Maternal physical activity, sitting, and risk of non-cardiac birth defects
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1 2024
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Source: Pediatr Res. 95(1):334-341
Details:
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Alternative Title:Pediatr Res
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Description:Background:
The relationship between maternal physical activity (PA)/sitting and birth defects is largely unexplored. We examined whether pre-pregnancy PA/sitting were associated with having a pregnancy affected by a birth defect.
Methods:
We used data from two United States population-based case-control studies: 2008–2011 deliveries from the National Birth Defects Prevention Study (NBDPS; 9 states) and 2014–2018 deliveries from the Birth Defects Study To Evaluate Pregnancy exposureS (BD-STEPS; 7 states). Cases with one of 12 non-cardiac birth defects (n=3798) were identified through population-based registries. Controls (n=2682) were live-born infants without major birth defects randomly sampled using vital/hospital records. Mothers self-reported pre-pregnancy PA/sitting. Unconditional logistic regression models estimated associations between PA/sitting categories and the 12 birth defects.
Results:
Mothers engaging in pre-pregnancy PA was associated with a reduced odds of five (spina bifida, cleft palate, anorectal atresia, hypospadias, transverse limb deficiency) and a higher odds of two (anencephaly, gastroschisis) birth defects. Mothers spending less time sitting in pre-pregnancy was associated with a reduced odds of two (anorectal atresia, hypospadias) and a higher odds of one (cleft lip with or without cleft palate) birth defect.
Conclusion:
Reasonable next steps include replication of these findings, improved exposure assessment, and elucidation of biologic mechanisms.
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Pubmed ID:37543708
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Pubmed Central ID:PMC10875984
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Volume:95
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Issue:1
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Supporting Files:No Additional Files