Bladder Symptoms, Fatigue and Physical Activity in Postpartum Women

Kim, Jeung Im; Lee, Kyung-Jae

doi:10.1016/j.anr.2017.03.002

Cited by 9 publications

(6 citation statements)

References 26 publications

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“…Fatigue is a global concern of postpartum women, and this study found a large percentage of fatigue prevalence among the participants. This finding is in agreement with those of previous studies [ 71 – 73 ] in which fatigue was frequently reported by mothers after childbirth. The results also concur with those of Henderson et al [ 45 ], who conducted a large population-based study and assessed fatigue at three different times: at 10 days, one month, and three months postpartum.…”

Section: Discussionsupporting

confidence: 94%

Physical activity patterns among women during the postpartum period: an insight into the potential impact of perceived fatigue

Baattaiah

Zedan

Almasaudi

et al. 2022

BMC Pregnancy Childbirth

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Background Regular participation in physical activity (PA) improves physical well-being and reduces the risk of contracting noncommunicable diseases. However, fatigue could negatively impact the PA participation of women in their postpartum period. This study delineated the levels of perceived fatigue and characterized the association between fatigue and the PA patterns of postpartum women. Methods A cross-sectional study was conducted using an online questionnaire distributed to postpartum women living in Saudi Arabia. Their perceived postpartum fatigue (PPF) was assessed using the fatigue severity scale; their PA, using the short form of the International Physical Activity Questionnaires; and their postpartum depression, using the Edinburgh Postnatal Depression Scale. Descriptive statistics were expressed as the mean ± standard deviation for normally distributed variables and as the median (interquartile range) for non-normally distributed variables. Between-group differences were tested using the Mann–Whitney U test for independent samples. To determine the relationship between the study variables, Spearman’s rho correlation coefficient was calculated. Multiple linear regression analysis was performed to explain the role of fatigue severity as an independent predictor of the variance of the PA level. Results A total of 499 postpartum women were divided into the PPF group (43%), who self-reported fatigue, and the non-PPF group (57%), who self-reported no fatigue. There was a significant difference in the median of vigorous PA, and moderate PA which were significantly higher in the non-PPF group than in the PPF group. The women with PPF reported less engagement in walking and a longer sitting duration than the women without PPF. High fatigue severity was associated with lower moderate PA (β = -10.90; p = .005; R2 = .21) and vigorous PA (β = -04; p < .001; R2 = .13). These associations remained significant in the regression model after adjustment for the mother’s depression score; age; number of children; body mass index (kg/m2); employment status; intake of vitamins B1 (thiamin), C, and D and of Omega-3; and walking metabolic equivalent. Conclusion PPF may reduce the PA of postpartum women. Strategies targeting PPF may buffer its harmful impacts, and thus, improve postpartum women’s health.

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Section: Discussionsupporting

confidence: 94%

Physical activity patterns among women during the postpartum period: an insight into the potential impact of perceived fatigue

Baattaiah

Zedan

Almasaudi

et al. 2022

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…This could indicate preexisting sedentary trends in this group, given their higher booking BMI and postpartum adiposity. This pattern, however, may be confounded by the higher proportion of Caesarean births within this group, with literature suggestive of a strong association between Caesarean deliveries and reduced postpartum physical activity ( 30 ). It is of concern, nonetheless, if this is persisting so long postpartum and suggests a role for intervention.…”

Section: Discussionmentioning

confidence: 96%

Maternal Adiposity and Energy Balance After Normotensive and Preeclamptic Pregnancies

