Physical inactivity during pregnancy: its associations with socio-demographic background and mental health

Szerzők

DOI:

https://doi.org/10.21543/Dem.67.1.1

Kulcsszavak:

pregnany, physical activity, socio-demographic background, mental health

Absztrakt

Exercise during pregnancy is known to have positive effects on both maternal and foetal health. Despite international recommendations advocating regular exercise for healthy pregnant women, survey data indicate that physical activity decreases during pregnancy, particularly in the third trimester. This study aims to assess the physical activity levels of pregnant women in Hungary in a representative sample and to explore the association between physical inactivity, socio-demographic characteristics, and mental health. Utilizing data from the Cohort '18 Hungarian Birth Cohort Study, our analysis encompasses 6,121 pregnant women. Maternal physical activity was assessed in the third trimester, both for the time of the interview and retrospectively for the pre-pregnancy period. Mental health was evaluated through the CES-D-8 and GAD-2 questionnaires. The inactivity rate (defined as less than 1 hour per week) in the third trimester was 70% for walking, 92% for cycling, and 90% for sports. Inactivity increased across all forms of physical activity during pregnancy. The socio-demographic determinants influencing physical activity during pregnancy varied for different activities. The examined socio-demographic variables explained 3.5–4.7% of the variance in walking, 3.3–7.8% in cycling, and 7–14% in doing sport during pregnancy. Mental health was only significantly associated with sport activity. These findings underscore the importance of raising awareness about physical activity in antenatal care, particularly targeting at-risk populations.

Hivatkozások

Alghamdi, W. (2023). Socio-demographic predictors of knowledge, attitude and prac-tice of antenatal exercise among pregnant women. Medical Science, 27(132), 1–9. https://doi.org/10.54905/disssi/v27i132/e92ms2886

American College of Obstetricians and Gynecologists. (2020). Physical activity and exercise during pregnancy and the postpartum period: ACOG committee opinion, Number 804. Obstetrics & Gynecology, 135(4), e178–e188. https://doi.org/10.1097/AOG.0000000000003772

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (Fifth Edition). American Psychiatric Association. https://doi.org/10.1176/appi.books.9780890425596

Amezcua-Prieto, C., Lardelli-Claret, P., Olmedo-Requena, R., Mozas-Moreno, J., Bueno-Cavanillas, A., & Jiménez-Moleón, J. J. (2011). Compliance with leisure-time physical activity recommendations in pregnant women: Compliance to physical activity in pregnancy. Acta Obstetricia et Gynecologica Scandinavica, no-no. https://doi.org/10.1111/j.1600-0412.2010.01050.x

Bíró, É., & Tokaji, K. (Eds.). (2018). Európai lakossági egészségfelmérés, Magyarország, 2014. Központi Statisztikai Hivatal.

Borodulin, K. M., Evenson, K. R., Wen, F., Herring, A. H., & Benson, A. M. (2008). Physical activity patterns during pregnancy. Medicine & Science in Sports & Exercise, 40(11), 1901–1908. https://doi.org/10.1249/MSS.0b013e31817f1957

Bracke, P. F., Levecque, K., & Velde, S. V. de. (2008). The psychometric properties of the CES-D 8 depression inventory and the estimation of cross-national differences in the true prevalence of depression. Ghent University.

Broberg, L., Ersbøll, A. S., Backhausen, M. G., Damm, P., Tabor, A., & Hegaard, H. K. (2015). Compliance with national recommendations for exercise during early pregnancy in a Danish cohort. BMC Pregnancy and Childbirth, 15(1), 317. https://doi.org/10.1186/s12884-015-0756-0

Buhling, K. J., Henrich, W., Starr, E., Lubke, M., Bertram, S., Siebert, G., & Dudenhausen, J. W. (2003). Risk for gestational diabetes and hypertension for women with twin preg-nancy compared to singleton pregnancy. Archives of Gynecology and Obstetrics, 269(1), 33–36. https://doi.org/10.1007/s00404-003-0483-z

Clarke, P. E., & Gross, H. (2004). Women’s behaviour, beliefs and information sources about physical exercise in pregnancy. Midwifery, 20(2), 133–141. https://doi.org/10.1016/j.midw.2003.11.003

