Influence of physical activity before and during pregnancy on infant’s sleep and neurodevelopment at 1-year-old

Nakahara, Kazushige; Michikawa, Takehiro; Morokuma, Seiichi; Ogawa, Masanobu; Kato, Kiyoko; Sanefuji, Masafumi; Shibata, Eiji; Tsuji, Mayumi; Shimono, Masayuki; Kawamoto, Toshihiro; Ohga, Shouichi; Kusuhara, Koichi

doi:10.1038/s41598-021-87612-1

Cited by 12 publications

(31 citation statements)

References 45 publications

(22 reference statements)

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“…Alternatively, evidence showed that women with GDM have higher depressive symptoms (e.g., anhedonia; Wilson et al, 2020 ), which have been associated with lower motivation to conduct physical activity ( Carter and Swardfager, 2016 ). In previous studies, lower maternal physical activity during the perinatal period was associated with higher sleep problems in infants ( Nakahara et al, 2021 ).…”

Section: Discussionmentioning

confidence: 79%

Prospective Associations Between Maternal Depression and Infant Sleep in Women With Gestational Diabetes Mellitus

et al. 2022

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BackgroundWomen with gestational diabetes mellitus have higher rates of perinatal depressive symptoms, compared to healthy pregnant women. In the general population, maternal depressive symptoms have been associated with infant sleep difficulties during the first year postpartum. However, there is lack of data on infants of mothers with gestational diabetes mellitus.MethodsThis study assessed the prospective associations between maternal perinatal depressive symptoms and infant sleep outcomes. The study population consisted of 95 Swiss women with gestational diabetes mellitus and their infants, enrolled in the control group of the MySweetheart trial (NCT02890693). Perinatal depressive symptoms were assessed with the Edinburgh Postnatal Depression Scale at the first gestational diabetes mellitus visit during pregnancy, at 6–8 weeks postpartum, and 1 year postpartum. The Brief Infant Sleep Questionnaire was used to assess infant sleep (i.e., nocturnal sleep duration, number of night waking, and maternal perception of infant sleep) at 1 year postpartum. Relevant maternal and infant measurements (e.g., infant sex or maternal age or social support) were collected or extracted from medical records as covariates.ResultsAntenatal maternal depressive symptoms at the first gestational diabetes mellitus visit were inversely associated with infant nocturnal sleep duration at 1 year postpartum (β = –5.9, p = 0.046). This association became marginally significant when covariates were added (β = –5.3, p = 0.057). Maternal depressive symptoms at 6–8 weeks postpartum were negatively and prospectively associated with infant nocturnal sleep duration (β = –9.35, p = 0.016), even when controlling for covariates (β = –7.32, p = 0.042). The association between maternal depressive symptoms and maternal perception of infant sleep as not a problem at all was significant at 1 year postpartum (β = –0.05, p = 0.006), although it became non-significant when controlling for appropriate covariates. No other significant associations were found.LimitationsThis study solely included measures derived from self-report validated questionnaires.ConclusionOur findings suggest it is of utmost importance to support women with gestational diabetes mellitus as a means to reduce the detrimental impact of maternal perinatal depressive symptoms on infant sleep, given its predictive role on infant metabolic health.

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Section: Discussionmentioning

confidence: 79%

Prospective Associations Between Maternal Depression and Infant Sleep in Women With Gestational Diabetes Mellitus

et al. 2022

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“…The publication year of included studies ranged from 1996 39,52 to 2021 50 . Four studies (29%) were from the United States of America 39-41,47 , two (14%) were from Norway 43,45 , while there was one (7%) study each from Brazil 42 , Canada 48 , Denmark 46 , Japan 50 , New Zealand 52 , Poland 51 , and Spain 44 . One study 49 reported data on two samples – one from Finland and one from the Netherlands.…”