McLennan

Henry

Roberts

et al. 2021

The Journal of Clinical Endocrinology &Amp; Metabolism

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Background Preeclampsia is a major pregnancy complication associated with long-term maternal cardiometabolic disease. Research generally is focused on metabolic and pathophysiological changes during pregnancy, however, there is much less focus on the early postpartum period in subjects who suffered preeclampsia. The aim of this study was to (a) characterise energy intake and expenditure six months following normotensive and preeclamptic pregnancies, and (b) examine associations between energy balance, body composition, insulin resistance measures (HOMA-IR), and clinical characteristics. Design A cross-sectional study six months following normotensive (n=75) and preeclamptic (n=22) pregnancies was performed. Metabolic measurements included: anthropometrics measures, body composition via bioelectrical impedance analysis, 24-hour energy expenditure via SenseWear Armbands, energy intake via a three-day food diary, and serum metabolic parameters. Results Six months following preeclampsia, women had a significantly higher weight (77.3±20.9kg versus 64.5±11.4kg, p=0.01), fat mass percentage (FM%) (40.7±7.4% versus 34.9±8.1%, p=0.004), and insulin resistance (HOMA-IR 2.2±1.5 versus 1.0±0.7, p=0.003), as well as reduced HDL levels (1.5±0.4 mmol/L versus 1.8±0.4 mmol/L, p=0.01) compared to normotensive women. Women post-preeclampsia had lower activity-related energy expenditure (p=0.02) but a decreased total energy intake (p=0.02), leading to a more negative energy balance compared to their normotensive counterparts (-1,942 kJ/24-hours versus -480 kJ/24-hours; p=0.02). Conclusion Increases in insulin resistance and FM%, reduced HDL, and more sedentary lifestyles characterise the postpartum period following preeclamptic compared with normotensive pregnancies. Early post-preeclampsia interventions, such as lifestyle behaviour change, should be implemented and assessed to determine whether they reduce long-term cardiometabolic risk in women who experienced preeclampsia during pregnancy.

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“…It was observed that women who were diagnosed with PE during pregnancy led a less active lifestyle after delivery in comparison to the women who did not develop PE [74]. However, this may be related to the higher percentage of caesarean sections in this group, which is usually associated with decreased activity after delivery [74,102]. Breastfeeding had no significant effect on total or activity-related energy expenditure in both normal blood pressure and PE groups.…”

Section: Gestational Hypertension and Preeclampsiamentioning

confidence: 94%

The Possibility of Using Bioelectrical Impedance Analysis in Pregnant and Postpartum Women

et al. 2021

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Pregnancy is a time of significant changes occurring in the composition of a woman’s body in order to provide support for the growth and development of the foetus. Bioelectrical impedance analysis (BIA) is used to assess the body composition and hydration status. This technique represents a non-invasive, reliable, and fast clinical approach, which is well tolerated by patients. A segmental impedance measurement might be advantageous in pregnant women, particularly in late pregnancy. The purpose of this paper is to provide a review of different applications of BIA in pregnant and postpartum women. It seems that BIA has a better prognostic potential for gestational and post-partum outcomes than body mass index. The BIA method can be successfully used to study the effect of excessive gestational weight gain in pregnancy on the development of obstetric complications. Studying the mother’s body composition and correlating it with her energy balance could facilitate the development of dietary recommendations for women. Evaluation of the body composition can provide important clues for diagnosis of gestational diabetes mellitus in pregnant women with a low risk of this disease. BIA is also used as one of the additional tests in assessing the risk of developing gestational hypertension and preeclampsia.

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Bladder Symptoms, Fatigue and Physical Activity in Postpartum Women

Abstract: In conclusion, bladder symptoms and physical activity are different by time after birth and birth mode in postpartum women. The first week after giving birth is an important period for postpartum women whose bladder symptoms and physical activity should be of concern.

Cited by 9 publications

References 26 publications

Physical activity patterns among women during the postpartum period: an insight into the potential impact of perceived fatigue

Physical activity patterns among women during the postpartum period: an insight into the potential impact of perceived fatigue

Maternal Adiposity and Energy Balance After Normotensive and Preeclamptic Pregnancies

The Possibility of Using Bioelectrical Impedance Analysis in Pregnant and Postpartum Women

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