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Exercise during pregnancy: A review of patterns and determinants

      Abstract

      The mental and physical health benefits of exercise during pregnancy highlight the importance of understanding the determinants of pregnant women's physical activity. This paper presents a review of the existing research on pregnancy and physical activity, in order to (a) summarize the existing body of literature since 1986 examining changes in physical activity during pregnancy, (b) summarize correlates and predictors of physical activity during pregnancy, and (c) present directions for future research. A literature search yielded 25 articles published from 1986 to 2009 in English peer-reviewed journals. The major findings were categorized into the following: (a) exercise patterns, (b) demographic correlates/predictors, (c) the influence of pre-pregnancy exercise on pregnancy exercise, (d) theory-based predictors and (f) other correlates of exercise (e.g. general health and safety concerns). Results indicated that pregnant women are less active than non-pregnant women and that pregnancy leads to a decrease in physical activity. Consistent demographic predictors of higher exercise participation during pregnancy include higher education and income, not having other children in the home, being white, and being more active prior to becoming pregnancy. Only a few studies used theoretical models to understand physical activity during pregnancy with varied results. The review outlines demographic and theory-based correlates/predictors that should be taken into consideration when developing interventions to increase physical activity among pregnant women.

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      References

      1. Health Canada. Healthy living: exercise. http://www.hc-sc.gc.ca/hppb/fitness/work/benefits_e.html; 2004 [accessed 18.5.08].

        • Warburton D.E.
        • Nicol C.W.
        • Bredin S.S.
        Health benefits of exercise: the evidence.
        Can Med Assoc J. 2006; 74: 801-809
        • Miller R.
        • Sales A.
        • Kopjar B.
        • et al.
        Adherence to heart-healthy behaviors in a sample of the U.S. population.
        Prev Chronic Dis. 2005; 2: 1-15
        • Malina R.M.
        Tracking of exercise across the lifespan.
        PCPFS Res Dig. 2001; 3
        • Brown W.
        • Trost S.
        Life transitions and changing exercise patterns in young women.
        Am J Prev Med. 2003; 25: 140-143
        • Godin G.
        • Vezina L.
        • Leclerc O.
        Factors influencing intentions of pregnant women to exercise after giving birth.
        Public Health Rep. 1989; 104: 188-195
        • Mottola M.F.
        Exercise in the postpartum period: practical applications.
        Curr Sports Med Rep. 2002; 1: 362-368
        • Devine C.
        • Bove C.
        • Olson C.
        Continuity and change in women's weight orientations and lifestyle practices through pregnancy and the postpartum period: the influence of life course trajectories and transitional events.
        Soc Sci Med. 2000; 50: 567-582
        • Hegaard H.K.
        • Pedersen B.K.
        • Nielsen B.B.
        • et al.
        Leisure-time exercise during pregnancy and impact on gestational diabetes mellitus, preeclampsia, preterm delivery and birth weight: a review.
        Acta Obstet Gyn Scan. 2007; 86: 1290-1296
        • Marcoux S.
        • Brisson J.
        • Fabia J.
        The effect of leisure-time exercise on the risk of preeclampsia and gestational hypertension.
        J Epidemiol Commun Health. 1989; 43: 147-152
        • Sorensen T.
        • Williams M.
        • Lee I.
        • et al.
        Recreational exercise during pregnancy and risk of preeclampsia.
        Hypertension. 2003; 41: 1273-1280
        • Dempsey J.C.
        • Sorenson T.K.
        • Williams M.A.
        • et al.
        Prospective study of gestational diabetes mellitus risk in relation to maternal recreational exercise before and during pregnancy.
        Am J Epidemiol. 2004; 159: 663-670
        • Mottola M.F.
        The role of exercise in the prevention and treatment of gestational diabetes mellitus.
        Curr Sports Med Rep. 2007; 6: 381-386
        • Juhl M.
        • Andersen P.K.
        • Olsen J.
        • et al.
        Physical exercise during pregnancy and the risk of preterm birth: a study within the Danish national birth cohort.
        Am J Epidemiol. 2008; 167: 859-866
        • Clapp J.F.
        • Kiess W.
        Effects of pregnancy and exercise on concentrations of the metabolic markers tumor necrosis factor [alpha] and leptin.
        Am J Obstet Gynecol. 2000; 182: 300-306
      2. US Department of Health and Human Services. Physical activity guidelines for Americans. http://www.health.gov/PAGuidelines; 2008 [accessed 10.08.10].

