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7min (±2SD range 120-608min), decreasing sharply to 262.1min in the first trimester and more gradually thereafter. Vigorous and moderate activity decreased more than light activity. TST and PAD were significantly associated with age, parity, and pregestational body fat percentage; lean body mass was negatively correlated with TST. Results were generally unaffected by seasonal variations. Marked variations were found in pregestational TST and PAD. Healthy women slept ≥30min longer during pregnancy, while PAD decreased by≥90min in early p