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Physical Activity, Fitness, and Cardiac Autonomic Function among Adults Born Postterm.
Oksanen, Päivi; Tikanmäki, Marjaana; Tulppo, Mikko P; Niemelä, Maisa; Korpelainen, Raija; Kajantie, Eero.
Afiliación
  • Oksanen P; Research Unit of Clinical Medicine, University of Oulu, Oulu, Finland.
  • Tikanmäki M; Finnish Institute for Health and Welfare, Helsinki and Oulu, Finland.
  • Tulppo MP; Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
  • Niemelä M; Research Unit of Clinical Medicine, University of Oulu, Oulu, Finland.
  • Korpelainen R; Finnish Institute for Health and Welfare, Helsinki and Oulu, Finland.
  • Kajantie E; Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
Am J Epidemiol ; 2024 Jun 24.
Article en En | MEDLINE | ID: mdl-38918030
ABSTRACT
Recent studies have suggested that adverse outcomes of postterm birth (≥42 completed weeks of gestation), including increased cardiometabolic risk factors, impaired glucose metabolism, and obesity, may extend into adulthood. We studied interconnected determinants of cardiovascular health, including physical activity (based on accelerometry for two weeks), muscular strength (handgrip strength), cardiorespiratory fitness (4-min step test), and cardiac autonomic function (heart rate recovery, heart rate variability, and baroreflex sensitivity) among 46-year-old adults from the Northern Finland Birth Cohort (NFBC) born postterm (n = 805) and at term (n = 2,645). Adults born postterm undertook vigorous-intensity physical activity 2.0 min/day (95% CI 0.4, 3.7) less than term-born adults when adjusted for sex, age, and maternal- and pregnancy-related covariates in multiple linear regression. Postterm birth was associated with reduced cardiorespiratory fitness based on a higher peak heart rate (2.1 bpm, 95% CI 0.9, 3.4) and slower heart rate recovery 30 s after the step test (-0.7 bpm, 95% CI -1.3, -0.1). Postterm birth was associated with lower vigorous-intensity physical activity and cardiorespiratory fitness and slower heart rate recovery in middle age. Our findings reinforce previous suggestions that postterm birth should be included as a perinatal risk factor for adult cardiometabolic disease.
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Texto completo: 1 Banco de datos: MEDLINE Idioma: En Revista: Am J Epidemiol Año: 2024 Tipo del documento: Article País de afiliación: Finlandia

Texto completo: 1 Banco de datos: MEDLINE Idioma: En Revista: Am J Epidemiol Año: 2024 Tipo del documento: Article País de afiliación: Finlandia