Does “Sitting” Stand Alone? A Brief Report Evaluating the Effects of Prenatal Sedentary Time on Maternal and Newborn Anthropometric Outcomes

in Journal of Physical Activity and Health
Restricted access

Purchase article

USD  $24.95

Student 1 year online subscription

USD  $117.00

1 year online subscription

USD  $156.00

Student 2 year online subscription

USD  $222.00

2 year online subscription

USD  $296.00

Background: Research on sedentary behavior and effects on maternal and newborn outcomes has been inconclusive. The objective of this report was to correlate sedentary time with maternal and fetal anthropometric measurements and compare the effect on sedentary time based on meeting prenatal activity guidelines. Methods: Healthy pregnant women (N = 61) in their second trimester (24–28 wk gestation) provided 7-day accelerometry data. Outcomes, including neonatal weight, length, and body fat percentage, were collected 24 to 48 hours after delivery. Placenta weight was measured immediately after delivery. Gestational weight gain was calculated by subtracting self-reported prepregnancy weight from measured weight at 38 weeks gestation. Correlations between sedentary time and outcomes were tested with Spearman and Pearson coefficient of correlations in all women separately and in accordance with the 2019 Canadian prenatal exercise guidelines. Results: No significant associations were found between sedentary time and the selected outcomes, even when compared by prenatal exercise level. There was no difference in total time spent sedentary between active (576.7 [52.8] min) and inactive women (599.3 [51.6] min). Conclusions: Meeting exercise recommendations during pregnancy does not significantly decrease total sedentary time. Future studies should aim to evaluate the health effects of both decreasing sedentary time and meeting prenatal exercise guidelines.

The authors are with the Faculty of Health Sciences, School of Human Kinetics, University of Ottawa, Ottawa, ON, Canada.

Adamo (kadamo@uottawa.ca) is corresponding author.
  • 1.

    Slentz CA, Duscha BD, Johnson JL, et al. Effects of the amount of exercise on body weight, body composition, and measures of central obesity: STRRIDE—a randomized controlled study. Arch Intern Med. 2004;164(1):3139. PubMed ID: 14718319 doi:10.1001/archinte.164.1.31

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Kerr J, Anderson C, Lippman SM. Physical activity, sedentary behavior, diet, and cancer: an update and emerging new evidence. Lancet Oncol. 2017;18(8):e457e471. PubMed ID: 28759385 doi:10.1016/S1470-2045(17)30411-4

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Ho M, Garnett SP, Baur LA, et al. Impact of dietary and exercise interventions on weight change and metabolic outcomes in obese children and adolescents: a systematic review and meta-analysis of randomized trials. JAMA Pediatr. 2013;167(8):759768. PubMed ID: 23778747 doi:10.1001/jamapediatrics.2013.1453

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Biddle SJH, Garcia Bengoechea E, Pedisic Z, Bennie J, Vergeer I, Wiesner G. Screen time, other sedentary behaviors, and obesity risk in adults: a review of reviews. Curr Obes Rep. 2017;6(2):134147. PubMed ID: 28421472 doi:10.1007/s13679-017-0256-9

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Biddle SJ, Garcia Bengoechea E, Wiesner G. Sedentary behavior and adiposity in youth: a systematic review of reviews and analysis of causality. Int J Behav Nutr Phys Act. 2017;14(1):43.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Ekelund U, Steene-Johannessen J, Brown WJ, et al. Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? A harmonised meta-analysis of data from more than 1 million men and women. Lancet. 2016;388(10051):13021310. doi:10.1016/S0140-6736(16)30370-1

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Keadle SK, Conroy DE, Buman MP, Dunstan DW, Matthews CE. Targeting reductions in sitting time to increase physical activity and improve health. Med Sci Sports Exerc. 2017;49(8):15721582. doi:10.1249/MSS.0000000000001257

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Fazzi C, Saunders DH, Linton K, Norman JE, Reynolds RM. Sedentary behaviors during pregnancy: a systematic review. Int J Behav Nutr Phys Act. 2017;14(1):32. PubMed ID: 28298219 doi:10.1186/s12966-017-0485-z

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Huberty JL, Buman MP, Leiferman JA, Bushar J, Adams MA. Trajectories of objectively-measured physical activity and sedentary time over the course of pregnancy in women self-identified as inactive. Prev Med Rep. 2016;3:353360. PubMed ID: 27419036 doi:10.1016/j.pmedr.2016.04.004

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Ruchat SM, Mottola MF, Skow RJ, et al. Effectiveness of exercise interventions in the prevention of excessive gestational weight gain and postpartum weight retention: a systematic review and meta-analysis. Br J Sports Med. 2018;52(21):13471356. PubMed ID: 30337461 doi:10.1136/bjsports-2018-099399.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Zhou J, Zeng L, Wang D, et al. Effects of birth weight on body composition and overweight/obesity at early school age. Clin Nutrition. 2019;39(6):17781784.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 12.

