Maternal Physical Activity at Term and Spontaneous Labor: A Case-Crossover Study

2021 ◽  
pp. 1-9
Author(s):  
Alison K. Nulty ◽  
Marit L. Bovbjerg ◽  
David A. Savitz ◽  
Amy H. Herring ◽  
Chyrise B. Bradley ◽  
...  
Keyword(s):  
Physical Activity ◽  
Occupational Physical Activity ◽  
Reverse Causality ◽  
Recreational Physical Activity ◽  
The Third ◽  
Case Crossover ◽  
Nutrition Study ◽  
Gestational Age At Birth ◽  
Age At Birth ◽  
Rule Out

Background: This study assessed associations between antenatal physical activity and the onset of spontaneous labor (SL). Methods: Data were taken from 541 participants in the third pregnancy, infection, and nutrition study who had no contraindications to antenatal physical activity. An interviewer-administered questionnaire assessed labor triggers, gestational age at birth, and physical activity within the week (24 h to 7 d) and the 24-hour period (0–24 h) prior to SL. A case-crossover design examined the association between physical activity (recreational, occupational, or any) and the risk of onset of SL within the subsequent 24 hours. Results: Overall, 21% (any), 26% (recreational), and 14% (occupational) of participants reported physical activity during the week; whereas 5% (any), 7% (recreational), and 3% (occupational) reported physical activity during the 24-hour period, prior to SL onset. Participants who reported any or occupational physical activity during the 24-hour period had a decreased likelihood of SL within the subsequent 24 hours, while participants who reported at least 30 minutes of recreational physical activity had an increased likelihood. Results remained consistent among early, full, or postterm participants. Conclusion: Recreational, but not occupational, physical activity at term may increase the likelihood of SL; however, the authors cannot rule out reverse causality.

scholarly journals What Started Your Labor? Responses From Mothers in the Third Pregnancy, Infection, and Nutrition Study

2014 ◽  
Vol 23 (3) ◽  
pp. 155-164 ◽  
Author(s):  
Marit L. Bovbjerg ◽  
Kelly R. Evenson ◽  
Chyrise Bradley ◽  
John M. Thorp
Keyword(s):  
Physical Activity ◽  
Sexual Activity ◽  
Natural Phenomenon ◽  
The Third ◽  
Maternal Illness ◽  
Nutrition Study ◽  
Potential Risks ◽  
Emotional Trigger ◽  
Using Data ◽  
Specific Trigger

Many behaviors and substances have been purported to induce labor. Using data from the Third Pregnancy, Infection, and Nutrition cohort, we focus on 663 women who experienced spontaneous labor. Of the women who reported a specific labor trigger, 32% reported physical activity (usually walking), 24% a clinician-mediated trigger, 19% a natural phenomenon, 14% some other physical trigger (including sexual activity), 12% reported ingesting something, 12% an emotional trigger, and 7% maternal illness. With the exceptions of walking and sexual intercourse, few women reported any one specific trigger, although various foods/substances were listed in the “ingesting something” category. Discussion of potential risks associated with “old wives’ tale” ways to induce labor may be warranted as women approach term.

scholarly journals Strenuous occupational physical activity: Potential association with esophageal squamous cell carcinoma risk

2019 ◽  
Vol 28 (4) ◽  
pp. 232-242
Author(s):  
Idrees Ayoub Shah ◽  
Gulzar Ahmad Bhat ◽  
Rumaisa Rafiq ◽  
Najma Nissa ◽  
Mansha Muzaffar ◽  
...  
Keyword(s):  
Physical Activity ◽  
Squamous Cell Carcinoma ◽  
Esophageal Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Conditional Logistic Regression ◽  
Epidemiological Studies ◽  
Occupational Physical Activity ◽  
Recreational Physical Activity ◽  
The Impact

