Level of physical activity and associated factors during pregnancy among women who gave birth in Public Zonal Hospitals of Tigray

Gebregziabher, Dawit; Berhe, Haftu; Kassa, Mekuria; Berhanie, Eskedar

doi:10.1186/s13104-019-4496-5

Cited by 39 publications

(85 citation statements)

References 30 publications

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“…This study found that about 30% of the pregnant women practiced exercise during pregnancy, nonetheless, only 11.7% among the overall sample and 37.9% among those who practiced exercise had adequate practice in accordance with the minimum recommended guidelines for this group [1,17]. This is almost similar to the ndings of two regional studies reporting about level of physical activity during pregnancy [20,30]. However, this is much lower than the practice of exercise reported in Nigeria (84.7%), Canada (29%), and Brazil (29%) in a similar population [28,31,36].…”

Section: Discussionsupporting

confidence: 77%

“…Studies report that most of the pregnant women living in lowmiddle income countries (LMICs) are not su ciently active and did not meet the present exercise guidelines during their pregnancy. The prevalence of sedentary activity is high among Ethiopian pregnant women (76, 79%) and the majority of them are below par with the ACOG recommendations [19][20][21]. Despite physical activity and antenatal exercises are not threatening according to the current guidelines, this population's behavior does not seem to change [17].…”

Section: Introductionmentioning

confidence: 99%

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Antenatal exercises during pregnancy: knowledge, attitude, and practice of pregnant women in Ethiopia: a cross-sectional study

Janakiraman¹,

Gashaw²,

Yinunie³

2020

Preprint

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Background “Is pregnancy opportunity or a barrier for engaging in exercise”. Maternal health still is a top priority in sub-Saharan Africa including Ethiopia. Participation in exercises during pregnancy in low-middle income countries is constrained. The objective of this study was to evaluate the knowledge, attitude, and practice of antenatal exercises among Ethiopian women during pregnancy, and also to find out why some women do not exercise during pregnancy. Method: A descriptive hospital-based cross-sectional study was conducted and 349 pregnant women receiving prenatal care at the ANC clinic, University of Gondar comprehensive specialized hospital were recruited. Data were obtained on maternal characteristics, knowledge, attitude, practice, and barriers towards antenatal exercise (ANEx) by interview method. Results Among 349 pregnant women, 138 (39.5%) and 193 (55.3%) had adequate knowledge, a positive attitude, and good practice respectively. Overall, 108 (30.9) of the respondents practiced antenatal exercise, while only 41 (37.9%) among them had a good practice. Brisk walking (90.7%), relaxation (38.9%), and breathing exercise (36.1%) were most practice ANEx, while pelvic floor 6 (5.6%) and 3 (2.8%) yoga were the least practiced. Enhancing post-natal recovery (71%) and vaginal bleeding (64.5) were perceived as benefits and contraindication of ANEx. More than half of them (53.6) think that ANEx doesn’t suit Ethiopian culture. Knowledge, attitude, and practice of ANEx among pregnant women are significantly associated with higher education, government employees, pre-pregnancy exercise, and being advised on ANEx before. Women with adequate knowledge are more likely to have a good practice (AOR 4.53, 95%CI: 1.64, 15.3). Conclusion The findings of this study suggest that knowledge concerning antenatal exercise is low and their attitude is reasonably favorable. However, very few Ethiopian pregnant practices ANEx according to recommended guidelines during pregnancy.

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Section: Discussionsupporting

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Antenatal exercises during pregnancy: knowledge, attitude, and practice of pregnant women in Ethiopia: a cross-sectional study

Janakiraman¹,

Gashaw²,

Yinunie³

2020

Preprint

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“…Globally, most women do not meet the 150 min per week PA recommendation by specialised bodies and institutions. Previous studies have reported the prevalence of prenatal inactiveness with variations across countries as follows: Serbia (27.2%) [6], USA (25%) [7], China (45.15%) [8], Ethiopia (21.9%, 8.4%) [9,10], Nigeria (10.2%, 13.6%) [11,12] and Norway (14.6%) [13].…”

Section: Introductionmentioning

confidence: 99%

“…Notwithstanding the substantial evidence on the benefits of PA during pregnancy, studies have reported a considerable decline in PA among pregnant women in both developed [47][48][49][50] and developing countries [6,9,10,[51][52][53][54][55], with varying degrees of participation shaped by context-specific paradigms.…”

Section: Introductionmentioning

confidence: 99%

“…Compared to other regions in the world, there are only a few published studies on PA among pregnant women in Africa [9][10][11]56,57,66,68,77]. On this continent, pregnancy is often considered a time of confinement and many women's activities and exercise levels decrease over the course of the pregnancy due to tiredness or being unwell [56].…”

Section: Introductionmentioning

confidence: 99%

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Developing a Physical Activity Intervention Strategy for Pregnant Women in Buffalo City Municipality, South Africa: A Study Protocol

