Skip to main content
Top
Published in: Reproductive Health 1/2011

Open Access 01-12-2011 | Research

Knowledge, attitude and practice of women in Campinas, São Paulo, Brazil with respect to physical exercise in pregnancy: a descriptive study

Authors: Carmen P Ribeiro, Helaine Milanez

Published in: Reproductive Health | Issue 1/2011

Login to get access

Abstract

Background

Pregnancy is a good time to develop healthy lifestyle habits including regular exercise and good nutrition. Programs of physical exercise for pregnant women have been recommended; however, there are few references on this subject in the literature. The objective of this study was to evaluate the knowledge, attitude and practice of pregnant women with respect to appropriate physical exercise during pregnancy, and also to investigate why some women do not exercise during pregnancy.

Methods

A descriptive study was conducted in which 161 women of 18 to 45 years of age were interviewed in the third trimester of pregnancy. These women were receiving prenatal care at National Health Service (SUS) primary healthcare units and had no pathologies for which physical exercise would constitute a risk. The women were selected at an ultrasonography clinic accredited to the SUS in Campinas, São Paulo. A previously elaborated knowledge, attitude and practice (KAP) questionnaire was used to collect data, which were then stored in an Epinfo database. Statistical analysis was conducted using Pearson's chi-square test and Fisher's exact test to evaluate the association between the study variables (p < 0.05).

Results

Almost two-thirds (65.6%) of the women were sufficiently informed about the practice of physical exercise during pregnancy and the vast majority (93.8%) was in favor of it. Nevertheless, only just over 20% of the women in this sample exercised adequately. Significant associations were found between an adequate knowledge of physical exercise during pregnancy and education level (p = 0.0014) and between the adequate practice of physical exercise during pregnancy and having had fewer pregnancies (p = 0.0001). Lack of time and feeling tired and uncomfortable were the principal reasons given by the women for not exercising.