Objective: The impact of recreational physical activity (RPA) on cancer risk has been extensively studied. However, the association of occupational physical activity (OPA), which differs in dose and intensity from RPA, with different cancers including esophageal squamous cell carcinoma (ESCC), has received less attention. Materials and methods: We conducted a hospital-based case–control study in Kashmir, India, majorly a rural population, to evaluate the association of OPA with ESCC risk. Histopathologically confirmed 703 ESCC cases and 1664 controls, individually matched to the respective cases for age, sex and district of residence, were recruited. Main outcome measures: Information on type, duration and intensity of physical activity was obtained in face-to-face interviews with participants using a structured questionnaire. Conditional logistic regression models were used to calculate odds ratios (ORs) and 95% confidence intervals (95% CIs). Body mass index was unable to be accounted for in the analysis. Results: A high level of OPA was associated with increased ESCC risk (OR = 2.17, 95% CI; 1.41–3.32), compared to subjects with moderate OPA. The association with ESCC risk was stronger in strenuous workers (OR = 3.64, 95% CI; 2.13–6.20). The association of strenuous OPA with ESCC risk persisted only in subjects that were involved in strenuous activities for equal to or greater than five days/week. Conclusions: Our study suggests a possible association of strenuous OPA with ESCC risk. Although our results were adjusted for multiple factors, including indicators of socioeconomic status, more replicative occupational epidemiological studies are needed to rule out any residual confounding.

scholarly journals Neurodevelopment in the third year of life in children with antenatal ZIKV-exposure

2021 ◽  
Vol 55 ◽  
pp. 15
Author(s):  
Carolina Yuri Panvequio Aizawa ◽  
Deyse Mayara Rodrigues Caron ◽  
Carolina Barbosa Souza ◽  
Paula Fernanda Augusto Kozima ◽  
Luana Damasceno ◽  
...  
Keyword(s):  
School Age ◽  
Third Trimester ◽  
The Third ◽  
Maternal Illness ◽  
Long Term Follow Up ◽  
Virus Exposure ◽  
Gestational Age At Birth ◽  
Age At Birth

We report cognitive, language and motor neurodevelopment, assessed by the Bayley-III test, in 31 non-microcephalic children at age 3 with PCR-confirmed maternal Zika virus exposure (Rio de Janeiro, 2015–2016). Most children had average neurodevelopmental scores, however, 8 children (26%) presented delay in some domain. Language was the most affected: 7 children (22.6%) had a delay in this domain (2 presenting severe delay). Moderate delay was detected in the cognitive (3.2%) and motor (10%) domains. Maternal illness in the third trimester of pregnancy and later gestational age at birth were associated with higher Bayley-III scores. Zika-exposed children require long-term follow-up until school age.

scholarly journals The role of three-dimensional ultrasound in pregnancies submitted to cerclage

2018 ◽  
Vol 64 (7) ◽  
pp. 620-626
Author(s):  
Thais da Fonseca Borghi ◽  
Mário Henrique Burlacchini de Carvalho ◽  
Antonio Gomes de Amorim Filho ◽  
Silvio Martinelli ◽  
Marcelo Zugaib ◽  
...  
Keyword(s):  
Gestational Age ◽  
Cox Regression ◽  
Three Dimensional ◽  
Cervical Length ◽  
Second Trimester ◽  
Regression Analyses ◽  
Third Trimester ◽  
The Third ◽  
Gestational Age At Birth ◽  
Age At Birth

SUMMARY OBJECTIVE: Cervical cerclage is the standard treatment for cervical incompetence (CI); however, there is still a high risk of preterm birth for women who undergo this treatment. The aim of this study was to longitudinally evaluate findings on two-dimensional transvaginal ultrasonography (2DTVUS) and three-dimensional transvaginal ultrasonography (3DTVUS) that could be related to gestational age at birth. METHODS: A total of 68 pregnant women who were treated with cerclage were evaluated by 2DTVUS and 3DTVUS in the second and third trimesters of pregnancy. Log-rank tests and Cox regression analyses were used to identify significant findings related to gestational age at delivery. RESULTS: A cervical length lower than 281 mm (p= 0.0083), a proximal cervical length lower than 10 mm (p= 0.0151), a cervical volume lower than 18.17 cm3 (p= 0.0152), a vascularization index (VI) under 2.153 (p= 0.0044), and a vascularization-flow index (VFI) under 0.961 (p= 0.0059) in the second trimester were all related to earlier delivery. In the third trimester, a cervical length lower than 20.4 mm (p= 0.0009), a VI over 0.54 (p= 0.0327) and a VFI over 2.275 (p= 0.0479) were all related to earlier delivery. Cervical funnelling in the second and third trimesters and proximal cervical length in the third trimester were not related to gestational age at birth. The COX regression analyses showed that cervical volume in the second trimester; FI and VFI in the third trimester were significantly associated with gestational age at birth. CONCLUSION: In women treated with history-indicated cerclage or ultrasound-indicated cerclage, 2nd trimester cervical volume and 3rd trimester FI and VFI are independent significant sonographic findings associated with time to delivery.

