Cardiorespiratory fitness and health-related quality of life in women at risk for gestational diabetes

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Abstract

This study examined the associations of cardiorespiratory fitness (CRF) and leisure-time physical activity (LTPA) with health-related quality of life (HRQoL) in women at risk for gestational diabetes mellitus (GDM). The participants were 39 women planning pregnancy with a history of GDM and/or BMI 29kg/m(2). We assessed CRF by measuring maximal oxygen consumption (VO2max) during incremental cycle ergometer exercise until voluntary fatigue. LTPA was self-reported, and HRQoL assessed with the SF-36 Health Survey (SF-36). The mean (SD) VO2max was 27 (6) mLkg(-1)min(-1), and the mean LTPA was 2.6 (1.7)h/wk. After controlling for BMI, VO2max was positively associated with the SF-36 General Health scale ( 1.27, 95% CI: 0.09, 2.44, P=.035) and the Physical Component Summary ( 0.48, 95% CI: 0.14, 0.82, P=.007). The General Health scale (P=.023) and the Physical Component Summary (P=.011) differed even between those with very poor and poor CRF. After controlling for BMI, LTPA was positively associated with the SF-36 Physical Functioning scale (r(s)=.34, P=.039), the General Health scale ( 3.74, 95% CI: 0.64, 6.84, P=.020), and the Physical Component Summary ( 1.13 95% CI: 0.19, 2.06, P=.020). To conclude, CRF and LTPA were positively associated with perceived general health and physical well-being in women planning pregnancy and at risk for GDM. Even a slightly better CRF would be beneficial for well-being among women with low levels of CRF.

Original languageEnglish
JournalScandinavian Journal of Medicine & Science in Sports
Volume28
Issue number1
Pages (from-to)203-211
Number of pages9
ISSN0905-7188
DOIs
Publication statusPublished - Jan 2018
MoE publication typeA1 Journal article-refereed

Fields of Science

  • female
  • maximal oxygen uptake
  • physical activity
  • quality of life
  • self-rated health
  • SELF-RATED HEALTH
  • PHYSICAL-ACTIVITY
  • MELLITUS
  • PREGNANCY
  • ADULTS
  • METAANALYSIS
  • ASSOCIATION
  • POPULATION
  • MORTALITY
  • EXERCISE
  • 315 Sport and fitness sciences
  • 3121 Internal medicine

Cite this

@article{d1280024fe8140a2bcbf0eb911e7e826,
title = "Cardiorespiratory fitness and health-related quality of life in women at risk for gestational diabetes",
abstract = "This study examined the associations of cardiorespiratory fitness (CRF) and leisure-time physical activity (LTPA) with health-related quality of life (HRQoL) in women at risk for gestational diabetes mellitus (GDM). The participants were 39 women planning pregnancy with a history of GDM and/or BMI 29kg/m(2). We assessed CRF by measuring maximal oxygen consumption (VO2max) during incremental cycle ergometer exercise until voluntary fatigue. LTPA was self-reported, and HRQoL assessed with the SF-36 Health Survey (SF-36). The mean (SD) VO2max was 27 (6) mLkg(-1)min(-1), and the mean LTPA was 2.6 (1.7)h/wk. After controlling for BMI, VO2max was positively associated with the SF-36 General Health scale ( 1.27, 95{\%} CI: 0.09, 2.44, P=.035) and the Physical Component Summary ( 0.48, 95{\%} CI: 0.14, 0.82, P=.007). The General Health scale (P=.023) and the Physical Component Summary (P=.011) differed even between those with very poor and poor CRF. After controlling for BMI, LTPA was positively associated with the SF-36 Physical Functioning scale (r(s)=.34, P=.039), the General Health scale ( 3.74, 95{\%} CI: 0.64, 6.84, P=.020), and the Physical Component Summary ( 1.13 95{\%} CI: 0.19, 2.06, P=.020). To conclude, CRF and LTPA were positively associated with perceived general health and physical well-being in women planning pregnancy and at risk for GDM. Even a slightly better CRF would be beneficial for well-being among women with low levels of CRF.",
keywords = "female, maximal oxygen uptake, physical activity, quality of life, self-rated health, SELF-RATED HEALTH, PHYSICAL-ACTIVITY, MELLITUS, PREGNANCY, ADULTS, METAANALYSIS, ASSOCIATION, POPULATION, MORTALITY, EXERCISE, 315 Sport and fitness sciences, 3121 Internal medicine",
author = "E. Engberg and Tikkanen, {H. O.} and A. Koponen and H. H{\"a}gglund and {Kukkonen- Harjula}, Katriina and A. Tiitinen and Peltonen, {J. E.} and M. P{\"o}yh{\"o}nen-Alho",
year = "2018",
month = "1",
doi = "10.1111/sms.12896",
language = "English",
volume = "28",
pages = "203--211",
journal = "Scandinavian Journal of Medicine & Science in Sports",
issn = "0905-7188",
publisher = "Wiley",
number = "1",

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TY - JOUR

T1 - Cardiorespiratory fitness and health-related quality of life in women at risk for gestational diabetes

AU - Engberg, E.