Coates, A. O., Schaefer, C. A., & Alexander, J. L. (2004). Detection of postpartum depres-sion and anxiety in a large health plan. The Journal of Behavioral Health Services & Research, 31(2), 117–133. https://doi.org/10.1007/BF02287376

Conn, V. S. (2010). Depressive symptom outcomes of physical activity interventions: Meta-analysis findings. Annals of Behavioral Medicine, 39(2), 128–138. https://doi.org/10.1007/s12160-010-9172-x

Dagher, R. K., Bruckheim, H. E., Colpe, L. J., Edwards, E., & White, D. B. (2021). Perinatal depression: Challenges and opportunities. Journal of Women’s Health, 30(2), 154–159. https://doi.org/10.1089/jwh.2020.8862

Daley, A., Foster, L., Long, G., Palmer, C., Robinson, O., Walmsley, H., & Ward, R. (2015). The effectiveness of exercise for the prevention and treatment of antenatal depression: Systematic review with meta‐analysis. BJOG: An International Journal of Obstetrics & Gynaecology, 122(1), 57–62. https://doi.org/10.1111/1471-0528.12909

Davenport, M. H., McCurdy, A. P., Mottola, M. F., Skow, R. J., Meah, V. L., Poitras, V. J., Jara-millo Garcia, A., Gray, C. E., Barrowman, N., Riske, L., Sobierajski, F., James, M., Nagpal, T., Marchand, A.-A., Nuspl, M., Slater, L. G., Barakat, R., Adamo, K. B., Davies, G. A., & Ruchat, S.-M. (2018). Impact of prenatal exercise on both prenatal and postnatal anxiety and depressive symptoms: A systematic review and meta-analysis. British Journal of Sports Medicine, 52(21), 1376–1385. https://doi.org/10.1136/bjsports-2018-099697

Dinas, P. C., Koutedakis, Y., & Flouris, A. D. (2011). Effects of exercise and physical activity on depression. Irish Journal of Medical Science, 180(2), 319–325. https://doi.org/10.1007/s11845-010-0633-9

Ding, X.-X., Wu, Y.-L., Xu, S.-J., Zhu, R.-P., Jia, X.-M., Zhang, S.-F., Huang, K., Zhu, P., Hao, J.-H., & Tao, F.-B. (2014). Maternal anxiety during pregnancy and adverse birth outcomes: A systematic review and meta-analysis of prospective cohort studies. Journal of Af-fective Disorders, 159, 103–110. https://doi.org/10.1016/j.jad.2014.02.027

Dipla, K., Zafeiridis, A., Mintziori, G., Boutou, A. K., Goulis, D. G., & Hackney, A. C. (2021). Exercise as a therapeutic intervention in gestational diabetes mellitus. Endocrines, 2(2), 65–78. https://doi.org/10.3390/endocrines2020007

Domingues, M. R., & Barros, A. J. D. (2007). Leisure-time physical activity during preg-nancy in the 2004 Pelotas Birth Cohort Study. Revista de Saúde Pública, 41(2), 173–180. https://doi.org/10.1590/S0034-89102007000200002

Downs, D. S., Chasan-Taber, L., Evenson, K. R., Leiferman, J., & Yeo, S. (2012). Physical activity and pregnancy: Past and present evidence and future recommendations. Research Quarterly for Exercise and Sport, 83(4), 485–502. https://doi.org/10.1080/02701367.2012.10599138

Duncombe, D., Wertheim, E. H., Skouteris, H., Paxton, S. J., & Kelly, L. (2009). Factors related to exercise over the course of pregnancy including women’s beliefs about the safety of exercise during pregnancy. Midwifery, 25(4), 430–438. https://doi.org/10.1016/j.midw.2007.03.002

Fell, D. B., Joseph, K. S., Armson, B. A., & Dodds, L. (2009). The impact of pregnancy on physical activity level. Maternal and Child Health Journal, 13(5), 597–603. https://doi.org/10.1007/s10995-008-0404-7

Gaston, A., & Cramp, A. (2011). Exercise during pregnancy: A review of patterns and determinants. Journal of Science and Medicine in Sport, 14(4), 299–305. https://doi.org/10.1016/j.jsams.2011.02.006

Gebregziabher, D., Berhe, H., Kassa, M., & Berhanie, E. (2019). Level of physical activity and associated factors during pregnancy among women who gave birth in Public Zonal Hospitals of Tigray. BMC Research Notes, 12(1), 454. https://doi.org/10.1186/s13104-019-4496-5

