A study of physical activity levels of pregnant women using the Polish version of Pregnancy Physical Activity Questionnaire (PPAQ-Pl)

Antosiak-Cyrak, Katarzyna; Demuth, Anna

doi:10.5603/gp.2019.0047

Cited by 10 publications

(21 citation statements)

References 20 publications

(25 reference statements)

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“…These data are consistent with pooled worldwide data showing that the prevalence of physical inactivity is twice as high in higher compared with lower income countries [12]. The median of the total energy expenditure among pregnant women in this study is in the range of the reported mean/median total energy expenditure among pregnant women in previous studies from different countries, ranging from 123.2 METs*hour/week in Vietnam to 270.9 METs*hour/week in Portugal [16,18,27,[42][43][44]. At 183.3 METs*hour per week, the median total energy expenditure value in this study is almost the same as the findings among urban pregnant women in the state of Selangor, which surrounds the federal city of Kuala Lumpur geographically [45].…”

Section: Discussionsupporting

confidence: 91%

Physical inactivity in early pregnancy and the determinants in an urban city setting of Kuala Lumpur, Malaysia

2022

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Background Physical inactivity in pregnancy has been associated with excessive gestational weight gain, hypertensive disorders, gestational diabetes mellitus and postpartum depression. Despite these risks, physical inactivity level remains high especially in higher income countries. The prevalence of physical inactivity among women in Malaysia aged ≥16 years was 28.2% in 2019 exceeding men by 6.1%. However, little is known regarding the subpopulation of pregnant women especially in Kuala Lumpur which is the most urbanized and highly populated city in Malaysia. Therefore, the aim of this study is to measure the physical inactivity prevalence among first trimester pregnant women in Kuala Lumpur and to identify its determining factors. Methods This was a cross-sectional study in which 339 first trimester pregnant women were sampled from 13 maternal and child health clinics located in all four parliament districts of Kuala Lumpur. Self-administered questionnaires which contained the Malay version of the pregnancy physical activity questionnaire (PPAQ) were used. Descriptive analysis was conducted to determine the physical inactivity prevalence followed by simple and multiple logistic regression to identify the determinants of physical inactivity with significant level of 5%. Results The prevalence of physical inactivity was 38.3%. The highest activity was seen in the household activity domain, despite only 24.8% of the respondents were housewives/unemployed. There was little to no participation observed in the vigorous intensity category. The determinants of physical inactivity were primigravida (aOR 3.54 95% CI 1.40, 8.97), education level (aOR 3.77 95% CI 1.35, 10.52) and body mass index (aOR 0.88 95% CI 0.80, 0.97) which explained 22.6% variation of physical inactivity in the final adjusted model. Conclusion The prevalence of physical inactivity among first trimester pregnant mothers in this study was 38.3%, and the highest activity was seen in the household category. Health education on physical activity in pregnancy should be focused on those who are primigravida and have no tertiary education. The educational content should be updated and tailored to current pandemic situation where self-isolation is the new norm, by advocating for home-based, moderate to vigorous intensity physical activities.

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Section: Discussionsupporting

confidence: 91%

Physical inactivity in early pregnancy and the determinants in an urban city setting of Kuala Lumpur, Malaysia

2022

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“…In addition, age, the number of children, stage of pregnancy, and lower level of education, and employment status significantly influenced the level of physical activity during pregnancy in Africa [59,85,86,98,104,109]. This proved consistent with other studies that reported age [120], low education [53,57,121], pregnancy trimester [122,123], and employment [121] as correlates affecting physical activity during pregnancy. Women who attain higher level of education are more knowledgeable about PA during pregnancy [48,59].…”

Section: Discussionsupporting

confidence: 87%

Physical activity and exercise during pregnancy in Africa: a review of the literature

Okafor

Goon

2020

BMC Pregnancy Childbirth

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Background Pregnancy is an important phase in a woman’s life, with health status at this stage affecting both the woman and her child’s life. Global evidence suggests that many women engage in low levels of physical activity (PA) and exercise during pregnancy despite its beneficial effects. This is particularly the case in Africa. Methods This article reviews the literature on levels of PA and exercise among pregnant women in Africa, highlighting the level of PA or exercise participation during pregnancy in Africa, including types of PA, factors affecting PA, beliefs about and benefits of prenatal activity, advice or counselling on PA during pregnancy in Africa, and PA interventions proposed to promote the uptake of prenatal PA. Electronic search databases used were Google Scholar, Science Direct, Scopus, EMBASE, ERIC, Medline, Web of Science, EBSCOhost, PubMed, BIOMED Central, and African Journal Online. The basic search terms were: ‘Physical activity’, ‘Exercise’, ‘Pregnancy’, ‘Pregnant women’ and ‘Africa’. A total of 40 references were found. On the basis of an analysis of titles, abstracts and the language of publication (other than English), 11 articles were rejected, and 29 articles were fully read, although two had to be rejected due to a lack of access to the full version. Finally, 27 references were included in the review. Results Few studies exist on PA during pregnancy in Africa. The limited data available suggests that, compared to the Western world, pregnant women in Africa do not adhere to the recommendations for PA during pregnancy. Levels of participation in PA during pregnancy are low and decline as the pregnancy progresses. The majority of the studies used direct, objective measures to assess PA during pregnancy. Personal and environmental factors such as lack of time, lack of knowledge, inadequate information from healthcare providers, feelings of tiredness and an absence of social support constituted the main barriers to PA during pregnancy. The types of PA participation among pregnant women varied across studies and geographical settings. Conclusions While published data is limited, it seems clear that the participation of pregnant women in PA during pregnancy in Africa is low and declines with advancing pregnancy. There is a need for more studies to examine the dynamics of PA during pregnancy in Africa to guide contextual interventions to improve and promote maternal health on the continent.

