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Physical Activity Patterns and Factors Related to Exercise during Pregnancy: A Cross Sectional Study.

Nascimento SL, Surita FG, Godoy AC, Kasawara KT, Morais SS - PLoS ONE (2015)

Bottom Line: For this cross-sectional study, 1,279 women were recruited within 72 hours postpartum.Compared to the pre-pregnancy period, the prevalence of physical activity among participants was lower throughout pregnancy (20.1%) (p = 0.01).There were no differences in maternal and perinatal outcomes between active and sedentary pregnant women.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Faculty Medical Sciences, University of Campinas (UNICAMP), Campinas-SP, Brazil; Department of Physiotherapy, Federal University of Ceara, Fortaleza-CE, Brazil.

ABSTRACT

Objective: To assess the physical activity levels of pregnant women and to examine the characteristics associated with the practice of exercise and the activities of daily living during pregnancy.

Methods: For this cross-sectional study, 1,279 women were recruited within 72 hours postpartum. They were interviewed about their socio-demographic data and obstetric history and were administered self-report questionnaires about exercise and daily physical activities during pregnancy. Data on the current pregnancy, labor, delivery, and newborn outcomes were collected from participants' medical records. To analyze factors related to the practice of exercise, we used the student t-test, X², and odds ratio (OR), with a corresponding 95% confident interval (CI), followed by a multiple logistic regression. The significance level was 5%.

Results: Compared to the pre-pregnancy period, the prevalence of physical activity among participants was lower throughout pregnancy (20.1%) (p = 0.01). Half of the women interrupted practicing physical exercise due to pregnancy. The lowest prevalence of exercise was observed in the first (13.6%) and third trimesters (13.4%). Less than half of women received exercise guidance during prenatal care meetings (47.4%). Walking was the most commonly reported exercise, followed by water aerobics. Factors positively associated with exercise practice were higher educational level (OR= 1.82; CI 95% 1.28-2.60), primiparity (OR=1.49; CI 95% 1.07-2.07), exercising before pregnancy (OR= 6.45; CI 95% 4.64-8.96), and exercise guidance during prenatal care (OR=2.54; CI 95% 1.80-3.57). Mildly intense exercise and domestic activities were most frequently reported among pregnant women. There were no differences in maternal and perinatal outcomes between active and sedentary pregnant women.

Conclusion: The findings indicate that promoting physical activity remains a priority in public health policy, and women of childbearing age, especially those planning a pregnancy, should be encouraged to adopt an exercise routine or maintain an active lifestyle during pregnancy in order to avoid sedentary- and obesity-associated risks.

No MeSH data available.


Related in: MedlinePlus

Prevalence of exercise practice before and during pregnancy in different gestational period and according to exercise criteria: active or ACOG criteria.(A) Frequencies of pre-gestational exercise vs. exercise some period of pregnancy (p = 0.01); pre-gestational exercise vs. all three trimesters (p<0.0001). (B) Pre-gestational exercise vs. exercise at 1st, 2sd e 3tr trimesters (p<0.0001); exercise 1° vs. 2° and 2° vs. 3° trimesters (p<0.0001)—McNemar Qui-square test. Frequency of exercise according to ACOG recommendations (150 minutes/week).
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pone.0128953.g001: Prevalence of exercise practice before and during pregnancy in different gestational period and according to exercise criteria: active or ACOG criteria.(A) Frequencies of pre-gestational exercise vs. exercise some period of pregnancy (p = 0.01); pre-gestational exercise vs. all three trimesters (p<0.0001). (B) Pre-gestational exercise vs. exercise at 1st, 2sd e 3tr trimesters (p<0.0001); exercise 1° vs. 2° and 2° vs. 3° trimesters (p<0.0001)—McNemar Qui-square test. Frequency of exercise according to ACOG recommendations (150 minutes/week).

Mentions: The prevalence of exercise practice was lower during than before pregnancy (p = 0.01): 20.1% women reported practicing exercise during some period of pregnancy. Considering that the prevalence was lower in the first trimester (13.6%) and the third trimester (13.4%) and higher in the second trimester (17.8%) (p<0.0001), only (8.4%) women remained active throughout all three trimesters of pregnancy (Fig 1). The proportion of women who completed the minimum of 150 minutes of aerobic exercise per week was even lower: 7.2%, 7.6%, and 4.7% in the first, second, and third trimesters, respectively (Fig 1).


