University of Oulu

Mehl, C.V., Benum, S.D., Aakvik, K.A.D. et al. Physical activity and associations with health-related quality of life in adults born small for gestational age at term: a prospective cohort study. BMC Pediatr 23, 430 (2023). https://doi.org/10.1186/s12887-023-04256-y

Physical activity and associations with health-related quality of life in adults born small for gestational age at term : a prospective cohort study

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Author: Mehl, Cathrin Vano1; Benum, Silje Dahl1; Aakvik, Kristina Anna Djupvik1;
Organizations: 1Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, NTNU, Trondheim, N-7491, Norway
2Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway
3Finnish Institute for Health and Welfare, Public Health Promotion Unit, Helsinki and Oulu, Finland
4Clinical Medicine Research Unit, MRC Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
5Children’s Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland
6Unit for Physiotherapy Services, Trondheim Municipality, Trondheim, Norway
7Children’s Clinic, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
8Department of Rehabilitation Science and Health Technology, Oslo Metropolitan University, Oslo, Norway
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 1.5 MB)
Persistent link: http://urn.fi/urn:nbn:fi-fe20231009139305
Language: English
Published: Springer Nature, 2023
Publish Date: 2023-10-09
Description:

Abstract

Background: Adults born small for gestational age (SGA) have increased risk of adverse health outcomes. Physical activity (PA) is a key determinant of health and health-related quality of life (HRQoL). We aimed to investigate if being born SGA at term is associated with lower objectively measured and self-reported PA during adulthood. We also examined if objectively measured and self-reported PA were associated with HRQoL.

Methods: As part of the 32-year follow-up in the NTNU Low Birth Weight in a Lifetime Perspective study, SGA and non-SGA control participants wore two tri-axial accelerometers for seven days (37 SGA, 43 control), and completed the International Physical Activity Questionnaire (IPAQ) (42 SGA, 49 control) and the Short Form 36 Health Survey (SF-36) (55 SGA, 67 control). Group differences in objectively measured daily metabolic equivalent of task (MET) minutes spent sedentary (lying, sitting), on feet (standing, walking, running, cycling), on the move (walking, running, cycling) and running/cycling, and group differences in self-reported daily MET minutes spent walking and in moderate and vigorous PA were examined using linear regression. Associations with SF-36 were explored in a general linear model.

Results: Mean (SD) daily MET minutes on the move were 218 (127) in the SGA group and 227 (113) in the control group. There were no group differences in objectively measured and self-reported PA or associations with HRQoL. In the SGA group, one MET minute higher objectively measured time on the move was associated with 4.0 (95% CI: 0.6–6.5, p = 0.009) points higher SF-36 physical component summary.

Conclusion: We found no differences in objectively measured and self-reported PA or associations with HRQoL between term-born SGA and non-SGA control participants in adulthood.

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Series: BMC pediatrics
ISSN: 1471-2431
ISSN-E: 1471-2431
ISSN-L: 1471-2431
Volume: 23
Issue: 1
Article number: 430
DOI: 10.1186/s12887-023-04256-y
OADOI: https://oadoi.org/10.1186/s12887-023-04256-y
Type of Publication: A1 Journal article – refereed
Field of Science: 3123 Gynaecology and paediatrics
Subjects:
Funding: Open access funding provided by Norwegian University of Science and Technology. The study population was originally recruited from a multicenter study sponsored by the US National Institute of Child Health and Human Development, NHI (NICHD 1-HD-4–2803 and 1-HD-1–3127). The follow-up study was funded by the Joint Research Committee of St. Olavs Hospital HF and the Faculty of Medicine and Health Sciences, NTNU. The work of Mehl was supported by the Faculty of Medicine and Health Sciences, NTNU. Benum was supported by Foundation Dam and the Central Norway Regional Health Authority (RHA) via the Liaison Committee for Education, Research and Innovation in Central Norway. Aakvik was supported by Department of Clinical and Molecular Medicine, NTNU. Kongsvold was supported by NTNU Health (81771516). Kajantie and Evensen received funding from European Commission (733280 RECAP Research on European Children and Adults Born Preterm). Kajantie received funding from the Academy of Finland (NORDCAP 315690), Sigrid Juselius Foundation, Finnish Foundation for Pediatric Research, Signe and Ane Gyllenberg Foundation, Novo Nordisk Foundation, Yrjö Jahnsson Foundation, Finnish Foundation for Cardiovascular Research, Finnish Diabetes Research Foundation, and Finska Läkaresällskapet. Evensen was supported by the Joint Research Committee of St. Olavs Hospital HF and the Faculty of Medicine and Health Sciences, NTNU. The funders had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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