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Matern Child Health J. 2009 May;13(3):364-75. doi: 10.1007/s10995-008-0359-8. Epub 2008 May 14.

Perceived barriers to physical activity among pregnant women.

Author information

1
Department of Epidemiology, School of Public Health, University of North Carolina, Chapel Hill, 137 East Franklin Street, Bank of America Center, Suite 306, Chapel Hill, NC 27514, USA. kelly_evenson@unc.edu

Abstract

OBJECTIVE:

Physical activity generally declines during pregnancy, but barriers to activity during this time period are not well understood. The objective was to examine barriers to physical activity in a large cohort of pregnant women and to explore these barriers in more depth with qualitative data derived from a separate focus group study using a socioecologic framework.

METHOD:

A total of 1535 pregnant women (27-30 weeks' gestation) enrolled in the Pregnancy, Infection, and Nutrition Study were asked an open-ended question about their primary barrier to physical activity; responses were coded into categories according to the socioecologic framework. To further elucidate, 13 focus groups of a total of 58 pregnant women (20-37 weeks' gestation) were conducted among Hispanic, African American, and White participants.

RESULTS:

Among the 1535 pregnant women participating in the survey, 85% reported an intrapersonal barrier to physical activity, of which almost two-thirds were health related. Only 2% of the women reported their main barrier to physical activity as interpersonal and 3% reported a neighborhood or environmental barrier. These results were supported by the focus group data, overall and by race/ethnicity and body mass index. Although women discussed barriers to physical activity at a variety of levels, the intrapersonal level was the most frequently cited and discussed factor in both studies.

CONCLUSIONS:

Since pregnancy may trigger the development of obesity and since physical activity is recommended for healthy pregnant women, it is imperative to promote physical activity in a more relevant way. These quantitative and qualitative studies revealed many barriers to physical activity among pregnant women and some suggestions for interventions.

PMID:
18478322
PMCID:
PMC2657195
DOI:
10.1007/s10995-008-0359-8
[Indexed for MEDLINE]
Free PMC Article

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