Women's health reports (New Rochelle, N.Y.)最新文献

{"title":"The Impact of Childhood Abuse and Neglect on the Development of Features of Polycystic Ovary Syndrome: A Pilot Study.","authors":"Akanksha Misra, Olivia Wolfe, Ricardo Azziz","doi":"10.1089/whr.2024.0130","DOIUrl":"https://doi.org/10.1089/whr.2024.0130","url":null,"abstract":"<p><strong>Objective: </strong>To determine associations of childhood emotional and physical abuse and neglect with the incidence of menstrual irregularity, male pattern hair growth, and possible PCOS.</p><p><strong>Design: </strong>Cross-sectional Study at University.</p><p><strong>Subjects: </strong>410 individuals, 18-45 years old.</p><p><strong>Intervention: </strong>Survey.</p><p><strong>Main outcome measures: </strong>A questionnaire was administered to students, faculty, and staff at a regional State University of New York (SUNY) campus. Data on sociodemographic factors, menstrual dysfunction (irregularity, male pattern hair growth, and PCOS), and experiences of childhood abuse and neglect were collected.</p><p><strong>Results: </strong>Participants were sub-grouped into those with menstrual irregularity (MI: defined as >35 days between one period's beginning and the next, or ≤8 cycles/year, or absent periods altogether), or male pattern hair growth (MHG: defined as excess hair on the upper lip, chin, chest, abdomen, buttocks, or back), both (MI+MHG), or those who did have neither (Unaffected). Family income status yielded some association with the presence of MI, MHG, or MI+MHG. There were significant correlations between individuals reporting MI, MHG, and MI+MHG and reported experiences of feeling loved by their caregiver (<i>p</i> value = 0.0029988), experiencing verbal abuse (<i>p</i> value = 0.0000004293), experiencing physical neglect (<i>p</i> value = 0.030228), feeling emotionally disconnected from their caregiver (<i>p</i> value = 0.0006138), and not having a peaceful home (<i>p</i> value = 0.00005760630462), vis-à-vis Unaffected individuals. Almost all respondents with a prior diagnosis of PCOS (97.6%) reported MI and/or MHG.</p><p><strong>Conclusions: </strong>All childhood experiences of abuse and neglect, except the loss of a parent, were significantly associated with features suggestive of PCOS. Larger, unbiased population studies across different demographics, are needed.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"412-420"},"PeriodicalIF":1.6,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining Mental Health Outcomes of Intimate Partner Violence Among Female Survivors in Taiwan: A Population-Based Study.","authors":"Ming-Yi Li, Hong-Xun Wang, Shin-Ting Yeh","doi":"10.1089/whr.2024.0203","DOIUrl":"https://doi.org/10.1089/whr.2024.0203","url":null,"abstract":"<p><strong>Objective: </strong>Intimate partner violence (IPV) significantly affects women's health, but the lack of control groups in past studies hinders identifying high-risk populations and establishing evidence-based interventions. This study examines the link between IPV and women's mental health outcomes.</p><p><strong>Methods: </strong>A nationwide database was used in this case-control study. The study targeted adult women aged 18-64 in 2019 and employed a case-control study design with a total sample size of 71,512 participants. Data were sourced from the Ministry of Health enrollment files, cause of death statistics, and outpatient and inpatient claims data. Chi-square tests were used to analyze the association between IPV with mental health outcomes and personal characteristics. Additionally, conditional logistic regression models were applied to investigate the impact of IPV on women's mental health outcomes.</p><p><strong>Results: </strong>Compared with nonvictims, women who experienced IPV had significantly lower socioeconomic status and were at higher risk for various mental health outcomes. These included bipolar disorder (adjusted odds ratio [OR] = 5.91, 95% confidence interval [CI]: 4.16-8.38), alcohol and substance abuse (adjusted OR = 4.84, 95% CI: 2.88-8.14), depression (adjusted OR = 4.67, 95% CI: 3.91-5.58), schizophrenia (adjusted OR = 2.37, 95% CI: 1.80-3.12), and anxiety (adjusted OR = 2.36, 95% CI: 1.98-2.81).</p><p><strong>Conclusions: </strong>This study identified several mental disorders highly associated with IPV among adult women, with particular emphasis on bipolar disorder, alcohol and substance abuse, and depression. Insights into high-risk mental health disorders will help clinical staff be alert to IPV and provide a reference for policy planning of IPV counseling and intervention.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"384-392"},"PeriodicalIF":1.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validating At-Home Urinary Hormone Measurements in Postpartum and Perimenopause Fertility Transitions.","authors":"Thomas P Bouchard, Patricia K Doyle-Baker, Paul J Yong, Richard Fehring, Mary Schneider","doi":"10.1089/whr.2024.0157","DOIUrl":"https://doi.org/10.1089/whr.2024.0157","url":null,"abstract":"<p><strong>Background: </strong>Measuring quantitative menstrual cycle hormones at home may help women better understand their postpartum and perimenopause fertility transitions, but these quantitative fertility monitors require validation.