Physical activity, sedentary behaviors, and estimated insulin sensitivity and secretion in pregnant and non-pregnant women

BMC Pregnancy and Childbirth

Research Article

Margareta Persson¹  Ingrid Mogren²  Magnus Domellöf³  Steven E Kahn⁴  Anna Gradmark⁵  Paul W Franks⁶  Frida Renström⁶  Susanne Steiginga⁷  Jeremy Pomeroy⁸  Antony Wright⁹  Les Bluck⁹ 

[1] Department of Clinical Science and Department of Nursing, Umeå University Hospital, Umeå, Sweden;Department of Clinical Sciences, Obstetrics & Gynecology, Umeå University Hospital, Umeå, Sweden;Department of Pediatrics, Umeå University Hospital, Umeå, Sweden;Division of Metabolism, Endocrinology and Nutrition, Department of Medicine, VA Puget Sound Health Care System and University of Washington, Seattle, WA, USA;Genetic Epidemiology and Clinical Research Group, Department of Public Health and Clinical Medicine, Section for Medicine, Umeå University Hospital, Umeå, Sweden;Genetic Epidemiology and Clinical Research Group, Department of Public Health and Clinical Medicine, Section for Medicine, Umeå University Hospital, Umeå, Sweden;Department of Clinical Sciences, Genetic & Molecular Epidemiology Unit, Lund University, Malmö, Sweden;Department of Nutrition, Harvard School of Public Health, Boston, MA, USA;Genetic Epidemiology and Clinical Research Group, Department of Public Health and Clinical Medicine, Section for Medicine, Umeå University Hospital, Umeå, Sweden;Free University Medical Center, Amsterdam, The Netherlands;Genetic Epidemiology and Clinical Research Group, Department of Public Health and Clinical Medicine, Section for Medicine, Umeå University Hospital, Umeå, Sweden;NIDDK/NIH, Diabetes Epidemiology and Clinical Research Section, Phoenix, AZ, USA;Department of Clinical Sciences, Genetic & Molecular Epidemiology Unit, Lund University, Malmö, Sweden;MRC Human Nutrition Research, Cambridge, UK;

关键词: pregnancy;    physical activity;    sedentary time;    β-cell response;    insulin sensitivity;   

DOI  :  10.1186/1471-2393-11-44

 received in 2011-02-18, accepted in 2011-06-16,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundOverweight and obesity during pregnancy raise the risk of gestational diabetes and birth complications. Lifestyle factors like physical activity may decrease these risks through beneficial effects on glucose homeostasis. Here we examined physical activity patterns and their relationships with measures of glucose homeostasis in late pregnancy compared to non-pregnant women.MethodsNormal weight and overweight women without diabetes (N = 108; aged 25-35 years) were studied; 35 were pregnant (in gestational weeks 28-32) and 73 were non-pregnant.Insulin sensitivity and β-cell response were estimated from an oral glucose tolerance test. Physical activity was measured during 10-days of free-living using a combined heart rate sensor and accelerometer. Total (TEE), resting (REE), and physical activity (PAEE) energy expenditure were measured using doubly-labeled water and expired gas indirect calorimetry.ResultsTotal activity was associated with reduced first-phase insulin response in both pregnant (Regression r2 = 0.11; Spearman r = -0.47; p = 0.007) and non-pregnant women (Regression r2 = 0.11 Spearman; r = -0.36; p = 0.002). Relative to non-pregnant women, pregnant women were estimated to have secreted 67% more insulin and had 10% lower fasting glucose than non-pregnant women. Pregnant women spent 13% more time sedentary, 71% less time in moderate-to-vigorous intensity activity, had 44% lower objectively measured total activity, and 12% lower PAEE than non-pregnant women. Correlations did not differ significantly for any comparison between physical activity subcomponents and measures of insulin sensitivity or secretion.ConclusionsOur findings suggest that physical activity conveys similar benefits on glucose homeostasis in pregnant and non-pregnant women, despite differences in subcomponents of physical activity.

【 授权许可】

Unknown   
© Gradmark et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.