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Published in: BMC Pregnancy and Childbirth 1/2015

Open Access 01-12-2015 | Research article

Modifiable barriers to leisure-time physical activity during pregnancy: a qualitative study investigating first time mother’s views and experiences

Authors: Megan Connelly, Helen Brown, Paige van der Pligt, Megan Teychenne

Published in: BMC Pregnancy and Childbirth | Issue 1/2015

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Abstract

Background

Evidence suggests physical activity often declines during pregnancy, however explanations for the decline are not well understood. The aim of this study was to identify modifiable barriers to leisure-time physical activity among women who did not meet physical activity guidelines during pregnancy.

Methods

Analyses were based on data from 133 mothers (~3-months postpartum) who were recruited from the Melbourne InFANT Extend study (2012/2013). Women completed a self-report survey at baseline in which they reported their leisure-time physical activity levels during pregnancy as well provided an open-ended written response regarding the key barriers that they perceived prevented them from meeting the physical activity guidelines during their pregnancy. Thematic analyses were conducted to identify key themes.

Results

The qualitative data revealed six themes relating to the barriers of leisure-time physical activity during pregnancy. These included work-related factors (most commonly reported), tiredness, pregnancy-related symptoms, being active but not meeting the guidelines, lack of motivation, and a lack of knowledge of recommendations.