</p><p><strong>Materials and methods: </strong>This study included 16 North American women, aged 28-51, during either the postpartum (<i>n</i> = 8, cycles = 18) or perimenopause (<i>n</i> = 8, cycles = 35) fertility transitions testing daily first-morning urine testing with both the Mira Monitor and ClearBlue Fertility Monitor (CBFM) along with menstrual cycle parameter tracking. The main outcome measures were a rise in estrone-3-glucuronide (E₁3G) and luteinizing hormone (LH) urine hormone values from the Mira monitor correlated to low, high, or peak values on the CBFM.</p><p><strong>Results: </strong>Both in the postpartum and perimenopause transitions, the identification of the day of ovulation based on the LH surge on the Mira and CBFM monitors was highly correlated (R = 0.94 and 0.83, <i>p</i> < 0.001). The E₁3G levels on the Mira monitor were significantly higher for a CBFM reading of \"High\" compared with \"Low\" for both the postpartum and perimenopausal cycles (all <i>p</i> < 0.001). Similarly, the LH levels on the Mira monitor were significantly higher for a CBFM reading of \"Peak\" (LH surge) compared with \"High\" for both the postpartum and perimenopausal cycles (all <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>The LH surge and levels of E₁3G in urine identified on the quantitative Mira fertility monitor strongly correlate to the LH surge and the shift from low to high on the CBFM during the postpartum and perimenopause transitions.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"369-376"},"PeriodicalIF":1.6,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Motivations and Preferences for Self-Sampled Human Papillomavirus Testing Among Average-and High-Risk Patients: An Exploratory Analysis.","authors":"Rebecca Morgis, Ashley Wong, Lisa M Witmer, Anne Kantner, Megan Mendez-Miller, Sarah I Ramirez, Mack T Ruffin, Jennifer L Moss","doi":"10.1089/whr.2024.0180","DOIUrl":"https://doi.org/10.1089/whr.2024.0180","url":null,"abstract":"<p><strong>Objectives: </strong>Cervical cancer screening rates fall below national goals. At-home self-sampled tests for human papillomavirus (HPV) may improve screening rates. This study assesses the acceptability of self-sampled HPV testing with respect to motivating factors and preference among average-risk patients (undergoing routine screening) and high-risk patients (receiving follow-up care after abnormal screening results).</p><p><strong>Materials and methods: </strong>This cross-sectional study sample consisted of 46 participants (female, ages 30-65), including average-risk (n = 35) and high-risk (n = 11) patients, who had already received clinician-collected cervical cancer screening. Participants completed a self-sampled HPV test and a survey. Motivators included cervical cancer screening facilitators, sexual history, health care factors, and feelings during self-sampled test. We analyzed the relationships between these constructs and test modality preference for their next cervical cancer screening (i.e., self-sampled HPV testing at home vs. other preference).</p><p><strong>Results: </strong>Few participants experienced negative feelings during self-sampled HPV testing (uncomfortable: 20%; anxious: 22%; and unpleasant: 15%). Overall, 57% of participants would prefer to complete a self-sampled HPV test at home for their next cervical cancer screening compared with other test options. Test modality preference for their next cervical cancer screening did not differ for average- versus high-risk patients, and it did not vary by any of the motivating factors we assessed (all <i>p</i> > 0.05).</p><p><strong>Conclusions: </strong>Acceptability of self-sampled HPV testing at home is high, with little difference in attitudes observed across patient characteristics. These findings demonstrate that self-sampled HPV testing may be an effective tool for increasing cervical cancer screening, even among high-risk patients who have previously had abnormal screening results.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"377-383"},"PeriodicalIF":1.6,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing Oral Health Disparities in Pregnancy: Oral Health Risk Factors and Clinical Findings at a Safety-Net Hospital in the Bronx.","authors":"Megan Cloidt, Parth Shah, Erica Robles, Molly Findley, Nadia Laniado","doi":"10.1089/whr.2024.0187","DOIUrl":"https://doi.org/10.1089/whr.2024.0187","url":null,"abstract":"<p><strong>Background: </strong>Pregnant women have been identified as a special adult population that is particularly vulnerable to oral diseases. The aims of this study were (1) to determine the prevalence of oral disease risk factors and (2) to examine the association between having a dental visit in the last 12 months and obvious tooth decay among a sample of pregnant women with low income.</p><p><strong>Methods: </strong>This cross-sectional study analyzed the outcomes of oral health risk assessments for 554 pregnant women in a municipal hospital in the Bronx, New York. Descriptive statistical analyses were performed to examine the characteristics of the study population. Simple and multivariable logistic regression analyses were conducted to examine the association between having a dental visit in the last 12 months and obvious tooth decay.