Evidence map›Paper›PMID 42270313›Full record

ArticleBritish journal of sports medicine2026

Optimal 24-hour movement behaviour compositions across trimesters and risk of hypertensive disorders of pregnancy: the Pregnancy 24/7 cohort study.

Kara Whitaker, Alex Crisp, Jacob Gallagher, Melissa Jones, Jaemyung Kim, Katrina Wilhite, Karina Smith, Sabera Rahman, Alexis Thrower, Janet Catov and 7 more

Abstract read
In one paragraph

Article in British journal of sports medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

17 authors.

Kara WhitakerDepartment of Health, Sport, and Human Physiology, The University of Iowa, Iowa City, Iowa, USA kara-whitaker@uiowa.edu.ORCID http://orcid.org/0000-0003-2343-4162
Alex CrispDepartment of Health, Sport, and Human Physiology, The University of Iowa, Iowa City, Iowa, USA.
Jacob GallagherDepartment of Kinesiology, Iowa State University, Ames, Iowa, USA.
Melissa JonesDepartment of Exercise Science, Oakland University, Rochester, Michigan, USA.
Jaemyung KimDepartment of Health, Sport, and Human Physiology, The University of Iowa, Iowa City, Iowa, USA.
Katrina WilhiteDepartment of Epidemiology and Biostatistics, West Virginia University School of Public Health, Morgantown, West Virginia, USA.
Karina SmithDepartment of Health, Sport, and Human Physiology, The University of Iowa, Iowa City, Iowa, USA.
Sabera RahmanDepartment of Health and Human Development, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Alexis ThrowerDivision of Exercise Physiology, West Virginia University, Morgantown, West Virginia, USA.
Janet CatovDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Christopher KlineDepartment of Health and Human Development, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Maisa FeghaliDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Donna SantillanDepartment of Obstetrics and Gynecology, The University of Iowa, Iowa City, Iowa, USA.
Mark SantillanDepartment of Obstetrics and Gynecology, The University of Iowa, Iowa City, Iowa, USA.
Iqra SheikhDepartment of Obstetrics and Gynecology, West Virginia University, Morgantown, West Virginia, USA.
Bridget ZimmermanDepartment of Biostatistics, The University of Iowa, Iowa City, Iowa, USA.
Bethany Barone GibbsDepartment of Epidemiology and Biostatistics, West Virginia University School of Public Health, Morgantown, West Virginia, USA.

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Reagan Curtis · 2012 to 2026
$81.0M
The University of Iowa Clinical and Translational Science AwardUL1TR002537 · NCATS · UNIVERSITY OF IOWA · PI HANSEN, MARLAN R, WINOKUR, PATRICIA · 2018 to 2022
$20.0M
Sedentary behavior, physical activity, sleep, and cardiovascular risk in pregnancy: the Pregnancy 24/7 cohort studyR01HL153095 · NHLBI · UNIVERSITY OF IOWA · PI WHITAKER, KARA MARIE · 2020 to 2024
$3.6M
NCATS NIH HHS UL1 TR001857NCATS NIH HHS UL1 TR002537NHLBI NIH HHS R01 HL153095NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

objectivesHypertensive disorders of pregnancy (HDP) are primary antecedents of maternal cardiovascular morbidity during and after pregnancy. Despite evidence that 24-hour movement behaviours, including moderate-to-vigorous and light-intensity physical activity (MVPA, LPA), sedentary behaviour (SED) and sleep, relate to cardiovascular disease risk, associations with HDP are unknown. This study identified optimal 24-hour behavioural compositions across pregnancy associated with lower HDP risk.

methodsThe Pregnancy 24/7 cohort study (N=500) quantified 24-hour movement behaviours in each trimester (10

resultsAmong 470 participants with complete data, 86 (18.3%) developed HDP. The optimal overlapping daily composition (0-5th percentile) associated with the lowest HDP risk (7.2%) consisted of 5.9 (5.5-6.6) hours SED, 7.9 (6.4-8.9) hours LPA, 7 (2-22) minutes MVPA and 10.1 (8.5-11.3) hours sleep. Risk increased exponentially among participants with more than 10 hours/day of SED or less than 5 hours/day of LPA.

conclusionSED and LPA were the strongest modifiable predictors of HDP, independent of trimester. These findings inform behavioural intervention targets to reduce the risk of HDP.

Indexed as

ExerciseHypertension, Pregnancy-InducedPregnancy TrimestersAdultCohort StudiesFemaleHumansPregnancyRisk FactorsSedentary BehaviorSleepSleep DurationYoung AdultPhysical activityPregnancySedentary BehaviorSleep

Identifiers

PMID42270313
PMCPMC13334704

What Socratic holds

Textmetadata
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Registered trials

None linked

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.