title: Physical activity of pregnant Hispanic women.
abstract: BACKGROUND
  A growing body of evidence suggests that physical activity during pregnancy can reduce risk of pregnancy complications. However, factors influencing activity in pregnant Hispanic women, who have high rates of sedentary activity as compared to non-Hispanic whites, are not well characterized.
  
  
  OBJECTIVE
  To assess patterns and correlates of physical activity among 1355 participants in Proyecto Buena Salud, a prospective cohort of pregnant Hispanic women in Massachusetts from 2006 to 2011.
  
  
  METHODS
  Analyses were conducted in 2012. Pre-, early-, mid-, and late-pregnancy physical activity were assessed using the Pregnancy Physical Activity Questionnaire. Women reported the frequency and duration of household/caregiving, occupational, sports/exercise, and transportation activities and were classified according to compliance with American College of Obstetricians and Gynecologists guidelines for physical activity.
  
  
  RESULTS
  Household/caregiving activity was the primary mode of pregnancy activity ranging from 56% to 60% of total activity while sports/exercise contributed the least (<10%). Compared to nulliparous women, women with two or more children were 85% less likely to become inactive at any time during pregnancy (OR=0.15, 95% CI=0.04, 0.56, p-trend <0.01). Women with one or more children increased their total physical activity on average 9.73±2.04 MET-hours/week and 12.04±2.39 MET-hours/week, respectively, with the onset of pregnancy (p<0.01). Those with the highest levels of total physical activity prior to pregnancy were 87% less likely to become inactive with the onset of pregnancy than those who were inactive prior to pregnancy (OR=0.13, 95% CI= 0.05, 0.29).
  
  
  CONCLUSIONS
  Findings can inform culturally appropriate interventions designed to reduce pregnancy complications through the promotion of physical activity during pregnancy.
authors.affiliation: Division of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA 01003, USA. Kelyn0@schoolph.umass.edu
authors.forename: Kristine E
authors.initials: KE
authors.lastname: Lynch
authors.forename: Jill R
authors.initials: JR
authors.lastname: Landsbaugh
authors.forename: Brian W
authors.initials: BW
authors.lastname: Whitcomb
authors.forename: Penny
authors.initials: P
authors.lastname: Pekow
authors.forename: Glenn
authors.initials: G
authors.lastname: Markenson
authors.forename: Lisa
authors.initials: L
authors.lastname: Chasan-Taber
mesh_terms: D000293:Adolescent; D000328:Adult; D015331:Cohort Studies; D015444:Exercise / Q000502:physiology*; D005260:Female; D019983:Guideline Adherence; D017408:Guidelines as Topic; D006293:Health Promotion / Q000379:methods; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008404:Massachusetts; D009043:Motor Activity / Q000502:physiology*; D011247:Pregnancy / Q000502:physiology*; D011248:Pregnancy Complications / Q000517:prevention & control*; D011446:Prospective Studies; D057185:Sedentary Behavior; D011795:Surveys and Questionnaires; D014186:Transportation / Q000706:statistics & numerical data; D055815:Young Adult