Physical exercises during pregnancy: reasons for non-adherence

Main Article Content

Ana Luisa Batista Santos
Luilma Albuquerque Gurgel, Dr.
Alba Menezes de Freitas Neta, Ms.

Abstract

This study aimed to identify the reasons for the practice of physical exercise during pregnancy, so that health professionals who participate in prenatal practice can be able to identify and attenuate these limiting factors. This is an integrative review, whose selection criteria were full-text papers available online in Portuguese, English and Spanish; published and indexed in databases Scielo, Medline, Lilacs, Cochrane Library and Science Direct databases, in the period 2006-2016, that presented the variables related to the lack of physical exercise during the habitual risk gestation. Fitfy-six papers were analyzed, from which were retrieved variables classified as intrapersonal factors, interpersonal processes, environmental factors, and public policies. Findings related to intrapersonal factors and interpersonal processes predominated. This fact indicates the greater amount of barriers is related to an element intrinsically related to the pregnant women and their relations with family members, friends, health professionals, and society, with who they live, has been educated and interact daily.

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How to Cite
Batista Santos, A. L., Gurgel, L. A., & de Freitas Neta, A. M. (2019). Physical exercises during pregnancy: reasons for non-adherence. Educación Física Y Ciencia, 21(3), e096. https://doi.org/10.24215/23142561e096
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Articles
Author Biographies

Luilma Albuquerque Gurgel, Dr., Universidade Estadual do Ceará

She holds a degree in Physiotherapy from the University of Fortaleza (1995), a Ph.D. in Pharmacology from the Federal University of Ceará (2000) and a PhD in Pharmacology from the Federal University of Ceará (2005). She is currently assistant professor at the State University of Ceará, linked to the Licentiate Course in Physical Education.

Alba Menezes de Freitas Neta, Ms., Universidade Estadual do Ceará

Discente do curso de Educação Física da Universidade Estadual do Ceará.

References

American College of Obstretricians and Gynecologists. (2002). Committee on Obstetric. Exercise during pregnancy and the post-partum period. Practice Bulletin n. 267. Obstretrics and Gynecology, 99, 171-173.

Anjana, R. M., Sudha V., Lakshmipriya, N., Anitha, C., Unnikrishnan, R., Bhavadharini, B., ”¦ Mohan, V. (2016). Physical activity patterns and gestational diabetes outcomes: the wings project. Diabetes Research and Clinical Practice, 116, 253-262.

Atkinson, L., Shaw, R. L., & French, D. P. (2016). Is pregnancy a teachable moment for diet and physical activity behavior change? An interpretative phenomenological analysis of the experiences of women during their first pregnancy. British Journal of Health Psychology, 21(4), 842-858.

Backhausen, M. G., Katballe, M., Hansson, H., Tabor, A., Damm, P. & Hanne, K. H. (2014). A standardized individual unsupervised water exercise intervention for healthy pregnant women. A qualitative feasibility study. Sexual and Reproductive Healthcare, 5(4), 176-181.

Barakat, R., Pelaez, M., Lopez, C., Montejo, R., & Coteron J. (2012). Exercise during pregnancy improves maternal glucose screen at 24–28 weeks: a randomised controlled trial. British Journal of The Journal of Reproductive Medicine, 46(9), 656- 661.

Barakat, R., Cordero, Y., Coteron, J., Luaces, M., & Montejo, R. (2011). Exercise during pregnancy reduces the rate of cesarean and instrumental deliveries: results of a randomized controlled trial. The Journal of Maternal-Fetal and Neonatal Medicine, 25(11), 2372-2376.

Brasil. Ministério da Saúde. Secretaria de Atenção í Saúde. Departamento de Ações Programáticas Estratégicas. (2006). Pré-natal e puerpério: atenção qualificada e humanizada: manual técnico. Brasí­lia: Ministério da Saúde.

Carvalhaes, M. A.B. L., Martiniano, A. C. A., Malta, M. B., Takito, M. Y., & Bení­cio, M. H. D. A. (2013). Atividade fí­sica em gestantes assistidas na atenção primária í saúde. Revista de Saúde Pública, 47(5), 958-967.