</p><p><strong>Results: </strong>Overall, 28.2% of participants had a dental visit in the last 12 months and 87.7% had dental insurance. Over half of individuals reported frequent consumption of sugary beverages (52.2%). Nearly 30% of the participants showed signs of obvious tooth decay. There was no statistically significant association between last dental visit and obvious tooth decay (odds ratio = 1.02, 95% confidence interval [0.67-1.56]).</p><p><strong>Conclusions: </strong>The high prevalence of unmet oral health needs despite widespread dental insurance coverage in this study sample suggests other barriers to oral health care beyond insurance coverage. The findings from this study underscore the complexity of oral disease and the potential role that targeted, interprofessional efforts can have on the promotion of oral health in vulnerable pregnant women.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"360-368"},"PeriodicalIF":1.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in Gender Representation in Academic Grand Rounds Speakers During the COVID-19 Pandemic.","authors":"Abigail Dereje, Rahel Ghebre, Shanaz Sultan, Ben Langworthy, Michelle N Rheault","doi":"10.1089/whr.2024.0174","DOIUrl":"https://doi.org/10.1089/whr.2024.0174","url":null,"abstract":"<p><strong>Introduction: </strong>Women are historically underrepresented as grand rounds speakers in US medical schools regardless of department. We hypothesized that the representation of women as grand rounds speakers would increase after the widespread adoption of virtual grand rounds during the COVID-19 pandemic.</p><p><strong>Methods: </strong>We reviewed publicly available or individually provided grand round speaker lists for 2019, 2021, and 2022 from representative medical departments, surgical departments, and basic science departments of our local institution and the top 10 academic medical schools based on their national ranking according to the 2022 Blue Ridge Institute for Medical Research Rankings of NIH Funding. Speaker gender was determined based on name and publicly available biographies.</p><p><strong>Results: </strong>In total, we identified 1995 speaking engagements from 10 institutions. All but six talks delivered post-COVID-19 pandemic were in hybrid or virtual-only format compared to exclusively in-person sessions pre-COVID-19 pandemic. Before the COVID-19 pandemic, women accounted for 37.3% of invited speakers compared to 45.5% post-COVID. This increase in the representation of women as grand rounds speakers was consistent across all academic ranks and most departments.</p><p><strong>Conclusions: </strong>We propose that departments, particularly those with fewer women at baseline, should continue to offer at least some virtual grand rounds opportunities throughout the year with a goal of increasing the diversity of speakers and improving the access of their faculty to women speakers.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"353-359"},"PeriodicalIF":1.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Establishing Evidence for the Painful Intercourse Self-Efficacy Scale-Interstitial Cystitis.","authors":"A Grace Kelly, Susanna L Sutherland, Elizabeth G Walsh, Michael T M Finn, Anna M Ryden, Lindsey C McKernan","doi":"10.1089/whr.2024.0152","DOIUrl":"https://doi.org/10.1089/whr.2024.0152","url":null,"abstract":"<p><strong>Background: </strong>Although female sexual dysfunction (FSD) and low sexual self-efficacy are common in patients with interstitial cystitis/bladder pain syndrome (IC/BPS), existing measures of these constructs do not fully capture unique challenges faced by patients with IC/BPS, such as managing sex-related symptom exacerbations, experiencing rewarding sexual activity, and maintaining intimate relationships. To address the lack of tailored measurement of FSD and sexual self-efficacy in patients with IC/BPS, we aimed to adapt the Painful Intercourse Self-Efficacy Scale-Interstitial Cystitis (PISES-IC) for this population.</p><p><strong>Method: </strong>To form the PISES-IC, we added three items to the pain self-efficacy subscale of the PISES, each informed directly by qualitative interviews with patients with IC/BPS and literature review of patient-reported sexual experiences in IC/BPS. Utilizing baseline data of 71 female participants involved in a clinical trial for IC/BPS (NCT#04275297), we assessed the validity and reliability of the newly adapted PISES-IC.</p><p><strong>Results: </strong>Results indicate that the PISES-IC is indeed a valid and reliable measure of sexual self-efficacy in the IC/BPS population and that the items informed by IC/BPS patient experiences (self-efficacy related to pain flares, rewarding sexual activity, and interference with romantic relationships) may be particularly related to FSD in patients with IC/BPS.</p><p><strong>Conclusions: </strong>The PISES-IC captures aspects of sexual experiences of patients with IC/BPS that are not assessed by other existing measures. The PISES-IC can be utilized in research and clinical settings to inform patient care and to further understand sexual experiences of IC/BPS patients.