Department of Physical Activity and Health Promotion Science, Poznan University of Physical Education, Poznan, Poland.
Department of Didactics of Physical Activity, Poznan University of Physical Education, Poznan, Poland.
Front Public Health. 2024 Feb 29;12:1335983. doi: 10.3389/fpubh.2024.1335983. eCollection 2024.
The clear benefits of planned and supervised physical activity (PA) during pregnancy make it imperative that women are encouraged and educated about this activity. This study aimed to investigate how effectively physician promote physical activity and exercise among pregnant women. It also examines pro-health changes in selected health behaviours during pregnancy.
This cross-sectional study recruited a total of 353 pregnant women in Wielkopolskie Voivodship in Poland. An anonymous survey (on-line or in-paper) was used to assess physical activity before and during pregnancy (with Pregnancy Physical Activity Questionnaire), physical activity self-efficacy, well-being (WHO-5 Well-Being Index), and guidance received from physicians on physical activity during pregnancy.
Only 41% of women surveyed followed WHO recommendations for PA before pregnancy, and they were much more likely to discuss safety and the need to change the intensity or type of PA with their doctor or gynaecologist. Only 23% of women were asked about their PA before pregnancy and less than 40% were encouraged to be active during pregnancy. We observed a higher probability of poor well-being among pregnant women who were inactive before pregnancy (OR = 1.873, 95%CI 1.026 to 3.421, = 0.041).
Health professionals infrequently educate and motivate women to be physically active during pregnancy. Physician advice, as it is currently perceived by women, seems to be insufficient to help pregnant women meet the recommendations for PA during pregnancy.
有计划的、监督的身体活动（PA）对孕妇有明显的益处，因此必须鼓励并教育女性进行这种活动。本研究旨在调查医生在多大程度上促进了孕妇的身体活动和锻炼，并考察了怀孕期间选定健康行为中有益于健康的变化。
这项横断面研究共招募了波兰大波兰省的 353 名孕妇。采用匿名调查（在线或纸质），使用妊娠期间体力活动问卷（Pregnancy Physical Activity Questionnaire）评估妊娠前和妊娠期间的体力活动、体力活动自我效能感、幸福感（WHO-5 幸福感指数），以及医生在妊娠期间对体力活动的指导情况。
只有 41%的被调查女性在妊娠前遵循了世界卫生组织关于体力活动的建议，她们更有可能与医生或妇科医生讨论安全性以及改变体力活动强度或类型的必要性。只有 23%的女性在妊娠前被问及体力活动情况，不到 40%的女性被鼓励在妊娠期间保持活跃。我们观察到，在妊娠前不活跃的孕妇中，幸福感较差的可能性更高（OR=1.873，95%CI 1.026 至 3.421，p=0.041）。
健康专业人员很少教育和激励女性在怀孕期间进行身体活动。目前，医生的建议似乎不足以帮助孕妇满足怀孕期间的体力活动建议，这是女性所感知到的。