    Taveras EM, Rifas-Shiman SL, Belfort MB, Kleinman KP, Oken E, Gillman MW. Weight status in the first 6 months of life and obesity at 3 years of age. Pediatrics. 2009;123(4):11771183. PubMed ID: 19336378 doi:10.1542/peds.2008-1149

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Hilde G, Eskild A, Owe KM, Bo K, Bjelland EK. Exercise in pregnancy: an association with placental weight? Am J Obstetr Gynecol. 2017;216(2):168.e1168.e9. doi:10.1016/j.ajog.2016.10.018

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 14.

    Kapral N, Miller SE, Scharf RJ, Gurka MJ, DeBoer MD. Associations between birthweight and overweight and obesity in school-age children. Pediatr Obes. 2018;13(6):333341. PubMed ID: 28685963 doi:10.1111/ijpo.12227

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Kominiarek MA, Peaceman AM. Gestational weight gain. Am J Obstetr Gynecol. 2017;217(6):642651. doi:10.1016/j.ajog.2017.05.040

  • 16.

    Colley R, Connor Gorber S, Tremblay MS. Quality control and data reduction procedures for accelerometry-derived measures of physical activity. Health Rep. 2010;21(1):6369. PubMed ID: 20426228

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Colley RC, Tremblay MS. Moderate and vigorous physical activity intensity cut-points for the Actical accelerometer. J Sports Sci. 2011;29(8):783789. PubMed ID: 21424979 doi:10.1080/02640414.2011.557744

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Mottola MF, Davenport MH, Ruchat SM, et al. 2019 Canadian guideline for physical activity throughout pregnancy. Br J Sports Med. 2018;52(21):13391346. PubMed ID: 30337460 doi:10.1136/bjsports-2018-100056

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    World Health Organization. WHO Child growth standards. 2006. https://www.who.int/childgrowth/standards/Technical_report.pdf. Accessed March 4, 2020.

    • Export Citation
  • 20.

    Cheikh Ismail L, Knight HE, Ohuma EO, Hoch L, Chumlea WC. Anthropometric standardisation and quality control protocols for the construction of new, international, fetal and newborn growth standards: the INTERGROWTH-21st Project. BJOG. 2013;120(suppl 2):4855. PubMed ID: 23841854 doi:10.1111/1471-0528.12127

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 21.

    Schmelzle HR, Fusch C. Body fat in neonates and young infants: validation of skinfold thickness versus dual-energy X-ray absorptiometry. Am J Clin Nutr. 2002;76(5):10961100. PubMed ID: 12399284 doi:10.1093/ajcn/76.5.1096

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 22.

    Kramer MS, Platt RW, Wen SW, et al. A new and improved population-based Canadian reference for birth weight for gestational age. Pediatrics. 2001;108(2):E35. PubMed ID: 11483845 doi:10.1542/peds.108.2.e35

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 23.

    Ruifrok AE, Althuizen E, Oostdam N, et al. The relationship of objectively measured physical activity and sedentary behavior with gestational weight gain and birth weight. Journal of Pregnancy. 2014;2014:1. PubMed ID: 25309754 doi:10.1155/2014/567379

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 24.

    Pathirathna ML, Sekijima K, Sadakata M, Fujiwara N, Muramatsu Y, Wimalasiri KMS. Effects of physical activity during pregnancy on neonatal birth weight. Sci Rep. 2019;9(1):6000. PubMed ID: 30979921 doi:10.1038/s41598-019-42473-7

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 25.

    Knaeps S, De Baere S, Bourgois J, Mertens E, Charlier R, Lefevre J. Substituting sedentary time with light and moderate to vigorous physical activity is associated with better cardiometabolic health. J Phys Act Health. 2018;15(3):197203. PubMed ID: 28872401 doi:10.1123/jpah.2017-0102

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 26.

    Hansen BH, Anderssen SA, Andersen LB, et al. Cross-sectional associations of reallocating time between sedentary and active behaviors on cardiometabolic risk factors in young people: an international children’s accelerometry database (ICAD) analysis. Sports Med. 2018;48(10):24012412. doi:10.1007/s40279-018-0909-1

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
All Time Past Year Past 30 Days
Abstract Views 147 147 41
Full Text Views 13 13 2
PDF Downloads 8 8 1