Factors Influencing Physical Activity in Pregnancy: A Systematic Review
Physical Activity Factors in Pregnancy
Vol. 17 No. 1 : 2022 (62-74)
Abstract
Lack of physical activity in pregnancy may lead to poor maternal and perinatal outcomes including gestational diabetes, hypertensive disorders and postpartum depression. Given these risks, identifying factors that influence physical activity in pregnancy is crucial to planning and implementing appropriate interventional programmes and managing this vulnerable group. Peer reviewed articles on factors influencing physical activity in pregnancy were searched using the Pub-Med and Ovid databases, from 2014 to 2019. The selected articles were reviewed by two authors and critically appraised using the Mixed Methods Assessment Tool 2018. A total of 16 articles were included. Factors that positively influenced physical activity in pregnancy were fun, higher economic status, early trimester, and higher body weight. Factors that negatively influenced physical activity in pregnancy were lack of knowledge, lack of social support, multiparity, physical pain and discomfort, ethnic minority status, and concern for the safety of the baby. Fun was one of the most reported motivators of physical activity in pregnancy, and the most reported reason for reduced physical activity was lack of knowledge. Additionally, social support from friends and family played an important role in encouraging pregnant women to be active. This systematic review highlights the need to improve current health education programmes for physical activity in pregnancy, which should ideally be extended and targeted to the whole community, beyond pregnant women themselves for better uptake and acceptance.
Keywords :
active,
Health Education,
motivators,
Physical activity,
pregnant women,
Correspondance Address
Azmawati Mohammed Nawi. Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia. Tel: +603 9145 5888/5887 Email: azmawati@ppukm.ukm.edu.my
References
Althoff, T., Sosi, R., Hicks, J.L., King, A.C., Delp, S.L., Leskovec, J. 2017. Large-scale physical activity data reveal worldwide activity inequality. Nature 547(7663): 336-9.
Bahadoran, P., Mohamadirizi, S. 2015. The study of physical activity and some relative factors in referred pregnant women to Isfahan Health-Care Centers and Shahid Beheshti Hospital. J Educ Health Promot 4: 100.
Barakat, R., Pelaez, M., Cordero, Y., Perales, M., Lopez, C., Coteron, J., Mottola, M.F. 2016. Exercise during pregnancy protects against hypertension and macrosomia: randomized clinical trial. Am J Obstet Gynecol 214(5): 649.e641-8.
Barakat, R., Perales, M., Garatachea, N., Ruiz, J.R., Lucia, A. 2015. Exercise during pregnancy. a narrative review asking: what do we know? Br J Sports Med 49(21): 1377-81.
Bauer, C., Graf, C., Platschek, A.M., Struder, H.K., Ferrari, N. 2018. Reasons, motivational factors, and perceived personal barriers to engagement in physical activity during pregnancy vary within the BMI Classes: the prenatal prevention Project Germany. J Phys Act Health 15(3): 204-11.
De Jersey, S.J., Mallan, K., Callaway, L., Daniels, L. A., Nicholson, J.M. 2017. A cross-sectional comparison of predisposing, reinforcing and enabling factors for lifestyle health behaviours and weight gain in healthy and overweight pregnant women. Matern Child Health J 21(3): 626-35.
Flannery, C., Mchugh, S., Anaba, A.E., Clifford, E., O’riordan, M., Kenny, L. C., Mcauliffe, F. M., Kearney, P.M., Byrne, M. 2018. Enablers and barriers to physical activity in overweight and obese pregnant women: an analysis informed by the theoretical domains framework and COM-B model. BMC Pregnancy Childbirth 18(1): 178.
Garland, M. 2017. Physical activity during pregnancy: prescription for improved perinatal outcomes. J Nurse Pract 13(1): 54-8.
Guelfi, K.J., Wang, C., Dimmock, J.A., Jackson, B., Newnham, J.P., Yang, H. 2015. A comparison of beliefs about exercise during pregnancy between Chinese and Australian pregnant women. BMC Pregnancy and Childbirth 15(1): 345.
Guthold, R., Stevens, G.A., Riley, L.M., Bull, F.C. 2018. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet Glob Health 6(10): E1077-86.
Hong, Q.N., Pluye, P., Fàbregues, S., Bartlett, G., Boardman, F., Cargo, M., Dagenais, P., Gagnon, M.-P., Griffiths, F., Nicolau, B. 2018. Mixed Methods Appraisal Tool (MMAT), Version 2018. Registration of copyright 1148552.
Hoodbhoy, Z., Qureshi, R.N., Iqbal, R., Muhabat, Q. 2018. Household chores as the main source of physical activity: perspectives of pregnant Pakistani women. J Pak Med Assoc 68(4): 565-9.
Lee, C.F., Hwang, F.M., Lin, H.M., Chi, L.K., Chien, L.Y. 2016. The physical activity patterns of pregnant Taiwanese women. J Nurs Res 24(4): 291-9.