Gjestland, K., Bø, K., Owe, K. M., & Eberhard-Gran, M. (2013). Do pregnant women follow exercise guidelines? Prevalence data among 3482 women, and prediction of low-back pain, pelvic girdle pain and depression. British Journal of Sports Medicine, 47(8), 515–520. https://doi.org/10.1136/bjsports-2012-091344

Goodwin, R. D. (2003). Association between physical activity and mental disorders among adults in the United States. Preventive Medicine, 36(6), 698–703. https://doi.org/10.1016/S0091-7435(03)00042-2

He, L., Soh, K. L., Huang, F., Khaza’ai, H., Geok, S. K., Vorasiha, P., Chen, A., & Ma, J. (2023). The impact of physical activity intervention on perinatal depression: A systematic review and meta-analysis. Journal of Affective Disorders, 321, 304–319. https://doi.org/10.1016/j.jad.2022.10.026

Hungarian Central Statistical Office. (2019). Az Európai lakossági egészségfelmérések. Sporttevékenység, testmozgás 2019. (https://www.ksh.hu/elef/kiadvanyok.html) [Xlsx]. https://www.ksh.hu/elef/docs/elef09-19_09.xlsx

Kaur, S., Ng, C. M., Badon, S. E., Jalil, R. A., Maykanathan, D., Yim, H. S., & Jan Mohamed, H. J. (2019). Risk factors for low birth weight among rural and urban Malaysian women. BMC Public Health, 19(S4), 539. https://doi.org/10.1186/s12889-019-6864-4

Koniak‐Griffin, D. (1994). Aerobic exercise, psychological well‐being, and physical discomforts during adolescent pregnancy. Research in Nursing & Health, 17(4), 253–263. https://doi.org/10.1002/nur.4770170404

Kopcsó, K. (2020). A várandósság alatti depresszió és szorongás szocio-demográfiai rizikótényezői. Demográfia, 63(2–3), 171–197. https://doi.org/10.21543/Dem.63.2-3.2

Kroenke, K., Spitzer, R. L., Williams, J. B. W., Monahan, P. O., & Löwe, B. (2007). Anxiety disorders in primary care: Prevalence, impairment, comorbidity, and detection. An-nals of Internal Medicine, 146(5), 317. https://doi.org/10.7326/0003-4819-146-5-200703060-00004

Langan, R., & Goodbred, A. J. (2016). Identification and management of peripartum depression. American Family Physician, 93(10), 852–858.

Laredo-Aguilera, J. A., Gallardo-Bravo, M., Rabanales-Sotos, J. A., Cobo-Cuenca, A. I., & Carmona-Torres, J. M. (2020). Physical activity programs during pregnancy are ef-fective for the control of gestational diabetes mellitus. International Journal of Envi-ronmental Research and Public Health, 17(17), 6151. https://doi.org/10.3390/ijerph17176151

Larrañaga, I., Santa-Marina, L., Begiristain, H., Machón, M., Vrijheid, M., Casas, M., Tardón, A., Fernández-Somoano, A., Llop, S., Rodriguez-Bernal, C. L., & Fernandez, M. F. (2013). Socio-economic inequalities in health, habits and self-care during pregnancy in Spain. Maternal and Child Health Journal, 17(7), 1315–1324. https://doi.org/10.1007/s10995-012-1134-4

Magro‐Malosso, E. R., Saccone, G., Di Tommaso, M., Roman, A., & Berghella, V. (2017). Exercise during pregnancy and risk of gestational hypertensive disorders: A sys-tematic review and meta‐analysis. Acta Obstetricia et Gynecologica Scandinavica, 96(8), 921–931. https://doi.org/10.1111/aogs.13151

Meander, L., Lindqvist, M., Mogren, I., Sandlund, J., West, C. E., & Domellöf, M. (2021). Phys-ical activity and sedentary time during pregnancy and associations with maternal and fetal health outcomes: An epidemiological study. BMC Pregnancy and Child-birth, 21(1), 166. https://doi.org/10.1186/s12884-021-03627-6

Meltzer-Brody, S., & Stuebe, A. (2014). The long-term psychiatric and medical prognosis of perinatal mental illness. Best Practice & Research Clinical Obstetrics & Gynaecol-ogy, 28(1), 49–60. https://doi.org/10.1016/j.bpobgyn.2013.08.009

Mortazavi, S. S., Mohammad, K., Ardebili, H. E., Beni, R. D., Mahmoodi, M., & Keshteli, A. H. (2012). Mental disorder prevention and physical activity in Iranian elderly. Interna-tional Journal of Preventive Medicine, 3(Suppl 1), S64-72.

