dc.contributor.author	Flannery, Caragh
dc.contributor.author	Dahly, Darren L.
dc.contributor.author	Byrne, Molly
dc.contributor.author	Khashan, Ali S.
dc.contributor.author	McHugh, Sheena M.
dc.contributor.author	Kenny, Louise C.
dc.contributor.author	McAuliffe, Fionnuala
dc.contributor.author	Kearney, Patricia M.
dc.contributor.funder	Science Foundation Ireland	en
dc.contributor.funder	Health Research Board	en
dc.date.accessioned	2019-09-10T09:21:59Z
dc.date.available	2019-09-10T09:21:59Z
dc.date.issued	2019-06-20
dc.description.abstract	Objective: The aim of this study was to identify the social, biological, behavioural and psychological factors related to physical activity (PA) in early pregnancy.Design: This is a secondary analysis of data from a prospective cohort study.Setting: The study was conducted in Cork, Ireland.Participants: Nulliparous women with singleton pregnancies were recruited and then interviewed at 15±1 weeks’ gestation.Primary and secondary outcomes: The biopsychosocial model identified factors including social (age), biological (body mass index), behavioural (diet) and psychological (anxiety) at 15±1 weeks’ gestation. PA subgroups were identified based on a latent class analysis of their responses to a set of questions about the amount and intensity of activity they were engaging in during the pregnancy. Associations were estimated with multivariable multinomial logistic regression models.Results: From a total of 2579, 1774 (69%) women were recruited; ages ranged from 17 to 45 years. Based on a combination of model fit, theoretical interpretability and classification quality, the latent class analyses identified three PA subgroups: low PA (n=393), moderate PA (n=960) and high PA (n=413). The fully adjusted model suggests non-smokers, and consumers of fruit and vegetables were more likely to be in the high PA subgroup (vs low). Women with more than 12 years of schooling and a higher socioeconomic status were more likely to be in the moderate PA subgroup (vs low).Conclusion: The findings highlight potential links between PA, a low education level and a low socioeconomic background. These factors should be considered for future interventions to improve low PA levels during pregnancy.Trial registration number: ACTRN 12607000551493.	en
dc.description.sponsorship	Health Research Board (CSA/2007/2, SPHeRE/2013/1)	en
dc.description.status	Peer reviewed	en
dc.description.version	Published Version	en
dc.format.mimetype	application/pdf	en
dc.identifier.articleid	e025003	en
dc.identifier.citation	Flannery, C., Dahly, D., Byrne, M., Khashan, A., McHugh, S., Kenny, L. C., McAuliffe, F. and Kearney, P. M. (2019) 'Social, biological, behavioural and psychological factors related to physical activity during early pregnancy in the Screening for Pregnancy Endpoints (Cork, Ireland) cohort study', BMJ Open, 9(6), e025003. (9pp.) DOI: 10.1136/bmjopen-2018-025003	en
dc.identifier.doi	10.1136/bmjopen-2018-025003	en
dc.identifier.eissn	2044-6055
dc.identifier.endpage	9	en
dc.identifier.issued	6	en
dc.identifier.journaltitle	BMJ Open	en
dc.identifier.startpage	1	en
dc.identifier.uri	https://hdl.handle.net/10468/8501
dc.identifier.volume	9	en
dc.language.iso	en	en
dc.publisher	BMJ Publishing Group	en
dc.relation.project	info:eu-repo/grantAgreement/SFI/SFI Research Centres/12/RC/2272/IE/Irish Centre for Fetal and Neonatal Translational Research (INFANT)/	en
dc.relation.uri	https://bmjopen.bmj.com/content/9/6/e025003
dc.rights	©Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.	en
dc.rights.uri	https://creativecommons.org/licenses/by-nc/4.0/	en
dc.subject	Physical activity (PA)	en
dc.subject	Early pregnancy	en
dc.subject	Pregnancy endpoint	en
dc.title	Social, biological, behavioural and psychological factors related to physical activity during early pregnancy in the Screening for Pregnancy Endpoints (Cork, Ireland) cohort study	en
dc.type	Article (peer-reviewed)	en

Social, biological, behavioural and psychological factors related to physical activity during early pregnancy in the Screening for Pregnancy Endpoints (Cork, Ireland) cohort study

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