Views on Exercise Among Black Women During Pregnancy

Davis, Jean W.; McCracken, Lindsey; Eboh, Relicious N.; Price, Mercedes; Lebo, Lauren; Misra, Dawn P.; Kavanaugh, Karen; Wilbur, JoEllen; Giurgescu, Carmen

doi:10.1016/j.jogn.2021.04.009

Cited by 4 publications

(6 citation statements)

References 35 publications

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“…Participants may lack the self‐efficacy to perform PA without accessible resources or adequate instructions. Motivational interviewing is a research‐based method of improving self‐efficacy for PA recommended for use with pregnant women (ACOG, 2009), and group PA programs that include instruction on safe PA during pregnancy are recommended (Davis et al., 2021).…”

Section: Discussionmentioning

confidence: 99%

“…Barriers to PA found among pregnant women generally include lack of motivation, social support, and knowledge of recommended and safe PA for pregnant women (Davis et al., 2021; Evenson et al., 2009). Costs of gym membership, exercise sessions, childcare, and transportation and a lack of social support have been identified as barriers to exercise among Black pregnant women (Davis et al., 2021).…”

Section: Discussionmentioning

confidence: 99%

“…This difference may be explained by low PA among Black women in general and the high percentage of our participants reporting pre‐pregnancy PA in the underactive or sedentary range (37%). Barriers to PA among Black pregnant women in our prior research include financial, transportation, childcare, and safe exercise space challenges (Davis et al., 2021).…”

Section: Conclusion and Practice Implicationsmentioning

confidence: 99%

“…Healthcare providers, including public health nurses, should assess Black pregnant women's PA and support them to meet ACOG (2020) opinion recommendations for 150 min/week of moderate‐intensity PA before, during, and after pregnancy. Providers should use motivational interviewing to improve self‐efficacy for PA, set PA goals with Black pregnant women, and instruct on safe PA during pregnancy (ACOG, 2009; Davis et al., 2021). Healthcare providers need to make Black pregnant women aware of the accessible resources in their communities (e.g., low or no cost, accessible by active or public transportation) as needed to support adequate PA during pregnancy.…”

Section: Conclusion and Practice Implicationsmentioning

confidence: 99%

“…This difference may be explained by low PA among Black women in general and the high percentage of our participants reporting pre-pregnancy PA in the underactive or sedentary range (37%). Barriers to PA among Black pregnant women in our prior research include financial, transportation, childcare, and safe exercise space challenges(Davis et al, 2021).Healthcare providers, including public health nurses, should assess Black pregnant women's PA and support them to meet ACOG (2020) opinion recommendations for 150 min/week of moderate-intensity PA before, during, and after pregnancy. Providers should use motivational interviewing to improve self-efficacy for PA, set PA goals with Black pregnant women, and instruct on safe PA during pregnancy (ACOG, 2009; Davis et al, 2021).…”

mentioning

confidence: 97%

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Physical activity changes among non‐Hispanic Black pregnant women

Davis

Hyer

Xie

et al. 2022

Public Health Nursing

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Objective: To examine aerobic physical activity (PA) among non-Hispanic Black pregnant women.Design: Longitudinal prospective cohort study. Sample:A subset of 161 non-Hispanic Black pregnant women from the Midwestern US participating in a larger study completed questionnaires about aerobic physical activity (PA) before pregnancy (reported at 24.46±2.13 weeks gestation), mid-pregnancy (24.46±2.13 weeks gestation), and late pregnancy (31.78±1.95 weeks gestation).Measurements: Aerobic PA was measured using the Rapid Assessment of Physical Activity (RAPA).Results: Most participants reported being active prior to pregnancy (n = 101, 63%), with 60 (37%) underactive/sedentary. Aerobic RAPA scores were highest prepregnancy (3.29±1.11, median = 4, interquartile range [IQR] = 1) compared with mid-pregnancy (3.05±1.26, median = 4, IQR = 2) and late pregnancy (3.05±1.24, median = 4, IQR = 2). Pre-pregnancy scores were significantly higher than midpregnancy scores (Wilcoxon test = 1472, p = .008) and late pregnancy scores (Wilcoxon test = 1854, p = .01). Conclusion:Most Black pregnant participants reported high levels of aerobic PA both before pregnancy and during pregnancy. However, many were underactive or sedentary. Aerobic PA decreased during pregnancy compared with pre-pregnancy, without the drop in third trimester PA found in other populations. Providers should assess PA across pregnancy and promote adequate PA for maternal and infant health, particularly among Black women.

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Section: Discussionmentioning

confidence: 99%