Association and dose-response relationship of physical activity and sedentary behavior with risk of premature rupture of membranes

ZHAN Yong-le; WU Hong-guo; CHEN Yun-li; SHI Ying-jie; LIU Xuan; YUE He-xin; JING Ao; MENG Yao-han; LYU Tian-chen; QU Yi-min; MA Liang-kun; MA Hai-hui; JIANG Yu

doi:10.16462/j.cnki.zhjbkz.2021.02.004

Volume 25 Issue 2

Feb. 2021

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Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2021 > 25(2): 138-142, 148

ZHAN Yong-le, WU Hong-guo, CHEN Yun-li, SHI Ying-jie, LIU Xuan, YUE He-xin, JING Ao, MENG Yao-han, LYU Tian-chen, QU Yi-min, MA Liang-kun, MA Hai-hui, JIANG Yu. Association and dose-response relationship of physical activity and sedentary behavior with risk of premature rupture of membranes[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(2): 138-142, 148. doi: 10.16462/j.cnki.zhjbkz.2021.02.004

Citation:

ZHAN Yong-le, WU Hong-guo, CHEN Yun-li, SHI Ying-jie, LIU Xuan, YUE He-xin, JING Ao, MENG Yao-han, LYU Tian-chen, QU Yi-min, MA Liang-kun, MA Hai-hui, JIANG Yu. Association and dose-response relationship of physical activity and sedentary behavior with risk of premature rupture of membranes[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(2): 138-142, 148. doi: 10.16462/j.cnki.zhjbkz.2021.02.004

Citation:

ZHAN Yong-le, WU Hong-guo, CHEN Yun-li, SHI Ying-jie, LIU Xuan, YUE He-xin, JING Ao, MENG Yao-han, LYU Tian-chen, QU Yi-min, MA Liang-kun, MA Hai-hui, JIANG Yu. Association and dose-response relationship of physical activity and sedentary behavior with risk of premature rupture of membranes[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(2): 138-142, 148. doi: 10.16462/j.cnki.zhjbkz.2021.02.004

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Association and dose-response relationship of physical activity and sedentary behavior with risk of premature rupture of membranes

doi: 10.16462/j.cnki.zhjbkz.2021.02.004

1.
Department of Epidemiology and Biostatistics, School of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
2.
Department of Perinatal Health, Jiaxian Maternal and Child Health Care Hospital, Pingdingshan 467100, China
3.
Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100005, China
4.
Department of Obstetrics, Tongzhou Maternal and Child Health Hospital of Beijing, Beijing 101149, China

ZHAN Yong-le and WU Hong-guo contributed equally to this article

Funds:

CAMS Innovation Fund for Medical Sciences 2019-I2M-2-007

More Information

Corresponding author: MA Hai-hui, E-mail: 18001359093@163.com; JIANG Yu, E-mail: jiangyu@pumc.edu.cn
Received Date: 2020-12-30
Rev Recd Date: 2021-01-22
Publish Date: 2021-02-10

Abstract

Abstract

Objective To investigate the association and dose-response relationship of physical activity (PA) and sedentary behavior with premature rupture of membranes (PROM). Methods Data were collected from the Chinese Pregnant Women Cohort Study. The International Physical Activity Questionnaire-Short Form was used to assess the frequency of PA and sedentary time (ST), and diagnosis of PROM was collected in the follow-up period. Logistic regression analysis model and restricted cubic spline (RCS) model were used for data analyses. The odds ratio (OR) with its 95% confidence interval (CI) was calculated. Results A total of 6 848 participants were included in this study. The incidence of PROM was 13.79% among pregnant women. Compared with low frequency group, women with high frequencies of moderate-intensity PA (OR=1.50, 95% CI: 1.01-2.23) and light-intensity PA (OR=1.19, 95% CI: 1.04-1.37) had higher risks of PROM respectively. The risk of PROM increased 13% (OR=1.13, 95% CI: 1.03-1.24) per 1 d/week increase of vigorous-intensity PA, while the risk increased 2% (OR=1.02, 95% CI: 1.01-1.04) per 1 h/d increase of ST. The RCS model showed that the risk for PROM was significant with frequencies of over 2 d/week of vigorous-intensity PA, over 5 d/week of moderate-intensity PA or over 5 d/week of light-intensity PA (all ORs with corresponding 95% CIs>1). Conclusions High frequency of physical activity and sedentary behavior are risk factors for PROM. Pregnant women are supposed to conduct physical activity with proper frequency and moderate intensity as well as decreasing sedentary time, so as to prevent the risk of PROM during pregnancy.
- Pregnant women,
- Premature rupture of membranes,
- Physical activity,
- Sedentary behavior,
- Dose-response relationship,
- Cohort study

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References(28)

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