Association of physical activity, sedentary time, and sleep with maternal vascular function in women with a history of preeclampsia
Preeclampsia is associated with persistent vascular dysfunction and incident hypertension, but the contributing behavioral factors are unclear. We demonstrate that greater light-intensity physical activity and lower sedentary time are associated with lower aortic stiffness, and link sleep disturbanc...
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| Published in | Journal of applied physiology (1985) Vol. 139; no. 2; pp. 384 - 393 |
|---|---|
| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
American Physiological Society
01.08.2025
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| Subjects | |
| Online Access | Get full text |
| ISSN | 8750-7587 1522-1601 1522-1601 |
| DOI | 10.1152/japplphysiol.00928.2024 |
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| Abstract | Preeclampsia is associated with persistent vascular dysfunction and incident hypertension, but the contributing behavioral factors are unclear. We demonstrate that greater light-intensity physical activity and lower sedentary time are associated with lower aortic stiffness, and link sleep disturbances to 24-h blood pressure among women with a recent history of preeclampsia and healthy pregnancy controls. Time spent in light intensity activity and sedentary behavior may represent interventional targets to mitigate elevated cardiovascular risk in postpartum women.
A history of preeclampsia (hxPE) is associated with persistent vascular dysfunction and elevated risk of chronic hypertension. Twenty-four-hour activity behaviors, including physical activity, sedentary time (SED), and sleep, are modifiable factors that may promote favorable vascular function and blood pressure in women with a hxPE. The primary objective of this study was to investigate the cross-sectional relations between habitual physical activity, SED, and sleep with aortic stiffness and 24-h blood pressure patterns in young women with a hxPE and healthy pregnancy controls. Participants ( n = 68; aged 21–42 yr, 1–5 yr after delivery) wore a thigh-mounted activity monitor (activPAL) for 7 days and maintained a sleep log to assess habitual physical activity, SED, and sleep duration. Participants underwent measures of aortic stiffness (measured by carotid-femoral pulse wave velocity, CFPWV) and 24-h ambulatory blood pressure monitoring (ABPM). Women with a hxPE ( n = 33) did not differ in physical activity, SED, or sleep compared with healthy pregnancy controls ( n = 35). SED (β = 0.214, 95CI [0.004, 0.416]) and light-intensity physical activity (β = −0.204, 95CI [−0.397, −0.004]) were independently related to CFPWV. Frequency of sleep disturbances, but not shorter sleep duration, was associated with higher 24-h diastolic blood pressure (β = 0.258, 95CI [0.009, 0.525]). Select perceived benefits and barriers to exercise were more pronounced among women with hxPE, and benefits were associated with higher moderate-vigorous physical activity (ρ = 0.43, P = 0.003). Our findings link habitual activity, pregnancy history, and perceived exercise benefits with aortic stiffness and identify population and behavioral targets to improve cardiovascular health in young parous women.