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"344-352"},"PeriodicalIF":1.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of Oral Gonadotropin Releasing Hormone Antagonist Combinations for Preoperative Management of Refractory Leiomyoma-Related Heavy Menstrual Bleeding.","authors":"Danielle A Aase, Elizabeth A Stewart","doi":"10.1089/whr.2025.0013","DOIUrl":"https://doi.org/10.1089/whr.2025.0013","url":null,"abstract":"<p><p>Uterine leiomyomas are noncancerous smooth muscle neoplasms that occur in up to 70% of women and the single most common cause of hysterectomy. There is a variety of treatments available for uterine leiomyomas, including medications, uterine artery embolization, myomectomy, and hysterectomy but surgical treatments predominate. Medical optimization of anemia is often required prior to surgical treatment secondary to heavy menstrual bleeding and resultant iron deficiency anemia from chronic blood loss. While iron and multivitamins are critical to increase hemoglobin, pharmacologic therapy to suppress menstrual bleeding is often needed. First line therapy is typically a trial of combined oral contraceptive pills (OCPs); however, this may not be effective in all patients. Parenteral administration of long-acting GnRH agonists is often used as a second line treatment; however, these agents can lead to an initial \"flare\" effect precipitating a heavy bleed during the agonist phase which can be problematic in such patients. An alternative course of action is the use of oral GnRH antagonist combination therapy (OGAC) with estradiol and norethindrone, an option approved in both the United States and the European Union for long-term treatment of leiomyoma-related heavy menstrual bleeding. To demonstrate the clinical utility of OGAC therapy in the preoperative setting, we report a successful patient outcome and review relevant literature.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"341-343"},"PeriodicalIF":1.6,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Magnitude and Determinants of Suboptimal Child Spacing Practices Among Women of Childbearing Age in Ethiopia: A Systematic Review and Meta-Analysis.","authors":"Abebaw Alamrew, Mulat Ayele, Eyob Shitie Lake, Getinet Kumie, Haimanot Hailu, Aynalem Yetwale, Tadele Emagneneh, Chalie Mulugeta","doi":"10.1089/whr.2024.0179","DOIUrl":"https://doi.org/10.1089/whr.2024.0179","url":null,"abstract":"<p><strong>Background: </strong>Short birth intervals (SBI), also known as suboptimal childbirth intervals, are frequent and have detrimental effects on both mother and child health. There is limited national data except for small-scale studies on the prevalence and contributing factors of SBI practices in Ethiopia. We did this review to find the pooled prevalence of suboptimal birth spacing and its contributing factors among Ethiopian women of reproductive age.</p><p><strong>Methodology: </strong>This study followed the PRISMA guideline. Articles were found using MEDLINE/PubMed, Scopus, Hinari, Google Scholar, and Web of Science. Subgroup analysis was used to look for heterogeneity evidence. <i>I</i> ² statistics and funnel plots with the Egger test were used to assess the studies' heterogeneity and publication bias.</p><p><strong>Results: </strong>In total, 19 studies were included in this meta-analysis with a sample size of 11,674. The pooled prevalence of SBI was 50.29% (95% confidence interval [CI], 43.18, 57.40). Rural residency (adjusted odds ratio [AOR] = 2.13; 95% CI: 1.19, 3.07), age at first marriage less than 18 (AOR = 1.94; 95% CI: 1.34, 2.54), women with no formal educational status (AOR = 3.39; 95% CI: 2.59, 4.19), no contraceptive use (AOR = 4.20; 95% CI: 2.84, 5.56), duration of breastfeeding less than 24 months (AOR = 3.44; 95% CI: 1.64, 5.25), female sex of the index child and survival (death) of the index child (AOR = 2.34; 95% CI: 1.53, 3.15), and (AOR = 2.17; 95% CI: 1.02, 3.31), respectively, were the main determinants of suboptimal child spacing.</p><p><strong>Conclusion: </strong>The pooled prevalence of suboptimal child spacing practices in Ethiopia was found to be high almost half of the births were suboptimal.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"325-340"},"PeriodicalIF":1.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of a Sedentary Behavior Intervention on Mood, Sleep, and Quality of Life Outcomes During Pregnancy: The SPRING Study.","authors":"Andrea C Kozai, Katrina L Wilhite, Christopher E Kline, Kelliann K Davis, Alisse Hauspurg, Janet M Catov, Bethany Barone Gibbs","doi":"10.1089/whr.2024.0176","DOIUrl":"10.1089/whr.2024.0176","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>Pregnant participants (<i>n</i> = 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.</p><p><strong>Results: </strong>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 (<i>p</i> = 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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"305-314"},"PeriodicalIF":1.8,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}