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Cited by 115

The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.

The Effect of Leisure Time Physical Activity on the Risk of Pre-Eclampsia and Gestational Hypertension

Marcoux, S, Brisson, J, Fabia, J·1989·Journal of Epidemiology and Community Health
DOI 10.1136/jech.43.2.147
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Abstract

STUDY OBJECTIVE: To assess the relation between leisure time physical activity (LTPA) during the first 20 weeks of pregnancy and the risk of developing pre-eclampsia and gestational hypertension. DESIGN: Case-control study carried out over a 28 month period with retrospective data collection. SETTING: Six hospitals in Quebec City and four hospitals in Montreal. PARTICIPANTS: 172 women with pre-eclampsia, 254 with gestational diabetes, 505 controls. All were primiparous, with no history of high blood pressure before pregnancy (unless due to oral contraceptive use), or during the first 20 weeks of gestation. Cases were defined using recognised criteria, and 97% of those eligible agreed to be interviewed. Controls delivered in same hospital immediately after cases and had no more than one reading of elevated blood pressure during pregnancy; 96% of those eligible agreed to be interviewed. MEASUREMENTS AND MAIN RESULTS: Participants were interviewed in hospital a few days after delivery using a questionnaire. Information was collected on type, frequency and average duration of any LTPA performed regularly during the first 20 weeks of pregnancy, together with medical, obstetric and sociodemographic details. It was found that women who performed regular LTPA had a reduced risk of pre-eclampsia (adjusted RR 0.67, 95% CI 0.46-0.96) and gestational hypertension (aRR 0.75, 95% CI 0.54-1.05), and the relative risks decreased as the average time spent in LTPA increased (aRR for pre-eclampsia among women with low, moderate and high energy expenditure: 1.00, 0.77 and 0.57, p = 0.01). The same trend was present for gestational hypertension (1.00, 0.80 and 0.71, respectively, p = 0.08). CONCLUSIONS: Leisure time physical activity during the first half of pregnancy is likely to reduce the risk of pre-eclampsia and gestational hypertension.

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Cites

Research works printed but not linked: 17

  1. Paffenbarger RS, Wing AL, Hyde RT, Jung DL. Physical activity and incidence of hypertension in college alumni. Am J Epidemiol 1983; 117: 245-57. · DOI
  2. Blair SN, Goodyear NN, Gibbons LW, Cooper KH. Physical fitness and incidence of hypertension in healthy normotensive men and women. JAMA 1984; 242: 487-90.
  3. Peters TJ, Adelstein P, Golding J, Butler NR. The effects of work in pregnancy: shortand long-term associations. In: Chamberlain G, ed. Pregnant women at work. London: Royal Society of Medicine and Macmillan Press Ltd, 1984: 87-104.
  4. Stewart A. A note on the obstetric effects of work during pregnancy. Br J Prev Soc Med 1955; 9: 159-61.
  5. Spinapolice RX, Feld S, Harrigan JT. Effective prevention of gestational hypertension in nulliparous women at high risk as identified by the roll over test. Am J Obstet Gynecol 1983; 146: 166-8. · DOI
  6. Mathews DD. A randomized controlled trial of bed rest and sedation or normal activity and non-sedation in the management of non-albuminuric hypertension in late pregnancy. Brit J Obstet Gynaecol 1977; 84: 108-14. · DOI
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  9. Folsom AR, Caspersen CJ, Taylor HL, et al. Leisure time physical activity and its relationship to coronary risk factors in a population-based sample. The Minnesota heart survey. Am J Epidemiol 1985; 121: 570-9.
  10. Dubin N, Pasternack BS. Risk assessment for case-control subgroups by polychotomous logistic regression. Am J Epidemiol 1986; 123: 1101-17. · DOI
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  14. McGee D, Reed D, Yano K. The results oflogistic analvses when the variables are highly correlated: an empirical example using diet on CHD incidence. J Chronic Dis 1984; 37: 713-9. · DOI
  15. Laporte RE, Montoye HJ, Caspersen CJ. Assessmer physical activity in epidemiologic research: problems, prospects. Public Health Rep 1985; 100: 13
  16. Rauramaa R, Salonen JT, Kukkonen-Harjula K, et al. Effects of mild physical exercise on serum lipoproteins and metabolites of arachidonic acid: a controlled randomised trial in middle aged men. Br MedJ 1984; 288: 603-6.19 Walsh SW. Pre-eclampsia: an imbalance in placental prostacyclin and thromboxane production. Am J Obstet Gynecol 1985; 152: 335-40.
  17. Ylikorkala 0, Makila U-M. Prostacyclin and thromboxane in gynecology and obstetrics. Am J Obstet Gynecol 1985; 152: 318-29. · DOI

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Metadata

Authors
Marcoux, S., Brisson, J., & Fabia, J.
Venue
Journal of Epidemiology and Community Health
Publisher
BMJ
Published
1989-06
Volume
43
Issue
2
Pages
147-152
ISSN
  • 0143-005X
  • 1470-2738
DOI
10.1136/jech.43.2.147
Cited by
115
References
1
Language
en

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