Conclusion

These results suggest that women's knowledge concerning the practice of physical exercise during pregnancy is reasonable and their attitude is favorable; however, relatively few actually exercise during pregnancy.
Literature
1.
go back to reference Wolfe LA, Davies GA: Canadian guidelines for exercise in pregnancy. Clin Obstet Gynecol. 2003, 46 (2): 488-95. 10.1097/00003081-200306000-00027.CrossRefPubMed Wolfe LA, Davies GA: Canadian guidelines for exercise in pregnancy. Clin Obstet Gynecol. 2003, 46 (2): 488-95. 10.1097/00003081-200306000-00027.CrossRefPubMed
2.
go back to reference ACOG Committee Obstetric Practice: ACOG Committee Opinion. Number 267, January 2002: exercise during pregnancy and the postpartum period. Obstet Gynecol. 2002, 99: 171-173. 10.1016/S0029-7844(01)01749-5.CrossRef ACOG Committee Obstetric Practice: ACOG Committee Opinion. Number 267, January 2002: exercise during pregnancy and the postpartum period. Obstet Gynecol. 2002, 99: 171-173. 10.1016/S0029-7844(01)01749-5.CrossRef
3.
go back to reference Barakat R, Pelaez M, Montejo R: Exercise during pregnancy improves maternal health perception: a randomized controlled trial. Am JObstet Gynecol. 2011, 204: xx-xx. Barakat R, Pelaez M, Montejo R: Exercise during pregnancy improves maternal health perception: a randomized controlled trial. Am JObstet Gynecol. 2011, 204: xx-xx.
4.
go back to reference Katz J: Exercícios aquáticos na gravidez. 1999, São Paulo: Manole, 1 Katz J: Exercícios aquáticos na gravidez. 1999, São Paulo: Manole, 1
5.
go back to reference Domingues MR, Barros AJ: Leisure-time physical activity during pregnancy in the 2004 Pelotas Birth Cohort Study. Rev Saude Publica. 2007, 41: 173-180. 10.1590/S0034-89102007000200002.CrossRefPubMed Domingues MR, Barros AJ: Leisure-time physical activity during pregnancy in the 2004 Pelotas Birth Cohort Study. Rev Saude Publica. 2007, 41: 173-180. 10.1590/S0034-89102007000200002.CrossRefPubMed
6.
go back to reference Clarke PE, Gross H: Women's behaviour, beliefs and information sources about physical exercise in pregnancy. Midwifery. 2004, 20: 133-141. 10.1016/j.midw.2003.11.003.CrossRefPubMed Clarke PE, Gross H: Women's behaviour, beliefs and information sources about physical exercise in pregnancy. Midwifery. 2004, 20: 133-141. 10.1016/j.midw.2003.11.003.CrossRefPubMed
7.
go back to reference Krans EE, Gearhart JG, Dubbert PM, Klar PM, Miller AL, Replogle WH: Pregnant women's beliefs and influences regarding exercising during pregnancy. J Miss State Med Assoc. 2005, 46: 67-73.PubMed Krans EE, Gearhart JG, Dubbert PM, Klar PM, Miller AL, Replogle WH: Pregnant women's beliefs and influences regarding exercising during pregnancy. J Miss State Med Assoc. 2005, 46: 67-73.PubMed
8.
go back to reference Gouveia R, Martins S, Sander AR, Nascimento C, Figueira J, Valente S, Correia S, Rocha E, Silva LJ: [Pregnancy and physical exercise: myths, evidence and recommendations]. Acta Med Port. 2007, 20: 209-214.PubMed Gouveia R, Martins S, Sander AR, Nascimento C, Figueira J, Valente S, Correia S, Rocha E, Silva LJ: [Pregnancy and physical exercise: myths, evidence and recommendations]. Acta Med Port. 2007, 20: 209-214.PubMed
9.
go back to reference Duncombe D, Wertheim EH, Skouteris H, Paxton SJ, Kelly L: Factors related to exercise over the course of pregnancy including women's beliefs about the safety of exercise during pregnancy. Midwifery. 2009, 25: 430-438. 10.1016/j.midw.2007.03.002.CrossRefPubMed Duncombe D, Wertheim EH, Skouteris H, Paxton SJ, Kelly L: Factors related to exercise over the course of pregnancy including women's beliefs about the safety of exercise during pregnancy. Midwifery. 2009, 25: 430-438. 10.1016/j.midw.2007.03.002.CrossRefPubMed
10.
go back to reference Cioffi J, Schimied V, Dahlen H, Mills A, Thornton C, Duff M, Cummings J, Kolt GS: Physical activity in pregnancy: women's perceptions, practices and influencing factors. J Midwifery Womens Health. 2010, 55: 455-461. 10.1016/j.jmwh.2009.12.003.CrossRefPubMed Cioffi J, Schimied V, Dahlen H, Mills A, Thornton C, Duff M, Cummings J, Kolt GS: Physical activity in pregnancy: women's perceptions, practices and influencing factors. J Midwifery Womens Health. 2010, 55: 455-461. 10.1016/j.jmwh.2009.12.003.CrossRefPubMed
