Association between socio-environmental factors and the practice of physical activity in pregnant women: a cross-sectional study

Authors

  • Luzdaris De Avila-Quintana Universidad San Buenaventura Cartagena http://orcid.org/0000-0001-5184-5124
  • Sindy Ariza-Egea
  • Boris Llanos-González
  • Yaneth Herazo-Beltrán
  • Regina Domínguez-Anaya

DOI:

https://doi.org/10.18597/rcog.3004

Keywords:

Motor activity, environment, pregnancy

Abstract

Objective: To establish the relationship between social and environmental determinants and the practice of physical activity in pregnant women.

Materials and methods: Cross-section study conducted in pregnant women with no contraindication to physical activity; these women came for prenatal consultation and were affiliated to two healthcare providers in Barranquilla and Cartagena de Indias, Colombia. Sampling was intentional. The social and demographic characteristics were evaluated, as well as the levels of physical activity and the perception of socio-environmental factors, including neighborhood infrastructure, esthetic considerations, the social environment, road connectivity, safety and surrounding traffic conditions. The raw Odds Ratio (OR) was estimated.

Results: Out of 228 pregnant women, 208 were included in the analysis. 62% of the pregnant women fail to comply with the physical activity recommendations for maintaining their health. Some of the socio-environmental factors associated with a sedentary lifestyle in pregnancy are: living far away to walk to shops and supermarkets (OR = 5.1; 95 % CI: 2.8-9.4); poor sidewalk conditions (OR = 3.4; 95 % CI: 1.9-6.3); few people exercising around the neighborhood (OR = 4.1; 95 % CI: 2.2-7.5); not safe to walk during the day or evening (OR = 3.6; 95 % CI: 1.9-6.4).

Conclusion: The perception of the socio-environmental characteristics is associated with physical activity in pregnant women. Interventions are needed to improve the socio-environmental characteristics that impact the perception of the population about these factors, in order to assess its impact on the physical activity of pregnant women.

Author Biographies

Luzdaris De Avila-Quintana, Universidad San Buenaventura Cartagena

Fisioterapeuta; Magíster en Actividad Física y Salud, Programa de Fisioterapia, Universidad San Buenaventura, Cartagena (Colombia). deavilaquintana@gmail.com

Sindy Ariza-Egea

Fisioterapeuta; Magíster en Actividad Física y Salud, Programa de Fisioterapia, Universidad del Sinú, Montería (Colombia).

Boris Llanos-González

Fisioterapeuta; Magíster en Actividad Física y Salud, Cartagena (Colombia).

Yaneth Herazo-Beltrán

Fisioterapeuta; Magíster en Salud Pública, Facultad de Ciencias de la Salud, Universidad Simón Bolívar, Barranquilla (Colombia).

Regina Domínguez-Anaya

Especialista en Epidemiología, Programa de Fisioterapia, Universidad San Buenaventura, Cartagena (Colombia).

References

Organización Mundial de la Salud. 57ª Asamblea mundial de la salud. Estrategia mundial sobre régimen alimentario, actividad física y salud. Ginebra: OMS; 2004.

Aguilar CM, Sánchez LA, Rodríguez BR, Noack SJ, Pozo CM, López CG, et al. Physical activity by pregnant women and its influence on maternal and foetal parameters; a systematic review. Nutr Hosp. 2014;30:719-26.

Organización Mundial de la Salud. Recomendaciones mundiales sobre actividad física para la salud. Ginebra: OMS; 2010.

Nascimento SL, Surita FG, Cecatti JG. Physical exercise during pregnancy: A systematic review. Curr Opin Obstet Gynecol. 2007;24:387-94. https://doi.org/10.1097/GCO.0b013e328359f131

American College of Obstetricians and Gynecologists (ACOG). ACOG Committee Opinion No. 650: Physical activity and exercise during pregnancy and the postpartum period. Obstet Gynecol. 2015;126:e135-42. https://doi.org/10.1097/AOG.0000000000001214

Leppe ZJ, Besomi MM, Olsen CC, Mena IM, Roa S. Nivel de actividad física según GPAQ en mujeres embarazadas y postparto que asisten a un centro de salud familiar. Rev Chil Obstet Ginecol. 2013;78:425-31. https://doi.org/10.4067/S0717-75262013000600004

Hesketh KR, Evenson KR. Prevalence of U.S. Pregnant Women Meeting 2015 ACOG Physical Activity Guidelines. Am J Prev Med. 2016;51:87-9. https://doi.org/10.1016/j.amepre.2016.05.023

Zhang Y, Dong S, Zuo J, Hu X, Zhang H, Zhao Y. Physical activity level of urban pregnant women in Tianjin, China: A cross-sectional study. PLoS One 2014; 9:1-8. https://doi.org/10.1371/journal.pone.0109624

Hallal P, Gómez L, Parra D, Lobelo F, Mosquera J, Florindo A, et al. Lecciones aprendidas después de 10 A-os del uso de IPAQ en Brasil y Colombia. J Phys Act Health. 2010;7:259-S264. https://doi.org/10.1123/jpah.7.s2.s259

Craig CL, Marshal AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35:1381-95. https://doi.org/10.1249/01.MSS.0000078924.61453.FB

