Nowell Kallie, Dlugonski Deirdre, DeFranco Emily, May Linda, Hoch Johanna M
University of Kentucky, Lexington, USA.
East Carolina University, Greenville, NC, USA.
Womens Health (Lond). 2025 Jan-Dec;21:17455057251351729. doi: 10.1177/17455057251351729. Epub 2025 Jul 11.
Only 52% of pregnant women achieve the recommended amount of physical activity throughout pregnancy. Many studies have aimed to improve health-related outcomes by introducing physical activity interventions during pregnancy. A systematic search summarizing studies using self-reported physical activity measures is necessary, as this is a clinical outcome measure that can be utilized routinely in clinical practice.
The purpose of this systematic review was to synthesize, critically appraise, and determine the effectiveness of interventions designed to improve self-reported measures of physical activity in pregnant women.
Systematic review.
EBSCO and PubMed were searched from January 1, 2014, through January 1, 2024. A hand search of references was also performed. Included studies must have utilized a randomized controlled trial or clinical trial design where a physical activity intervention was implemented, included healthy pregnant women, and utilized a self-reported physical activity measure pre- and post-intervention. Two reviewers independently appraised each article with the Physiotherapy Evidence Database scale. The Strength of Recommendation Taxonomy was used to make an overall strength of recommendation.
Twelve studies met the inclusion criteria for this systematic review. Seven studies were ranked as "fair" quality, and five studies were ranked as "good" quality. The primary groupings of the interventions included the following: phone or app-based, face-to-face counseling, or group fitness classes/access to local resources. Eight studies provided sufficient data to calculate effect sizes and associated 95% confidence intervals. The largest effect sizes were calculated for the phone or app-based interventions.
A level B strength of recommendation was given to evidence supporting phone or app-based interventions, counseling interventions, and group fitness or access to local resources interventions. Future research should focus on further investigating the use of phone or app-based interventions or counseling interventions to promote physical activity among pregnant women.
Prospero CRD42024526761.
只有52%的孕妇在整个孕期达到建议的身体活动量。许多研究旨在通过在孕期引入身体活动干预措施来改善与健康相关的结果。有必要进行一项系统检索，总结使用自我报告身体活动测量方法的研究，因为这是一种可在临床实践中常规使用的临床结局测量方法。
本系统评价的目的是综合、严格评估并确定旨在改善孕妇自我报告身体活动测量结果的干预措施的有效性。
系统评价。
检索了2014年1月1日至2024年1月1日期间的EBSCO和PubMed数据库。还对手参考文献进行了手工检索。纳入的研究必须采用随机对照试验或临床试验设计，实施了身体活动干预措施，纳入了健康孕妇，并在干预前后使用了自我报告的身体活动测量方法。两名评价者使用物理治疗证据数据库量表独立评价每篇文章。使用推荐强度分级系统得出总体推荐强度。
12项研究符合本系统评价的纳入标准。7项研究质量等级为“中等”，5项研究质量等级为“良好”。干预措施的主要类别包括：基于电话或应用程序的、面对面咨询或团体健身课程/获取当地资源。8项研究提供了足够的数据来计算效应量及相关的95%置信区间。基于电话或应用程序的干预措施计算出的效应量最大。
对于支持基于电话或应用程序的干预措施、咨询干预措施以及团体健身或获取当地资源干预措施的证据，给予B级推荐强度。未来的研究应侧重于进一步研究使用基于电话或应用程序的干预措施或咨询干预措施来促进孕妇的身体活动。
Prospero CRD42024526761