11.
go back to reference Warwick DP, Lininger AC: Introduction in the sample survey, theory and practice. 1975, New York: Mc Graw Hill, 4-19. Warwick DP, Lininger AC: Introduction in the sample survey, theory and practice. 1975, New York: Mc Graw Hill, 4-19.
12.
go back to reference Pereira MA, Rifas-Shiman SL, Kleinman KP, Rich-Edwards JW, Peterson KE, Gillman MW: Predictors of change in physical activity during and after pregnancy: Project Viva. Am J Prev Med. 2007, 32: 312-319. 10.1016/j.amepre.2006.12.017.CrossRefPubMedPubMedCentral Pereira MA, Rifas-Shiman SL, Kleinman KP, Rich-Edwards JW, Peterson KE, Gillman MW: Predictors of change in physical activity during and after pregnancy: Project Viva. Am J Prev Med. 2007, 32: 312-319. 10.1016/j.amepre.2006.12.017.CrossRefPubMedPubMedCentral
13.
go back to reference Evenson KR, Moos MK, Carrier K, Siega-Riz AM: Perceived barriers to physical activity among pregnant women. Matern Child Health J. 2009, 13: 364-375. 10.1007/s10995-008-0359-8.CrossRefPubMed Evenson KR, Moos MK, Carrier K, Siega-Riz AM: Perceived barriers to physical activity among pregnant women. Matern Child Health J. 2009, 13: 364-375. 10.1007/s10995-008-0359-8.CrossRefPubMed
14.
go back to reference Lewallen LP: Healthy behaviors and sources of health information among low-income pregnant women. Public Health Nurs. 2004, 21: 200-206. 10.1111/j.0737-1209.2004.021302.x.CrossRefPubMed Lewallen LP: Healthy behaviors and sources of health information among low-income pregnant women. Public Health Nurs. 2004, 21: 200-206. 10.1111/j.0737-1209.2004.021302.x.CrossRefPubMed
15.
go back to reference Symons Downs D, Ulbrecht JS: Understanding exercise beliefs and behaviors in women with gestational diabetes mellitus. Diabetes Care. 2006, 29: 236-240. 10.2337/diacare.29.02.06.dc05-1262.CrossRefPubMed Symons Downs D, Ulbrecht JS: Understanding exercise beliefs and behaviors in women with gestational diabetes mellitus. Diabetes Care. 2006, 29: 236-240. 10.2337/diacare.29.02.06.dc05-1262.CrossRefPubMed
16.
go back to reference Thornton PL, Kieffer EC, Sabarría-Peña Y, Odoms-Young A, Willis SK, Kim H, Salinas MA: Weight, diet, and physical activity-related beliefs and practices among pregnant and postpartum Latino women: the role of social support. Matern Child Health J. 2006, 10: 95-104. 10.1007/s10995-005-0025-3.CrossRefPubMed Thornton PL, Kieffer EC, Sabarría-Peña Y, Odoms-Young A, Willis SK, Kim H, Salinas MA: Weight, diet, and physical activity-related beliefs and practices among pregnant and postpartum Latino women: the role of social support. Matern Child Health J. 2006, 10: 95-104. 10.1007/s10995-005-0025-3.CrossRefPubMed
17.
go back to reference Rousham EK, Clarke PE, Gross H: Significant changes in physical activity among pregnant women in the UK as assessed by accelerometry and self-reported activity. Eur J Clin Nutr. 2006, 60: 393-400. 10.1038/sj.ejcn.1602329.CrossRefPubMed Rousham EK, Clarke PE, Gross H: Significant changes in physical activity among pregnant women in the UK as assessed by accelerometry and self-reported activity. Eur J Clin Nutr. 2006, 60: 393-400. 10.1038/sj.ejcn.1602329.CrossRefPubMed
18.
go back to reference Doran F, O'brien AP: A brief report of attitudes towards physical activity during pregnancy. Health Promot J Austr. 2007, 18: 155-158.PubMed Doran F, O'brien AP: A brief report of attitudes towards physical activity during pregnancy. Health Promot J Austr. 2007, 18: 155-158.PubMed
19.
go back to reference Mudd LM, Nechuta S, Pivarnik JM, Paneth N, Michigan Alliance for National Children's Study: Factors associated with women's perceptions of physical activity safety during pregnancy. Prev Med. 2009, 49: 194-199. 10.1016/j.ypmed.2009.06.004.CrossRefPubMed Mudd LM, Nechuta S, Pivarnik JM, Paneth N, Michigan Alliance for National Children's Study: Factors associated with women's perceptions of physical activity safety during pregnancy. Prev Med. 2009, 49: 194-199. 10.1016/j.ypmed.2009.06.004.CrossRefPubMed
