Factors affecting perceived change in physical activity in pregnancy

Merkx, Astrid; Ausems, Marlein; Budé, Luc; Vries, Raymond De; Nieuwenhuijze, Marianne

doi:10.1016/j.midw.2017.05.007

Cited by 23 publications

(28 citation statements)

References 51 publications

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“…Several studies have also documented other health benefits of increased PA during pregnancy, include decreasing the incidence of preterm birth [5] and cesarean deliveries [8], improved cardiovascular function [9], improvement or maintenance of physical fitness, reduced symptoms of depression [10], and enhanced psychologic well-being [2]. Nevertheless, many women tend to decrease instead of maintain or increase their PA during pregnancy [11][12][13][14][15][16][17][18][19][20][21][22].…”

Section: Introductionmentioning

confidence: 99%

“…Reported factors associated with a higher risk for inactivity or decreased PA during pregnancy across the globe are varied, including older age, low-income, low level of education, poor health status, [15,24,25], fear of miscarriage [17], inadequate knowledge [1, 15,26], lack of supportive environment, [27], physical changes [1,15], and increased parity [25].…”

Section: Introductionmentioning

confidence: 99%

“…In addition, in each of these regions in Africa, similar factors associated with reduced PA have been reported during pregnancy. Older age, lower education and income, history of smoking, poor health status, and excess weight gain among African women has been found to be associated with perceived decrease participation in PA [1, 14,15,17,19,[25][26][27].…”

Section: Introductionmentioning

confidence: 99%

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Physical activity and associated factors among pregnant women in Ethiopia: facility-based cross-sectional study

Hailemariam

Gebregiorgis

Gebremeskel

et al. 2020

BMC Pregnancy Childbirth

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Background: Regular physical activity (PA) has health benefits, including reducing the risk of complications during pregnancy. In Ethiopia, little is known about PA status and its determinants among pregnant women. The purpose of this study was to assess PA status and associated factors among pregnant women attending antenatal care at public and private health facilities in Mekelle, Ethiopia. Methods: A facility-based cross-sectional study was conducted. Data was collected from 299 pregnant women using a structured questionnaire. Study participants were selected using a simple random sampling technique. A binary logistic regression was modeled to investigate the statistical significance of independent variables with PA status during pregnancy. Factors associated with PA status were estimated using adjusted odds ratios with 95% confidence intervals and statistical significance was declared at p-value < 0.05. Results: 79.3% of the study participants were classified as sedentary. The age group of 26-35 years (AOR: 2.69, 95% CI: 1.07-6.78), attending non-formal education (AOR: 13.50, 95% CI: 2.65-68.91), and women who did not work outside the home (AOR: 5.23, 95% CI: 1.34-20.38) were significantly associated with a higher risk of sedentary activity status. Pregnant women who were married (AOR: 0.26, 95% CI: 0.09-0.73), had two children (AOR: 0.13, 95% CI: 0.03-0.59), traveled an hour or more to health facilities (AOR: 0.31, 95% CI: 0.11-0.89) were protected from being sedentary. Conclusion: Sedentary PA status was highly prevalent during pregnancy. Pregnant women in the age group of 26-35 years, with a non-formal education, and women who did not work outside the home had a greater risk of reporting being sedentary. Those who were married, had two children, and traveled an hour or more to health facilities were less likely to be sedentary. Stakeholders (Tigrai regional health bureau, Mekelle University, local NGOs working with pregnant women and societies at large) should give higher emphasis on designing appropriate strategies including educational interventions to overcome barriers to PA during pregnancy.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Physical activity and associated factors among pregnant women in Ethiopia: facility-based cross-sectional study

Hailemariam

Gebregiorgis

Gebremeskel

et al. 2020

BMC Pregnancy Childbirth

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“…Less than 5% of the women participating in the study of Merkx et al (2017), increased physical activity during pregnancy. Which means that the results of that research, is in contrast with the results of our research.…”

