Relationship of Objectively Measuring Physical Activity and Sitting Time on Plasma Lipid Metabolism During Pregnancy
Abstract Background: Physical activity (PA) was commonly associated with pregnancy outcomes, including plasma lipids. We hypothesized that women with more PA would improve plasma lipid status than those with less PA during pregnancy. This study aimed to investigate the association of PA and sitting time with blood lipids in the first two trimesters. Methods: A prospective study was performed among 197 cases aged 18 to 40 recruited from a regional university affiliated hospital in south China. accelerometer were used to measure maternal PA in two trimesters (first measurement within 10th to 14th week of gestation and second measurement within 20th to 24th weeks of gestation; 7 consecutive days for each measurement). Maternal fasting venous blood was collected to test plasma lipids (cholesterol, triglyceride, low- and high-density lipoprotein [LDL and HDL]) in each of two trimesters.Results: A total of 197 cases completed this study. After adjusting for age and pre-pregnancy BMI, moderate PA of the first trimester was inversely linear associated with triglycerides in early pregnancy (β=-0.231, P=0.002). And it was also inversely significant linear association with triglycerides of the second trimester (β=-0.196, P=0.006). Moderate PA in early pregnancy showed a positively non-significant linear association with HDL levels of the first trimester (β=0.134, P=0.068). However, sitting time of the second trimester were positively non-significant associated with total cholesterol (β=0.126, P=0.080)and LDL levels (β=0.124, P=0.082)of the second trimester.Conclusions: Sitting time of the second trimester would positively associated with total cholesterol and LDL levels of the mid pregnancy. Higher moderate PA of early pregnancy was associated with lower triglycerides, and this effect lasting to the mid pregnancy. Therefore, pregnant women should be encourage to increase moderate PA and decrease sitting time from early pregnancy to improve lipid status.