Patterns and Correlates of Self-Reported Physical Activity in a Cohort of Racially Diverse Pregnant Adolescents

Steinl, Gabrielle K.; Whisner, Corrie M.; Pressman, Eva K.; Cooper, Elizabeth; Groth, Susan W.; O’Brien, Kimberly

doi:10.1016/j.jpag.2018.09.003

Cited by 15 publications

(9 citation statements)

References 33 publications

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“…However Gebregziabher et al [17] found that those who were less than 19 years of age were four times more likely to be physically inactive (aOR 4.7, 95% CI 1.4, 15.3) compared with those who were in 25-29-year age group. A study by Steinl et al [32] among pregnant teenagers also noted a positive correlation between age and physical activity levels. However, this current study did not include teenage pregnancies because they are considered to be high risk.…”

Section: Discussionmentioning

confidence: 86%

“…Individual factors that have commonly been associated with physical activity in pregnancy are parity or number of living children, education level, employment status and body mass index (BMI); maternal age, ethnicity and history of miscarriage have been considered less frequently [15,17,19,20,[28][29][30][31][32][33]. Three studies have found that primiparity is significantly associated with physical inactivity [17,19,30], while three other studies have found that multiparity is significantly associated with physical inactivity [15,31,33].…”

Section: Introductionmentioning

confidence: 99%

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Physical inactivity in early pregnancy and the determinants in an urban city setting of Kuala Lumpur, Malaysia

2022

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Background Physical inactivity in pregnancy has been associated with excessive gestational weight gain, hypertensive disorders, gestational diabetes mellitus and postpartum depression. Despite these risks, physical inactivity level remains high especially in higher income countries. The prevalence of physical inactivity among women in Malaysia aged ≥16 years was 28.2% in 2019 exceeding men by 6.1%. However, little is known regarding the subpopulation of pregnant women especially in Kuala Lumpur which is the most urbanized and highly populated city in Malaysia. Therefore, the aim of this study is to measure the physical inactivity prevalence among first trimester pregnant women in Kuala Lumpur and to identify its determining factors. Methods This was a cross-sectional study in which 339 first trimester pregnant women were sampled from 13 maternal and child health clinics located in all four parliament districts of Kuala Lumpur. Self-administered questionnaires which contained the Malay version of the pregnancy physical activity questionnaire (PPAQ) were used. Descriptive analysis was conducted to determine the physical inactivity prevalence followed by simple and multiple logistic regression to identify the determinants of physical inactivity with significant level of 5%. Results The prevalence of physical inactivity was 38.3%. The highest activity was seen in the household activity domain, despite only 24.8% of the respondents were housewives/unemployed. There was little to no participation observed in the vigorous intensity category. The determinants of physical inactivity were primigravida (aOR 3.54 95% CI 1.40, 8.97), education level (aOR 3.77 95% CI 1.35, 10.52) and body mass index (aOR 0.88 95% CI 0.80, 0.97) which explained 22.6% variation of physical inactivity in the final adjusted model. Conclusion The prevalence of physical inactivity among first trimester pregnant mothers in this study was 38.3%, and the highest activity was seen in the household category. Health education on physical activity in pregnancy should be focused on those who are primigravida and have no tertiary education. The educational content should be updated and tailored to current pandemic situation where self-isolation is the new norm, by advocating for home-based, moderate to vigorous intensity physical activities.

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Section: Discussionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Physical inactivity in early pregnancy and the determinants in an urban city setting of Kuala Lumpur, Malaysia

2022

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“…This state of dependence opens an avenue for low self-esteem, hopelessness, and helplessness. Additionally, it takes a psychological toll creating insecurity, depression, and anxiety (23). In families afflicted with a history of poverty, a teenage pregnancy can be devastating by reducing independence when access to adequate resources and child care assistance is already severely limited (24,25).…”

Section: Discussionmentioning

confidence: 99%

Untangling the Roots of the West Virginia Opioid Crisis: Relationships in Adolescent Pregnancy, Drug Abuse, and Future Outcomes