Marshall, E.S., Bland, H., Melton, B. 2013. Perceived barriers to physical activity among pregnant women living in a rural community. Public Health Nurs 30(4): 361-9.
Merkx, A., Ausems, M., Bude, L., De Vries, R., Nieuwenhuijze, M.J. 2017. Factors affecting perceived change in physical activity in pregnancy. Midwifery 51: 16-23.
Merkx, A., Ausems, M., Budé, L., De Vries, R., Nieuwenhuijze, M.J. 2015. Weight gain in healthy pregnant women in relation to pre-pregnancy BMI, diet and physical activity. Midwifery 31(7): 693-701.
Mullan, B., Henderson, J., Kothe, E., Allom, V., Orbell, S., Hamilton, K. 2016. The role of habit and perceived control on health behavior among pregnant women. Am J Health Behav 40(3): 291-301.
Muzigaba, M., Kolbe-Alexander, T.L., Wong, F. 2014. The perceived role and influencers of physical activity among pregnant women from low socioeconomic status communities in South Africa. J Phys Act Health 11(7): 1276-83.
Nascimento, S.L., Surita, F.G., Godoy, A.C., Kasawara, K.T., Morais, S.S. 2015. Physical activity patterns and factors related to exercise during pregnancy: a cross-sectional study. Plos One 10(6): e0128953.
Newham, J.J., Allan, C., Leahy-Warren, P., Carrick-Sen, D., Alderdice, F. 2016. Intentions toward physical activity and resting behavior in pregnant women: using the theory of planned behavior framework in a cross-sectional study. Birth 43(1): 49-57.
Özdemir, A. 2013. Designing Landscapes for Child Health. In Advances in Landscape Architecture. Edited by Özyavuz M. IntechOpen; 227-62
Rauff, E.L. & Downs, D.S. 2018. A prospective examination of physical activity predictors in pregnant women with normal weight and overweight/obesity. Womens Health Issues 28(6): 502-8.
Renault, K.M., Norgaard, K., Nilas, L., Carlsen, E. M., Cortes, D., Pryds, O., Secher, N.J. 2014. The treatment of obese pregnant women (TOP) study: a randomized controlled trial of the effect of physical activity intervention assessed by pedometer with or without dietary intervention in obese pregnant women. Am J Obstet Gynecol 210(2): 134.e131-139.
Richardsen, K.R., Falk, R.S., Jenum, A.K., Mørkrid, K., Martinsen, E.W., Ommundsen, Y., Berntsen, S. 2016. Predicting who fails to meet the physical activity guideline in pregnancy: a prospective study of objectively recorded physical activity in a population-based multi-ethnic cohort. BMC Pregnancy Childbirth 16(1): 186.
Rogozinska, E., Marlin, N., Jackson, L., Rayanagoudar, G., Ruifrok, A.E., Dodds, J., Molyneaux, E., Van Poppel, M.N., Poston, L., Vinter, C.A., et al. 2017. Effects of antenatal diet and physical activity on maternal and fetal outcomes: individual patient data meta-analysis and health economic evaluation. Health Technol Assess 21(41): 1-158.
Russo, L.M., Nobles, C., Ertel, K.A., Chasan-Taber, L., Whitcomb, B.W. 2015. Physical activity interventions in pregnancy and risk of gestational diabetes mellitus: a systematic review and meta-analysis. Obstet Gynecol 125(3): 576-82.
Sallis, J.F., Bull, F., Burdett, R., Frank, L.D., Griffiths, P., Giles-Corti, B., Stevenson, M. 2016. Use of science to guide city planning policy and practice: how to achieve healthy and sustainable future cities. Lancet 388(10062): 2936-47.
Sui, Z., Dodd, J.M. 2013. Exercise in obese pregnant women: positive impacts and current perceptions. Int J Womens Health 5: 389-98.
Tung, C.T., Lee, C.F., Lin, S.S., Lin, H. M. 2014. The Exercise Patterns of Pregnant Women in Taiwan. J Nurs Res 22(4): 242-9.
University of Oxford Physical Activity and Pregnancy Study Group. 2016. Physical Activity and Pregnancy Infographic Study Interim Report. Oxford.
Van Mulken, M.R., Mcallister, M., Lowe, J.B. 2016. The Stigmatisation of Pregnancy: Societal Influences on Pregnant Women’s Physical Activity Behaviour. Cult Health Sex 18(8): 921-35.
WHO. 2018. Global Action Plan on Physical Activity 2018–2030: More Active People for a Healthier World. Geneva: World Health Organization.
WHO. 2020. Physical Activity. https://www.who.int/news-room/fact-sheets/detail/physical-activity [23 June 2021].
Yin, Y.N., Li, X.L., Tao, T.J., Luo, B.R. & Liao, S.J. 2014. Physical Activity During Pregnancy and the Risk of Gestational Diabetes Mellitus: A Systematic Review and Meta-Analysis of Randomised Controlled Trials. Br J Sports Med 48(4): 290-5.
