Impact of compliance with different guidelines on physical activity during pregnancy and perceived barriers to leisure physical activity

Santos, Paula Clara; Abreu, Sandra; Moreira, Carla; Lopes, Diana Maria de Almeida; Santos, Rute; Alves, Odete; Silva, Pedro; Montenegro, Nuno; Mota, Jorge

doi:10.1080/02640414.2014.893369

Cited by 62 publications

(62 citation statements)

References 50 publications

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“…mostly advised against strength training [28]. The lack of attention to the subject of exercise combined with both inadequate counselling with regards to mother and child safety and a lack of social support is a barrier to the adoption of the lifestyle intervention "physical exercise" [29]. Our data showed that "well" informed pregnant women tended to have higher activity levels.…”

Section: Discussionmentioning

confidence: 85%

Physical Exercise During Pregnancy – How Active Are Pregnant Women in Germany and How Well Informed?

Schmidt

Heilmann

Savelsberg

et al. 2017

Geburtshilfe Frauenheilkd

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ABSTR AC TIntroduction There is sufficient evidence showing the positive effects of physical exercise on various aspects of pregnancy. This study evaluates knowledge and status of physical exercise among pregnant women. MethodsThe standardised paper-pencil questionnaire "Pregnancy Physical Activity Questionnaire" (PPAQ) as well as general demographic questions were used to assess the exercise behaviour of study participants. 83 questionnaires completed by women presenting to the Kiel University Hospital for antenatal assessment were included in the analysis.Results At the time of questionnaire completion 10 women were in the first trimester of pregnancy, 64 in the second, and 9 in the third. Just less than 90 % of participants felt they had been informed "sufficiently" on the topic physical exercise during pregnancy, over 50 % felt they were "well" or "very well" informed. Just less than half of participants received their information from a doctor (either their gynaecologist or general practitioner) and none of these felt "insufficiently" informed. Almost 80 % of participants reported still doing no sport or less exercise than before falling pregnant. The maximum proportional energy expenditure for recreational activity -just under 20 % -was in the third trimester. Women who felt they had been well counselled tended to have higher activity levels.Conclusion Study participants demonstrated a clear decline in physical exercise during pregnancy despite clear evidence of the benefits of regular exercise for pregnant women, and despite participants feeling they were well informed. Detailed information on the recommendations for physical exertion in pregnancy should form an integral part of antenatal counselling. ZUSAMMENFASSUNGEinleitung Die positiven Effekte einer körperlichen Aktivität

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Section: Discussionmentioning

confidence: 85%

Physical Exercise During Pregnancy – How Active Are Pregnant Women in Germany and How Well Informed?

Schmidt

Heilmann

Savelsberg

et al. 2017

Geburtshilfe Frauenheilkd

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“…The incidence of a sedentary lifestyle during pregnancy ranges from 64.5 to 91.5% and tends to be higher in the third trimester, (4) having a negative impact on live, contributing to the epidemics of obesity and increasing the risk of maternal conditions, such as diabetes mellitus and hypertension. (5,6) …”

Section: Introductionmentioning

confidence: 99%

Effect of maternal exercises on biophysical fetal and maternal parameters: a transversal study

Santos

Gallarreta

et al. 2016

Einstein (São Paulo)

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Objective To evaluate the acute effects of maternal and fetal hemodynamic responses in pregnant women submitted to fetal Doppler and an aerobic physical exercise test according to the degree of effort during the activity and the impact on the well-being.Methods Transversal study with low risk pregnant women, obtained by convenience sample with gestational age between 26 to 34 weeks. The participants carry out a progressive exercise test.Results After the exercise session, reduced resistance (p=0.02) and pulsatility indices (p=0.01) were identified in the umbilical artery; however, other Doppler parameters analyzed, in addition to cardiotocography and fetal biophysical profile did not achieve significant change. Maternal parameters obtained linear growth with activity, but it was not possible to establish a standard with the Borg scale, and oxygen saturation remained stable.Conclusion A short submaximal exercise had little effect on placental blood flow after exercise in pregnancies without complications, corroborating that healthy fetus maintains homeostasis even in situations that alter maternal hemodynamics.

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“…In a British cohort, 48.8% of pregnant women at a GA between 18 and 32 weeks had three or more hours of exercise per week [14], and in an Irish cohort, 21.5% of the pregnant women in the sample were physically active [17]. According to a study performed in Portugal, the main reasons given as a barrier to physical exercise during pregnancy were lack of time, busy schedules, and a dislike for exercise [18].…”

Section: Discussionmentioning

confidence: 99%

Fetal Hemodynamic Response to Maternal Isometric Exercise

Soares¹,

Gallarreta²,

Neme³

2018

OJOG

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Background: Studies on physical activity during pregnancy and its impact on mother and fetus are still limited. International protocols consider only aerobic exercise and fail to provide information about other modalities such as isometric exercise. Isometric exercise promotes cardiorespiratory resistance and muscle strengthening, but it is rarely tested on pregnant women because it increases maternal blood pressure and can subsequently affect placental circulation. Objective: To evaluate maternal and fetal response of low-risk pregnant women undergoing isometric testing through a Doppler velocimetry study. Methodology: A cross-sectional, experimental study was performed on 46 healthy pregnant women (gestational age between 26 and 36 weeks) who underwent isometric testing. This testing was performed using a handgrip dynamometer to measure maternal and fetal hemodynamic parameters before, during, and after isometric testing. Results: There was a significant increase in systolic blood pressure (BP; pre-isometrics 113.13 ± 9.92 mmHg, during isometrics 117.13 ± 10.24 mmHg, and post-isometrics 112.43 ± 9.87 mmHg, p < 0.001) and heart rate (HR; pre-isometrics 87.52 ± 14.10 bpm, during isometrics 97.61 ± 14.83 bpm, and post-isometrics 85.13 ± 13.24 bpm, p < 0.001). There were significant decreases in the pulsatility index (PI; pre-isometrics 0.63 ± 0.15, during isometrics 0.56 ± 0.15, and post-isometrics 0.65 ± 0.17, p = 0.001), resistance index (RI; pre-isometrics 0.44 ± 0.08, during isometrics 0.40 ± 0.07, and post-isometrics 0.45 ± 0.08, p = 0.001), and systolic/diastolic (S/D) ratio (pre-isometrics 1.81 ± 0.26, during isometrics 1.69 ± 0.24, and post-isometrics 1.85 ± 0.29, p < 0.001) of the left uterine artery (UA). These results showed significant changes only during the isometric exercise, and not between the pre-and post-isometric exercises. There were no significant differences in fetal parameters when the results before, during, and after the isometric test were compared. Conclusion: Isometric testing had no repercussions for fetal hemodynamics in healthy low-risk pregnant women.

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Impact of compliance with different guidelines on physical activity during pregnancy and perceived barriers to leisure physical activity

Cited by 62 publications

References 50 publications

Physical Exercise During Pregnancy – How Active Are Pregnant Women in Germany and How Well Informed?

Physical Exercise During Pregnancy – How Active Are Pregnant Women in Germany and How Well Informed?

Effect of maternal exercises on biophysical fetal and maternal parameters: a transversal study

Fetal Hemodynamic Response to Maternal Isometric Exercise

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