Conclusion

Considering work-related barriers were suggested to be key factors to preventing women from meeting the physical activity guidelines during pregnancy, workplace interventions aimed at providing time management skills along with supporting physical activity programs for pregnant workers should be considered. Such interventions should also incorporate knowledge and education components, providing advice for undertaking leisure-time physical activity during pregnancy.
Literature
1.
go back to reference Warburton DE, Nicol CW, Bredin SS. Health benefits of physical activity: the evidence. Can Med Assoc J. 2006;174(6):801–9.CrossRef Warburton DE, Nicol CW, Bredin SS. Health benefits of physical activity: the evidence. Can Med Assoc J. 2006;174(6):801–9.CrossRef
2.
go back to reference Chasan-Taber L, Schmidt MD, Pekow P, Sternfeld B, Manson J, Markenson G. Correlates of physical activity in pregnancy among Latina women. Matern Child Health J. 2007;11(4):353–63.PubMedCrossRef Chasan-Taber L, Schmidt MD, Pekow P, Sternfeld B, Manson J, Markenson G. Correlates of physical activity in pregnancy among Latina women. Matern Child Health J. 2007;11(4):353–63.PubMedCrossRef
3.
go back to reference Dempsey JC, Sorensen TK, Williams MA, Lee IM, Miller RS, Dashow EE, et al. A prospective study of gestational diabetes mellitus risk in relation to physical activity before and during pregnancy. Am J Obstet Gynecol. 2003;189(6):S106.CrossRef Dempsey JC, Sorensen TK, Williams MA, Lee IM, Miller RS, Dashow EE, et al. A prospective study of gestational diabetes mellitus risk in relation to physical activity before and during pregnancy. Am J Obstet Gynecol. 2003;189(6):S106.CrossRef
4.
go back to reference Shivakumar G, Brandon AR, Snell PG, Santiago-Munoz P, Johnson NL, Trivedi MH, et al. Antenatal depression: a rationale for studying exercise. Depress Anxiety. 2011;28(3):234–42.PubMedCrossRef Shivakumar G, Brandon AR, Snell PG, Santiago-Munoz P, Johnson NL, Trivedi MH, et al. Antenatal depression: a rationale for studying exercise. Depress Anxiety. 2011;28(3):234–42.PubMedCrossRef
5.
go back to reference Morris SN, Johnson NR. Exercise During Pregnancy: A critical appraisal of the literature. J Reprod Med. 2005;50(3):181–8.PubMed Morris SN, Johnson NR. Exercise During Pregnancy: A critical appraisal of the literature. J Reprod Med. 2005;50(3):181–8.PubMed
6.
go back to reference Doustan M, Seifourian M, Zarghami M, Azmsha T. Relationship between Physical Activity of Mothers before and during Pregnancy with the Newborn Health and Pregnancy Outcome. J Phys Ed Sport. 2012;12(2):222–9. Doustan M, Seifourian M, Zarghami M, Azmsha T. Relationship between Physical Activity of Mothers before and during Pregnancy with the Newborn Health and Pregnancy Outcome. J Phys Ed Sport. 2012;12(2):222–9.
8.
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(2):138–44.PubMed Symons Downs D, Hausenblas HA. Women’s exercise beliefs and behaviors during their pregnancy and postpartum. J Midwifery Womens Health. 2004;49(2):138–44.PubMed
9.
go back to reference Sport Medicine Australia. Women in Sport: Fact Sheet No.2. Exercise in pregnancy. Victoria: Sports Medicine Australia; 2001. Sport Medicine Australia. Women in Sport: Fact Sheet No.2. Exercise in pregnancy. Victoria: Sports Medicine Australia; 2001.
10.
go back to reference Artal R, O’Toole M. Guidelines of the American College of Obstetricians and Gynecologists for exercise during pregnancy and the postpartum period. Br J Sports Med. 2003;37(1):6–12.PubMedPubMedCentralCrossRef Artal R, O’Toole M. Guidelines of the American College of Obstetricians and Gynecologists for exercise during pregnancy and the postpartum period. Br J Sports Med. 2003;37(1):6–12.PubMedPubMedCentralCrossRef
11.
go back to reference American College of Obstetricians and Gynecologists. Exercise during pregnancy and the postpartum period. Clin Obstet Gynecol. 2003;46(2):496–9.CrossRef American College of Obstetricians and Gynecologists. Exercise during pregnancy and the postpartum period. Clin Obstet Gynecol. 2003;46(2):496–9.CrossRef
12.
go back to reference Wilkinson SA, Miller YD, Watson B. Prevalence of health behaviours in pregnancy at service entry in a Queensland health service district. Aust N Z J Public Health. 2009;33(3):228–33.PubMedCrossRef Wilkinson SA, Miller YD, Watson B. Prevalence of health behaviours in pregnancy at service entry in a Queensland health service district. Aust N Z J Public Health. 2009;33(3):228–33.PubMedCrossRef
13.
go back to reference Australian Bureau of Statistics. Australian Health Survey: Physical Activity, 2011–12. Canberra: Australian Bureau of Statistics; 2013. Australian Bureau of Statistics. Australian Health Survey: Physical Activity, 2011–12. Canberra: Australian Bureau of Statistics; 2013.
14.
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(4):312–9.PubMedPubMedCentralCrossRef 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(4):312–9.PubMedPubMedCentralCrossRef
15.
go back to reference Foxcroft KF, Rowlands IJ, Byrne NM, McIntyre HD, Callaway LK. Exercise in obese pregnant women: The role of social factors, lifestyle and pregnancy symptoms. BMC Pregnancy Childbirth. 2011;11(1):1–7.CrossRef Foxcroft KF, Rowlands IJ, Byrne NM, McIntyre HD, Callaway LK. Exercise in obese pregnant women: The role of social factors, lifestyle and pregnancy symptoms. BMC Pregnancy Childbirth. 2011;11(1):1–7.CrossRef
16.
go back to reference Gaston A, Vamos C. Leisure-time physical activity patterns and correlates among pregnant women in Ontario, Canada. Matern Child Health J. 2013;17(3):477–84.PubMedCrossRef Gaston A, Vamos C. Leisure-time physical activity patterns and correlates among pregnant women in Ontario, Canada. Matern Child Health J. 2013;17(3):477–84.PubMedCrossRef
17.
go back to reference Jukic AMZ, Evenson KR, Herring AH, Wilcox AJ, Hartmann KE, Daniels JL. Correlates of Physical Activity at Two Time Points During Pregnancy. J Phys Act Health. 2012;9(3):325–35.PubMedCentralCrossRef Jukic AMZ, Evenson KR, Herring AH, Wilcox AJ, Hartmann KE, Daniels JL. Correlates of Physical Activity at Two Time Points During Pregnancy. J Phys Act Health. 2012;9(3):325–35.PubMedCentralCrossRef
