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Does leisure time physical activity in early pregnancy protect against pre‐eclampsia? Prospective cohort in Danish women
Ist Teil von
BJOG : an international journal of obstetrics and gynaecology, 2009-01, Vol.116 (1), p.98-107
Ort / Verlag
Oxford, UK: Blackwell Publishing Ltd
Erscheinungsjahr
2009
Quelle
Access via Wiley Online Library
Beschreibungen/Notizen
Objective To examine the association between physical activity in early pregnancy and risk of pre‐eclampsia.
Design Prospective cohort.
Setting Denmark.
Population A total of 85 139 pregnant Danish women, recruited between 1996 and 2002.
Methods The authors assessed leisure time physical activity in first trimester by a telephone interview and categorised women a priori into seven groups: 0 (reference), 1–44, 45–74, 75–149, 150–269, 270–419 and 420+ minutes/week. Pre‐eclampsia diagnoses were extracted from the Danish National Patient Registry. A number of potential confounders were adjusted for by logistic regression.
Main outcome measures Pre‐eclampsia and severe pre‐eclampsia.
Results The two highest physical activity levels were associated with increased risk of severe pre‐eclampsia compared with the nonexercising group, with adjusted odds ratios of 1.65 (95% CI: 1.11–2.43) and 1.78 (95% CI: 1.07–2.95), whereas more moderate levels of physical activity (1–270 minutes/week) had no statistically significant association with risk of pre‐eclampsia (total n = 85 139).
Conclusions We were unable to document a protective effect of leisure time physical activity against pre‐eclampsia. Our data even suggest that leisure time physical activity exceeding 270 minutes/week in first trimester may increase risk of severe pre‐eclampsia.