AU - Tikkanen, H. O.

AU - Koponen, A.

AU - Hägglund, H.

AU - Kukkonen- Harjula, Katriina

AU - Tiitinen, A.

AU - Peltonen, J. E.

AU - Pöyhönen-Alho, M.

PY - 2018/1

Y1 - 2018/1

N2 - This study examined the associations of cardiorespiratory fitness (CRF) and leisure-time physical activity (LTPA) with health-related quality of life (HRQoL) in women at risk for gestational diabetes mellitus (GDM). The participants were 39 women planning pregnancy with a history of GDM and/or BMI 29kg/m(2). We assessed CRF by measuring maximal oxygen consumption (VO2max) during incremental cycle ergometer exercise until voluntary fatigue. LTPA was self-reported, and HRQoL assessed with the SF-36 Health Survey (SF-36). The mean (SD) VO2max was 27 (6) mLkg(-1)min(-1), and the mean LTPA was 2.6 (1.7)h/wk. After controlling for BMI, VO2max was positively associated with the SF-36 General Health scale ( 1.27, 95% CI: 0.09, 2.44, P=.035) and the Physical Component Summary ( 0.48, 95% CI: 0.14, 0.82, P=.007). The General Health scale (P=.023) and the Physical Component Summary (P=.011) differed even between those with very poor and poor CRF. After controlling for BMI, LTPA was positively associated with the SF-36 Physical Functioning scale (r(s)=.34, P=.039), the General Health scale ( 3.74, 95% CI: 0.64, 6.84, P=.020), and the Physical Component Summary ( 1.13 95% CI: 0.19, 2.06, P=.020). To conclude, CRF and LTPA were positively associated with perceived general health and physical well-being in women planning pregnancy and at risk for GDM. Even a slightly better CRF would be beneficial for well-being among women with low levels of CRF.

AB - This study examined the associations of cardiorespiratory fitness (CRF) and leisure-time physical activity (LTPA) with health-related quality of life (HRQoL) in women at risk for gestational diabetes mellitus (GDM). The participants were 39 women planning pregnancy with a history of GDM and/or BMI 29kg/m(2). We assessed CRF by measuring maximal oxygen consumption (VO2max) during incremental cycle ergometer exercise until voluntary fatigue. LTPA was self-reported, and HRQoL assessed with the SF-36 Health Survey (SF-36). The mean (SD) VO2max was 27 (6) mLkg(-1)min(-1), and the mean LTPA was 2.6 (1.7)h/wk. After controlling for BMI, VO2max was positively associated with the SF-36 General Health scale ( 1.27, 95% CI: 0.09, 2.44, P=.035) and the Physical Component Summary ( 0.48, 95% CI: 0.14, 0.82, P=.007). The General Health scale (P=.023) and the Physical Component Summary (P=.011) differed even between those with very poor and poor CRF. After controlling for BMI, LTPA was positively associated with the SF-36 Physical Functioning scale (r(s)=.34, P=.039), the General Health scale ( 3.74, 95% CI: 0.64, 6.84, P=.020), and the Physical Component Summary ( 1.13 95% CI: 0.19, 2.06, P=.020). To conclude, CRF and LTPA were positively associated with perceived general health and physical well-being in women planning pregnancy and at risk for GDM. Even a slightly better CRF would be beneficial for well-being among women with low levels of CRF.

KW - female

KW - maximal oxygen uptake

KW - physical activity

KW - quality of life

KW - self-rated health

KW - SELF-RATED HEALTH

KW - PHYSICAL-ACTIVITY

KW - MELLITUS

KW - PREGNANCY

KW - ADULTS

KW - METAANALYSIS

KW - ASSOCIATION

KW - POPULATION

KW - MORTALITY

KW - EXERCISE

KW - 315 Sport and fitness sciences

KW - 3121 Internal medicine

U2 - 10.1111/sms.12896

DO - 10.1111/sms.12896

M3 - Article

VL - 28

SP - 203

EP - 211

JO - Scandinavian Journal of Medicine & Science in Sports

JF - Scandinavian Journal of Medicine & Science in Sports

SN - 0905-7188

IS - 1

ER -