scholarly journals Strenuous occupational physical activity - potential association with esophageal squamous cell carcinoma risk

2018 ◽  
Author(s):  
Idrees Ayoub Shah ◽  
Gulzar Ahmad Bhat ◽  
Rumaisa Rafiq ◽  
Najma Nissa ◽  
Mansha Muzaffar ◽  
...  
Keyword(s):  
Physical Activity ◽  
Squamous Cell Carcinoma ◽  
Esophageal Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Conditional Logistic Regression ◽  
Epidemiological Studies ◽  
Occupational Physical Activity ◽  
Recreational Physical Activity ◽  
The Impact

AbstractThe impact of leisure time or recreational physical activity (RPA) on cancer risk has been extensively studied. However, the association of the occupational physical activity (OPA), which differs in dose and intensity from RPA, with different cancers including esophageal squamous cell carcinoma (ESCC), has received less attention. Here, we present data from a case-control study which was conducted for assessing the risk factors for ESCC. Histopathologically confirmed 703 ESCC cases and 1664 controls, individually matched to the respective cases for age, sex and district of residence were recruited. Information on type, duration and intensity of physical activity was obtained in face-to-face interviews with participants using a structured questionnaire. Conditional logistic regression models were used to calculate odds ratios (ORs) and 95% confidence intervals (95% CIs). A high level of occupational physical activity was associated with increased ESCC risk (OR = 2.17, 95% CI; 1.41 – 3.32), compared to subjects with moderate occupational physical activity. The association with ESCC risk was stronger in strenuous workers (OR = 3.64, 95% CI; 2.13 – 6.20). The association of strenuous OPA with ESCC risk persisted only in subjects that were involved in strenuous activities for equal to or greater than 5days/week. Our study suggests a possible association of strenuous occupational physical activity with ESCC risk. Although, our results were adjusted for multiple factors including indicators of socioeconomic status, more replicative occupational epidemiological studies are needed to rule out any residual confounding.

scholarly journals Impact of Work and Recreational Physical Activity on Prediabetes Condition among U.S. Adults: NHANES 2015–2016

2021 ◽  
Vol 18 (4) ◽  
pp. 1378
Author(s):  
Lenin Pazmino ◽  
Wilmer Esparza ◽  
Arian Ramón Aladro-Gonzalvo ◽  
Edgar León
Keyword(s):  
Physical Activity ◽  
Protective Factor ◽  
Hemoglobin A1c ◽  
Physical Activities ◽  
Recreational Physical Activity ◽  
Physically Active ◽  
Hba1c Test ◽  
Health And Nutrition ◽  
The Impact

More minutes of physical activity (PA) accumulated during a day are associated with a lower risk of diabetes mellitus type 2. However, it is less known if distinct dimensions of PA can produce a different protective effect in the prevention of prediabetes. The aim of this study was to analyze the impact of work and recreational PA on prediabetes among U.S. adults during the period 2015–2016 using the National Health and Nutrition Examination Survey (NHANES) database. Individuals (n = 4481) with hemoglobin A1c (HbA1c) test values of 5.7% to 6.4% were included. A logistic regression multivariate-adjusted analysis was conducted to estimate the association between the odds ratios (ORs) and 95% confidence intervals (CIs) of prediabetes, with work and recreational PA. The prevalence of prediabetes among U.S. adults was lower in physically active individuals both at work (~24%) and recreational (~21%) physical activities compared to individuals who were not physically active (27 to 30%). Individuals lacking practice of recreational PA had a high risk of prediabetes (OR = 1.26, 95% CI: 1.080 to 1.466). PA may be a protective factor for prediabetes conditions depending on gender, age, ethnic group, waist circumference, and thyroid disease.

scholarly journals Prenatal household air pollutant exposure is associated with reduced size and gestational age at birth among a cohort of Ghanaian infants

2021 ◽  
Vol 155 ◽  
pp. 106659
Author(s):  
Ashlinn K. Quinn ◽  
Irene Apewe Adjei ◽  
Kenneth Ayuurebobi Ae-Ngibise ◽  
Oscar Agyei ◽  
Ellen Abrafi Boamah-Kaali ◽  
...  
Keyword(s):  
Gestational Age ◽  
Air Pollutant ◽  
Gestational Age At Birth ◽  
Age At Birth
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