Abstract
BackgroundSickness absence in pregnancy accounts for a large part of sickness-related absenteeism among women. Exercise in pregnancy is associated with a lower level of sickness absence, however little is known about how sedentary behaviour is related to sickness absence in pregnancy. In the current study, we hypothesize a positive association between sedentary hours/day and the risk of long-term sickness absence.MethodsPopulation-based cohort study of pregnant women attending three Child Health Clinics in Groruddalen, Oslo, 823 Women (74% of those eligible) were included between 2008 and 2010. Questionnaire data were collected at gestational weeks 10–20 (visit 1) and 28 (visit 2). Sedentary time and physical activity were objectively recorded at visit 1 with the multi-sensor SenseWear™ Pro3 Armband (SWA). Long-term sickness absence was self-reported at visit 2. We explored the association between sedentary time and long-term sickness absence in pregnancy using multiple logistic regression analysis.ResultsThe odds of long-term sickness absence was significantly increased per one-hour increase in daily sedentary time (odds ratio 1.45 [95% confidence interval 1.13–1.84]), providing support for our hypothesis that sedentary time is positively associated with long-term sickness absence.ConclusionsPregnant women with a sedentary lifestyle have a higher risk of long-term sickness absence from work. Reducing sedentary time in pregnancy may improve health, and may, in turn reduce sickness absence in pregnancy.
Highlights
Sickness absence in pregnancy accounts for a large part of sickness-related absenteeism among women
In the current study we aim to investigate if objectively recorded total sedentary hours/day during waking hours is associated with long-term sickness absence (i.e. > 15 weeks) in pregnancy
Antenatal care for uncomplicated pregnancies in Norway is mainly offered in primary care, and the majority of pregnant women residing in the three collaborating city districts (75–85%) attend the Child Health Clinics for antenatal care
Summary
Sickness absence in pregnancy accounts for a large part of sickness-related absenteeism among women. We hypothesize a positive association between sedentary hours/day and the risk of long-term sickness absence. Long-term sickness absence is a major public health problem and is very costly for the society. High rates of sickness absence among pregnant women are documented in several studies [1,2,3,4,5,6];it was 20.8% in Norway in 2014, and sickness absence in pregnancy accounts for a large part of sickness-related absenteeism in women [7]. The rates of sickness absence in pregnancy vary according to age, occupational class and immigrant background [8, 9]. In addition to occupational exposures, worries, norms and attitudes [3, 15] are associated with sickness absence
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