Caspersen, C. J., Powell, K. F., & Christenson, G. M. (1985). Physical activity, exercise and physical fitness: definitions and distinctions for health-related research. Public Health Reports,100, 126-131.

Choi, J., Lee, J. H., Vittinghoff, E., & Fukuoka, Y. (2016). Health physical activity intervention: a randomized pilot study in physically inactive pregnant women. Maternal and Child Health Journal, 20(5), 1091-1101.

Connelly, M., Brown, H., Pligt, P. V. D., & Teychenne, M. (2015). Modifiable barriers to leisure-time physical activity during pregnancy: a qualitative study investigating first time mother’s views and experiences. BMC Pregnancy Childbirth, 15(1), 100.

Costa, D., & Ireland, K. (2013). Perceived benefits and barriers to leisure-time physical activity during pregnancy in previously inactive and active women. Women Health, 53(2), 185-202.

Dempsey, J. C, Butler, C. L., & Williams, M. A. (2004). No need for a pregnant pause: physical activity may reduce the occurrence of gestational diabetes mellitus and preeclampsya. Exercise and Sport Sciences Reviews, 33(3), 141-149.

Devlin, C. A., Huberty, J., & Downs, D. S. (2016). Influences of prior miscarriage and weight status on perinatal psychological well-being, exercise motivation and behavior. Midwifery, 43, 29-36.

Dlugonski, D. & Motl, R. W. (2016). Physical activity experiences and beliefs among single mothers: a qualitative study. Research Quarterly for Exercise and Sport, 87(3), 311-317.

Doran, F., & Davis, K. (2011). Factors that influence physical activity for pregnant and postpartum women and implications for primary care. Australian Journal of Primary Health, 17(1), 79-85.

Duncombe, D., Wertheim, E. H., Skouteris, H., Paxton, S. J., & Kelly, L. (2009). Factors related to exercise over the course of pregnancy including women's beliefs about the safety of exercise during pregnancy. Midwifery, 25(4), 430-438.

Fell, D. B., Joseph, K. S., Armson, B. A., & Dodds, L. (2008). The impact of pregnancy on physical activity level. Maternal and Child Health Journal, 13(5), 597-603.

Garshasbi, A., & Faghih Zadeh, S. (2005). The effect of exercise on the exercise on the intensity of low back pain in pregnant women. International Journal of Gynaecology and Obstetrics, 88(3), 271-275.

Gaston, A., & Prapavessis, H. (2013). Tired, moody and pregnant? Exercise may be the answer. Psychology and Health, 28(12), 1353-1369.

Gaston, A., & Prapavessis, H. (2014). Using a combined protection motivation theory and health action process approach intervention to promote exercise during pregnancy. Journal of Behavioral Medicine, 37(2), 173-184.

Gesche, J., Renault, K., Ní¸rgaard, K., & Nilas, L. (2014). Representativeness of participants in a lifestyle intervention study in obese pregnant women-the difference between study participants and nonparticipants. Obesity Facts, 7(6), 351-360.

Gjestland, K., Bí¸, K., Owe, K. M., & Eberhard-Gran, M. (2013). Do pregnant women follow exercise guidelines? Prevalence data among 3482 women, and prediction of low-back pain, pelvic girdle pain and depression. British Journal of Sports Medicine, 7(8), 515-520.

Goodrich, K., Cregger, M., Wilcox, S., & Liu, J. (2013). A qualitative study of factors affecting pregnancy weight gain in African American women. Maternal and Child Health Journal, 17(3), 432- 440.

Goodwin, A., Astbury, J. & Mcmeeken, J. (2000). Body image and psychological wellbeing in pregnancy: a comparision of exercisers and non-exercisers. Australian and New Zealand Journal of Obstetrics and Gynaecology, 40(4), 442-447.

Groth, S. W. & Morrison-Beedy, D. (2013). Low-income, pregnant, African American women's views on physical activity and diet. Journal of Midwifery Womens Health, 58(2), 195-202.

Haakstad, L. A. H., Voldner, N., Henriksen, T., & Bí¸, K. (2009). Why do pregnant women stop exercising in the third trimester? Acta Obstetricia et Gynecologica Scandinavica, 88(11), 1267- 1275.

