RESUMEN
This study aimed to compare objectively recorded physical activity (PA) levels and walking steps among pregnant women. Cross-sectional data from a multiethnic cohort (n = 823) of pregnant women consisting of 44% from Western countries, 24% from South Asia, 14% from Middle East, and 18% from other countries. PA and steps were recorded by the activity monitor SenseWear™ Pro3 Armband. A total of 678 women were included in the analysis. Western women walked significantly more steps and had higher moderate-to-vigorous-intensity physical activity (MVPA) levels compared with South Asian women per weekday and weekend day. Interaction terms (P = 0.008) between ethnicity (Western vs South Asian) and parity, and education, respectively, were identified: having ≥ 1 children was positively associated with steps during weekends in South Asians in contrast to Western women. Having <12 years education was associated with more MVPA time among South Asians in contrast to Western women. South Asian women are prone to low levels of PA during pregnancy and South Asian women without children and with higher education may have an elevated risk for an inactive lifestyle during pregnancy.
Asunto(s)
Conductas Relacionadas con la Salud/etnología , Caminata/estadística & datos numéricos , Acelerometría , Adulto , África del Sur del Sahara/etnología , América Central/etnología , Estudios de Cohortes , Estudios Transversales , Escolaridad , Empleo , Europa Oriental/etnología , Femenino , Humanos , Medio Oriente/etnología , Noruega , Pakistán/etnología , Paridad , Embarazo , Primer Trimestre del Embarazo , Segundo Trimestre del Embarazo , Países Escandinavos y Nórdicos/etnología , América del Sur/etnología , Sri Lanka/etnología , Factores de Tiempo , Caminata/fisiología , Adulto JovenRESUMEN
Neonatal morbidity, in particular neurological morbidity is a more relevant measure of the effectiveness of obstetrical care than perinatal mortality. Neurological morbidity was assessed in a birth cohort in Grenada, and appeared to be lower than in a reference group examined in Groningen, the Netherlands, in 1975-1978. Perinatal mortality, however, was higher. The results support the thesis that some children may have died who, if they would have survived, would have been neurologically abnormal. It is concluded that whereas a decrease in perinatal deaths is an essential goal in Grenada, a concomitant increase in morbidity should be carefully avoided.
Asunto(s)
Enfermedades del Sistema Nervioso/epidemiología , Adolescente , Adulto , Femenino , Humanos , Mortalidad Infantil , Recién Nacido , Países Bajos/epidemiología , Complicaciones del Trabajo de Parto , Embarazo , Complicaciones del Embarazo , Factores Socioeconómicos , Indias Occidentales/epidemiologíaRESUMEN
Neonatal morbidity, in particular neurological morbidity is a more relevant measure of the effectiveness of obstetrical care than perinatal mortality. Neurological morbidity was assessed in a birth cohort in Grenada, and appeared to be lower than in a reference group examined in Groningen, the Netherlands, in 1975-1978. Perinatal mortality, however, was higher. The results support the thesis that some children may have died who, if they would have survived, would have been neurologically abnormal. It is concluded that whereas a decrease in perinatal deaths is an essential goal in Grenada, a concomitant increase in morbidity should be carefully avoided. (AU)