20.
go back to reference Weir Z, Bush J, Robson SC, McParlin C, Rankin J, Bell R: Physical activity in pregnancy: a qualitative study of the beliefs of overweight and obese pregnant women. BMC Pregnancy Childbirth. 2010, 28: 10-18. Weir Z, Bush J, Robson SC, McParlin C, Rankin J, Bell R: Physical activity in pregnancy: a qualitative study of the beliefs of overweight and obese pregnant women. BMC Pregnancy Childbirth. 2010, 28: 10-18.
21.
go back to reference Symons Downs D, Hausenblas HA: Women's exercise beliefs and behaviors during their pregnancy and postpartum. J Midwifery Womens Health. 2004, 49: 138-144.PubMed Symons Downs D, Hausenblas HA: Women's exercise beliefs and behaviors during their pregnancy and postpartum. J Midwifery Womens Health. 2004, 49: 138-144.PubMed
22.
go back to reference Tavares JS, Melo ASO, Amorim MMR, Barros VO, Takito MY, Benício MHD, Cardoso MAA: Padrão de atividade física entre gestantes atendidas pela estratégia da saúde da família de Campina Grande. Rev Bras Epidemiol. 2009, 12: 10-19.CrossRef Tavares JS, Melo ASO, Amorim MMR, Barros VO, Takito MY, Benício MHD, Cardoso MAA: Padrão de atividade física entre gestantes atendidas pela estratégia da saúde da família de Campina Grande. Rev Bras Epidemiol. 2009, 12: 10-19.CrossRef
23.
go back to reference Schramm WF, Stockbauer JW, Hoffman HJ: Exercise, employment, other daily activities and adverse pregnancy outcomes. Am J Epidemiol. 1996, 43: 211-218.CrossRef Schramm WF, Stockbauer JW, Hoffman HJ: Exercise, employment, other daily activities and adverse pregnancy outcomes. Am J Epidemiol. 1996, 43: 211-218.CrossRef
24.
go back to reference Mottola MF, Campbell MK: Activity patterns during pregnancy. Can J Appl Physiol. 2003, 28: 642-653. 10.1139/h03-049.CrossRefPubMed Mottola MF, Campbell MK: Activity patterns during pregnancy. Can J Appl Physiol. 2003, 28: 642-653. 10.1139/h03-049.CrossRefPubMed
25.
go back to reference Haakstad LA, Voldner N, Henriksen T, Bø K: Physical activity level and weight gain in a cohort of pregnant Norwegian women. Acta Obstet Gynecol Scand. 2007, 86: 559-564. 10.1080/00016340601185301.CrossRefPubMed Haakstad LA, Voldner N, Henriksen T, Bø K: Physical activity level and weight gain in a cohort of pregnant Norwegian women. Acta Obstet Gynecol Scand. 2007, 86: 559-564. 10.1080/00016340601185301.CrossRefPubMed
26.
go back to reference Marquez DX, Bustamante EE, Bock BC, Markenson G, Tovar A, Chasan-Taber L: Perspectives of Latina and non-Latina white women on barriers and facilitators to exercise in pregnancy. Women Health. 2009, 49: 505-521. 10.1080/03630240903427114.CrossRefPubMedPubMedCentral Marquez DX, Bustamante EE, Bock BC, Markenson G, Tovar A, Chasan-Taber L: Perspectives of Latina and non-Latina white women on barriers and facilitators to exercise in pregnancy. Women Health. 2009, 49: 505-521. 10.1080/03630240903427114.CrossRefPubMedPubMedCentral
28.
go back to reference Vallim AL, Osis MJ, Cecatti JG, Baciuk EP, Silveira C, Cavalcante SR: Water exercises and quality of life during pregnancy. Reprod Health. 2011, 8: 14-10.1186/1742-4755-8-14.CrossRefPubMedPubMedCentral Vallim AL, Osis MJ, Cecatti JG, Baciuk EP, Silveira C, Cavalcante SR: Water exercises and quality of life during pregnancy. Reprod Health. 2011, 8: 14-10.1186/1742-4755-8-14.CrossRefPubMedPubMedCentral
Metadata
Title
Knowledge, attitude and practice of women in Campinas, São Paulo, Brazil with respect to physical exercise in pregnancy: a descriptive study
Authors
Carmen P Ribeiro
Helaine Milanez
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Reproductive Health / Issue 1/2011
Electronic ISSN: 1742-4755
DOI
https://doi.org/10.1186/1742-4755-8-31

Other articles of this Issue 1/2011

Reproductive Health 1/2011 Go to the issue