Correlates of Physical Activity Engagement among Pregnant Women with Overweight and Obesity

Donofry, Shannon D.; Germeroth, Lisa J.; Conlon, Rachel P. Kolko; Venditti, Elizabeth M.; Levine, Michele D.

doi:10.1016/j.whi.2020.06.001

Cited by 9 publications

(8 citation statements)

References 42 publications

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“…The majority admit they are unclear about the national recommended PA guidelines. This level of knowledge is comparable to what are reported in a correlational study [ 35 ] among obese and overweight pregnant women whose BMI (34.13 ± 7.07 kg/m 2 ) and weeks of gestation (15.68 ± 2.44). We have the confident to conclude that rather than personal belief and attitudes toward PA benefits, obese and overweight women’s readiness to meet the PA guidelines are affect by their awareness and self-efficacy [ 7 ].…”

Section: Discussionsupporting

confidence: 89%

“…This finding is consistent with results from a recent randomized controlled trial [ 34 ] that through PA facilitation, obese women reduce a mean of 1.38 kg during pregnancy ( p = 0.040). Barriers and enablers (motivations to increase intentions) are important factors in high BMI women’s decisional balance, but up to now, readiness for PA and its correlates are still unclear in Taiwan [ 35 ]. Our study, excluding women with clinical diagnoses of depression and/or other psychiatric disorders, reveals that less than 40% of this sedentary group of high BMIs engage in light to moderate PA and none of them meet PA guidelines of 150 min or more.…”

Section: Discussionmentioning

confidence: 99%

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“Moving for My Baby!” Motivators and Perceived Barriers to Facilitate Readiness for Physical Activity during Pregnancy among Obese and Overweight Women of Urban Areas in Northern Taiwan

Hsiung

Lee

et al. 2021

IJERPH

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Low levels of physical activity (PA) are of a health concern among high body mass index (BMI) women living a sedentary lifestyle and being overweight or obese during pregnancy is associated with increased risks of maternal and fetal health complications. Obstetricians often provide advice regarding recommended PA levels, yet this has not been easily achieved in this group to prevent adverse birth-related outcomes. The purpose of this study is to explore motivators/enablers and perceived barriers through in-depth qualitative inquiry, guided by a behavioral change model, for understanding of pregnant women’s decisions to engage, or refrain from PA practice. Thirteen overweight and obese pregnant women aged 28 to 45 years with an inactive, sedentary lifestyle in urban areas of northern Taiwan were recruited to participate in six focus group sessions for their intent and readiness for PA engagement in pregnancy. A thematic content analysis was performed with a constant comparison method to categorize interview data and generate themes. The findings illustrate the extent to which obese and overweight pregnant women’s readiness for PA is affected by multiple factors, including personal beliefs, perceived societal norms, peer support, and the competing priorities in the environment. PA interventions are to be effective by focusing on overcoming barriers, increasing motivations, and enhancing self-management. Strategies shared by participants shed lights for program developers to design preferable behavioral interventions for this group of women who are low self-esteem with low self-efficacy to increase PA and meet recommended levels. There is considerable potential for health care providers to provide accessible information, facilitate PA, and promote an active lifestyle during and after pregnancy.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

“Moving for My Baby!” Motivators and Perceived Barriers to Facilitate Readiness for Physical Activity during Pregnancy among Obese and Overweight Women of Urban Areas in Northern Taiwan

Hsiung

Lee

et al. 2021

IJERPH

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“…Nonetheless, results indicate that the rate of adherence to PA guidelines observed in this study is in line with Center for Disease Control (2018) [45] for the general population. When compared to other authors, we found that pregnant women in the sample had a higher rate of adherence to PA recommendations [46,47]. This might be due to the fact that during pregnancy, women are in permanent contact with healthcare providers, and they encourage the regular practice of PA.…”

Section: Influence Of Pregestational Body Mass Index and Physical Act...contrasting

confidence: 49%

The Influence of Pregestational Body Mass Index and Physical Activity Patterns on Maternal, Delivery, and Newborn Outcomes in a Sample of Portuguese Pregnant Women: A Retrospective Cohort Study

