TY - JOUR
T1 - Predictors of postpartum exercise according to prepregnancy body mass index and gestational weight gain
AU - Downs, Danielle Symons
AU - Leonard, Krista S.
AU - Beiler, Jessica S.
AU - Paul, Ian M.
N1 - Funding Information:
The authors have indicated they have no financial relationships relevant to this article to disclose. Funding for this study was supported by grant R40 MC 06630 from the Maternal Child Health Bureau (Title V Social Security Act), Health Resources and Services Administration, and Department of Health and Human Services. Additional support was provided by the Children’s Miracle Network. Support for the first author to prepare this manuscript was also provided by the National Heart, Lung, and Blood Institute of the National Institutes of Health through grant 5R01HL119245-03.
Publisher Copyright:
© 2017 Human Kinetics, Inc.
PY - 2017/10
Y1 - 2017/10
N2 - Background: The study purposes were to examine (1) differences in postpartum exercise (EX) and related personal/ psychological correlates in women according to prepregnancy weight and pregnancy gestational weight gain (GWG) status and (2) predictors of EX at 2 weeks, 2 months, and 6 months postpartum. Methods: Participants (N = 891) were recruited at maternity hospitalization and completed interviews to assess EX (Leisure-Time Exercise Questionnaire) and personal correlates (demographics, anxiety/depressive symptoms) before/during pregnancy. Telephone interviews were conducted to assess postpartum EX/psychological correlates. Women were categorized according to prepregnancy weight (normal and overweight) and pregnancy GWG status (above or within weight gain guidelines): normal-above, normal-within, overweight-above, and overweight-within. Results: Low levels of EX minutes were observed in all women with significant differences for strenuous EX minutes (overweight-within women had the lowest strenuous EX; normal-weight women had more strenuous EX than overweight women regardless of GWG). Correlates explained 14%–37% of the variance in postpartum EX; prepregnancy EX and pregnancy EX were strong determinants of early postpartum EX, and early postpartum EX predicted 6-month postpartum EX. Unique predictors of EX also emerged (eg, depressive symptoms for women with GWG above guidelines). Conclusions: These study findings highlight the benefits of EX before/during pregnancy for promoting postpartum EX and suggest tailoring postpartum EX interventions based on personal/psychological correlates to maximize effectiveness.
AB - Background: The study purposes were to examine (1) differences in postpartum exercise (EX) and related personal/ psychological correlates in women according to prepregnancy weight and pregnancy gestational weight gain (GWG) status and (2) predictors of EX at 2 weeks, 2 months, and 6 months postpartum. Methods: Participants (N = 891) were recruited at maternity hospitalization and completed interviews to assess EX (Leisure-Time Exercise Questionnaire) and personal correlates (demographics, anxiety/depressive symptoms) before/during pregnancy. Telephone interviews were conducted to assess postpartum EX/psychological correlates. Women were categorized according to prepregnancy weight (normal and overweight) and pregnancy GWG status (above or within weight gain guidelines): normal-above, normal-within, overweight-above, and overweight-within. Results: Low levels of EX minutes were observed in all women with significant differences for strenuous EX minutes (overweight-within women had the lowest strenuous EX; normal-weight women had more strenuous EX than overweight women regardless of GWG). Correlates explained 14%–37% of the variance in postpartum EX; prepregnancy EX and pregnancy EX were strong determinants of early postpartum EX, and early postpartum EX predicted 6-month postpartum EX. Unique predictors of EX also emerged (eg, depressive symptoms for women with GWG above guidelines). Conclusions: These study findings highlight the benefits of EX before/during pregnancy for promoting postpartum EX and suggest tailoring postpartum EX interventions based on personal/psychological correlates to maximize effectiveness.
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U2 - 10.1123/jpah.2016-0585
DO - 10.1123/jpah.2016-0585
M3 - Article
C2 - 28556676
AN - SCOPUS:85030978733
SN - 1543-3080
VL - 14
SP - 797
EP - 807
JO - Journal of Physical Activity and Health
JF - Journal of Physical Activity and Health
IS - 10
ER -