Strategies to Promote Physical Activity During Pregnancy

Pearce, Emily; Evenson, Kelly R.; Downs, Danielle Symons; Steckler, Allan

doi:10.1177/1559827612446416

Cited by 59 publications

(53 citation statements)

References 61 publications

(259 reference statements)

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“…A review of 9 interventions by Pearce et al indicated that only 3 found a statistically significant impact. 34 However, the authors found no unique strategies or techniques consistently associated with positive outcomes. The study limitations of these 9 trials included lack of statistical power, failure to test for baseline differences between the intervention and control groups, lack of a theoretical model, and use of a physical activity questionnaire not validated for pregnant women.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Impact of an Exercise Intervention on Physical Activity During Pregnancy: The Behaviors Affecting Baby and You Study

et al. 2014

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Objectives. We examined the impact of a prenatal exercise intervention on physical activity in 260 women at risk for gestational diabetes mellitus. Methods. We randomized participants in the Behaviors Affecting Baby and You (BABY) Study, which took place from 2007 to 2012, to either a 12-week individually tailored, motivationally matched exercise intervention (n = 132) or to a comparison health and wellness intervention (n = 128). We assessed physical activity with the Pregnancy Physical Activity Questionnaire. We used linear mixed models to evaluate the impact of the interventions on change in physical activity according to intensity and type, total walking, and sedentary behavior. Results. Compared with the health and wellness arm, the exercise arm had significantly greater increases in sports or exercise activity (0.3 vs 5.3 metabolic equivalent of task [MET] hours/week; P < .001), and smaller declines in total activity (–42.7 vs –2.1 MET hours/week; P = .02) and activities of moderate to vigorous intensity (–30.6 vs −10.6 MET hours/week; P = .05), and was more likely to achieve recommended guidelines for physical activity (odds ratio = 2.12; 95% confidence interval = 1.45, 3.10). Conclusions. These findings extend the previous literature by demonstrating the benefits of a clinically feasible exercise intervention in an ethnically and socio-economically diverse population. Given the increased risk of adverse maternal health outcomes in ethnic minority groups, these findings may have important implications for reducing health disparities.

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Section: Discussionmentioning

confidence: 99%

“…Finally, the majority of these studies, with the exception of 1, 35 were conducted predominantly in non-Hispanic White populations. 34 …”

Section: Discussionmentioning

confidence: 99%

Impact of an Exercise Intervention on Physical Activity During Pregnancy: The Behaviors Affecting Baby and You Study

et al. 2014

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“…However, PA interventions aimed at pregnant women have not typically been based on relevant theoretical frameworks thereby limiting their effectiveness and importance (Gaston & Cramp, 2012). A recent systematic review of such interventions found that only four of the eleven interventions selected for inclusion were based on a theoretical model (Pearce, Evenson, Symons Downs & Steckler, 2013). Methodological weaknesses of the included studies, however, limited the validity and interpretation of findings and the authors emphasized the need for further research to effectively design and evaluate interventions to promote PA during pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Examining exercise intention and behaviour during pregnancy using the Theory of Planned Behaviour: a meta-analysis

Vivo

Hulbert

Mills

et al. 2016

Journal of Reproductive and Infant Psychology

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Please cite this publication as follows:De Vivo, M., Hulbert, S., Mills, H. and Uphill, M. A. (2016) Examining the effectiveness of the theory of planned behaviour in explaining exercise intention and behaviour during pregnancy: a meta-analysis. However, the relative contribution of the theory's components in describing intention and behaviour may differ depending on the context, time and population being studied. Such evidence is necessary to inform PA advice and interventions aimed at special populations including pregnant women. Objective: The purpose of this study was to review the existing literature surrounding the application of the TPB in explaining exercise intentions and behaviour during pregnancy and to evaluate the magnitude of relationships between TPB constructs within this context. Method: Multiple search strategies yielded 99 potentially relevant studies of which 47 were assessed against the inclusion criteria. Finally, 8 studies were subjected to a random-effects meta-analysis. Result: Results confirmed the existence of a strong relationship between intention and behaviour whilst perceived behavioural control (PBC) revealed a weaker correlation with behaviour. Women's attitude towards exercise had the strongest association with their intention to be physically active whilst expecting. However, both PBC and subjective norm showed strong relationships with intention. Conclusion: The study supports the TPB as a relevant conceptual framework for the investigation of PA intentions and behaviours during pregnancy. Furthermore, this study supported subjective norm as a pertinent construct to investigate exercise intentions and behaviour in a pregnant population. These findings present both researchers and practitioners with an opportunity for intervention and further research.

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“…Los estudios consultados hacen referencia a la repercusión que tiene el ejercicio físico realizado en un medio terrestre, en relación con los resultados perinatales obtenidos (52). Pero son escasos los estudios encontrados en los que se puedan comparar esos resultados en relación con un programa de ejercicios realizado en el medio acuático.…”

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Influencia del programa SWEP (Study Water Exercise Pregnant) en los resultados perinatales: protocolo de estudio

et al. 2016

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Introduction: Moderate exercise training during the pregnancy benefits both the pregnant woman and the fetus. The research papers consulted have linked physical activity with the reduction of the number of cesareans, instrumental delivery and with a more physiological delivery. It also prevents excessive weight gain in women and decreases the risk of gestational diabetes and high blood pressure. Aims: The aim of this research is to know if an exercise program of moderate character with Water Study Exercise Pregnant (SWEP) method, performed in an aquatic environment, contributes to have more favorable results in the perinatal period, both for women and baby. Material and methods: The design is a randomized clinical trial. The sample will consist of 364 pregnant women, with a total universe of 6,579 births occurred in Granada (Spain) during 2014. The sample was divided into two groups, intervention group and control group. The activity will be carried out in the water sporting facilities of the Faculty of Sports Science of the University of Granada, which have two pools suitable for our purposes: a 25-meter polyvalent pool and a 12.5-meter pool for training. Results: The exercise program designed specifically for the project called SWEP is performed from 20 to 37 weeks of gestation (SG), and it consists of three weekly sessions, with duration of 60 minutes each. Sessions will include three phases: warm-up phase, the main phase in which the exercise is divided into an aerobic phase and strength training and endurance training phase and a final phase of stretching and relaxation. The variables that will be studied are: a) Maternal: weight, BMI, blood pressure, O'Sullivan test, postpartum depression, level of self-rated health, sleep quality and perceived exertion during physical activity; b) fetal: weight, Apgar scores, head circumference and GA (Gestational age); c) peripartum: time dilation, expulsion and delivery, type of delivery, episiotomy, type of feed received by the RN and time of exclusive breastfeeding; and d) descriptive: age, occupation, education level, type of exercise done before and OF (obstetric formula). Conclusion: With aquatic moderate physical activity during pregnancy (method SWEP), we intended to improve the variables above.

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Strategies to Promote Physical Activity During Pregnancy

Cited by 59 publications

References 61 publications

Impact of an Exercise Intervention on Physical Activity During Pregnancy: The Behaviors Affecting Baby and You Study

Impact of an Exercise Intervention on Physical Activity During Pregnancy: The Behaviors Affecting Baby and You Study

Examining exercise intention and behaviour during pregnancy using the Theory of Planned Behaviour: a meta-analysis

Influencia del programa SWEP (Study Water Exercise Pregnant) en los resultados perinatales: protocolo de estudio

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