Section: Resultsmentioning

confidence: 99%

“…Four (29%) experimental studies were included (three RCTs 43,45,48 and one long-term follow-up of two RCTs 49 ), and with sample sizes ranging from n=18 48 to n=336 45 . Ten (71%) observational studies were included (six prospective 39-42,47,51 and four retrospective 44,46,50,52 ) with the sample sizes ranging from 40 39 to 74,971 50 .…”

Section: Resultsmentioning

confidence: 99%

The intergenerational effects of parental physical activity on offspring brain and neurocognition in humans: a scoping review

Valkenborghs

Dent

Stillman³

2022

Preprint

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Animal models suggest physical activity (PA) has intergenerational effects on brain health and neurocognition. This scoping review compiles the human literature in this area, identifies knowledge gaps, and makes recommendations for future research. We systematically searched for experimental or observational studies conducted in humans, published in English, and reporting parental PA exposure (preconception or prenatal) and subsequent offspring brain and neurocognition. Two reviewers independently screened studies according to predetermined inclusion criteria. Fourteen articles were included (four experimental and 10 observational). All studies reported maternal characteristics, whereas only one (7%) study reported paternal characteristics (but not paternal PA). Prenatal maternal PA exposure was examined in 10 (71%) studies, while preconception and prenatal PA exposure was examined in four (29%) studies. Maternal PA exposure was positively related to offspring brain and neurocognitive development in most studies. Little is known about the intergenerational effects of parental PA on offspring brain and neurocognition in humans, particularly paternal preconception PA. More experimental studies with longer offspring follow-up and more objective and/or mechanistic assessments are required.

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“…Additionally, recall bias regarding the assessment of PA levels before pregnancy using the IPAQ short form during the first trimester of pregnancy is a limitation. However, some previous studies have followed this procedure [ 4 , 19 , 41 ]. Moreover, the use of the IPAQ short form is one of the best ways to assess a birth cohort study from the perspective of feasibility.…”

Section: Discussionmentioning

confidence: 99%

Relationship between Physical Activity and Physical and Mental Health Status in Pregnant Women: A Prospective Cohort Study of the Japan Environment and Children’s Study

Yamada

Ebara

Matsuki

et al. 2021

IJERPH

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To discuss appropriate physical activity (PA) levels during pregnancy, this prospective cohort study examined the relationships between PA levels before and during pregnancy and physical and mental health status. Fixed data for 104,102 pregnant women were used from the Japan Environment and Children’s Study, of which data for 82,919 women were analyzed after excluding women with multiple birth and pregnancy complications. PA levels were measured using the International Physical Activity Questionnaire-Short Form. The 8-Item Short Form Health Survey was used to measure outcomes. Logistic regression with multiple imputations showed that moderate PA for over 720 min/wk and vigorous PA before pregnancy were associated with poorer mental health in the first trimester (adjusted odds ratio (AOR): 1.087–1.376. Walking in the second and third trimesters was associated with better physical and mental health (AOR: 0.855–0.932). Moderate PA over 1080 min/wk and vigorous PA in the second and third trimesters were associated with poorer mental health (AOR: 1.223–1.873). Increases over 4135.4 MET–min/wk and decreases in PA levels were associated with poorer mental and physical health (AOR: 1.070–1.333). Namely, pregnant women receiving health benefits prefer continuous walking in addition to avoiding vigorous PA and excessive changes in PA levels during pregnancy.

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Influence of physical activity before and during pregnancy on infant’s sleep and neurodevelopment at 1-year-old

Cited by 12 publications

References 45 publications

Prospective Associations Between Maternal Depression and Infant Sleep in Women With Gestational Diabetes Mellitus

Prospective Associations Between Maternal Depression and Infant Sleep in Women With Gestational Diabetes Mellitus

The intergenerational effects of parental physical activity on offspring brain and neurocognition in humans: a scoping review

Relationship between Physical Activity and Physical and Mental Health Status in Pregnant Women: A Prospective Cohort Study of the Japan Environment and Children’s Study

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