Physical Activity Patterns and Factors Related to Exercise during Pregnancy: A Cross Sectional Study.

Nascimento SL, Surita FG, Godoy AC, Kasawara KT, Morais SS - PLoS ONE (2015)

Prevalence of exercise practice before and during pregnancy in different gestational period and according to exercise criteria: active or ACOG criteria.(A) Frequencies of pre-gestational exercise vs. exercise some period of pregnancy (p = 0.01); pre-gestational exercise vs. all three trimesters (p<0.0001). (B) Pre-gestational exercise vs. exercise at 1st, 2sd e 3tr trimesters (p<0.0001); exercise 1° vs. 2° and 2° vs. 3° trimesters (p<0.0001)—McNemar Qui-square test. Frequency of exercise according to ACOG recommendations (150 minutes/week).
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4470997&req=5

pone.0128953.g001: Prevalence of exercise practice before and during pregnancy in different gestational period and according to exercise criteria: active or ACOG criteria.(A) Frequencies of pre-gestational exercise vs. exercise some period of pregnancy (p = 0.01); pre-gestational exercise vs. all three trimesters (p<0.0001). (B) Pre-gestational exercise vs. exercise at 1st, 2sd e 3tr trimesters (p<0.0001); exercise 1° vs. 2° and 2° vs. 3° trimesters (p<0.0001)—McNemar Qui-square test. Frequency of exercise according to ACOG recommendations (150 minutes/week).
Mentions: The prevalence of exercise practice was lower during than before pregnancy (p = 0.01): 20.1% women reported practicing exercise during some period of pregnancy. Considering that the prevalence was lower in the first trimester (13.6%) and the third trimester (13.4%) and higher in the second trimester (17.8%) (p<0.0001), only (8.4%) women remained active throughout all three trimesters of pregnancy (Fig 1). The proportion of women who completed the minimum of 150 minutes of aerobic exercise per week was even lower: 7.2%, 7.6%, and 4.7% in the first, second, and third trimesters, respectively (Fig 1).

Bottom Line: For this cross-sectional study, 1,279 women were recruited within 72 hours postpartum.Compared to the pre-pregnancy period, the prevalence of physical activity among participants was lower throughout pregnancy (20.1%) (p = 0.01).There were no differences in maternal and perinatal outcomes between active and sedentary pregnant women.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Faculty Medical Sciences, University of Campinas (UNICAMP), Campinas-SP, Brazil; Department of Physiotherapy, Federal University of Ceara, Fortaleza-CE, Brazil.

ABSTRACT

Objective: To assess the physical activity levels of pregnant women and to examine the characteristics associated with the practice of exercise and the activities of daily living during pregnancy.

Methods: For this cross-sectional study, 1,279 women were recruited within 72 hours postpartum. They were interviewed about their socio-demographic data and obstetric history and were administered self-report questionnaires about exercise and daily physical activities during pregnancy. Data on the current pregnancy, labor, delivery, and newborn outcomes were collected from participants' medical records. To analyze factors related to the practice of exercise, we used the student t-test, X², and odds ratio (OR), with a corresponding 95% confident interval (CI), followed by a multiple logistic regression. The significance level was 5%.

Results: Compared to the pre-pregnancy period, the prevalence of physical activity among participants was lower throughout pregnancy (20.1%) (p = 0.01). Half of the women interrupted practicing physical exercise due to pregnancy. The lowest prevalence of exercise was observed in the first (13.6%) and third trimesters (13.4%). Less than half of women received exercise guidance during prenatal care meetings (47.4%). Walking was the most commonly reported exercise, followed by water aerobics. Factors positively associated with exercise practice were higher educational level (OR= 1.82; CI 95% 1.28-2.60), primiparity (OR=1.49; CI 95% 1.07-2.07), exercising before pregnancy (OR= 6.45; CI 95% 4.64-8.96), and exercise guidance during prenatal care (OR=2.54; CI 95% 1.80-3.57). Mildly intense exercise and domestic activities were most frequently reported among pregnant women. There were no differences in maternal and perinatal outcomes between active and sedentary pregnant women.

Conclusion: The findings indicate that promoting physical activity remains a priority in public health policy, and women of childbearing age, especially those planning a pregnancy, should be encouraged to adopt an exercise routine or maintain an active lifestyle during pregnancy in order to avoid sedentary- and obesity-associated risks.

No MeSH data available.


Related in: MedlinePlus