Exercise in obese pregnant women: The role of social factors, lifestyle and pregnancy symptoms

BMC Pregnancy and Childbirth

Research Article

H David McIntyre¹  Ingrid J Rowlands²  Leonie K Callaway³  Katie F Foxcroft¹⁴  Nuala M Byrne⁵ 

[1] Department of Endocrinology and Obstetric Medicine, Mater Health Services and Mater Clinical School, University of Queensland, Stanley St, (4101), Brisbane, Australia;Department of Epidemiology, Queensland Institute of Medical Research and School of Population Health, University of Queensland, (Herston Rd), (4029), Brisbane, Australia;Department of Internal Medicine Services, Royal Brisbane and Women's Hospital and School of Medicine, University of Queensland, (Herston Rd), (4029), Brisbane, Australia;Department of Internal Medicine and Aged Care, Royal Brisbane and Women's Hospital, (Butterfield St), (4029), Brisbane, Australia;School of Human Movement Studies and Institute of Health and Biomedical Innovation, Queensland University of Technology, Musk Ave, (4059), Brisbane, Australia;

关键词: Back Pain;    Late Pregnancy;    Exercise Status;    Obese Pregnant Woman;    Research Midwife;   

DOI  :  10.1186/1471-2393-11-4

 received in 2010-04-08, accepted in 2011-01-12,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundPhysical activity may reduce the risk of adverse maternal outcomes, yet there are very few studies that have examined the correlates of exercise amongst obese women during pregnancy. We examined which relevant sociodemographic, obstetric, and health behaviour variables and pregnancy symptoms were associated with exercise in a small sample of obese pregnant women.MethodsThis was a secondary analysis using data from an exercise intervention for the prevention of gestational diabetes in obese pregnant women. Using the Pregnancy Physical Activity Questionnaire (PPAQ), 50 obese pregnant women were classified as "Exercisers" if they achieved ≥900 kcal/wk of exercise and "Non-Exercisers" if they did not meet this criterion. Analyses examined which relevant variables were associated with exercise status at 12, 20, 28 and 36 weeks gestation.ResultsObese pregnant women with a history of miscarriage; who had children living at home; who had a lower pre-pregnancy weight; reported no nausea and vomiting; and who had no lower back pain, were those women who were most likely to have exercised in early pregnancy. Exercise in late pregnancy was most common among tertiary educated women.ConclusionsOffering greater support to women from disadvantaged backgrounds and closely monitoring women who report persistent nausea and vomiting or lower back pain in early pregnancy may be important. The findings may be particularly useful for other interventions aimed at reducing or controlling weight gain in obese pregnant women.

【 授权许可】

CC BY   
© Foxcroft¹ et al; licensee BioMed Central Ltd. 2011