Evidence map›Paper›PMID 35969919›Full record

ArticleMidwifery2022

Patterns of physical activity and sedentary behavior before and during pregnancy and cardiometabolic outcomes.

McKenzie K Wallace, Melissa A Jones, Kara Whitaker, Bethany Barone Gibbs

Open access · greenAbstract read
In one paragraph

Article in Midwifery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Sedentary behavior during pregnancy and risk of pre-eclampsia and/or gestational hypertension: A systematic review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
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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

4 authors at 3 institutions in 1 country.

McKenzie K WallaceDepartment of Health Promotion and Development, University of Pittsburgh, School of Nursing, Pittsburgh, PA. Electronic address: mckenzie.k.wallace@gmail.com.
Melissa A JonesDepartment of Health and Human Physiology, University of Iowa, Iowa City, IA.
Kara WhitakerDepartment of Health and Human Physiology, University of Iowa, Iowa City, IA; Department of Epidemiology- University of Iowa, Iowa City, IA.
Bethany Barone GibbsDepartment of Epidemiology and Biostatistics, School of Public Health, West Virginia University.
University of Iowa · USUniversity of Pittsburgh · USWest Virginia University · US

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
Targeting Research and Academic Training of Nurses in GenomicsT32NR009759 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CONLEY, YVETTE P · 2006 to 2025
$4.5M
NCATS NIH HHS UL1 TR000005NINR NIH HHS T32 NR009759
6 · The paper itself

Abstract

objectiveTo assess how physical activity and sedentary behavior change from pre-pregnancy to pregnancy, and if pre-pregnancy and pregnancy physical activity and sedentary behavior are related to gestational weight gain, blood pressure, or blood glucose across pregnancy.

designSecondary analysis of two prospective cohort studies.

settingPrenatal research centers in Pittsburgh, PA and Iowa City, IA.

participantsPregnant individuals (n=131), 18-45 years old, of any BMI, with no medical condition limiting physical activity or use of hypertension/diabetes medications.

methodsParticipants self-reported physical activity and sedentary behavior pre-pregnancy and in each trimester using validated questionnaires. Blood pressure, blood glucose, and weight were obtained from study visits and/or electronic medical records. Multivariable regression examined associations between pre-pregnancy, trimester-specific, and changes in physical activity and sedentary behavior with weight gain and blood pressure outcomes in each trimester, and blood glucose in the second trimester.

resultsCompared to pre-pregnancy, physical activity was lower in each trimester, and sedentary behavior was higher in each trimester (p<0.05). Increasing physical activity from pre-pregnancy levels was associated with lower first trimester SBP (p<0.05). Unexpectedly, higher pre-pregnancy physical activity was associated with higher SBP in the first trimester (p=0.02) and higher weight gain in the third trimester (p=0.02). Higher and increasing sedentary behavior was associated with greater weight gain in the third trimester (p=0.03).

conclusionFuture research should investigate the opportune time (before or during pregnancy) to deliver behavior modification interventions that could prevent excessive gestational weight gain or elevated blood pressure to improve maternal health outcomes.

Indexed as

Gestational Weight GainHypertensionAdolescentAdultBlood GlucoseBody Mass IndexExerciseFemaleHumansMiddle AgedPregnancyPregnancy Trimester, SecondProspective StudiesSedentary BehaviorWeight GainYoung AdultBlood GlucoseGestational diabetesGestational hypertensionGestational weight gainPhysical activitySedentary behavior

Identifiers

PMID35969919
PMCPMC9588711
OpenAlexW4291280455

What OpenQuestion holds

Textmetadata
LicenceTDM
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Registered trials

None linked

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.