Physical activity and depressive symptoms during pregnancy among Latina women: a prospective cohort study

Szegda, Kathleen; Bertone-Johnson, Elizabeth R.; Pekow, Penelope; Powers, Sally; Markenson, Glenn; Dole, Nancy; Chasan-Taber, Lisa

doi:10.1186/s12884-018-1839-5

BMC Pregnancy and Childbirth

Table 2 Odds ratios of mid-to-late pregnancy probable depression by various early pregnancy physical activity levels: Proyecto Buena Salud, 2006–2011

From: Physical activity and depressive symptoms during pregnancy among Latina women: a prospective cohort study

	At least Probable Minor Depression (EPDS≥13)								Probable Major Depression (EPDS≥15)
	Cases		Unadjusted		Adjusted^b		Adjusted^c		Cases		Unadjusted		Adjusted^b		Adjusted^c
	n	%	OR	95% CI	OR	95% CI	OR	95% CI	n	%	OR	95% CI	OR	95% CI	OR	95% CI
Total physical activity
1st Quartile	53	27.9	referent		referent				40	21.1	referent		referent
2nd Quartile	36	19.8	0.64	0.39, 1.03	0.52	0.30, 0.90	n/a		27	14.8	0.65	0.38, 1.12	0.55	0.30, 1.02	n/a
3rd Quartile	44	22.1	0.73	0.46, 1.16	0.72	0.42, 1.23			32	16.1	0.72	0.43, 1.20	0.72	0.39, 1.31
4th Quartile	64	32.5	1.28	0.83, 1.98	1.02	0.61, 1.71			49	25.4	1.28	0.79, 2.05	0.96	0.55, 1.70
p-trend			0.21		0.62						0.27		0.83
Met exercise guidelines^a
no	142	25.7	referent		referent				101	18.3	referent		referent
yes	68	26.6	1.05	0.75, 1.46	0.96	0.65, 1.41	n/a		53	20.7	1.17	0.80, 1.69	1.12	0.73, 1.71	n/a
Moderate/vigorous intensity
1st Quartile	51	25.6	referent		referent				34	17.1	referent		referent
2nd Quartile	44	21.8	0.81	0.51, 1.28	0.60	0.35, 1.03	n/a		36	17.8	1.05	0.63, 1.76	0.78	0.43, 1.43	n/a
3rd Quartile	57	27.4	1.10	0.71, 1.70	0.73	0.44, 1.22			42	20.2	1.23	0.74, 2.03	0.86	0.48, 1.53
4th Quartile	58	28.7	1.17	0.75, 1.82	0.89	0.53, 1.50			42	20.8	1.27	0.77, 2.10	0.94	0.52, 1.69
p-trend			0.28		0.92						0.28		0.95
Domain of Activity
Household/ caregiving
1st Quartile	49	26.6	referent		referent		referent		34	18.5	referent		referent		referent
2nd Quartile	48	24.5	0.89	0.56, 1.42	1.11	0.64, 1.93	1.03	0.59, 1.81	39	19.9	1.10	0.66, 1.83	1.37	0.73, 2.55	1.26	0.67, 2.37
3rd Quartile	44	21.8	0.77	0.48, 1.22	0.67	0.38, 1.18	0.64	0.36, 1.13	27	13.4	0.68	0.39, 1.18	0.59	0.30, 1.14	0.56	0.29, 1.10
4th Quartile	60	30.0	1.18	0.76, 1.84	0.93	0.53, 1.64	0.85	0.48, 1.52	51	25.5	1.51	0.93, 2.46	1.18	0.63, 2.21	1.09	0.57, 2.08
p-trend			0.58		0.45		0.31				0.24		0.80		0.68
Occupational
unemployed	115	29.3	referent				referent		86	21.9	referent		referent		referent
at or below median	42	19.9	0.60	0.40, 0.90	0.74	0.47, 1.17	0.78	0.48, 1.26	31	14.7	0.62	0.39, 0.96	0.84	0.50, 1.42	0.96	0.56, 1.63
above median	52	25.7	0.84	0.57, 1.23	0.88	0.55, 1.39	0.85	0.53, 1.37	37	18.3	0.80	0.52, 1.23	0.85	0.51, 1.41	0.85	0.50, 1.44
Sports/Exercise
none	94	25.0	referent		referent		referent		67	17.8	referent		referent		referent
at or below median	59	27.8	1.16	0.79, 1.69	1.27	0.82, 1.97	1.1	0.70, 1.75	43	20.3	1.17	0.77, 1.80	1.33	0.81, 2.18	1.16	0.69, 1.94
above median	57	25.9	1.05	0.72, 1.54	0.98	0.63, 1.52	0.9	0.57, 1.44	44	20.0	1.15	0.76, 1.76	1.13	0.70, 1.83	0.98	0.59, 1.64
Transportation
1st Quartile	61	26.2	referent		referent		referent		47	20.2	referent		referent		referent
2nd Quartile	41	24.3	0.90	0.57, 1.43	0.82	0.48, 1.41	0.74	0.42, 1.30	26	15.4	0.72	0.43, 1.22	0.64	0.35, 1.19	0.55	0.29, 1.06
3rd Quartile	46	22.9	0.84	0.54, 1.30	0.99	0.60, 1.65	0.95	0.56, 1.62	34	16.9	0.81	0.49, 1.31	0.94	0.53, 1.65	0.82	0.45, 1.48
4th Quartile	62	30.1	1.21	0.80, 1.84	1.21	0.75, 1.97	1.22	0.72, 2.06	48	23.3	1.20	0.76, 1.90	1.10	0.65, 1.88	1.06	0.60, 1.90
p-trend			0.47		0.36		0.39				0.43		0.52		0.68

^aMet American College of Obstetricians and Gynecologists guidelines of > 7.5 MET-hrs/week in sports/exercise activities of moderate-intensity or greater
^bAdjusted for age, education, live with partner or spouse, parity, generation in U.S., at least probable minor depression in early pregnancy and weeks between interviews
^cAdditionally adjusted for energy expenditure from other domains of physical activity

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ISSN: 1471-2393

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