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Time–activity patterns of pregnant women and changes during the course of pregnancy

Abstract

Numerous studies suggest that in utero exposures to environmental contaminants are associated with fetal development, congenital anomalies, learning difficulties or other health impacts later in life. Although location and time–activity data have been used to model exposure to specific contaminants in epidemiological studies, little information is available about time–activity patterns of pregnant women. We measured changes in location-based activity patterns over the course of pregnancy (48-h periods, during two or three trimesters) using a self-reported time–activity log among a nonrandom sample of pregnant women (n=62). We assessed the influence of demographics and personal factors on changes in activity over pregnancy using mixed effects regression models. Increasing weeks of pregnancy was a significant predictor for increased time spent at home (1 h/day increase for each trimester of pregnancy), after adjusting for income (2.6 more h/day at home in lowest income group), work status (3.5 more h/day at home for nonworkers) and other children in the family (1.5 more h/day at home with other children). No other measured activities (time outdoors, time in transit modalities or time in other indoor locations) were related to weeks of pregnancy. As our results indicate that pregnant women tend to spend more time at home during the latter stages of pregnancy, future exposure and epidemiological research should consider the potential increase in home-based exposures (i.e., indoor air pollution or chemicals in the home) late in pregnancy, and increased confidence in exposure proxies based on home locations or characteristics during the same period.

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References

  • Allgulander C., Florea I., and Huusom A.K. Prevention of relapse in generalized anxiety disorder by escitalopram treatment. Int J Neuropsychopharmacol 2006: 9: 495–505.

    Article  CAS  Google Scholar 

  • Devine C.M., Bove C.F., and Olson C.M. Continuity and change in women's weight orientations and lifestyle practices through pregnancy and the postpartum period: the influence of life course trajectories and transitional events. Soc Sci Med 2000: 50: 567–582.

    Article  CAS  Google Scholar 

  • Gardella J.R., and Hill III J.A. Environmental toxins associated with recurrent pregnancy loss. Semin Reprod Med 2000: 18: 407–424.

    Article  CAS  Google Scholar 

  • Gower S.K., and McColl S. Development of the PEARLS model (Particulate Exposure from Ambient to Regional Lung by Subgroup) and use of Monte Carlo simulation to predict internal exposure to PM2.5 in Toronto. Risk Anal 2005: 25: 301–315.

    Article  Google Scholar 

  • Jones BL A SAS procedure based on mixture models for estimating developmental trajectories. Sociol Methods Res 2001: 29: 374.

    Article  Google Scholar 

  • Klepeis N.E., Nelson W.C., Ott W.R., Robinson J.P., Tsang A.M., Switzer P., Behar J.V., Hern S.C., and Engelmann W.H. The National Human Activity Pattern Survey (NHAPS): a resource for assessing exposure to environmental pollutants. J Expo Anal Environ Epidemiol 2001: 11: 231–252.

    Article  CAS  Google Scholar 

  • Kruger J., Bowles H.R., Jones D.A., Ainsworth B.E., and Kohl III H.W. Health-related quality of life BMI and physical activity among US adults (≥18 years): National physical activity and weight loss survey, 2002. Int J Obes (Lond) 2007: 31: 321–327.

    Article  CAS  Google Scholar 

  • Leech J.A., Wilby K., McMullen E., and Laporte K. The Canadian Human Activity Pattern Survey: report of methods and population surveyed. Chronic Dis Can 1996: 17: 118–123.

    CAS  PubMed  Google Scholar 

  • Mottola M.F., and Campbell M.K. Activity patterns during pregnancy. Can J Appl Physiol 2003: 28: 642–653.

    Article  Google Scholar 

  • Nethery E., Leckie S.E., Teschke K., and Brauer M. From measures to models: an evaluation of air pollution exposure assessment for epidemiological studies of pregnant women. Occup Environ Med 2007; e-pub ahead of print 10 December 2007, doi:10.1136/oem.2007.035337.

    Article  CAS  Google Scholar 

  • Ning Y., Williams M.A., Dempsey J.C., Sorensen T.K., Frederick I.O., and Luthy D.A. Correlates of recreational physical activity in early pregnancy. J Matern Fetal Neonatal Med 2003: 13: 385–393.

    Article  CAS  Google Scholar 

  • Petersen A.M., Leet T.L., and Brownson R.C. Correlates of physical activity among pregnant women in the United States. Med Sci Sports Exerc 2005: 37: 1748–1753.

    Article  Google Scholar 

  • Poudevigne M.S., and O'Connor P.J. A review of physical activity patterns in pregnant women and their relationship to psychological health. Sports Med 2006: 36: 19–38.

    Article  Google Scholar 

  • Rauh V.A., Whyatt R.M., Garfinkel R., Andrews H., Hoepner L., Reyes A., Diaz D., Camann D., and Perera F.P. Developmental effects of exposure to environmental tobacco smoke and material hardship among inner-city children. Neurotoxicol Teratol 2004: 26: 373–385.

    Article  CAS  Google Scholar 

  • Ritz B., and Yu F. The effect of ambient carbon monoxide on low birth weight among children born in southern California between 1989 and 1993. Environ Health Perspect 1999: 107: 17–25.

    Article  CAS  Google Scholar 

  • Schmidt M.D., Pekow P., Freedson P.S., Markenson G., and Chasan-Taber L. Physical activity patterns during pregnancy in a diverse population of women. J Womens Health (Larchmt) 2006: 15: 909–918.

    Article  Google Scholar 

  • Silbergeld E.K., and Patrick T.E. Environmental exposures, toxicologic mechanisms, and adverse pregnancy outcomes. Am J Obstet Gynecol 2005: 192: S11–S21.

    Article  Google Scholar 

  • Sram R.J., Binkova B., Dejmek J., and Bobak M. Ambient air pollution and pregnancy outcomes: a review of the literature. Environ Health Perspect 2005: 113: 375–382.

    Article  CAS  Google Scholar 

  • Whyatt R.M., Barr D.B., Camann D.E., Kinney P.L., Barr J.R., Andrews H.F., Hoepner L.A., Garfinkel R., Hazi Y., Reyes A., Ramirez J., Cosme Y., and Perera F.P. Contemporary-use pesticides in personal air samples during pregnancy and blood samples at delivery among urban minority mothers and newborns. Environ Health Perspect 2003: 111: 749–756.

    Article  CAS  Google Scholar 

  • Wilbur J., Miller A.M., Montgomery A., and Chandler P. Women's physical activity patterns: nursing implications. J Obstet Gynecol Neonatal Nurs 1998: 27: 383–392.

    Article  CAS  Google Scholar 

  • Wilkes C.R., Mason A.D., and Hern S.C. Probability distributions for showering and bathing water-use behavior for various U.S. subpopulations. Risk Anal 2005: 25: 317–337.

    Article  Google Scholar 

  • Xie H., Drake R., and McHugo G. Are there distinctive trajectory groups in substance abuse remission over 10 years? An application of the group-based modeling approach. Adm Policy Ment Health 2006: 33: 423–432.

    Article  Google Scholar 

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Correspondence to Elizabeth Nethery.

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Nethery, E., Brauer, M. & Janssen, P. Time–activity patterns of pregnant women and changes during the course of pregnancy. J Expo Sci Environ Epidemiol 19, 317–324 (2009). https://doi.org/10.1038/jes.2008.24

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