Faculty of Health Sciences, Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway.
Division of General Gynaecology and Obstetrics, Oslo University Hospital, Oslo, Norway.
BMC Pregnancy Childbirth. 2022 Jan 3;22(1):1. doi: 10.1186/s12884-021-04335-x.
Regular physical activity during pregnancy can prevent several adverse health outcomes during this period of a woman's life. Previous studies have shown that many women do not meet national recommendations for physical activity. This study aims to examine factors associated with sufficient leisure-time physical activity (LTPA) in a multicultural sample of pregnant women recently diagnosed with gestational diabetes mellitus (GDM).
We performed a cross-sectional study among 238 pregnant women. The women were recruited at diabetes outpatient clinics in the Oslo region of Norway from October 2015 to April 2017. The participants reported their activity levels using the Pregnancy Physical Activity Questionnaire (PPAQ). Pearson's chi-square tests were used to assess differences in socio-demographic, health and pregnancy-related characteristics in relation to sufficient and insufficient LTPA, and logistic regression modelling was employed to predict the likelihood of insufficient LTPA.
Less than half of the women in the sample (44.5%) had sufficient LTPA according to the minimum of ≥600 Met minutes per week. The majority of women were motivated to be physically active during pregnancy (84.9%). A low joint family income and being over 38 years of age increased the odds of not having sufficient LTPA. Women with sufficient LTPA had significantly higher scores of perceived health (p = 0.007).
The study indicates that pregnant women need to be better informed about the positive effects of physical activity on individually perceived health. To address the low levels of LTPA among pregnant women, communication strategies must be tailored towards women with low socio-economic backgrounds.
孕期定期进行身体活动可以预防女性在这一时期的多种不良健康结局。既往研究表明，许多女性无法达到身体活动的国家推荐量。本研究旨在探讨与近期被诊断为妊娠期糖尿病（GDM）的多文化样本孕妇充分的闲暇时间体力活动（LTPA）相关的因素。
我们对 238 名孕妇进行了横断面研究。这些女性是 2015 年 10 月至 2017 年 4 月期间在挪威奥斯陆地区的糖尿病门诊招募的。参与者使用妊娠期体力活动问卷（PPAQ）报告了他们的活动水平。Pearson χ2 检验用于评估社会人口学、健康和妊娠相关特征与充分和不充分 LTPA 之间的差异，逻辑回归模型用于预测不充分 LTPA 的可能性。
根据每周至少 600 代谢分钟的最低标准，样本中不到一半的女性（44.5%）有足够的 LTPA。大多数女性在怀孕期间都有运动的动力（84.9%）。较低的家庭联合收入和年龄超过 38 岁增加了不充分 LTPA 的可能性。有足够 LTPA 的女性在感知健康方面的得分显著更高（p = 0.007）。
该研究表明，孕妇需要更好地了解身体活动对个体感知健康的积极影响。为了解决孕妇低水平的 LTPA 问题，沟通策略必须针对社会经济背景较低的女性进行调整。