Durr

Critch

Fitzgerald

et al. 2019

Preprint

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Background: The purpose of this study was to determine if there is a relationship between teenage pregnancy and negative health outcomes, including drug abuse, among West Virginia female youth. Methods: Data was acquired for females between 10 and 19 years of age, by county, from the West Virginia Department of Health and Human Resources. Pearson correlation analysis was utilized to examine the relationship between the teenage pregnancy rate and drug related statistics, pregnancy related statistics, heart health related statistics, and environmental variables. This study was conducted from July 2018 to March 2019 at West Virginia University. Results: Teenage pregnancy is correlated to harmful behavioral adaptations that may increase a women’s health risks. We find that teenage pregnancy, regardless of pregnancy outcome, is correlated with increased drug overdose death rates for women, as well as health concerns that increase one’s risk for heart disease. Conclusions: Teenage pregnancy is correlated to a number of outcomes including drug overdose rates and impaired heart health outcomes. Reduction of unintended teenage pregnancy may be useful as a non-traditional method of ameliorating the opioid abuse crisis in the state of West Virginia.

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“…Whilst some young women do improve their diet in pregnancy (Soltani, Duxbury, Rundle & Marvin-Dowle, 2017), others have cited barriers to healthy eating, including a lack of money and access to food (Whisner, Bruening, & O'Brien, 2016). Although the issue of physical inactivity is not only contained to young women, studies confirm that both pregnant (Steinl et al, 2018) and postpartum young women (Behrens, Bradley, Kirby & Nanney, 2012) are insufficiently physically active. Indeed, teenage girls are consistently identified as a group that is not doing enough physical activity to meet recommendations for health (Women in Sport, 2016).…”

Section: Introductionmentioning

confidence: 99%

Healthcare professionals’ views on supporting young mothers with eating and moving during and after pregnancy: An interview study using the COM‐B framework

Lucas

Olander

Salmon

2019

Health Soc Care Community

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Young mothers under the age of 20 often have poor nutrition and low levels of physical activity, adversely affecting outcomes for themselves and their babies. The aim of this qualitative study was to explore the experiences of healthcare professionals in supporting young women around eating and moving during and after pregnancy. Seventeen semi‐structured interviews were conducted with midwives, family nurse practitioners and health visitors involved in the care of pregnant and post‐natal mothers under the age of 20 in England and Wales. Data were analysed using thematic analysis and coded within the theoretical framework of the COM‐B model to three areas of capability, motivation and opportunity. For capability, participants were broadly divided between those who had specialist knowledge and training in communication skills to support health behaviours in this population and professionals reliant on tacit knowledge. For opportunity, having enough time was seen as critical because young women's difficult social contexts meant supporting improved health behaviours required relationships of trust to be built. For motivation, participants reported that supporting young women with eating and moving was part of their role. However, the decision to prioritise this support sometimes related to perceived need based on BMI and this was complicated as young women were still growing. Motivation was additionally connected to professionals’ own body experiences and health behaviours. Moving habits were less frequently discussed than eating as professionals described how young women tended to walk a lot in their daily lives or found that young women were not interested. Results suggest that to support eating and moving behaviours with young women, professionals need to be trained in communication techniques, enabled with the time to hold space for young women and be able to reflect on their own attitudes and beliefs to support a rounded model of health and wellbeing.

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Patterns and Correlates of Self-Reported Physical Activity in a Cohort of Racially Diverse Pregnant Adolescents

Abstract: PA is low across gestation and pregnant teens spent more than half of their monitored time in sedentary activities. Targeted interventions are needed to achieve current PA goals in this pediatric obstetric population.

Cited by 15 publications

References 33 publications

Physical inactivity in early pregnancy and the determinants in an urban city setting of Kuala Lumpur, Malaysia

Physical inactivity in early pregnancy and the determinants in an urban city setting of Kuala Lumpur, Malaysia

Untangling the Roots of the West Virginia Opioid Crisis: Relationships in Adolescent Pregnancy, Drug Abuse, and Future Outcomes

Healthcare professionals’ views on supporting young mothers with eating and moving during and after pregnancy: An interview study using the COM‐B framework

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