How to promote physical activity during pregnancy : A systematic review

James, Pandora; Morgant, R.; Merviel, Philippe; Saraux, Alain; Giroux-Metgès, Marie-Agnès; Guillodo, Y.; Dupré, Pierre‐François; Muller, Matthieu

doi:10.1016/j.jogoh.2020.101864

Cited by 20 publications

(18 citation statements)

References 34 publications

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“…Previous studies in South Africa have emphasised the utilisation of instructional resources, such as posters, brochures and Digital Video Discs (DVDs), as part of an intervention strategy to promote physical activity in antenatal clinics [58,59]. In a recent study, pregnant women advocated the inclusion of exercise brochures and videos [60,61], which tend to suggest that pregnant women are aware of what they require to be physically active; therefore, context-specific interventions to accommodate their needs or concerns on physical activity during pregnancy are essential. The ultimate goal of any strategy is to effect a change in behaviour and attitude to prenatal physical activity; therefore, incorporating behaviour change techniques into interventions may be helpful in improving physical activity levels during pregnancy [62].…”

Section: Discussionmentioning

confidence: 99%

“…In this regard, providing prenatal physical education and counselling would help educate women concerning the importance of prenatal physical activity practice, and is seemingly most effective through one-on-one approach [62]. A recent systematic review has identified individual interviews, group interviews, access to information through brochures or multimedia supports and use of smartphone applications for personal training and general information as interventions to promote physical activity during pregnancy [60]. The review further indicated that individual interventions are commonly used, and are reinforced by reminders during routine consultations, or through emails or informative brochures [60].…”

Section: Discussionmentioning

confidence: 99%

“…A recent systematic review has identified individual interviews, group interviews, access to information through brochures or multimedia supports and use of smartphone applications for personal training and general information as interventions to promote physical activity during pregnancy [60]. The review further indicated that individual interventions are commonly used, and are reinforced by reminders during routine consultations, or through emails or informative brochures [60]. It has been shown that an individualised intervention incorporating two telephonic reminders increased physical activity participation in overweight and obese pregnant women [63].…”

Section: Discussionmentioning

confidence: 99%

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Development and Validation of Prenatal Physical Activity Intervention Strategy for Women in Buffalo City Municipality, South Africa

Okafor

Goon

2021

Healthcare

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Women rarely participate in physical activity during pregnancy, despite scientific evidence emphasising its importance. This study sought to develop an intervention strategy to promote prenatal physical activity in Buffalo City Municipality, Eastern Cape Province, South Africa. A multi-stage approach was utilised. The Strength, Weakness, Opportunity and Threat (SWOT) approach was applied to the interfaced empirical findings on prenatal physical activity in the setting. Subsequently, the Build, Overcome, Explore and Minimise model was then used to develop strategies based on the SWOT findings. A checklist was administered to key stakeholders to validate the developed strategies. Key strategies to promote prenatal physical activity include the application of the Mom-Connect (a technological device already in use in South Africa to promote maternal health-related information for pregnant women) in collaboration with cellphone and network companies; the South African government to integrate prenatal physical activity and exercise training in the medical and health curricula to empower the healthcare providers with relevant knowledge and skills to support pregnant women in prenatal physical activity counselling; provision of increased workforce and the infrastructure necessary in antenatal sessions and antenatal physical exercise classes and counselling; the government, in partnership with various stakeholders, to provide periodical prenatal physical activity campaigns based in local, community town halls and clinics to address the lack of awareness, misrepresentations and concerns regarding the safety and benefits of physical activity during pregnancy. The effective implementation of this developed prenatal physical activity by policymakers and health professionals may help in the promotion of physical activity practices in the context of women in the setting.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Development and Validation of Prenatal Physical Activity Intervention Strategy for Women in Buffalo City Municipality, South Africa

Okafor

Goon

2021

Healthcare

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“…Whilst intrapersonal themes are consistently reported as both barriers and enablers to PA participation, variability in the influence of theory-based factors on PA behaviour throughout the stages of pregnancy (i.e., trimesters) and following childbirth have become apparent [ 10 ]. This suggests that flexible person-centred strategies and interventions are needed to accommodate the many changes associated with the perinatal period [ 8 ], and may indicate why trials of interventions to increase or sustain PA have rarely shown a significant positive effect in either pregnant [ 11 ] or postnatal women [ 12 ]. Recognizing, therefore, that one-size-fits-all approaches are insufficient, new approaches are required.…”