Rêgo AS, Alves MT, Batista RF, Ribeiro CC, Bettiol H, Cardoso VC, et al. Physical activity in pregnancy and adverse birth outcomes. Cad Saúde Pública 2016;32:1-10. https://doi.org/10.1590/0102-311x00086915

Sallis JF, Cervero RB, Ascher W, Henderson KA, Kraft MK, Kerr J. An ecological approach to creating active living communities. Annu Rev Public Health. 2006; 27:297-322. https://doi.org/10.1146/annurev.publhealth.27.021405.102100

Herazo BY, Pinillos PY, Vidarte CJ, Suarez PD, Crissien QE. Perception of the environment for walking according the locality in Barranquilla, Colombia. Rev Int Med Cienc Act Fís Deporte. 2017;17:153-66.

Lozada AL, Campero L, Hernández B, Rubalcava L, Neufeld LM. Barreras y facilitadores para actividad física durante el embarazo y posparto en mujeres pobres de México. Salud Pública Méx. 2015;57:242-51. https://doi.org/10.21149/spm.v57i3.7563

Miranda ML, Messer LC, Kroeger GL. Associations between the quality of the residential built environment and pregnancy outcomes among women in North Carolina. Environ Health Perspect. 2012;120:471-7.

Laraia B, Messer LC, Evenson K. Neighborhood factors associated with physical activity and adequacy of weight gain during pregnancy. J Urban Health. 2007;84:793-806. https://doi.org/10.1007/s11524-007-9217-z

Downs DS, Chasan-Taber L, Evenson KR, Leiferman J, Yeo S. Physical activity and pregnancy: Past and present evidence and future recommendations. Res Q Exerc Sport 2012;83:485-502. https://doi.org/10.1080/02701367.2012.10599138

International Physical Activity Questionnaire. Guidelines for data processing and analysis of the International Physical Activity Questionnaire (IPAQ), in Short and Long Forms; 2005. p. 1-15. Disponible en www.ipaq.ki.se

Oyeyemi A, Adegoke B, Oyeyemi AY, Fatudimu B. Test-retest reliability of IPAQ environmental- module in an African population. Int J Behav Nutr Phys Act. 2008;5:1-7. https://doi.org/10.1186/1479-5868-5-38

Evenson KR, Barakat R, Brown WJ, Dargent MP, Haruna M, Mikkelsen EM, et al. Guidelines for Physical Activity during Pregnancy: Comparisons From Around the World. Am J Lifestyle Med. 2014;8:102-21. https://doi.org/10.1177/1559827613498204

Lindqvist M, Lindkvist M, Eurenius E, Persson M, Ivarsson A, Mogren I. Leisure time physical activity among pregnant women and its associations with maternal characteristics and pregnancy outcomes. Sex Reprod Health. 2016;9:14-20. https://doi.org/10.1016/j.srhc.2016.03.006

Hawkins M, Kim Y, Gabriel KP, Rockette WB, Chasan TL. Sedentary behavior patterns in non-pregnant and pregnant women. Prev Med Rep. 2017;6:97-03. https://doi.org/10.1016/j.pmedr.2017.02.022

Connelly M, Brown H, van der Pligt P, Teychenne M. Modifiable barriers to leisure-time physical activity during pregnancy: a qualitative study investigating first time mother’s views and experiences. BMC Pregnancy Childbirth. 2015;15:1-7. https://doi.org/10.1186/s12884-015-0529-9

Thielman J, Rosella L, Copes R, Lebenbaum M, Manson H. Neighborhood walkability: Differential associations with self-reported transport walking and leisure-time physical activity in Canadian towns and cities of all sizes. Prev Med. 2015;77:174-80. https://doi.org/10.1016/j.ypmed.2015.05.011

McEachan RR, Prady SL, Smith G, Fairley L, Cabieses B, Gidlow C, et al. The association between Green space and depressive symptoms in pregnant women: Moderating roles of socioeconomic status and physical activity. J Epidemiol Community Health. 2016;70:253-9. https://doi.org/10.1136/jech-2015-205954

Vinikoor-Imler LC, Messer LC, Evenson KR, Laraia BA. Neighborhood conditions are associated with maternal health behaviors and pregnancy outcomes. Soc Sci Med. 2011;73:1302-11. https://doi.org/10.1016/j.socscimed.2011.08.012

Giurgescu C, Misra DP, Sealy-Jefferson S, Caldwell CH, Templin TN, Slaughter-Acey JC, et al. The impact of neighborhood quality, perceived stress, and social support on depressive symptoms during pregnancy in African American women. Soc Sci Med. 2015;130:172-80. https://doi.org/10.1016/j.socscimed.2015.02.006

How to Cite

1.
De Avila-Quintana L, Ariza-Egea S, Llanos-González B, Herazo-Beltrán Y, Domínguez-Anaya R. Association between socio-environmental factors and the practice of physical activity in pregnant women: a cross-sectional study. Rev. colomb. obstet. ginecol. [Internet]. 2018 Mar. 28 [cited 2024 May 19];69(1):32-41. Available from: https://revista.fecolsog.org/index.php/rcog/article/view/3004

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Published

2018-03-28

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