Evidence map›Paper›PMID 39296604›Full record

ArticleAJOG global reports2024

Trends in sensor-based health metrics during and after pregnancy: descriptive data from the apple women's health study.

Anshuman Mishra, Jihyun Park, Ian Shapiro, Tyler Fisher-Colbrie, Donna D Baird, Sanaa Suharwardy, Shunan Zhang, Anne Marie Z Jukic, Christine L Curry

Abstract read
In one paragraph

Article in AJOG global reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Anshuman MishraApple Inc., Cupertino, CA (Mishra, Park, Shapiro, Fisher-Colbrie, Suharwardy, Zhang, and Curry).
Jihyun ParkApple Inc., Cupertino, CA (Mishra, Park, Shapiro, Fisher-Colbrie, Suharwardy, Zhang, and Curry).
Ian ShapiroApple Inc., Cupertino, CA (Mishra, Park, Shapiro, Fisher-Colbrie, Suharwardy, Zhang, and Curry).
Tyler Fisher-ColbrieApple Inc., Cupertino, CA (Mishra, Park, Shapiro, Fisher-Colbrie, Suharwardy, Zhang, and Curry).
Donna D BairdEpidemiology Branch, Division of Intramural Research, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, NC (Baird and Jukic).
Sanaa SuharwardyApple Inc., Cupertino, CA (Mishra, Park, Shapiro, Fisher-Colbrie, Suharwardy, Zhang, and Curry).
Shunan ZhangApple Inc., Cupertino, CA (Mishra, Park, Shapiro, Fisher-Colbrie, Suharwardy, Zhang, and Curry).
Anne Marie Z JukicEpidemiology Branch, Division of Intramural Research, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, NC (Baird and Jukic).
Christine L CurryApple Inc., Cupertino, CA (Mishra, Park, Shapiro, Fisher-Colbrie, Suharwardy, Zhang, and Curry).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: While it is known that vital signs and behaviors change during pregnancy, there is limited data on timing and scale of changes for sensor-derived health metrics across pregnancy and postpartum. Wearable technology provides an opportunity to understand physiologic and behavioral changes across pregnancy with greater detail, more frequent measurements, and improved accuracy. The aim of this study is to describe changes in physiologic and behavioral sensor-based health metrics during pregnancy and postpartum in the Apple Women's Health Study (AWHS) and their relationship to demographic factors. Methods: The Apple Women's Health Study is a digital, longitudinal, observational study that includes U.S. residents with an iPhone and Apple Watch. We evaluated changes from pre-pregnancy through delivery and postpartum for sensor-derived health metrics. Minimum required data samples per day, week and overall were data element specific, and included 12 weeks prior to pregnancy start, and 12 weeks postpartum for pregnancies lasting between 24 and 43 weeks. Findings: A total of 757 pregnancies from 733 participants were included. Resting heart rate (RHR) increased across pregnancy, peaking in the third trimester (pre-pregnancy median RHR 65.0 beats per minute [BPM], interquartile range [IQR] 60.0-70.2 B.M. third trimester median RHR 75.5 B.M. IQR 69.0-82.0 B.M., with a decrease prior to delivery and nadir postpartum (postpartum median RHR 62.0 B.M. IQR 57.0-66.0 B.M.. Heart rate variability (HRV) decreased from pre-pregnancy (39.9 milliseconds, IQR 32.6-48.3 milliseconds), reaching a nadir in the third trimester (29.9 milliseconds, IQR 25.2-36.4 milliseconds), before rebounding in the last weeks of pregnancy. Measures of activity, such as exercise minutes, stand minutes, step count and Cardio Fitness were all decreased in each trimester compared to pre-pregnancy, with their nadirs postpartum. Total sleep duration increased slightly in early pregnancy (pre-pregnancy 7.2 hours, IQR 6.7-7.7 hours; 1st trimester 7.4 hours, IQR 6.8-7.9 hours), with the lowest sleep duration postpartum (6.2 hours, IQR 5.4-6.8 hours). Interpretation: Resting heart rate increased during pregnancy, with a decrease prior to delivery, while heart rate variability decreased across pregnancy, with an upward trend before delivery. Behavioral metrics, such as exercise and sleep, showed decreasing trends during and after pregnancy. These data provide a foundation for understanding normal pregnancy physiology and can facilitate hypothesis generation related to physiology, behavior, pregnancy outcomes and disease.

Indexed as

ExerciseHeart ratePostpartumPregnancySensorSleepWearable

Identifiers

PMID39296604
PMCPMC11408385

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.