Prenatal determinants of physical activity and cardiorespiratory fitness in adolescence – Northern Finland Birth Cohort 1986 study

BMC Public Health

Research Article

Marjaana Tikanmäki¹  Marika Sipola-Leppänen²  Satu Miettola³  Eero Kajantie⁴  Marjo-Riitta Järvelin⁵  Tuija Tammelin⁶  Marja Vääräsmäki⁷  Anneli Pouta⁸ 

[1] Chronic Disease Prevention Unit, Department of Health, National Institute for Health and Welfare, Oulu and Helsinki, Finland;Institute of Health Sciences, University of Oulu, Oulu, Finland;Chronic Disease Prevention Unit, Department of Health, National Institute for Health and Welfare, Oulu and Helsinki, Finland;Institute of Health Sciences, University of Oulu, Oulu, Finland;Pediatrics and Adolescence and Obstetrics and Gynecology, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland;Chronic Disease Prevention Unit, Department of Health, National Institute for Health and Welfare, Oulu and Helsinki, Finland;Pediatrics and Adolescence and Obstetrics and Gynecology, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland;Chronic Disease Prevention Unit, Department of Health, National Institute for Health and Welfare, Oulu and Helsinki, Finland;Pediatrics and Adolescence and Obstetrics and Gynecology, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland;Children’s Hospital, Helsinki University Hospital, University of Helsinki, Helsinki, Finland;Department of Epidemiology and Biostatistics, MRC–PHE Centre for Environment & Health, School of Public Health, Imperial College London, London, UK;Center for Life Course Epidemiology, Faculty of Medicine, University of Oulu, Oulu, Finland;Biocenter Oulu, Oulu, Finland;Unit of Primary Care, Oulu University Hospital, Oulu, Finland;LIKES Research Center for Physical Activity and Health, Jyväskylä, Finland;Pediatrics and Adolescence and Obstetrics and Gynecology, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland;Children, Adolescents and Families Unit, Department of Welfare, National Institute for Health and Welfare, Oulu, Finland;Pediatrics and Adolescence and Obstetrics and Gynecology, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland;Department of Government Services, National Institute for Health and Welfare, Helsinki, Finland;

关键词: Exercise;    Birth weight;    Length of gestation;    Preterm birth;    Gestational diabetes;    Gestational hypertension;    Obesity;    Overweight;    Smoking during pregnancy;    Cardiometabolic risk factors;   

DOI  :  10.1186/s12889-017-4237-4

 received in 2016-09-27, accepted in 2017-04-06,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundLower levels of physical activity and cardiorespiratory fitness are key risk factors of chronic adult diseases. Physical activity and cardiorespiratory fitness are predicted by birth weight, but the underlying parental and pregnancy-related factors remain largely unknown. We examined how prenatal determinants are associated with physical activity and cardiorespiratory fitness in adolescence.MethodsOf the 16-year-old members of the population-based Northern Finland Birth Cohort 1986 (NFBC 1986), 6682 singletons with no major physical disability reported their amount of physical activity outside school hours, and 4706 completed a submaximal cycle ergometer test assessing cardiorespiratory fitness. Physical activity was expressed as metabolic equivalent hours per week (METh/week) and cardiorespiratory fitness as peak oxygen uptake (ml·kg−1·min−1). Prenatal determinants included birth weight, length of gestation, mother’s and father’s body mass index (BMI), maternal gestational diabetes mellitus (GDM), and maternal hypertension and smoking during pregnancy. Data were analyzed by multiple linear regression.ResultsA higher birth weight and longer length of gestation predicted lower levels of physical activity and cardiorespiratory fitness at 16 years, although the association between length of gestation and physical activity was inverse U-shaped. Mother’s or father’s overweight or obesity before pregnancy were associated with lower levels of their offspring’s physical activity and fitness in adolescence. Adjusting for maternal pregnancy disorders and the adolescent’s own BMI attenuated the associations with the mother’s but not the father’s overweight/obesity. Furthermore, maternal GDM predicted lower cardiorespiratory fitness.ConclusionsA high birth weight and parental overweight/obesity are associated with lower levels of both physical activity and cardiorespiratory fitness in adolescence, while maternal GDM and longer length of gestation are associated with lower cardiorespiratory fitness. Both long and short lengths of gestation predict low physical activity.

【 授权许可】

CC BY   
© The Author(s). 2017