18.
go back to reference Evenson KR, Moos M-K, Carrier K, Siega-Riz AM. Perceived barriers to physical activity among pregnant women. Matern Child Health J. 2009;13(3):364–75.PubMedCrossRef Evenson KR, Moos M-K, Carrier K, Siega-Riz AM. Perceived barriers to physical activity among pregnant women. Matern Child Health J. 2009;13(3):364–75.PubMedCrossRef
19.
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(6/7):505–21.PubMedPubMedCentralCrossRef 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(6/7):505–21.PubMedPubMedCentralCrossRef
20.
go back to reference McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Q. 1988;15(4):351–77.PubMedCrossRef McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Q. 1988;15(4):351–77.PubMedCrossRef
21.
go back to reference Trost S, Owen N, Bauman AE, Sallis JF, Brown W. Correlates of adults’ participation in physical activity: review and update. Med Sci Sports Exerc. 2002;34(12):1996–2001.PubMedCrossRef Trost S, Owen N, Bauman AE, Sallis JF, Brown W. Correlates of adults’ participation in physical activity: review and update. Med Sci Sports Exerc. 2002;34(12):1996–2001.PubMedCrossRef
22.
go back to reference Green J, Willis K, Hughes E, Small R, Welch N, Gibbs L, et al. Generating best evidence from qualitative research: the role of data analysis. Aust N Z J Public Health. 2007;31(6):545–50.PubMedCrossRef Green J, Willis K, Hughes E, Small R, Welch N, Gibbs L, et al. Generating best evidence from qualitative research: the role of data analysis. Aust N Z J Public Health. 2007;31(6):545–50.PubMedCrossRef
23.
go back to reference Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101.CrossRef Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101.CrossRef
24.
go back to reference Leiferman J, Swibas T, Koiness K, Marshall JA, Dunn AL. My Baby, My Move: Examination of Perceived Barriers and Motivating Factors Related to Antenatal Physical Activity. J Midwifery Womens Health. 2011;56(1):33–40.PubMedCrossRef Leiferman J, Swibas T, Koiness K, Marshall JA, Dunn AL. My Baby, My Move: Examination of Perceived Barriers and Motivating Factors Related to Antenatal Physical Activity. J Midwifery Womens Health. 2011;56(1):33–40.PubMedCrossRef
25.
go back to reference Symons Downs D, Chasan-Taber L, Evenson KR, Leiferman J, Yeo S. Physical Activity and Pregnancy: Past and Present Evidence and Future Recommendations. Res Q Exerc Sport. 2012;83(4):485–502. Symons Downs D, Chasan-Taber L, Evenson KR, Leiferman J, Yeo S. Physical Activity and Pregnancy: Past and Present Evidence and Future Recommendations. Res Q Exerc Sport. 2012;83(4):485–502.
26.
go back to reference Australian Bureau of Statistics. Physical Activity in Australia: A Snapshot, 2007–08. Canberra: Australian Bureau of Statistics; 2011. Australian Bureau of Statistics. Physical Activity in Australia: A Snapshot, 2007–08. Canberra: Australian Bureau of Statistics; 2011.
27.
go back to reference Anderson LM, Quinn TA, Glanz K, Ramirez G, Kahwati LC, Johnson DB, et al. The effectiveness of worksite nutrition and physical activity interventions for controlling employee overweight and obesity a systematic review. Am J Prev Med. 2009;37(4):340–57.PubMedCrossRef Anderson LM, Quinn TA, Glanz K, Ramirez G, Kahwati LC, Johnson DB, et al. The effectiveness of worksite nutrition and physical activity interventions for controlling employee overweight and obesity a systematic review. Am J Prev Med. 2009;37(4):340–57.PubMedCrossRef
28.
go back to reference Tan AM, LaMontagne AD, Sarmugam R, Howard P. A cluster-randomised, controlled trial to assess the impact of a workplace osteoporosis prevention intervention on the dietary and physical activity behaviours of working women: study protocol. BMC Public Health. 2013;13(1):1–12.CrossRef Tan AM, LaMontagne AD, Sarmugam R, Howard P. A cluster-randomised, controlled trial to assess the impact of a workplace osteoporosis prevention intervention on the dietary and physical activity behaviours of working women: study protocol. BMC Public Health. 2013;13(1):1–12.CrossRef
29.
go back to reference McMurray RG, Mottola MF, Wolfe LA, Artal R, Millar L, Pivarnik JM. Recent advances in understanding maternal and fetal responses to exercise. /Progres recents dans la comprehension des reponses maternelles et foetales a l ’ exercice. Med Sci Sports Exerc. 1993;25(12):1305–21.PubMed McMurray RG, Mottola MF, Wolfe LA, Artal R, Millar L, Pivarnik JM. Recent advances in understanding maternal and fetal responses to exercise. /Progres recents dans la comprehension des reponses maternelles et foetales a l ’ exercice. Med Sci Sports Exerc. 1993;25(12):1305–21.PubMed
30.
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(4):430–8.PubMedCrossRef 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(4):430–8.PubMedCrossRef
31.
go back to reference van der Pligt P, Campbell K, Willcox J, Opie J, Denney-Wilson E. Opportunities for primary and secondary prevention of excess gestational weight gain: General Practitioners’ perspectives. BMC Fam Pract. 2011;12:124–4.PubMedPubMedCentralCrossRef van der Pligt P, Campbell K, Willcox J, Opie J, Denney-Wilson E. Opportunities for primary and secondary prevention of excess gestational weight gain: General Practitioners’ perspectives. BMC Fam Pract. 2011;12:124–4.PubMedPubMedCentralCrossRef
32.
go back to reference Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381–95.PubMedCrossRef Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381–95.PubMedCrossRef
33.
Metadata
Title
Modifiable barriers to leisure-time physical activity during pregnancy: a qualitative study investigating first time mother’s views and experiences
Authors
Megan Connelly
Helen Brown
Paige van der Pligt
Megan Teychenne
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2015
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-015-0529-9

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