NEW & NOTEWORTHY Preeclampsia is associated with persistent vascular dysfunction and incident hypertension, but the contributing behavioral factors are unclear. We demonstrate that greater light-intensity physical activity and lower sedentary time are associated with lower aortic stiffness, and link sleep disturbances to 24-h blood pressure among women with a recent history of preeclampsia and healthy pregnancy controls. Time spent in light intensity activity and sedentary behavior may represent interventional targets to mitigate elevated cardiovascular risk in postpartum women. |
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| AbstractList | Preeclampsia is associated with persistent vascular dysfunction and incident hypertension, but the contributing behavioral factors are unclear. We demonstrate that greater light-intensity physical activity and lower sedentary time are associated with lower aortic stiffness, and link sleep disturbances to twenty-four-hour blood pressure among women with a recent history of preeclampsia and healthy pregnancy controls. Time spent in light intensity activity and sedentary behavior may represent interventional targets to mitigate elevated cardiovascular risk in postpartum women. Background: A history of preeclampsia (hxPE) is associated with persistent vascular dysfunction and elevated risk of chronic hypertension. Twenty-four-hour activity behaviors, including physical activity, sedentary time (SED), and sleep are modifiable factors that may promote favorable vascular function and blood pressure in women with a hxPE. The primary objective of this study was to investigate the cross-sectional relations between habitual physical activity, SED and sleep with aortic stiffness and twenty-four-hour blood pressure patterns in young women with a hxPE and healthy pregnancy controls. Methods: Participants (n=68; aged 21-42 years, 1-5 years after delivery) wore a thigh-mounted activity monitor (activPAL) for seven days and maintained a sleep log to assess habitual physical activity, SED, sleep duration. Participants underwent measures of aortic stiffness(measured by carotid-femoral pulse wave velocity, CFPWV), and twenty-hour ambulatory blood pressure monitoring (ABPM). Results: Women with a hxPE (N=33) did not differ in physical activity, SED or sleep compared with healthy pregnancy controls (N=35). SED (β = 0.214, 95CI [0.004, 0.416]) and light-intensity physical activity (β = -0.204, 95CI [-0.397, -0.004]) were independently related to CFPWV. Frequency of sleep disturbances, but not shorter sleep duration, was associated with higher 24-hour diastolic blood pressure (β = 0.258, 95CI [0.009, 0.525]). Select perceived benefits and barriers to exercise were more pronounced among women with hxPE and benefits were associated with higher moderate-vigorous physical activity (ρ=0.43, P=0.003). Conclusions: Our findings link habitual activity, pregnancy history, and perceived exercise benefits with aortic stiffness and identify population and behavioral targets to improve cardiovascular health in young parous women.Background: A history of preeclampsia (hxPE) is associated with persistent vascular dysfunction and elevated risk of chronic hypertension. Twenty-four-hour activity behaviors, including physical activity, sedentary time (SED), and sleep are modifiable factors that may promote favorable vascular function and blood pressure in women with a hxPE. The primary objective of this study was to investigate the cross-sectional relations between habitual physical activity, SED and sleep with aortic stiffness and twenty-four-hour blood pressure patterns in young women with a hxPE and healthy pregnancy controls. Methods: Participants (n=68; aged 21-42 years, 1-5 years after delivery) wore a thigh-mounted activity monitor (activPAL) for seven days and maintained a sleep log to assess habitual physical activity, SED, sleep duration. Participants underwent measures of aortic stiffness(measured by carotid-femoral pulse wave velocity, CFPWV), and twenty-hour ambulatory blood pressure monitoring (ABPM). Results: Women with a hxPE (N=33) did not differ in physical activity, SED or sleep compared with healthy pregnancy controls (N=35). SED (β = 0.214, 95CI [0.004, 0.416]) and light-intensity physical activity (β = -0.204, 95CI [-0.397, -0.004]) were independently related to CFPWV. Frequency of sleep disturbances, but not shorter sleep duration, was associated with higher 24-hour diastolic blood pressure (β = 0.258, 95CI [0.009, 0.525]). Select perceived benefits and barriers to exercise were more pronounced among women with hxPE and benefits were associated with higher moderate-vigorous physical activity (ρ=0.43, P=0.003). Conclusions: Our findings link habitual activity, pregnancy history, and perceived exercise benefits with aortic stiffness and identify population and behavioral targets to improve cardiovascular health in young parous women. Preeclampsia is associated with persistent vascular dysfunction and incident hypertension, but the contributing behavioral factors are unclear. We demonstrate that greater light-intensity physical activity and lower sedentary time are associated with lower aortic stiffness, and link sleep disturbances to 24-h blood pressure among women with a recent history of preeclampsia and healthy pregnancy controls. Time spent in light intensity activity and sedentary behavior may represent interventional targets to mitigate elevated cardiovascular risk in postpartum women. A history of preeclampsia (hxPE) is associated with persistent vascular dysfunction and elevated risk of chronic hypertension. Twenty-four-hour activity behaviors, including physical activity, sedentary time (SED), and sleep, are modifiable factors that may promote favorable vascular function and blood pressure in women with a hxPE. The primary objective of this study was to investigate the cross-sectional relations between habitual physical activity, SED, and sleep with aortic stiffness and 24-h blood pressure patterns in young women with a hxPE and healthy pregnancy controls. Participants ( n = 68; aged 21–42 yr, 1–5 yr after delivery) wore a thigh-mounted activity monitor (activPAL) for 7 days and maintained a sleep log to assess habitual physical activity, SED, and sleep duration. Participants underwent measures of aortic stiffness (measured by carotid-femoral pulse wave velocity, CFPWV) and 24-h ambulatory blood pressure monitoring (ABPM). Women with a hxPE ( n = 33) did not differ in physical activity, SED, or sleep compared with healthy pregnancy controls ( n = 35). SED (β = 0.214, 95CI [0.004, 0.416]) and light-intensity physical activity (β = −0.204, 95CI [−0.397, −0.004]) were independently related to CFPWV. Frequency of sleep disturbances, but not shorter sleep duration, was associated with higher 24-h diastolic blood pressure (β = 0.258, 95CI [0.009, 0.525]). Select perceived benefits and barriers to exercise were more pronounced among women with hxPE, and benefits were associated with higher moderate-vigorous physical activity (ρ = 0.43, P = 0.003). Our findings link habitual activity, pregnancy history, and perceived exercise benefits with aortic stiffness and identify population and behavioral targets to improve cardiovascular health in young parous women. NEW & NOTEWORTHY Preeclampsia is associated with persistent vascular dysfunction and incident hypertension, but the contributing behavioral factors are unclear. We demonstrate that greater light-intensity physical activity and lower sedentary time are associated with lower aortic stiffness, and link sleep disturbances to 24-h blood pressure among women with a recent history of preeclampsia and healthy pregnancy controls. Time spent in light intensity activity and sedentary behavior may represent interventional targets to mitigate elevated cardiovascular risk in postpartum women. A history of preeclampsia (hxPE) is associated with persistent vascular dysfunction and elevated risk of chronic hypertension. Twenty-four-hour activity behaviors, including physical activity, sedentary time (SED), and sleep, are modifiable factors that may promote favorable vascular function and blood pressure in women with a hxPE. The primary objective of this study was to investigate the cross-sectional relations between habitual physical activity, SED, and sleep with aortic stiffness and 24-h blood pressure patterns in young women with a hxPE and healthy pregnancy controls. Participants (n = 68; aged 21–42 yr, 1–5 yr after delivery) wore a thigh-mounted activity monitor (activPAL) for 7 days and maintained a sleep log