Influence of a Sedentary Behavior Intervention on Mood, Sleep, and Quality of Life Outcomes During Pregnancy: The SPRING Study
Background: Psychological symptoms and sleep disturbance are common during pregnancy. Observational data suggest that being physically active during pregnancy is related to better mood and sleep, but whether sedentary behavior reduction interventions provide similar benefits is untested. We aimed to...
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Mary Ann Liebert
2025-01-01
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| Series: | Women's Health Reports |
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| Online Access: | https://www.liebertpub.com/doi/10.1089/whr.2024.0176 |
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| author | Andrea C. Kozai Katrina L. Wilhite Christopher E. Kline Kelliann K. Davis Alisse Hauspurg Janet M. Catov Bethany Barone Gibbs |
| author_facet | Andrea C. Kozai Katrina L. Wilhite Christopher E. Kline Kelliann K. Davis Alisse Hauspurg Janet M. Catov Bethany Barone Gibbs |
| author_sort | Andrea C. Kozai |
| collection | DOAJ |
| description | Background: Psychological symptoms and sleep disturbance are common during pregnancy. Observational data suggest that being physically active during pregnancy is related to better mood and sleep, but whether sedentary behavior reduction interventions provide similar benefits is untested. We aimed to determine whether reducing sedentary behavior across pregnancy improved psychological and sleep parameters. Methods: Pregnant participants (n = 51) were allocated 2:1 to a sedentary behavior reduction intervention or control in their first trimester. Depressive symptoms, perceived stress, mood disturbance, nausea/vomiting quality of life, and sleep parameters were assessed with validated questionnaires in each trimester. Linear mixed effects regression examined differences between groups across pregnancy. Spearman correlations tested whether changes in sedentary time and physical activity were associated with changes in psychological and sleep outcomes without regard to group. Results: Despite significant reductions in sedentary behavior (−0.84 hour/day), the intervention had no effect on psychological health outcomes. Further, intervention participants demonstrated significant worsening of sleep efficiency factor scores compared with control (p = 0.038). Small but significant correlations were found between changes in sedentary time and nausea/vomiting quality of life, and between changes in physical activity and nausea/vomiting quality of life, sleep duration, and sleep efficiency. Conclusions: Reducing sedentary behavior during pregnancy did not improve psychological symptoms and may worsen sleep efficiency. Recommendations for future sedentary behavior reduction research in pregnancy include a larger sample with poorer psychological health and sleep at baseline, targeting reductions in mentally passive sedentary behavior, and including device-based sleep assessments. |
| format | Article |
| id | doaj-art-35bcc59c80694f80a96aba37d74867c8 |
| institution | OA Journals |
| issn | 2688-4844 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Mary Ann Liebert |
| record_format | Article |
| series | Women's Health Reports |
| spelling | doaj-art-35bcc59c80694f80a96aba37d74867c82025-08-20T01:49:57ZengMary Ann LiebertWomen's Health Reports2688-48442025-01-016130531410.1089/whr.2024.0176Influence of a Sedentary Behavior Intervention on Mood, Sleep, and Quality of Life Outcomes During Pregnancy: The SPRING StudyAndrea C. Kozai0Katrina L. Wilhite1Christopher E. Kline2Kelliann K. Davis3Alisse Hauspurg4Janet M. Catov5Bethany Barone Gibbs6Department of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.Department of Epidemiology & Biostatistics, West Virginia University, Morgantown, West Virginia, USA.Department of Health and Human Development, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.Department of Health and Human Development, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.Department of Obstetrics, Gynecology & Reproductive Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.Departments of Obstetrics, Gynecology & Reproductive Sciences, Epidemiology, and Clinical and Translational Science, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.Department of Epidemiology & Biostatistics, West Virginia University, Morgantown, West Virginia, USA.Background: Psychological symptoms and sleep disturbance are common during pregnancy. Observational data suggest that being physically active during pregnancy is related to better mood and sleep, but whether sedentary behavior reduction interventions provide similar benefits is untested. We aimed to determine whether reducing sedentary behavior across pregnancy improved psychological and sleep parameters. Methods: Pregnant participants (n = 51) were allocated 2:1 to a sedentary behavior reduction intervention or control in their first trimester. Depressive symptoms, perceived stress, mood disturbance, nausea/vomiting quality of life, and sleep parameters were assessed with validated questionnaires in each trimester. Linear mixed effects regression examined differences between groups across pregnancy. Spearman correlations tested whether changes in sedentary time and physical activity were associated with changes in psychological and sleep outcomes without regard to group. Results: Despite significant reductions in sedentary behavior (−0.84 hour/day), the intervention had no effect on psychological health outcomes. Further, intervention participants demonstrated significant worsening of sleep efficiency factor scores compared with control (p = 0.038). Small but significant correlations were found between changes in sedentary time and nausea/vomiting quality of life, and between changes in physical activity and nausea/vomiting quality of life, sleep duration, and sleep efficiency. Conclusions: Reducing sedentary behavior during pregnancy did not improve psychological symptoms and may worsen sleep efficiency. Recommendations for future sedentary behavior reduction research in pregnancy include a larger sample with poorer psychological health and sleep at baseline, targeting reductions in mentally passive sedentary behavior, and including device-based sleep assessments.https://www.liebertpub.com/doi/10.1089/whr.2024.0176perinatal moodbehavior changeaccelerometrymaternal healthpregnancy health |
| spellingShingle | Andrea C. Kozai Katrina L. Wilhite Christopher E. Kline Kelliann K. Davis Alisse Hauspurg Janet M. Catov Bethany Barone Gibbs Influence of a Sedentary Behavior Intervention on Mood, Sleep, and Quality of Life Outcomes During Pregnancy: The SPRING Study Women's Health Reports perinatal mood behavior change accelerometry maternal health pregnancy health |
| title | Influence of a Sedentary Behavior Intervention on Mood, Sleep, and Quality of Life Outcomes During Pregnancy: The SPRING Study |
| title_full | Influence of a Sedentary Behavior Intervention on Mood, Sleep, and Quality of Life Outcomes During Pregnancy: The SPRING Study |
| title_fullStr | Influence of a Sedentary Behavior Intervention on Mood, Sleep, and Quality of Life Outcomes During Pregnancy: The SPRING Study |
| title_full_unstemmed | Influence of a Sedentary Behavior Intervention on Mood, Sleep, and Quality of Life Outcomes During Pregnancy: The SPRING Study |
| title_short | Influence of a Sedentary Behavior Intervention on Mood, Sleep, and Quality of Life Outcomes During Pregnancy: The SPRING Study |
| title_sort | influence of a sedentary behavior intervention on mood sleep and quality of life outcomes during pregnancy the spring study |
| topic | perinatal mood behavior change accelerometry maternal health pregnancy health |
| url | https://www.liebertpub.com/doi/10.1089/whr.2024.0176 |
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