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Promot"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Identify demographic, behavioral lifestyle, psychological, and clinical factors associated with suboptimal activity patterns several years after a first pregnancy and delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional, secondary analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting and Sample<\/jats:title>\n                    <jats:p>Women (n = 2843) from eight U.S. centers assessed 2-7 years after delivery in the nuMom2b Heart Health Study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measures<\/jats:title>\n                    <jats:p>Self-reported leisure time moderate-to-vigorous intensity physical activity (MVPA) and sedentary behavior (SB) were used to define patterns based on meeting recommendations for MVPA (active at \u2265150 minutes\/week) and leisure time SB (low SB at \u22643 hours\/day). Factors (demographic, behavioral lifestyle, psychological, and clinical) assessed at study visits and hypothesized to be related to MVPA-SB patterns were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Analysis<\/jats:title>\n                    <jats:p>Multinomial logistic regression with forward selection identified factors associated with MVPA-SB patterns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants most frequently reported the optimal active + low SB pattern (37.8%). Modifiable factors significantly associated with suboptimal patterns included lower diet quality (odds ratios [OR] 0.18-0.62;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), higher body mass index (BMI) (ORs 1.15-2.49;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.001), less sleep (ORs 1.27-1.46;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0013), and higher perceived stress (ORs 1.20-1.52,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0015). Lower income (ORs 0.39-0.60,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0002), lower education (ORs 0.38-0.40;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0323) and working\/studying full-time (ORs 1.42-1.97,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      -0.0021) were also associated with suboptimal patterns.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Future research designing \u201csit less, move more\u201d interventions following pregnancy and delivery could consider simultaneous intervention for modifiable factors and tailored strategies for low income\/education and full-time working\/student women who may face additional barriers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08901171251413224","type":"journal-article","created":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T17:41:24Z","timestamp":1767375684000},"page":"832-842","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Factors Associated With Leisure Time Physical Activity and Sedentary Behavior in Young Women 2-7 Years After Delivery of a Pregnancy in the nuMoM2b Heart Health Study"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0732-6148","authenticated-orcid":false,"given":"Bethany","family":"Barone Gibbs","sequence":"first","affiliation":[{"name":"West Virginia University, Morgantown, WV"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Modlin","sequence":"additional","affiliation":[{"name":"West Virginia University, Morgantown, WV"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subashan","family":"Perera","sequence":"additional","affiliation":[{"name":"University of Pittsburgh, Pittsburgh, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis N.","family":"Thrower","sequence":"additional","affiliation":[{"name":"West Virginia University, Morgantown, WV"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly A.","family":"Huber","sequence":"additional","affiliation":[{"name":"University of Pittsburgh, Pittsburgh, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea C.","family":"Kozai","sequence":"additional","affiliation":[{"name":"University of Pittsburgh, Pittsburgh, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy","family":"Chiu","sequence":"additional","affiliation":[{"name":"Columbia University, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David M.","family":"Haas","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, IN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6327-2439","authenticated-orcid":false,"given":"Philip","family":"Greenland","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William A.","family":"Grobman","sequence":"additional","affiliation":[{"name":"Brown University, Providence, RI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Theilen","sequence":"additional","affiliation":[{"name":"University of Utah, Salt Lake City, UT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie A","family":"Cameron","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. 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