The association of exercise during pregnancy with trimester-specific and postpartum quality of life and depressive symptoms in a cohort of healthy pregnant women

Campolong, Kelsey; Jenkins, Sarah M.; Clark, Matthew M.; Borowski, Kristi S.; Nelson, Natalie; Moore, Katherine M.; Bobo, William V.

doi:10.1007/s00737-017-0783-0

Cited by 24 publications

(24 citation statements)

References 53 publications

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“…It has also been shown that HRQoL might be compromised during pregnancy and that higher physical fitness plays a positive role in HRQoL . As the IFIS is a rather simple and quick‐to‐use tool that could be implemented in clinical practice, it is of clinical interest to investigate whether the IFIS can discriminate between both objectively measured physical fitness and HRQoL levels in pregnant women.…”

Section: Introductionmentioning

confidence: 99%

International Fitness Scale—IFIS: Validity and association with health‐related quality of life in pregnant women

Romero‐Gallardo

Soriano‐Maldonado

Ocón‐Hernández

et al. 2019

Scandinavian Med Sci Sports

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This study aimed (a) to examine the construct validity of the International Fitness Scale (IFIS) to discriminate between different objectively measured physical fitness levels in pregnant women and (b) to assess the extent to which IFIS is able to discriminate between pregnant women with different levels of health‐related quality of life (HRQoL). A total of 159 pregnant women were involved in the GESTAtion and FITness project: 106 pregnant women (mean age 32.7, SD 4.4 years) were included. Self‐reported physical fitness—that is, cardiorespiratory fitness, muscular strength, flexibility, and overall fitness—was assessed with the IFIS. Physical fitness was objectively measured using the Bruce test, the handgrip strength test and the back‐scratch test. The HRQoL was assessed with the 36‐item Short Form Health Survey (SF‐36). Higher self‐reported physical fitness measured with IFIS was associated with higher objectively measured physical fitness (P < .05). There was a linear association so that higher self‐reported physical fitness (ie, IFIS; regardless of the fitness component) was related to greater General Health dimension scores (P < .05). Moreover, higher self‐reported physical fitness (all components except muscular strength) was associated with better Physical Functioning, lower Bodily Pain and higher Vitality scores (ie, SF‐36 components). This linear trend was not seen for objectively measured physical fitness. The results of this study suggest that IFIS might be a useful tool for identifying pregnant women with low or very low physical fitness and with low quality of life health‐related. Further research should elucidate whether IFIS can identify women with pregnancy complications before it can be implemented in clinical practice.

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Section: Introductionmentioning

confidence: 99%

International Fitness Scale—IFIS: Validity and association with health‐related quality of life in pregnant women

Romero‐Gallardo

Soriano‐Maldonado

Ocón‐Hernández

et al. 2019

Scandinavian Med Sci Sports

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“…12,31 Previous studies reported improved postpartum quality of life in women who exercised during pregnancy. 13,21 The results of the present study are suggestive of unsuitable ANE practices among these women. This may be evident from the prescribers of ANE, as reported by these women.…”

Section: Discussionmentioning

confidence: 53%

“…In some studies, ANE was related to improved postpartum QOL, wellbeing and reduction of postpartum depression, while in others there were no associations between ANE and postpartum health status. [17][18][19][20][21][22][23][24] In developing countries like Nigeria, empirical evidences are scarce on the impact of practice and/or patterns of ANE on postpartum health status of nursing mothers. There is need to evaluate the practice and patterns of ANE in mothers as well as how these antenatal health behaviours relate with postnatal health status.…”

Section: Introductionmentioning

confidence: 99%

Postpartum health related quality of life: relationship to antenatal exercise practice in a Nigerian population