Section: Discussionmentioning

confidence: 95%

Characteristics of physical activity among pregnant women

Rijavec¹,

Prosen²

2017

Zdravje Delovno Aktivne Populacije / Health of the Working-Age Population

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Introduction: Moderate physical activity should be a part of every day life during pregnancy of course if the woman does not have any health problems or any complications relating to pregnancy. The aim of the research was to determine how and in which way pregnant women are physical active and if there is any correlation between physical activities during pregnancyregardless of their socio-demographic characteristics. Methods: The nonexperimental empirical method was used. Semistructured questionnaire was applied on convenience sample of pregnant women (n = 46) who had been attending prenatal education courses in December 2015 and January 2016. The average age of the respondents was 29 years (s = 4.0). The majority of them (39.9%) had completed an upper secondary education; lived in rural areas (63%); were in 29th week of gestation (s = 6) and were primiparous (84.8%). In addition to the basic descriptive statistics Pearson correlation coefficient was used. Results: The results suggest that pregnant women are trying to be physical active during pregnancy, because they are aware of its positive effects on pregnancy, childbirth and know the reasons when physical activity is contraindicated. The majority of them are engaged inphysical activity four times per week; walking is the most common type (54.5%); only 19.6% of pregnant women attend organized physical exercises for pregnant women. Multiparous women compared with primiparous women are more physically active (p = 0.543). Age, levelof education and place of residence are not statistically significantly associated with the implementation of physical activity in everyday life (p>0.05). Discussion and conclusions: One of the most important factors that contribute to a healthy pregnancy, childbirth and postpartum period is physical activity during pregnancy. The results suggest that pregnant women are well aware of these effects, but the implementation of physical activity 166is not always proportional to this. Organized physical exercises, where established, are insufficient for adequate preparation for childbirth.

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“…Activity energy expenditure contributes to about 25-30% of total energy expenditure [25] in a developed world context. Energy expended during physical activity tends to decline during pregnancy due to decreases in habitual physical activity [1,[26][27][28], which are likely due to minor discomforts such as leg cramps, swelling, fatigue, shortness of breath, difficulties in movement due to weight gain and perceptions that physical activity might pose risks for the fetus [29,30]. Physical activity may be reduced during pregnancy by selecting less demanding activities or decreasing the pace of activities [19].…”

Section: Introductionmentioning

confidence: 99%

Longitudinal changes in energy balance during pregnancy in South African women from the Tlokwe Municipal area

Oort

Moss

Schütz

2019

Preprint

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Background Energy balance in the era of obesity, contributes to challenges in healthy weight maintenance. The study aims to determine the changes in energy intake and expenditure from the first to the third trimester of pregnancy in women from the Tlokwe Municipal area.Methods We followed a longitudinal observational design to measure healthy pregnant women in the first (9–12 weeks), second (20–22 weeks) and third trimester (28–32 weeks). A valitdated, semi-quantitative food frequency questionnaire determined energy and macronutrient intakes. Energy expenditure (EE) was calculated from resting energy expenditure, as measured by indirect calorimetry (FitMate®), whereas activity energy expenditure was measured by combining heart rate and accelerometry (ActiHeart®). Energy balance was calculated as the difference between energy expenditure and energy intake. A mixed-model analysis was performed to determine significant differences between energy expenditure and intake during pregnancy.Results Energy intake increased from the first (8841 ± 3456 kJ/day) to the second trimester (9134 ± 3046 kJ/day) and declined in the third trimester of pregnancy (8171 ± 3017 kJ/day). A negative energy balance was found during the first (-1374 ± 4548 kJ/day) and third trimesters (-1331 ± 3734 kJ/day), whereas a minor positive energy balance was observed in the second trimester (380 ± 14212 kJ/day). Resting energy expenditure showed significant differences between the second and third, as well as the first and third trimesters. Changes in activity energy expenditure throughout pregnancy showed practical significance between the first and third trimesters.Conclusions Energy intake and expenditure during pregnancy did not differ. The additional energy expenditure in the third trimester could be attributed to resting energy expenditure and a decrease in activity energy expenditure.

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Factors affecting perceived change in physical activity in pregnancy

Cited by 23 publications

References 51 publications

Physical activity and associated factors among pregnant women in Ethiopia: facility-based cross-sectional study

Physical activity and associated factors among pregnant women in Ethiopia: facility-based cross-sectional study

Characteristics of physical activity among pregnant women

Longitudinal changes in energy balance during pregnancy in South African women from the Tlokwe Municipal area

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