertension , pre-eclampsia , and gestational diabetes . Analyses used intention to treat principles . Results 2152 women and 2142 liveborn infants were included in the analyses . The risk of the infant being large for gestational age was not significantly different in the two groups ( lifestyle advice 203/1075 ( 19 % ) v st and ard care 224/1067 ( 21 % ) ; adjusted relative risk 0.90 , 95 % confidence interval 0.77 to 1.07 ; P=0.24 ) . Infants born to women after lifestyle advice were significantly less likely to have birth weight above 4000 g ( lifestyle advice 164/1075 ( 15 % ) v st and ard care 201/1067 ( 19 % ) ; 0.82 , 0.68 to 0.99 ; number needed to treat ( NNT ) 28 , 15 to 263 ; P=0.04 ) . There were no differences in maternal pregnancy and birth outcomes between the two treatment groups . Conclusions For women who were overweight or obese , the antenatal lifestyle advice used in this study did not reduce the risk delivering a baby weighing above the 90th centile for gestational age and sex or improve maternal pregnancy and birth outcomes . Trial registration Australian and New Zeal and Clinical Trials Registry ( ACTRN12607000161426 )
Increased time in sedentary behaviour was significantly associated with higher levels of C Reactive Protein and LDL Cholesterol , and a larger newborn abdominal circumference .
Discrepancies were found in associations of sedentary behaviour with gestational weight gain , hypertensive disorders , and birth weight .
No consistent associations were found between sedentary behaviour and other variables such as gestational diabetes .
Conclusions Our review highlights the significant time spent in sedentary behaviour during pregnancy , and that sedentary behaviour may impact on pregnancy outcomes for both mother and child .
Background In the general population , at least 50 % of time awake is spent in sedentary behaviours .
Sedentary behaviours are activities that expend less energy than 1.5 metabolic equivalents , such as sitting .
The amount of time spent in sedentary behaviours is a risk factor for diseases such as type 2 diabetes , cardiovascular disease , and death from all causes .
Even individuals meeting physical activity guidelines are at a higher risk of premature death and adverse metabolic outcomes if they sit for extended intervals .
The associations between sedentary behaviour with type 2 diabetes and with impaired glucose tolerance are stronger for women than for men .
It is not known whether sedentary behaviour in pregnancy influences pregnancy outcomes , but if those negative outcomes observed in general adult population also occur in pregnancy , this could have implication s for adverse outcomes for mothers and offspring .
We aim ed to determine the proportion of time spent in sedentary behaviours among pregnant women , and the association of sedentary behaviour with pregnancy outcomes in mothers and offspring .