Evidence map›Paper›PMID 29868389›Full record

ArticlePreventive medicine reports2018

Physical activity and sedentary behavior during pregnancy and postpartum, measured using hip and wrist-worn accelerometers.

Kathryn R Hesketh, Kelly R Evenson, Marissa Stroo, Shayna M Clancy, Truls Østbye, Sara E Benjamin-Neelon

Registry-linked trialAbstract read
In one paragraph

Article in Preventive medicine reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01788644 (Nurture), which is not on this map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01788644 completednot on this map

Nurture: Early Child Care and Risk of Obesity

TypeobservationalSponsorJohns Hopkins UniversityRan2013 to 2018Enrolled860ConditionsChild Adiposity
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Observational
  6. Article
  7. Article
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  9. Article
  10. Article
  11. Physical Activity and Pregnancy Norms Among Daasanach Semi-Nomadic Pastoralist Women in Northern Kenya.American journal of human biology : the official journal of the Human Biology Council · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Physical activity among pregnant inpatients and outpatients and associations with anxiety.European journal of obstetrics, gynecology, and reproductive biology · 2024
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Kathryn R HeskethDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Kelly R EvensonDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.
Marissa StrooDepartment of Community and Family Medicine, Duke University Medical Center, Durham, NC, USA.
Shayna M ClancyDepartment of Community and Family Medicine, Duke University Medical Center, Durham, NC, USA.
Truls ØstbyeDepartment of Community and Family Medicine, Duke University Medical Center, Durham, NC, USA.
Sara E Benjamin-NeelonDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Funding

Early child care and risk of obesityR01DK094841 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI BENJAMIN-NEELON, SARA ELIZABETH · 2012 to 2016
$2.9M
Medical Research Council MR/K023187/1NIDDK NIH HHS R01 DK094841Wellcome Trust
6 · The paper itself

Abstract

backgroundPhysical activity in pregnancy and postpartum is beneficial to mothers and infants. To advance knowledge of objective physical activity measurement during these periods, this study compares hip to wrist accelerometer compliance; assesses convergent validity (correlation) between hip- and wrist-worn accelerometry; and assesses change in physical activity from pregnancy to postpartum.

methodsWe recruited women during pregnancy (

resultsCompliance was higher for wrist-worn accelerometers. Hip and wrist accelerometers showed moderate to high correlations (Pearson's r 0.59 to 0.84). Hip-measured sedentary and active time differed little between T2 and T3. Moderate-to-vigorous physical activity decreased at T3 and remained low postpartum. Light physical activity increased and sedentary time decreased throughout the postpartum period.

conclusionsWrist accelerometers may be preferable during pregnancy and appear comparable to hip accelerometers. As physical activity declines during later pregnancy and may not rebound post birth, support for re-engaging in physical activity earlier in the postpartum period may benefit women.

Indexed as

LPA, Light physical activityMeasurementMPA, Moderate physical activityMVPA, Moderate-to-vigorous physical activityPhysical activityPostpartumPP12, 12 months postpartumPP3, 3 months postpartumPP6, 6 months postpartumPP9, 9 months postpartumPregnancySedentary behaviorSED, Sedentary timeT2, Trimester 2T3, Trimester 3US, United StatesVM, Vector magnitudeVPA, Vigorous physical activity

Identifiers

PMID29868389
PMCPMC5984239

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.