Hausenblas, H. A., Brewer, B. W., Van Raalte, J. L., Cook, B., Downs, D. S., Weis, C. A., Nigg, C., & Cruz, A. (2008). Development and evaluation of a multimedia CD-ROM for exercise during pregnancy and postpartum. Patient Education and Counseling, 70(2), 215-219.

Hawkins, M., Hosker, M., Marcus, B. H., Rosal, M. C., Braun, B., Stanek, E. J., Markenson, G., & Chasan-Taber, L. (2014). A pregnancy lifestyle intervention to prevent gestational diabetes risk factors in overweight Hispanic women: a feasibility randomized controlled trial. Diabetic Medicine, 32(1), 108-115.

Huberty, J. L., Buman, M. P., Leiferman, J. A., Bushar, J., & Adams, M. A. (2016). Trajectories of objectively-measured physical activity and sedentary time over the course of pregnancy in women self-identified as inactive. Preventive Medicine Reports, 3, 353-360.

Hui, A. L., Back, L., Ludwig, S., Gardiner, P., Sevenhuysen, G., Dean, H. J., ”¦ Shen, G. X. (2014). Effects of lifestyle intervention on dietary intake, physical activity level, and gestational weight gain in pregnant women with different pre-pregnancy Body Mass Index in a randomized control trial. BMC Pregnancy Childbirth, 14(331), 1-9.

Kihlstrand, M., Stenman, B., Nilsson, S., & Axelsson, O. (1999). Water-gymnasticis reduced the intensity of back/low back pain in pregnant women. Acta Obstetricia et Gynecologica Scandinavica, 87(3), 180-185.

Leiferman, J., Swibas, T., Koiness, K., Marshall, J. A., & Dunn, A. L. (2011). My baby, my move: examination of perceived barriers and motivating factors related to antenatal physical activity. Journal of Midwifery Womens Health, 56(1), 33-40.

Lindqvist, M., Lindkvist, M., Eurenius, E., Persson, M., Ivarsson, A., & Mogren, I. (2016). Leisure time physical activity among pregnant women and its associations with maternal characteristics and pregnancy outcomes. Sexual and Reproductive Healthcare, 9, 14-20.

Marquez-Sterling, S., Perry, A. C., Kaplan, T. A., Halberstein, R. A., Signorile, J. F. (2000). Physical and psychological changes with vigorous exercise in sedentary primigravidae. Medicine and Science in Sports Exercise, 32(1), 58-62.

Marshall, E. S., Bland, H., & Melton, B. (2013). Perceived barriers to physical activity among pregnant women living in a rural community. Public Health Nursing, 30(4), 361-369.

Mendes, K. D. S., Silveira, R. C. C. P., & Galvão, C. M. (2008). Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Contexto Enfermagem, 17(3), 758-64.

Mudd, L. M., Nechuta, S., Pivarnik, J. M., & Paneth, N. (2009). Factors associated with women's perceptions of physical activity safety during pregnancy. Preventive Medicine, 49(2), 194-199.

Mullan, B., Henderson, J., Kothe, E., Allom, V., Orbell, S., & Hamilton, K. (2016). The role of habit and perceived control on health behavior among pregnant women. American Journal of Health Behavior, 40(3), 291-301.

Muzigaba, M., Kolbe-Alexander, T. L., & Wong, F. (2014). The perceived role and influencers of physical activity among pregnant women from low socioeconomic status communities in South Africa. Journal of Physical Activity and Health, 11(7), 1276-1283.

Nascimento, S. L., Godoy, A. C., Surita, F. G., & Silva, J. L. P. (2014). Recomendações para a prática de exercí­cios fí­sicos na gravidez: uma revisão crí­tica da literatura. Revista Brasileira de Ginecologia e Obstetrí­cia, 36(9), 423-431.

Newham, J. J, Allan, C., Leahy-Warren, P., Carrick-Sen, D., & Alderdice, F. (2016). Intentions toward physical activity and resting behavior in pregnant women: using the theory of planned behavior framework in a cross-sectional study. Birth, 43(1), 49-57.