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“…However, our finding demonstrated from the predictive model that pregnant women who commence physical activity in the first trimester are significantly more likely to be physically active during pregnancy compared to those who start later than the second trimester. This is concordant with a study in Poland [61], and USA [15] which found the odds of meeting physical activity recommendations, including both moderate and vigorous activities, to be higher among women in the first trimester compared to the third trimester. However, our finding is inconsistent with the findings from other previous studies, which indicated that women in the third trimester were more likely to meet the physical activity guideline compared to those in the first trimester [17,54,65,74,75].…”

Section: Discussionsupporting

confidence: 88%

“…Conversely, in Hailemariam et al [13] study in Ethiopia it was reported that women who were 26-35 years were 2.69 times more likely to be sedentary (AOR: 2.69, 95% CI: 1.07-6.78) compared with those in the age category of 16-25 years. Similar studies have reported age as a predictor of prenatal active practice [21,61].…”

Section: Discussionsupporting

confidence: 64%

Physical Activity Level during Pregnancy in South Africa: A Facility-Based Cross-Sectional Study

Okafor

Goon

2020

IJERPH

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Physical activity participation during pregnancy confers many maternal and foetal health benefits to the woman and her infant and is recommended by various health bodies and institutions. However, in South Africa, scant information exists about the physical activity status and its determinants among pregnant women. The aim of this study was to assess the physical activity level and associated factors among pregnant women. This cross-sectional study enrolled 1082 pregnant women attending public health facilities in Buffalo City Municipality, Eastern Cape, South Africa. Information on socio-demographic and maternal characteristics were obtained, and the Pregnancy Physical Activity Questionnaire was used to assess physical activity during pregnancy. Multiple logistic regression analyses were used to assess associations between physical activity and the predictor variables during pregnancy. Adjusted odds ratios with 95% confidence interval were applied to estimate factors associated with physical activity levels. Statistical significance was set at p < 0.05. Only 278 of the women (25.7%) met recommendations for prenatal activity (≥150 min moderate intensity exercise per week). The average time spent in moderate–vigorous physical activity was 151.6 min (95% CI: 147.2–156.0). Most of the women participated in light exercises with a mean of 65.9% (95% CI: 64.8–67.0), and 47.6% (95% CI: 46.3–48.9) participated in household activities. The majority of the women did not receive physical activity advice during prenatal care sessions (64.7%). Factors negatively associated with prenatal physical activity were lower age (<19 years) (adjusted odd ratio (AOR) = 0.3; CI: 0.16–0.76), semi-urban residence (AOR = 0.8; CI: 0.55–1.03), lower educational level (AOR = 0.5; CI: 0.20–0.71), unemployment (AOR = 0.5; CI: 0.29–0.77) and nulliparity (AOR = 0.6; CI: 0.28–1.31). However, prenatal physical activity was positively associated with starting physical activity in the first trimester (AOR = 1.9; CI: 1.06–3.31) compared to other trimesters. The findings of this study demonstrated low levels of physical activity during pregnancy in South Africa. The majority of women did not meet the recommendation of 150 min of moderate intensity activity per week. Light intensity and household activities were the most preferred form of activity. The factors affecting physical activity of women in this present study include lower age, semi-urban setting, low educational level, unemployment and nulliparity. In order to increase activity levels, future work should seek to improve knowledge, access and support for physical activity in pregnant women in South Africa. This should include education and advocacy regarding physical activity for professionals involved in maternal health provision.

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A study of physical activity levels of pregnant women using the Polish version of Pregnancy Physical Activity Questionnaire (PPAQ-Pl)

Cited by 10 publications

References 20 publications

Physical inactivity in early pregnancy and the determinants in an urban city setting of Kuala Lumpur, Malaysia

Physical inactivity in early pregnancy and the determinants in an urban city setting of Kuala Lumpur, Malaysia

Physical activity and exercise during pregnancy in Africa: a review of the literature

Physical Activity Level during Pregnancy in South Africa: A Facility-Based Cross-Sectional Study

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