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Exercise in obese pregnant women The role of social factors, lifestyle and pregnancy symptoms.doc

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Exercise in obese pregnant women The role of social factors, lifestyle and pregnancy symptoms

Foxcroft1etal.BMCPregnancyandChildbirth2011,11:4 /1471-2393/11/4 RESEARCH ARTICLE OpenAccess Exerciseinobesepregnantwomen:Theroleof socialfactors,lifestyleandpregnancysymptoms KatieFFoxcroft11*?,IngridJRowlands2?,NualaMByrne3,HDavidMcIntyre4,LeonieKCallaway5, theBAMBINOgroup Abstract Background:Physicalactivitymayreducetheriskofadversematernaloutcomes,yetthereareveryfewstudies thathaveexaminedthecorrelatesofexerciseamongstobesewomenduringpregnancy.Weexaminedwhich relevantsociodemographic,obstetric,andhealthbehaviourvariablesandpregnancysymptomswereassociated withexerciseinasmallsampleofobesepregnantwomen. Methods:Thiswasasecondaryanalysisusingdatafromanexerciseinterventionforthepreventionofgestational diabetesinobesepregnantwomen.UsingthePregnancyPhysicalActivityQuestionnaire(PPAQ),50obese pregnantwomenwereclassifiedas“Exercisers”iftheyachieved≥900kcal/wkofexerciseand“Non-Exercisers”if theydidnotmeetthiscriterion.Analysesexaminedwhichrelevantvariableswereassociatedwithexercisestatusat 12,20,28and36weeksgestation. Results:Obesepregnantwomenwithahistoryofmiscarriage;whohadchildrenlivingathome;whohadalower pre-pregnancyweight;reportednonauseaandvomiting;andwhohadnolowerbackpain,werethosewomen whoweremostlikelytohaveexercisedinearlypregnancy.Exerciseinlatepregnancywasmostcommonamong tertiaryeducatedwomen. Conclusions:Offeringgreatersupporttowomenfromdisadvantagedbackgroundsandcloselymonitoring womenwhoreportpersistentnauseaandvomitingorlowerbackpaininearlypregnancymaybeimportant.The findingsmaybeparticularlyusefulforotherinterventionsaimedatreducingorcontrollingweightgaininobese pregnantwomen. Background andgeneralhealththansedentarypregnantwomen[2]. Physical activity during pregnancy is important for In another study of pregnant women who were over- women’s general health and may reduce the risk of weight, participation in three hours of aerobic exercise adversematernal,fetalandneonataloutcomes.Current per week was associated with higher fitness levels as re