Smaller birth size may be associated with lower physical activity in adult women

Abstract Conditions during fetal development are crucial for a long-term health. Individuals with small size at birth are suggested to have energy-thrifty physiology, a tendency to conserve energy due to adaptations to undernutrition during early development. However, energy also could be saved by h...

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Main Authors: Kinga Słojewska, Andrzej Galbarczyk, Magdalena Klimek, Magdalena Mijas, Anna Tubek-Krokosz, Karolina Krzych-Miłkowska, Monika Ścibor, Grazyna Jasienska
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Language:English
Published: Nature Portfolio 2025-08-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-14620-w
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author Kinga Słojewska
Andrzej Galbarczyk
Magdalena Klimek
Magdalena Mijas
Anna Tubek-Krokosz
Karolina Krzych-Miłkowska
Monika Ścibor
Grazyna Jasienska
author_facet Kinga Słojewska
Andrzej Galbarczyk
Magdalena Klimek
Magdalena Mijas
Anna Tubek-Krokosz
Karolina Krzych-Miłkowska
Monika Ścibor
Grazyna Jasienska
author_sort Kinga Słojewska
collection DOAJ
description Abstract Conditions during fetal development are crucial for a long-term health. Individuals with small size at birth are suggested to have energy-thrifty physiology, a tendency to conserve energy due to adaptations to undernutrition during early development. However, energy also could be saved by having low physical activity. We hypothesize that individuals born smaller are less physically active compared to those born larger. Data were collected from 136 healthy, urban women (mean age 26.6, SD 4.24) over 3 consecutive menstrual cycles. Cycle 1 involved usual physical activity, while in cycles 2 and 3 women were instructed to perform at least 180 min/week of moderate to vigorous activity. Birth weight and length were obtained from personal medical records, and physical activity was monitored using a Fitbit wristband accelerometers. For each woman, ponderal index (indicator of leanness at birth) was calculated. Smaller size at birth predicted lower total energy expenditure during adulthood. The ponderal index was positively associated with duration of vigorous physical activity across all cycles (cycle 1: p < 0.001; cycle 2: p = 0.011; cycle 3: p = 0.004), while the birth weight was positively related to total energy expenditure (cycle 1: p = 0.014; cycle 2: p = 0.008; cycle 3: p = 0.016). Fetal developmental conditions might be associated with physical activity levels in later life. Women born smaller have lower total energy expenditure and are less likely to engage in vigorous activity. These findings underscore the role of early life factors in shaping health-related behaviors and suggest that individuals born with smaller size may need additional support or tailored interventions to meet the recommended levels of physical activity.
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spelling doaj-art-7dcb6a32b5a243119c88dbd52df4f3a02025-08-24T11:30:15ZengNature PortfolioScientific Reports2045-23222025-08-011511910.1038/s41598-025-14620-wSmaller birth size may be associated with lower physical activity in adult womenKinga Słojewska0Andrzej Galbarczyk1Magdalena Klimek2Magdalena Mijas3Anna Tubek-Krokosz4Karolina Krzych-Miłkowska5Monika Ścibor6Grazyna Jasienska7Department of Environmental Health, Faculty of Health Sciences, Jagiellonian University Medical CollegeDepartment of Environmental Health, Faculty of Health Sciences, Jagiellonian University Medical CollegeDepartment of Environmental Health, Faculty of Health Sciences, Jagiellonian University Medical CollegeDepartment of Environmental Health, Faculty of Health Sciences, Jagiellonian University Medical CollegeDepartment of Environmental Health, Faculty of Health Sciences, Jagiellonian University Medical CollegeDepartment of Environmental Health, Faculty of Health Sciences, Jagiellonian University Medical CollegeDepartment of Environmental Health, Faculty of Health Sciences, Jagiellonian University Medical CollegeDepartment of Environmental Health, Faculty of Health Sciences, Jagiellonian University Medical CollegeAbstract Conditions during fetal development are crucial for a long-term health. Individuals with small size at birth are suggested to have energy-thrifty physiology, a tendency to conserve energy due to adaptations to undernutrition during early development. However, energy also could be saved by having low physical activity. We hypothesize that individuals born smaller are less physically active compared to those born larger. Data were collected from 136 healthy, urban women (mean age 26.6, SD 4.24) over 3 consecutive menstrual cycles. Cycle 1 involved usual physical activity, while in cycles 2 and 3 women were instructed to perform at least 180 min/week of moderate to vigorous activity. Birth weight and length were obtained from personal medical records, and physical activity was monitored using a Fitbit wristband accelerometers. For each woman, ponderal index (indicator of leanness at birth) was calculated. Smaller size at birth predicted lower total energy expenditure during adulthood. The ponderal index was positively associated with duration of vigorous physical activity across all cycles (cycle 1: p < 0.001; cycle 2: p = 0.011; cycle 3: p = 0.004), while the birth weight was positively related to total energy expenditure (cycle 1: p = 0.014; cycle 2: p = 0.008; cycle 3: p = 0.016). Fetal developmental conditions might be associated with physical activity levels in later life. Women born smaller have lower total energy expenditure and are less likely to engage in vigorous activity. These findings underscore the role of early life factors in shaping health-related behaviors and suggest that individuals born with smaller size may need additional support or tailored interventions to meet the recommended levels of physical activity.https://doi.org/10.1038/s41598-025-14620-wBirth sizeDevelopmental conditionsDOHaDEnergy expenditurePhysical activityPonderal index
spellingShingle Kinga Słojewska
Andrzej Galbarczyk
Magdalena Klimek
Magdalena Mijas
Anna Tubek-Krokosz
Karolina Krzych-Miłkowska
Monika Ścibor
Grazyna Jasienska
Smaller birth size may be associated with lower physical activity in adult women
Scientific Reports
Birth size
Developmental conditions
DOHaD
Energy expenditure
Physical activity
Ponderal index
title Smaller birth size may be associated with lower physical activity in adult women
title_full Smaller birth size may be associated with lower physical activity in adult women
title_fullStr Smaller birth size may be associated with lower physical activity in adult women
title_full_unstemmed Smaller birth size may be associated with lower physical activity in adult women
title_short Smaller birth size may be associated with lower physical activity in adult women
title_sort smaller birth size may be associated with lower physical activity in adult women
topic Birth size
Developmental conditions
DOHaD
Energy expenditure
Physical activity
Ponderal index
url https://doi.org/10.1038/s41598-025-14620-w
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