Ojukwu¹,

Okemuo²,

Anekwu³

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Pregnancy and postpartum periods have been associated with physical changes, mental health problems, including stress, anxiety, depression and psychosis as well as changes in women's quality of life (QOL). 11-13 Some ABSTRACT Background: Antenatal exercise (ANE) has been reported to improve postpartum health outcomes in women. However, postpartum health related outcomes of ANE have been inconsistent in previous studies and have not been studied in a Nigerian population. This study assessed the influence of ANE on postpartum health-related quality of life (HRQOL) of Nigerian women. Methods: 350 purposively selected women participated in this cohort study. During the last two pregnancy trimesters, participants completed a questionnaire assessing ANE practice/pattern while the Short Form (SF-36) questionnaire was used to assess HRQOL during postpartum. Data were analyzed using descriptive and inferential statistics with alpha level set at 0.05. Results: Majority (82.9%) of the women practiced ANE. Women who did not exercise showed significantly (p = 0.001) higher general health scores than those who did not. Women who exercised for <30 mins also showed significantly (p = 0.040) higher general health scores, as compared to those who exercised for ≥30 mins. HRQOL was negatively correlated with each of practice and duration of ANE. Conclusions: It was concluded that ANE practice and patterns did not improve postpartum HRQOL. Improved education and supervision of ANE is recommended for improved postpartum health outcomes.

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“…Consequently, it seems likely that pregnant women who receive more detailed advice regarding the benefits of exercising during pregnancy are more likely to perform a sufficient amount of exercise according to the ACOG guidelines (Santo et al, 2017). Indeed, healthy pregnant women who adhered to the ACOG guidelines for exercise exhibited significantly better physical and emotional health than those who did not follow these guidelines (Campolong et al, 2017). Moreover, the women who were taught to follow the ACOG guidelines when they exercised by their health care providers had a lower level of pregnancy-induced symptom distress.…”

Section: Discussionmentioning

confidence: 99%

“…According to guidelines issued by the American College of Obstetrics and Gynecology (ACOG), healthy pregnant women should engage in moderate-intensity exercise for at least 20-30 min/day on most days (ACOG, 2015). However, past studies have shown that women seldom adhere to the ACOG guidelines and tend to decrease the frequency and intensity of exercise to significantly less than the ACOG standards during pregnancy (Campolong et al, 2017;Lee, Chiang, Hwang, Chi, & Lin, 2016;Santo, Forbes, Oken, & Belfort, 2017;Tung, Lee, Lin, & Lin, 2014). This could be due to distress symptoms that arise with physiological changes, a fear of harming the fetus and, in turn, a reduced inclination to exercise (Campolong et al, 2017;Lee et al, 2016;Santo et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of individual face‐to‐face exercise counselling in changing exercise behaviours to relieve symptom distress in pregnant women

Lee

Huang

Wen

et al. 2020

Int J of Nursing Practice

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Aim The present study aimed to evaluate the effectiveness of individualized exercise counselling in changing exercise behaviour and relieving pregnancy‐related distress symptoms in pregnant women. Methods A quasi‐experimental design and convenience sampling technique were used. Participants were recruited from the prenatal outpatient departments of medical centre hospitals in Taipei, Taiwan. The experimental group (n = 52) received face‐to‐face exercise counselling followed by 8 weeks of exercise sessions in their homes. The control group (n = 49) received no exercise counselling. Pregnancy‐related distress symptoms were assessed before and after 8 weeks in both groups. Results The after‐counselling scores of total (t = 2.46, P < 0.05) and physical (t = 3.18, P < 0.01) distress symptoms were significantly lower than the before‐counselling scores in the experimental group. The total, physical and psychological distress scores significantly differed between groups and before and after counselling. The adjusted R2 values for total, physical and psychological distress symptoms ranged from 0.59 to 0.70. Participants' exercise habits increased from prepregnancy (19.2%) to after counselling (71.2%). Conclusion Exercise counselling may effectively increase exercise habits and reduce pregnancy‐related distress symptoms among pregnant women. Women with higher pretest symptom distress scores also had higher posttest symptom distress scores. Based on our outcomes, health care providers should routinely provide exercise counselling to pregnant women.

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The association of exercise during pregnancy with trimester-specific and postpartum quality of life and depressive symptoms in a cohort of healthy pregnant women

Cited by 24 publications

References 53 publications

International Fitness Scale—IFIS: Validity and association with health‐related quality of life in pregnant women

International Fitness Scale—IFIS: Validity and association with health‐related quality of life in pregnant women

Postpartum health related quality of life: relationship to antenatal exercise practice in a Nigerian population

Effectiveness of individual face‐to‐face exercise counselling in changing exercise behaviours to relieve symptom distress in pregnant women

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