        • Poudevigne M.
        • O’Conner P.
        A review of exercise patterns in pregnant women and their relationship to psychological health.
        Sports Med. 2006; 36: 19-38
        • Watson P.
        • McDonald B.
        Activity levels in pregnant New Zealand women: relationship with socioeconomic factors, well-being, anthropometric measures, and birth outcome.
        Appl Physiol Nutr Med. 2007; 32: 733-742
        • Chasan-Taber L.
        • Schmidt M.
        • Pekow P.
        • et al.
        Correlates of exercise in pregnancy among Latina women.
        Mat Child Health J. 2007; 11: 353-363
        • Evenson K.R.
        • Moos M.
        • Carrier K.I.
        • et al.
        Perceived barriers to exercise among pregnant women.
        Mat Child Health J. 2009; 13: 364-375
        • Clarke P.
        • Gross H.
        Women's behaviour, beliefs and information sources about physical exercise in pregnancy.
        Midwifery. 2004; 20: 133-141
        • Fell D.
        • Joseph K.
        • Armson B.
        • et al.
        The impact of pregnancy on exercise level.
        Mat Child Health J. 2009; 13: 597-603
        • Hinton P.
        • Olson C.
        Predictors of pregnancy-associated change in exercise in a rural white population.
        Mat Child Health J. 2001; 5: 7-14
        • Mottola M.
        • Campbell M.
        Activity patterns during pregnancy.
        Can J Appl Physiol. 2003; 28: 642-653
        • Ning Y.
        • Williams J.
        • Dempsey T.
        • et al.
        Correlates of recreational exercise in early pregnancy.
        J Matern Fetal Neo Med. 2003; 13: 385-393
        • Pereira M.
        • Rifas-Shiman S.
        • Kleinman K.
        • et al.
        Predictors of change in exercise during and after pregnancy.
        Am J Prev Med. 2007; 32: 312-319
        • Rutkowska E.
        • Lepecka-Klusek C.
        The role of exercise in preparing women for pregnancy and delivery in Poland.
        Health Care Women Int. 2002; 23: 919-923
        • Symons Downs D.
        • Hausenblas H.A.
        Women's exercise beliefs and behaviors during their pregnancy and postpartum.
        J Midwifery Women Health. 2004; 49: 138-144
        • Wallace A.
        • Boyer D.
        • Dan A.
        Aerobic exercise, maternal self-esteem, and physical discomforts during pregnancy.
        J Nurse Midwifery. 1986; 31: 255-262
        • Zhang J.
        • Savitz D.
        Exercise during pregnancy among U.S. women.
        Ann Epidemiol. 1996; 6: 53-59
        • Evenson K.R.
        • Savitz D.A.
        • Huston S.L.
        Leisure-time exercise among pregnant women in the US.
        Pediatric Perinatal Epidemiol. 2004; 18: 400-407
        • Petersen A.
        • Leet T.
        • Brownson R.
        Correlates of exercise among pregnant women in the United States.
        Med Sci Sport Exer. 2005; 37: 1748-1753
        • Mudd L.
        • Nechuta S.
        • Pivarnik J.
        • et al.
        Factors associated with women's perceptions of exercise safety during pregnancy.
        Prev Med. 2009; 49: 194-199
        • Duncombe D.
        • Wertheim E.
        • Skouteris H.
        • et al.
        Factors related to exercise over the course of pregnancy including women's beliefs about the safety of exercise during pregnancy.
        Midwifery. 2009; 25: 430-438
        • Rose N.
        • Haddow J.
        • Palomaki G.
        • et al.
        Self-rated exercise level during the second trimester and pregnancy outcome.
        Obstet Gynecol. 1991; 78: 1078-1080
        • Horns P.
        • Ratcliffe L.
        • Leggett J.
        • et al.
        Pregnancy outcomes among active and sedentary primiparous women.
        JOGNN. 1996; 25: 49-54
        • Hausenblas H.
        • Symons Downs D.
        • Giacobbi P.
        • et al.
        A multilevel examination of exercise intention and behaviour during pregnancy.
        Soc Sci Med. 2008; 66: 2555-2561
        • Ajzen I.
        • Fishbein M.
        Understanding attitudes and predicting social behavior.
        Prentice Hall, Englewood Cliffs, NJ1980
        • Hausenblas H.A.
        • Symons Downs D.
        Prospective examination of the theory of planned behavior applied to exercise behavior during women's first trimester of pregnancy.
        J Reprod Infant Psychol. 2004; 22: 199-210
        • Symons Downs D.
        • Hausenblas H.A.
        Exercising for two: Examining pregnant women's second trimester exercise intention and behavior using the framework of the theory of planned behavior.
        WHI. 2003; 13: 222-228
        • Symons Downs D.
        • Hausenblas H.A.
        Pregnant women's third trimester exercise behaviors, body mass index, and pregnancy outcomes.
        Psychol Health. 2007; 22: 545-559
        • Brown P.R.
        • Brown W.J.
        • Miller Y.D.
        • et al.
        Perceived constraints and social support for active leisure among mothers with young children.
        Leisure Sci. 2001; 23: 131-144
        • Cramp A.
        • Bray S.
        A prospective examination of exercise and barrier self-efficacy to engage in leisure-time exercise during pregnancy.
        Ann Behav Med. 2009; 37: 325-334
        • Miller Y.
        • Brown W.
        Determinants of active leisure for women with young children – an “ethic of care” prevails.
        Leisure Sci. 2005; 27: 405-420
        • Wareham N.
        • Rennie K.
        The assessment of exercise in individuals and populations: why try to be more precise about how exercise is assessed?.
        Int J Obes Rel Metc Dis. 1998; 22: S30-S38
        • Ernhart C.B.
        • Morrow-Tlucak M.
        • Sokol R.J.
        • et al.
        Underreporting of alcohol use in pregnancy.
        Alcohol Clin Exp Res. 1988; 12: 506-511
        • Ford R.P.
        • Tappin D.M.
        • Schluter P.J.
        • et al.
        Smoking during pregnancy: how reliable are maternal self reports in New Zealand?.
        J Epidemiol Commun Health. 1997; 51: 246-251