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

dc.contributor.authorFlannery, Caragh
dc.contributor.authorDahly, Darren L.
dc.contributor.authorByrne, Molly
dc.contributor.authorKhashan, Ali S.
dc.contributor.authorMcHugh, Sheena M.
dc.contributor.authorKenny, Louise C.
dc.contributor.authorMcAuliffe, Fionnuala
dc.contributor.authorKearney, Patricia M.
dc.contributor.funderScience Foundation Irelanden
dc.contributor.funderHealth Research Boarden
dc.date.accessioned2019-09-10T09:21:59Z
dc.date.available2019-09-10T09:21:59Z
dc.date.issued2019-06-20
dc.description.abstractObjective: 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.sponsorshipHealth Research Board (CSA/2007/2, SPHeRE/2013/1)en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleide025003en
dc.identifier.citationFlannery, 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-2018-025003en
dc.identifier.doi10.1136/bmjopen-2018-025003en
dc.identifier.eissn2044-6055
dc.identifier.endpage9en
dc.identifier.issued6en
dc.identifier.journaltitleBMJ Openen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/8501
dc.identifier.volume9en
dc.language.isoenen
dc.publisherBMJ Publishing Groupen
dc.relation.projectinfo:eu-repo/grantAgreement/SFI/SFI Research Centres/12/RC/2272/IE/Irish Centre for Fetal and Neonatal Translational Research (INFANT)/en
dc.relation.urihttps://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.urihttps://creativecommons.org/licenses/by-nc/4.0/en
dc.subjectPhysical activity (PA)en
dc.subjectEarly pregnancyen
dc.subjectPregnancy endpointen
dc.titleSocial, biological, behavioural and psychological factors related to physical activity during early pregnancy in the Screening for Pregnancy Endpoints (Cork, Ireland) cohort studyen
dc.typeArticle (peer-reviewed)en
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