to assess habitual physical activity, SED, and sleep duration. Participants underwent measures of aortic stiffness (measured by carotid-femoral pulse wave velocity, CFPWV) and 24-h ambulatory blood pressure monitoring (ABPM). Women with a hxPE (n = 33) did not differ in physical activity, SED, or sleep compared with healthy pregnancy controls (n = 35). SED (β = 0.214, 95CI [0.004, 0.416]) and light-intensity physical activity (β = −0.204, 95CI [−0.397, −0.004]) were independently related to CFPWV. Frequency of sleep disturbances, but not shorter sleep duration, was associated with higher 24-h diastolic blood pressure (β = 0.258, 95CI [0.009, 0.525]). Select perceived benefits and barriers to exercise were more pronounced among women with hxPE, and benefits were associated with higher moderate-vigorous physical activity (ρ = 0.43, P = 0.003). Our findings link habitual activity, pregnancy history, and perceived exercise benefits with aortic stiffness and identify population and behavioral targets to improve cardiovascular health in young parous women. A history of preeclampsia (hxPE) is associated with persistent vascular dysfunction and elevated risk of chronic hypertension. Twenty-four-hour activity behaviors, including physical activity, sedentary time (SED), and sleep, are modifiable factors that may promote favorable vascular function and blood pressure in women with a hxPE. The primary objective of this study was to investigate the cross-sectional relations between habitual physical activity, SED, and sleep with aortic stiffness and 24-h blood pressure patterns in young women with a hxPE and healthy pregnancy controls. Participants ( = 68; aged 21-42 yr, 1-5 yr after delivery) wore a thigh-mounted activity monitor (activPAL) for 7 days and maintained a sleep log to assess habitual physical activity, SED, and sleep duration. Participants underwent measures of aortic stiffness (measured by carotid-femoral pulse wave velocity, CFPWV) and 24-h ambulatory blood pressure monitoring (ABPM). Women with a hxPE ( = 33) did not differ in physical activity, SED, or sleep compared with healthy pregnancy controls ( = 35). SED (β = 0.214, 95CI [0.004, 0.416]) and light-intensity physical activity (β = -0.204, 95CI [-0.397, -0.004]) were independently related to CFPWV. Frequency of sleep disturbances, but not shorter sleep duration, was associated with higher 24-h diastolic blood pressure (β = 0.258, 95CI [0.009, 0.525]). Select perceived benefits and barriers to exercise were more pronounced among women with hxPE, and benefits were associated with higher moderate-vigorous physical activity (ρ = 0.43, = 0.003). Our findings link habitual activity, pregnancy history, and perceived exercise benefits with aortic stiffness and identify population and behavioral targets to improve cardiovascular health in young parous women. Preeclampsia is associated with persistent vascular dysfunction and incident hypertension, but the contributing behavioral factors are unclear. We demonstrate that greater light-intensity physical activity and lower sedentary time are associated with lower aortic stiffness, and link sleep disturbances to 24-h blood pressure among women with a recent history of preeclampsia and healthy pregnancy controls. Time spent in light intensity activity and sedentary behavior may represent interventional targets to mitigate elevated cardiovascular risk in postpartum women. |
| Author | Davis, Kristen G. Bell, Blair Santillan, Donna A. Nuckols, Virginia R. Pierce, Gary L. Smith, Meaghan Carey, Mariah L. Santillan, Mark K. |
| AuthorAffiliation | 1 Department of Health and Human Physiology, University of Iowa, Iowa City, IA 4 Department of Internal Medicine, University of Iowa, Iowa City, IA 3 Department of Obstetrics and Gynecology, University of Iowa, Iowa City, IA 2 Department of Kinesiology and Applied Physiology, University of Delaware, Newark, DE |
| AuthorAffiliation_xml | – name: 1 Department of Health and Human Physiology, University of Iowa, Iowa City, IA – name: 3 Department of Obstetrics and Gynecology, University of Iowa, Iowa City, IA – name: 2 Department of Kinesiology and Applied Physiology, University of Delaware, Newark, DE – name: 4 Department of Internal Medicine, University of Iowa, Iowa City, IA |