Section: Physical Activity In Pregnancy and Postpartummentioning

confidence: 99%

Encouraging Physical Activity during and after Pregnancy in the COVID-19 Era, and beyond

Atkinson

Vivo

Hayes

et al. 2020

IJERPH

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Physical activity is known to decline during pregnancy and the postnatal period, yet physical activity is recommended during this time due to the significant health benefits for mothers and their offspring. As a result of the COVID-19 pandemic and the restrictions imposed to reduce infection rates, pregnant and postnatal women have experienced disruption not just to their daily lives but also to their pregnancy healthcare experience and their motherhood journey with their new infant. This has included substantial changes in how, when and why they have engaged with physical activity. While some of these changes undoubtedly increased the challenge of being sufficiently active as a pregnant or postnatal woman, they have also revealed new opportunities to reach and support women and their families. This commentary details these challenges and opportunities, and highlights how researchers and practitioners can, and arguably must, harness these short-term changes for long-term benefit. This includes a call for a fresh focus on how we can engage and support those individuals and groups who are both hardest hit by COVID-19 and have previously been under-represented and under-served by antenatal and postnatal physical activity research and interventions.

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“…Aproximadamente un 25% de las mujeres experimentan una caída durante la gestación, también el dolor de origen lumbo pélvico y en zonas anatómicas cercanas, donde más del 50% se queja al menos una vez de dolor de origen musculoesquelético en la zona lumbar. Finalmente, la mujer gestante, experimenta una disminución y falta de promoción de la práctica de actividad física por miedo a riesgos, falta de condiciones adecuadas para la práctica y el desconocimiento acerca de los beneficios del movimiento para el embarazo (Catena, Bailey, Campbell, Stewart y Marion, 2020;Berber y Satılmıs, 2020;James et al, 2020).…”

unclassified

Alteraciones musculoesqueléticas y adaptaciones biomecánicas durante los trimestres de embarazo: una revisión sistemática

Salazar

2021

PensarMov.

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El embarazo es un proceso progresivo que involucra cambios de tipo hormonal, mecánico, fisiológico y emocional en la mujer, y que causa que el sistema musculoesquelético se adapte constantemente. Estos cambios, suelen identificarse a través de la postura y la biomecánica de los movimientos en la vida diaria. En esta investigación se realizó una revisión sistemática para encontrar las principales alteraciones y adaptaciones durante el embarazo, incluyendo artículos del 2008 al 2018, con mujeres gestantes sanas, con un solo feto, sin alteraciones musculoesqueléticas previas, de Índice de Masa Corporal (IMC) normal y cualquier metodología de investigación excepto estudios de caso. Se identificaron 13 estudios que refieren evaluar las tres etapas de gestación, edades desde los 20 a los 35 años, así como con diversos objetivos de investigación. La postura de la mujer gestante presenta un aumento de la lordosis lumbar, la curvatura torácica y el ángulo de inclinación anterior de la pelvis. La tarea de sentarse y levantarse de una silla requiere de mayor control del movimiento así como de tiempo de ejecución. La oscilación y las fuerzas de reacción del suelo del Centro de Presión corporal aumentan al estar de pie, lo que resulta en una mayor distancia entre los pies como estrategia de control del equilibrio. Finalmente, la biomecánica de la marcha se adapta a una menor velocidad, longitud de paso y etapa de despegue de los pies del piso, con un aumento del ancho de paso y una mayor base de apoyo. En la gestación, la mujer desarrolla adaptaciones de tipo anatómicas y mecánicas como respuesta a los cambios progresivos experimentados.

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How to promote physical activity during pregnancy : A systematic review

Cited by 20 publications

References 34 publications

Development and Validation of Prenatal Physical Activity Intervention Strategy for Women in Buffalo City Municipality, South Africa

Development and Validation of Prenatal Physical Activity Intervention Strategy for Women in Buffalo City Municipality, South Africa

Encouraging Physical Activity during and after Pregnancy in the COVID-19 Era, and beyond

Alteraciones musculoesqueléticas y adaptaciones biomecánicas durante los trimestres de embarazo: una revisión sistemática

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