Bernardo,

Carvalho,

Mota

et al. 2023

Port J Public Health

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Introduction: There is a linear association between pregestational body mass index (BMI) and almost all adverse pregnancy outcomes. Pregnancy is “a window of opportunities” in terms of changing behavior and improving awareness of healthy living. The proper assessment of physical activity levels, during pregnancy, determines trends, health benefits, and their effects over time. This study aims to describe maternal physical activity levels, stratified by pregestational BMI, verify the accomplishment of physical activity recommendations in pregnant women, and correlate pregestational BMI and physical activity accomplishment with maternal, delivery, and neonatal parameters. Methods: A retrospective cohort study was carried out with 103 pregnant women. Physical activity levels were evaluated using a questionnaire and accelerometry. Pregestational BMI was obtained through the Quetelet formula and used the American College of Sports Medicine’s guidelines were used to determine physical activity accomplishment levels. Continuous data were presented as mean and standard deviation and categorical data as numbers and percentages. The F test was used to examine the differences between groups. Results: Pregnant women in the sample spent 42.9% of their time on household activities, and for pregnant women with obesity, 91.5% of the time was spent on sedentary activities. Women with normative BMI had higher levels of moderate-intensity activities. Only 15.8% of participants with obesity reached the international recommendations for physical activity practice and women who accomplished physical activity recommendations gained less weight during pregnancy. A high percentage of pre-obesity and obese pregnant women exceeded the recommendations for gestational weight gain and the gestational diabetes prevalence was higher in the obesity group (p = 0.03 between groups). Regarding delivery and neonatal parameters (Apgar score 1st, Apgar score 5th, birth weight, length and head circumference), no statistical differences were found when adjusted to a gestational week at birth, between BMI (p = 0.58; p = 0.18; p = 0.60; p = 0.34; p = 0.34, respectively) or physical activity (p = 0.12; p = 0.15; p = 0.83; p = 0.70; p = 0.70, respectively) groups. Conclusion: Pregnant women with obesity, exhibit high levels of sedentary behavior, a high prevalence of gestational diabetes, and exceed recommended gestational weight gain. Healthcare professionals have a crucial role in promoting regular physical activity and lifestyle changes before and during pregnancy.

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“…Moreover, for what concerns EDs, a large sample conducted in Norway provided evidence that women with a past or present history of binge eating had a higher intake of total energy during pregnancy, as assessed by a semiquantitative self-administered food questionnaire [ 210 ]. Nonetheless, depressive symptoms and eating behaviors were not associated with a higher likelihood of engaging in physical activities [ 212 ]. Indeed, eating psychopathology was associated with lower total energy expenditure during pregnancy, suggesting either a higher resistance to engage in compensatory behaviors or a higher incidence of binge eating rather than anorexia or bulimia nervosa in the evaluated samples [ 212 ].…”

Section: Resultsmentioning

confidence: 99%

Pregorexia: a systematic review and meta-analysis on the constructs of body image dissatisfaction and eating disturbances by gestational age in the peripartum

Tarchi,

Merola,

Selvi

et al. 2023

Eat Weight Disord

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Purpose Pregorexia is a phenomenon posited to occur in the peripartum, characterized by an attempt to counter pregnancy’s physiological changes in body shape through reduced calorie intake or increased physical activity. Methods In this pre-registered systematic review and meta-analysis, body image dissatisfaction and eating psychopathology in the peripartum according to gestational age were formally assessed. PubMed was searched up to May 2023. Selection criteria were represented by studies on body image concerns or eating psychopathology in the peripartum (up to 1 year after delivery). The population needed to include women from the general population or among patients with a history of (or current) eating disorder. For the meta-analysis, 17 studies were included: 10 for body image dissatisfaction (2625 individuals overall), 7 for eating behaviors (2551 individuals overall). The interplay between body image and the following themes was examined in depth: the adoption of breastfeeding, peripartum depression, sociocultural influences on body image, sexual disturbances, experiencing or reporting an altered food intake. Results Progressive dissatisfaction with body image during pregnancy by gestational age was observed, stably elevated for at least 12 months postpartum. Eating psychopathology was observed as elevated only at 12 months in the postpartum, but not during pregnancy. Discussion The current work offers normative values of body image satisfaction and eating psychopathology in the peripartum by gestational age. The relevance of current results was discussed, in order to inform both current clinical practice and future public policies. Level of Evidence Level I—Evidence obtained from: systematic reviews and meta-analyses.

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Correlates of Physical Activity Engagement among Pregnant Women with Overweight and Obesity

Cited by 9 publications

References 42 publications

“Moving for My Baby!” Motivators and Perceived Barriers to Facilitate Readiness for Physical Activity during Pregnancy among Obese and Overweight Women of Urban Areas in Northern Taiwan

“Moving for My Baby!” Motivators and Perceived Barriers to Facilitate Readiness for Physical Activity during Pregnancy among Obese and Overweight Women of Urban Areas in Northern Taiwan

The Influence of Pregestational Body Mass Index and Physical Activity Patterns on Maternal, Delivery, and Newborn Outcomes in a Sample of Portuguese Pregnant Women: A Retrospective Cohort Study

Pregorexia: a systematic review and meta-analysis on the constructs of body image dissatisfaction and eating disturbances by gestational age in the peripartum

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