Relationship between Physical Activity and Physical and Mental Health Status in Pregnant Women: A Prospective Cohort Study of the Japan Environment and Children’s Study

Yasuyuki Yamada, Takeshi Ebara, Taro Matsuki, Hirohisa Kano, Hazuki Tamada, Sayaka Kato, Hirotaka Sato, Mayumi Sugiura-Ogasawara, Shinji Saitoh, Michihiro Kamijima and on behalf of the Japan Environment and Children’s Study (JECS) Group
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Yasuyuki Yamada: Department of Occupational and Environmental Health, Graduate School of Medical Sciences, Nagoya City University, Mizuho-ku, Nagoya 4678601, Aichi, Japan
Takeshi Ebara: Department of Occupational and Environmental Health, Graduate School of Medical Sciences, Nagoya City University, Mizuho-ku, Nagoya 4678601, Aichi, Japan
Taro Matsuki: Department of Occupational and Environmental Health, Graduate School of Medical Sciences, Nagoya City University, Mizuho-ku, Nagoya 4678601, Aichi, Japan
Hirohisa Kano: Department of Occupational and Environmental Health, Graduate School of Medical Sciences, Nagoya City University, Mizuho-ku, Nagoya 4678601, Aichi, Japan
Hazuki Tamada: Department of Occupational and Environmental Health, Graduate School of Medical Sciences, Nagoya City University, Mizuho-ku, Nagoya 4678601, Aichi, Japan
Sayaka Kato: Department of Occupational and Environmental Health, Graduate School of Medical Sciences, Nagoya City University, Mizuho-ku, Nagoya 4678601, Aichi, Japan
Hirotaka Sato: Department of Occupational and Environmental Health, Graduate School of Medical Sciences, Nagoya City University, Mizuho-ku, Nagoya 4678601, Aichi, Japan
Mayumi Sugiura-Ogasawara: Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Nagoya City University, Mizuho-ku, Nagoya 4678601, Aichi, Japan
Shinji Saitoh: Department of Pediatrics and Neonatology, Graduate School of Medical Sciences, Nagoya City University, Mizuho-ku, Nagoya 4678601, Aichi, Japan
Michihiro Kamijima: Department of Occupational and Environmental Health, Graduate School of Medical Sciences, Nagoya City University, Mizuho-ku, Nagoya 4678601, Aichi, Japan
on behalf of the Japan Environment and Children’s Study (JECS) Group: Membership of the Japan Environment and Children’s Study (JECS) Group is provided in the Acknowledgements.

IJERPH, 2021, vol. 18, issue 21, 1-16

Abstract: To discuss appropriate physical activity (PA) levels during pregnancy, this prospective cohort study examined the relationships between PA levels before and during pregnancy and physical and mental health status. Fixed data for 104,102 pregnant women were used from the Japan Environment and Children’s Study, of which data for 82,919 women were analyzed after excluding women with multiple birth and pregnancy complications. PA levels were measured using the International Physical Activity Questionnaire-Short Form. The 8-Item Short Form Health Survey was used to measure outcomes. Logistic regression with multiple imputations showed that moderate PA for over 720 min/wk and vigorous PA before pregnancy were associated with poorer mental health in the first trimester (adjusted odds ratio (AOR): 1.087–1.376. Walking in the second and third trimesters was associated with better physical and mental health (AOR: 0.855–0.932). Moderate PA over 1080 min/wk and vigorous PA in the second and third trimesters were associated with poorer mental health (AOR: 1.223–1.873). Increases over 4135.4 MET–min/wk and decreases in PA levels were associated with poorer mental and physical health (AOR: 1.070–1.333). Namely, pregnant women receiving health benefits prefer continuous walking in addition to avoiding vigorous PA and excessive changes in PA levels during pregnancy.

Keywords: physical activity; pregnant women; prospective cohort study; physical and mental health; JECS (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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