Daglas Vasileios, Kostopoulos Nikolaos, Mrvoljak-Theodoropoulou Irina, Mitrotasios Michalis, Dagla Maria, Lykeridou Aikaterini, Antoniou Evangelia
Department of Midwifery, School of Health and Care Sciences, University of West Attica, 12243 Athens, Greece.
School of Physical Education and Sport Science, National and Kapodistrian University of Athens, 17237 Athens, Greece.
Sports (Basel). 2024 Jun 24;12(7):173. doi: 10.3390/sports12070173.
The aim of this study is to investigate healthcare professionals' attitudes and practices when it comes to their recommendations on exercise during the first trimester of pregnancy and to highlight the factors that influence or predict these attitudes.
This cross-sectional study was conducted between January 2022 and March 2023, on a sample of 237 Greek healthcare professionals (midwives and obstetricians) employed in healthcare settings in Attica/Greece. In the statistical analysis, eight independent models of multivariate analyses of variance were conducted.
Only half of the participants (54.89%) report that they recommend exercise to pregnant women in the first trimester of pregnancy. The majority do not routinely recommend a specific frequency and duration of exercise. Participants who believe that exercise during pregnancy is of little benefit to pregnant women were less likely to recommend the following, in the first trimester of pregnancy: (a) exercise in general ( = 0.002), (b) resistance/muscle strengthening exercises ( = 0.039), (c) relaxation exercises ( = 0.002), and (d) a specific exercise duration ( = 0.011). Those who report being very familiar with the international guidelines are (a) more likely to recommend exercise in general ( = 0.013), as well as aerobic exercises ( = 0.023); (b) less likely to not recommend a specific frequency ( = 0.027); and (c) more likely to recommend a duration of 30-45 min of exercise in the first trimester ( = 0.017).
I this study, a significant proportion of health professionals' attitudes appear to diverge from the recommendations set forth by international scientific bodies regarding exercise during pregnancy. Furthermore, health professionals' beliefs regarding the benefits of exercise during pregnancy, along with their familiarity with international guidelines, appear to influence their usual practices in recommending exercise during the first trimester of pregnancy to pregnant women.
本研究旨在调查医疗保健专业人员在对妊娠早期运动提出建议时的态度和做法，并突出影响或预测这些态度的因素。
本横断面研究于2022年1月至2023年3月进行，样本为237名受雇于希腊阿提卡地区医疗机构的希腊医疗保健专业人员（助产士和产科医生）。在统计分析中，进行了八个独立的多变量方差分析模型。
只有一半的参与者（54.89%）报告称他们会向妊娠早期的孕妇推荐运动。大多数人没有常规推荐特定的运动频率和时长。那些认为孕期运动对孕妇益处不大的参与者在妊娠早期不太可能推荐以下内容：（a）一般运动（P = 0.002），（b）阻力/肌肉强化运动（P = 0.039），（c）放松运动（P = 0.002），以及（d）特定的运动时长（P = 0.011）。那些报告非常熟悉国际指南的人：（a）更有可能推荐一般运动（P = 0.013）以及有氧运动（P = 0.023）；（b）不太可能不推荐特定的频率（P = 0.027）；（c）更有可能推荐在妊娠早期进行30 - 45分钟的运动（P = 0.017）。
在本研究中，很大一部分卫生专业人员的态度似乎与国际科学机构提出的关于孕期运动的建议存在分歧。此外，卫生专业人员对孕期运动益处的看法以及他们对国际指南的熟悉程度，似乎会影响他们在向妊娠早期孕妇推荐运动时的惯常做法。