Oostdam, N., Van Poppel, M. N. M., Wouters, M. G. A. J., Eekhoff, E. M. W., Bekedam, D. J., Kuchenbecker, W. K. H., ”¦Van Mechelen, W. (2012). No effect of the FitFor2 exercise program on blood glucose, insulin sensitivity, and birth weight in pregnant women who were overweight and at risk for gestational diabetes: results of a randomized controlled trial. BJOG, 119(9), 1098-1107.

Osuji, T., Lovegreen, S. L., Elliot, M., & Brownson, R. C. (2006). Barriers to physical activity among women in the rural midwest. Women Health, 44(1), 41-55.

Paul, K. H., & Olson, C. M. (2013). Moving beyond quantity of participation in process evaluation of an intervention to prevent excessive pregnancy weight gain. Int J Behav Nutr Phys Act, 10(23), 1-4.

Pelaez, M., Gonzalez-Cerron, S., Montejo, R. & Barakat, R. (2014). Pelvic floor muscle training included in a pregnancy exercise program is effective in primary prevention of urinary incontinence: a randomized controlled trial. Neurourol Urodyn, 33(1), 67-71.

Petherick, E. S. L., Fairley, L., Parslow, R. C., McEachan, R., Tuffnell, D., Pickett, K. E., ”¦ Wright, J. (2016). Ethnic differences in the clustering and outcomes of health behaviors during pregnancy: results from the born in Bradford cohort. J Public Health, 39(3), 514-522.

Poudevigne, M. S., & O'Connor, P. J. (2006). A review of physical activity patterns in pregnant women and their relationship to psychological health. Sports Med, 36(1), 19-38.

Poudevigne, M. S., & O'Connor, P. J. (2005). Physical activity and mood during pregnancy. Med Sci Sports Exerc, 37(8), 1374-1380.

Poston, L., Bell, R., Croker, H., Flynn, A. C., Godfrey, K. M., Goff, L., ”¦Whitworth, M.K. (2015). Effect of a behavioral intervention in obese pregnant women (the UPBEAT study): a multicenter, randomized controlled trial. The Lancet Diabetes & Endocrinology, 3(10), 767-777.

Robledo-Colonia, A. F., Sandoval-Restrepo, N., Mosquera-Valderrama, Y. F., Escobar-Hurtado, C., & Ramí­rez-Vélez, R. (2012). Aerobic exercise training during pregnancy reduces depressive symptoms in nulliparous women: a randomized trial. J Physiother, 58(1), 9-15.

Sangsawang, B. & Sangsawang, N. (2016). Is a 6-week supervised pelvic floor muscle exercise program effective in preventing stress urinary incontinence in late pregnancy in primigravid women?: a randomized controlled trial. European Journal of Obstetrics & Gynecology and Reproductive Biology, 197, 103-110.

Santos, P. C., Abreu, S., Moreira, C., Lopes, D., Santos, R., Alves, O., ... Mota, J. (2014). Impact of compliance with different guidelines on physical activity during pregnancy and perceived barriers to leisure physical activity. J Sports Sci, 32(14), 1398-1408.

Sallis, J. F., Owen, N., & Fisher, E. B. (2008). Ecological models of health behavior. In: Glanz, K., Rimer, B. K., Viswanath, K., organizadores. Health behavior and health education, theory, research, and practice. San Francisco: Jossey-Bass.

Seneviratne, S. N., Jiang, Y., Derraik, J. G. B., McCowan, L. M. E., Parry, G. K., Biggs, J. B., ”¦ Hofmana, P. L. (2016). Effects of antenatal exercise in overweight and obese pregnant women on maternal and perinatal outcomes: a randomised controlled trial. BJOG, 123(4), 588-597.

Shirazian, T., Monteith, S., Friedman, F., & Rebarber, A. (2010). Lifestyle modification program decreases pregnancy weight gain in obese women. Am J Perinatol, 27(5), 411-414.

Silva, F. T., Araújo, J. E., Santana, E. F., Lima, J. W., Cecchino, G. N., & Silva, C. F. D. (2015). Translation and cross-cultural adaptation of the Pregnancy Physical Activity Questionnaire (PPAQ) the Brazilian population. Ceska Gynekol, 80(4), 290-298.