Okafor

Goon

2020

IJERPH

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Despite global awareness about the importance and health benefits of physical activity (PA) during pregnancy, several studies have reported a low prevalence of PA participation among pregnant women in both developed and developing countries. This means that most pregnant women do not meet the current PA recommended guideline of 150 min of moderate intensity PA per week. The global call to prioritise PA participation levels in the general population necessitates evaluating the factors affecting PA practice. Seemingly, pregnant women mostly from low-to-middle income countries like South Africa are often predisposed to adverse pregnancy outcomes, possibly because of limited access to, and knowledge of, improved pregnancy and health outcomes as a result of PA participation. Physical activity has been sparsely studied among pregnant South African women, and specifically, there is no known study that assesses the PA levels, patterns, beliefs, sources of information, perceived benefits, barriers, attitudes of pregnant women concerning PA and exercise participation; nor one that explores the perspectives of healthcare providers regarding prenatal PA in the Eastern Cape Province. In addition, no PA intervention strategy exists to promote PA participation in the region. This study, in attempting to fill these gaps in knowledge, adopts two phases. In Phase I, a concurrent mixed-method (quantitative and qualitative) approach assesses the following factors related to PA participation in pregnant women: participation levels, beliefs, attitudes, perceived benefits, barriers to uptake and sources of information. It further ascertains if healthcare professionals are sufficiently informed about PA and if they are advising pregnant women about the need for PA participation during pregnancy. Data will be collected through a structured questionnaire, interviews and focus group discussions. Information on socio-demographic and maternal characteristics will be obtained, and the Pregnancy Physical Activity Questionnaire (PPAQ) will assess PA during pregnancy. A sample size of 384 pregnant women is the required minimum sample for an infinite population at a confidence level of 95%, a precision level of ± 5% and at a prevalence of PA or exercise during pregnancy of 50% (p < 0.05); however, a sample size larger than the minimum number necessary will be recruited to account for possible attrition and to protect against possible data loss. Data will be analysed using a multiple logistic regression to determine the factors that predict sedentary or moderate PA levels and chi-squared analysis to determine the associations between the PA levels of the participants and socio-demographic and clinical variables. The study will assess the data collected on the above-mentioned variables and draw conclusions based on patterns and themes that emerge during analysis. Phase II of the study focuses on strategy development and validation to facilitate the promotion of PA during pregnancy. The developed strategy will be validated through the application of the Delphi technique and the administration of a checklist to selected key stakeholders through organised workshops. Understanding the level and correlates of PA participation among this special population is fundamental to designing intervention strategies to enhance their understanding of, and participation in, PA and exercise. Furthermore, this study’s findings will inform facility-based healthcare providers about the need to integrate health education on PA and pregnancy into antenatal and postnatal care visits in the setting.

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Factors associated with dietary diversity and physical activity of pregnant women in Bangladesh: A cross‐sectional study at an antenatal care setting

et al. 2021

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Introduction Both dietary diversity and physical activity during pregnancy are very important since they are known to affect pregnancy and birth outcomes. However, little is documented on dietary diversity and physical activity among pregnant women in Bangladesh. Accordingly, this study was designed to assess the dietary diversity and physical activity level, as well as their associated factors, among pregnant women at an antenatal care setting in Bangladesh. Methods An institution‐based cross‐sectional study was conducted with 96 randomly selected pregnant women who sought antenatal care at a hospital in Khulna City, Bangladesh in July 2020. Dietary diversity and physical activity were assessed using the 24‐h dietary recall method of consuming seven food groups, and standardized Pregnancy Physical Activity Questionnaire (PPAQ), respectively. Simple and multivariable logistic regressions were conducted to determine the factors associated with dietary diversity and physical activity among pregnant women. Results Around 70% of participants had high dietary diversity and 58.3% were physically active. Being job holders, getting counseling on diet, and being from higher income and food‐secured families were identified as potential determinants of the high dietary diversity of participants. Having higher secondary education, being job holders, and being from families with a size of below five were more likely to be physically active compared to others. Conclusion In light of these findings, there is a need to support existing policies and devise new policies targeting these variables. Improving awareness on the importance of dietary diversity during pregnancy, incorporating counseling services, ensuring household food security especially during this pandemic situation, and providing women with diet counseling are recommended to increase pregnant women's dietary diversity and physical activity level.

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Level of physical activity and associated factors during pregnancy among women who gave birth in Public Zonal Hospitals of Tigray

Cited by 39 publications

References 30 publications

Antenatal exercises during pregnancy: knowledge, attitude, and practice of pregnant women in Ethiopia: a cross-sectional study

Antenatal exercises during pregnancy: knowledge, attitude, and practice of pregnant women in Ethiopia: a cross-sectional study

Developing a Physical Activity Intervention Strategy for Pregnant Women in Buffalo City Municipality, South Africa: A Study Protocol

Factors associated with dietary diversity and physical activity of pregnant women in Bangladesh: A cross‐sectional study at an antenatal care setting

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