| Author_xml | – sequence: 1 givenname: Virginia R. orcidid: 0000-0001-5879-5991 surname: Nuckols fullname: Nuckols, Virginia R. – sequence: 2 givenname: Kristen G. orcidid: 0009-0009-0372-207X surname: Davis fullname: Davis, Kristen G. – sequence: 3 givenname: Meaghan surname: Smith fullname: Smith, Meaghan – sequence: 4 givenname: Mariah L. surname: Carey fullname: Carey, Mariah L. – sequence: 5 givenname: Blair surname: Bell fullname: Bell, Blair – sequence: 6 givenname: Mark K. orcidid: 0000-0002-3991-8017 surname: Santillan fullname: Santillan, Mark K. – sequence: 7 givenname: Donna A. orcidid: 0000-0002-6180-9714 surname: Santillan fullname: Santillan, Donna A. – sequence: 8 givenname: Gary L. orcidid: 0000-0001-7499-080X surname: Pierce fullname: Pierce, Gary L. |
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| Cites_doi | 10.1161/CIR.0000000000001078 10.1097/01.AOG.0000437382.03963.88 10.1016/j.jash.2013.06.001 10.1016/j.atherosclerosis.2015.09.005 10.1186/s12966-018-0712-2 10.1152/japplphysiol.00889.2024 10.1042/CS20171292 10.1016/j.whi.2021.02.003 10.1123/jpah.2022-0630 10.1097/HJH.0000000000001284 10.1152/ajpheart.00556.2024 10.1161/01.CIR.0000157159.39889.EC 10.1016/j.preghy.2012.01.003 10.1055/s-0044-1780537 10.1093/sleep/27.6.1097 10.1093/eurheartj/ehad717 10.1161/HYP.0000000000000033 10.1089/jwh.2021.0328 10.1123/jpah.2014-0395 10.1093/eurjpc/zwad003 10.1093/ajh/hpad090 10.1016/j.smrv.2007.07.007 10.1093/ajh/hpt159 10.1016/j.atherosclerosis.2017.08.001 10.1016/j.jshs.2016.02.002 10.1161/CIR.0000000000000440 10.1016/j.preghy.2022.05.003 10.1161/JAHA.119.015062 10.1016/j.exger.2021.111628 10.1161/JAHA.117.005974 10.1016/j.midw.2022.103452 10.1097/HJH.0000000000000221 10.1016/j.ypmed.2016.05.031 10.3109/00016349.2010.519378 10.1093/ajh/hpab112 10.1016/0165-1781(89)90047-4 10.1093/sleep/zsaa175 10.1161/HYPERTENSIONAHA.117.09386 10.1123/jmpb.2024-0007 10.1089/jwh.2018.7523 10.1002/nur.4770100603 10.1152/ajpheart.00578.2019 10.1161/HYPERTENSIONAHA.117.10338 10.2147/IBPC.S130277 10.1007/s11906-020-1025-9 10.1089/jwh.2008.1309 10.1186/s12884-022-05179-9 10.3390/ijerph15112454 10.1016/j.atherosclerosis.2014.02.028 10.1016/j.jash.2018.09.008 10.1161/HYPERTENSIONAHA.110.156331 10.1038/ajh.2008.183 10.1016/j.atherosclerosis.2018.01.009 10.1186/s12966-019-0769-6 |
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| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 Author contributions: V.R.N., and G.L.P. conceived and designed research; V.R.N., K.G.D., M.L.C., B.B. performed experiments; V.R.N., K.G.D., M.N.S., M.L.C analyzed data; V.R.N. and G.L.P. interpreted results of experiments; V.R.N. prepared figures; V.R.N. drafted manuscript; V.R.N., K.G.D., M.K.S, D.A.S., G.L.P. edited and revised manuscript, V.R.N., K.G.D., M.N.S., M.L.C., B.B., M.K.S, D.A.S., G.L.P. approved final version of manuscript. |
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| Snippet | Preeclampsia is associated with persistent vascular dysfunction and incident hypertension, but the contributing behavioral factors are unclear. We demonstrate... A history of preeclampsia (hxPE) is associated with persistent vascular dysfunction and elevated risk of chronic hypertension. Twenty-four-hour activity... Background: A history of preeclampsia (hxPE) is associated with persistent vascular dysfunction and elevated risk of chronic hypertension. Twenty-four-hour... |
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| SubjectTerms | Adult Aorta Blood pressure Blood Pressure - physiology Blood Pressure Monitoring, Ambulatory - methods Cross-Sectional Studies Exercise Exercise - physiology Female Humans Hypertension Luminous intensity Physical activity Physical fitness Pre-eclampsia Pre-Eclampsia - physiopathology Preeclampsia Pregnancy Pregnancy complications Pulse Wave Analysis - methods Sedentary Behavior Sleep Sleep - physiology Stiffness Vascular Stiffness - physiology Wave velocity Young Adult |
| Title | Association of physical activity, sedentary time, and sleep with maternal vascular function in women with a history of preeclampsia |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/40588394 https://www.proquest.com/docview/3238078717 https://www.proquest.com/docview/3225876226 https://pubmed.ncbi.nlm.nih.gov/PMC12335295 |
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