Silva Júnior, J. R., Borges, P. S., Agra, K. F., Pontes, I. A., & Alves, J. G. B. (2013). Effects of an aquatic physical exercise program on glycemic control and perinatal outcomes of gestational diabetes: study protocol for a randomized controlled trial. Trials, 14(1), 390.

Silveira, L. C., Segre, C. A. M. (2012). Physical exercise during pregnancy and its influence in the type of birth. Einstein, 10(4), 409-414.

Stafne, S. N., Salvesen, K. A, Romundstad, P. R., Eggbí¸, T. M., Carlsen, S. M, & Mí¸rkved, S. (2012). Regular exercise during pregnancy to prevent gestational diabetes: a randomized controlled trial. Obstetrics & Gynecology, 119(1), 29-36.

Tavares, J. S., Melo, A. S. O, Amorim, M. M. R., Barros, V. O., Takito, M. Y., Bení­cio, M. H. D. A., & Cardoso, M. A. A. (2009). Padrão de atividade fí­sica entre gestantes atendidas pela estratégia saúde da famí­lia de Campina Grande-PB. Rev Bras Epidemiol, 12(1), 10-19.

Torres, R., Soltero, S., Trak, M. A., Tucker, C. M., Mendez, K., Campos, M., ”¦ Palacios, C. (2016). Lifestyle modification intervention for overweight and obese Hispanic pregnant women: development, implementation, lessons learned and future applications. Contemp Clin Trials Commun, 3, 111-116.

Thornton, P. L., Kieffer, E. C., Salabarrí­a-Peña, Y., Odoms-Young, A., Willis, S. K., Kim, H., & Salinas, M. A. (2006). Weight, diet, and physical activity-related beliefs and practices among pregnant and postpartum latino women: the role of social support. Matern Child Health J, 10(1), 95-104.

Whitford, H. M., & Jones, M. (2011). An exploration of the motivation of pregnant women to perform pelvic floor exercises using the revised theory of planned behaviour. Br J Health Psychol, 16(4), 761-778.

Whitford, H. M., Alder, B., & Jones, M. A. (2007). Cross-sectional study of knowledge and practice of pelvic floor exercises during pregnancy and associated symptoms of stress urinary incontinence in North-East Scotland. Midwifery, 23(2), 204- 217.

Wolfe, L. A., Davies, G. A. L. (2003). Canadian guidelines for exercise in pregnancy. Clin Obstet Gynecol, 46(2), 488-495.

Yeo, S., Steele, N. M., Chang, M. C., Leclaire, S. M., Ronis, D. L., & Hayashi, R. (2000). Effect of exercise on blood pressure in pregnant women with a high risk of gestational hypertensive disorders. J Reprod Med, 45(4), 293-298.

Yeo, S., Cisewski, J., Lock, E. F., & Marron, J. S. (2010). Exploratory analysis of exercise adherence patterns with sedentary pregnant women. Nurs Res, 59(4), 280.

Yeo, S. (2009). Adherence to walking or stretching, and risk of preeclampsia in sedentary pregnant women. Res Nurs Health, 32(4), 379-390.

Yeo, S., & Logan, J. G. (2014). Preventing obesity: exercise and daily activities of low-income pregnant women. J Perinatal Neonatal Nurs, 28(1), 17-25.

Weir, Z., Bush, J., Robson, S. C., McParlin, C., Rankin, J., & Bell, R. (2010). Physical activity in pregnancy: a qualitative study of the beliefs of overweight and obese pregnant women. BMC Pregnancy Childbirth, 10(1), 18.

Whitaker, K. M., Whitaker, K. M., Wilcox, S., Liu, J., Blair, S. N., & Pate, R. R. (2016). Pregnant women’s perceptions of weight gain, physical activity, and nutrition using Theory of Planned Behavior constructs. J Behav Med, 39(1), 41-54.

Ussher, M., Aveyard, P., Coleman, T., Straus, L., West, R., Marcus, B., Lewis, B., & Manyonda, I. (2008). Physical activity as an aid to smoking cessation during pregnancy: two feasibility studies. BMC Public Health, 8(1), 328.

Zarvosky, G. S., & Longo, L. D. (2011). Exercise guidelines in pregnancy: new perspectives. Sports Med, 41(5), 345-360.