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Maternal Sedentary Behavior and Physical Activity across Pregnancy and Early Childhood Motor Development
Melissa A Jones1, Kara M Whitaker1,2, Sharon E Taverno Ross3
1Department of Health and Human Physiology, University of Iowa, Iowa City, IA 52242, USA.
Children (Basel, Switzerland)
|July 2, 2021
Summary
Maternal moderate-to-vigorous physical activity (MVPA) during pregnancy, especially in early stages, is linked to enhanced fine motor and perception-action skills in children. This suggests physical activity during pregnancy can positively impact early childhood motor development.
Area of Science:
- Obstetrics and Gynecology
- Pediatrics
- Developmental Psychology
Background:
- Early childhood motor development is a key predictor of lifelong health.
- In utero exposures can influence offspring health outcomes throughout life.
- The impact of maternal physical activity during pregnancy on child motor development is not well understood.
Purpose of the Study:
- To investigate the association between maternal activity profiles during pregnancy and early childhood motor development.
- To determine if sedentary behavior (SED) or moderate-to-vigorous physical activity (MVPA) impacts motor skills.
- To explore trimester-specific and overall pregnancy activity patterns.
Main Methods:
- Prospective cohort study of 70 mother-child pairs.
- Objective measurement of maternal SED and MVPA throughout pregnancy.
- Assessment of child motor development using the Early Motor Questionnaire (EMQ) for children aged 12-30 months.
- Linear regression models to analyze associations between maternal activity and EMQ scores.
Main Results:
- Maternal SED during pregnancy showed no association with any motor development domains (gross motor, fine motor, perception-action).
- Higher maternal MVPA across pregnancy, particularly in the first and second trimesters, was significantly associated with advanced fine motor and perception-action scores.
- Associations indicated moderate-sized effects, suggesting a meaningful impact of maternal activity.
Conclusions:
- Maternal moderate-to-vigorous physical activity (MVPA) during pregnancy, especially in early pregnancy, is positively associated with more advanced early childhood motor development.
- Maternal MVPA may represent a modifiable behavior influencing offspring's short- and long-term health.
- Further research can explore interventions to promote maternal physical activity for improved child development outcomes.

