Postpartum physical activity after preeclampsia

Meeke Hoedjes, Durk Berks, Ineke Vogel, Arie Franx, Anke Oenema, Johannes J Duvekot, J Dik F Habbema, Eric A P Steegers, Hein Raat

Research output: Contribution to journalArticleScientificpeer-review

Abstract

OBJECTIVE: After mild and severe preeclampsia, to assess whether women meet the physical activity recommendation at 3 and 6months postpartum, and whether demographic, obstetric and anthropometric characteristics, mental health, and health-related quality of life are associated with less physical activity than recommended.

STUDY DESIGN: Prospective cohort study.

MAIN OUTCOME MEASURES: Self-reported physical activity in MET-min/week, percentage of women who fail to meet the physical activity recommendation.

METHODS: Of the 255 women diagnosed with preeclampsia invited to participate in this prospective cohort study, 174 (68%) provided informed consent. Analyses were restricted to 141 participants who completed the short form of the International Physical Activity Questionnaire at 3 and/or 6months postpartum. Logistic regression analysis was used to evaluate changes in physical activity level over time, and to establish which variables were associated with failure to meet the postpartum physical activity recommendation.

RESULTS: At both 3 and 6months postpartum, 38% of women failed to meet the physical activity recommendation. Failure was associated with severe preeclampsia, cesarean section, admission to the neonatal intensive care unit, low gestational age at delivery, and low birth weight (all p<0.05).

CONCLUSIONS: There seems to be a need to stimulate physical activity in about one third of women after a pregnancy complicated by preeclampsia, particularly in case of severe preeclampsia and other adverse pregnancy outcomes. Tailored lifestyle interventions are needed for women who fail to meet the recommendation.

Original languageEnglish
Pages (from-to)143-51
Number of pages9
JournalPregnancy Hypertension
Volume2
Issue number2
DOIs
Publication statusPublished - Apr 2012
Externally publishedYes

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Exercise
Neonatal Intensive Care Units
Low Birth Weight Infant
Informed Consent
Gestational Age
Obstetrics
Mental Health
Logistic Models

Cite this

Hoedjes, M., Berks, D., Vogel, I., Franx, A., Oenema, A., Duvekot, J. J., ... Raat, H. (2012). Postpartum physical activity after preeclampsia. Pregnancy Hypertension, 2(2), 143-51. https://doi.org/10.1016/j.preghy.2012.01.003
Hoedjes, Meeke ; Berks, Durk ; Vogel, Ineke ; Franx, Arie ; Oenema, Anke ; Duvekot, Johannes J ; Habbema, J Dik F ; Steegers, Eric A P ; Raat, Hein. / Postpartum physical activity after preeclampsia. In: Pregnancy Hypertension. 2012 ; Vol. 2, No. 2. pp. 143-51.
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Hoedjes, M, Berks, D, Vogel, I, Franx, A, Oenema, A, Duvekot, JJ, Habbema, JDF, Steegers, EAP & Raat, H 2012, 'Postpartum physical activity after preeclampsia', Pregnancy Hypertension, vol. 2, no. 2, pp. 143-51. https://doi.org/10.1016/j.preghy.2012.01.003

Postpartum physical activity after preeclampsia. / Hoedjes, Meeke; Berks, Durk; Vogel, Ineke; Franx, Arie; Oenema, Anke; Duvekot, Johannes J; Habbema, J Dik F; Steegers, Eric A P; Raat, Hein.

In: Pregnancy Hypertension, Vol. 2, No. 2, 04.2012, p. 143-51.

Research output: Contribution to journalArticleScientificpeer-review

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T1 - Postpartum physical activity after preeclampsia

AU - Hoedjes, Meeke

AU - Berks, Durk

AU - Vogel, Ineke

AU - Franx, Arie

AU - Oenema, Anke

AU - Duvekot, Johannes J

AU - Habbema, J Dik F

AU - Steegers, Eric A P

AU - Raat, Hein

N1 - Copyright © 2012 International Society for the Study of Hypertension in Pregnancy. Published by Elsevier B.V. All rights reserved.

PY - 2012/4

Y1 - 2012/4

N2 - OBJECTIVE: After mild and severe preeclampsia, to assess whether women meet the physical activity recommendation at 3 and 6months postpartum, and whether demographic, obstetric and anthropometric characteristics, mental health, and health-related quality of life are associated with less physical activity than recommended.STUDY DESIGN: Prospective cohort study.MAIN OUTCOME MEASURES: Self-reported physical activity in MET-min/week, percentage of women who fail to meet the physical activity recommendation.METHODS: Of the 255 women diagnosed with preeclampsia invited to participate in this prospective cohort study, 174 (68%) provided informed consent. Analyses were restricted to 141 participants who completed the short form of the International Physical Activity Questionnaire at 3 and/or 6months postpartum. Logistic regression analysis was used to evaluate changes in physical activity level over time, and to establish which variables were associated with failure to meet the postpartum physical activity recommendation.RESULTS: At both 3 and 6months postpartum, 38% of women failed to meet the physical activity recommendation. Failure was associated with severe preeclampsia, cesarean section, admission to the neonatal intensive care unit, low gestational age at delivery, and low birth weight (all p<0.05).CONCLUSIONS: There seems to be a need to stimulate physical activity in about one third of women after a pregnancy complicated by preeclampsia, particularly in case of severe preeclampsia and other adverse pregnancy outcomes. Tailored lifestyle interventions are needed for women who fail to meet the recommendation.

AB - OBJECTIVE: After mild and severe preeclampsia, to assess whether women meet the physical activity recommendation at 3 and 6months postpartum, and whether demographic, obstetric and anthropometric characteristics, mental health, and health-related quality of life are associated with less physical activity than recommended.STUDY DESIGN: Prospective cohort study.MAIN OUTCOME MEASURES: Self-reported physical activity in MET-min/week, percentage of women who fail to meet the physical activity recommendation.METHODS: Of the 255 women diagnosed with preeclampsia invited to participate in this prospective cohort study, 174 (68%) provided informed consent. Analyses were restricted to 141 participants who completed the short form of the International Physical Activity Questionnaire at 3 and/or 6months postpartum. Logistic regression analysis was used to evaluate changes in physical activity level over time, and to establish which variables were associated with failure to meet the postpartum physical activity recommendation.RESULTS: At both 3 and 6months postpartum, 38% of women failed to meet the physical activity recommendation. Failure was associated with severe preeclampsia, cesarean section, admission to the neonatal intensive care unit, low gestational age at delivery, and low birth weight (all p<0.05).CONCLUSIONS: There seems to be a need to stimulate physical activity in about one third of women after a pregnancy complicated by preeclampsia, particularly in case of severe preeclampsia and other adverse pregnancy outcomes. Tailored lifestyle interventions are needed for women who fail to meet the recommendation.

U2 - 10.1016/j.preghy.2012.01.003

DO - 10.1016/j.preghy.2012.01.003

M3 - Article

C2 - 26105100

VL - 2

SP - 143

EP - 151

JO - Pregnancy Hypertension

JF - Pregnancy Hypertension

SN - 2210-7789

IS - 2

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Hoedjes M, Berks D, Vogel I, Franx A, Oenema A, Duvekot JJ et al. Postpartum physical activity after preeclampsia. Pregnancy Hypertension. 2012 Apr;2(2):143-51. https://doi.org/10.1016/j.preghy.2012.01.003