Morton, S., M. B., Atatoa Carr, P. E., Bandara, D. K., Grant, C. C., Ivory, V. C., Kingi, T. K. R., Liang, R., Perese, L. M., Peterson, E., Pryor, J. E., Reese, E., Robinson, E. M., Schmidt, J. M., & Waldie, K. E. (2010). Growing up in New Zealand: A longitudinal study of New Zealand children and their families, report 1: before we are born. Growing Up In New Zealand.

Mottola, M. F., Davenport, M. H., Ruchat, S.-M., Davies, G. A., Poitras, V. J., Gray, C. E., Jara-millo Garcia, A., Barrowman, N., Adamo, K. B., Duggan, M., Barakat, R., Chilibeck, P., Fleming, K., Forte, M., Korolnek, J., Nagpal, T., Slater, L. G., Stirling, D., & Zehr, L. (2018). 2019 Canadian guideline for physical activity throughout pregnancy. British Journal of Sports Medicine, 52(21), 1339–1346. https://doi.org/10.1136/bjsports-2018-100056

Mudd, L. M., Owe, K. M., Mottola, M. F., & Pivarnik, J. M. (2013). Health benefits of physical activity during pregnancy: An international perspective. Medicine & Science in Sports & Exercise, 45(2), 268–277. https://doi.org/10.1249/MSS.0b013e31826cebcb

Nascimento, S. L., Surita, F. G., & Cecatti, J. G. (2012). Physical exercise during pregnancy: A systematic review. Current Opinion in Obstetrics & Gynecology, 24(6), 387–394. https://doi.org/10.1097/GCO.0b013e328359f131

National Institute for Health and Care Excellence. (2014). Antenatal and postnatal men-tal health: Clinical management and service guidance. https://www.nice.org.uk/guidance/cg192

Nguyen, M. T., & Ouzounian, J. G. (2021). Evaluation and management of fetal macro-somia. Obstetrics and Gynecology Clinics of North America, 48(2), 387–399. https://doi.org/10.1016/j.ogc.2021.02.008

Oosterhuis, H. (2016). Cycling, modernity and national culture. Social History, 41(3), 233–248. https://doi.org/10.1080/03071022.2016.1180897

Padmapriya, N., Shen, L., Soh, S.-E., Shen, Z., Kwek, K., Godfrey, K. M., Gluckman, P. D., Chong, Y.-S., Saw, S.-M., & Müller-Riemenschneider, F. (2015). Physical activity and sedentary behavior patterns before and during pregnancy in a multi-ethnic sample of Asian women in Singapore. Maternal and Child Health Journal, 19(11), 2523–2535. https://doi.org/10.1007/s10995-015-1773-3

Peters, T. M., & Brazeau, A.-S. (2019). Exercise in pregnant women with diabetes. Current Diabetes Reports, 19(9), 80. https://doi.org/10.1007/s11892-019-1204-8

Petersen, A. M., Leet, T. L., & Brownson, R. C. (2005). Correlates of physical activity among pregnant women in the United States. Medicine & Science in Sports & Exer-cise, 37(10), 1748–1753. https://doi.org/10.1249/01.mss.0000181302.97948.90

Poudevigne, M. S., & O’Connor, P. J. (2006). A review of physical activity patterns in pregnant women and their relationship to psychological health. Sports Medicine, 36(1), 19–38. https://doi.org/10.2165/00007256-200636010-00003

Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401. https://doi.org/10.1177/014662167700100306

Ribeiro, C. P., & Milanez, H. (2011). Knowledge, attitude and practice of women in Campi-nas, São Paulo, Brazil with respect to physical exercise in pregnancy: A descriptive study. Reproductive Health, 8(1), 31. https://doi.org/10.1186/1742-4755-8-31

Robledo-Colonia, A. F., Sandoval-Restrepo, N., Mosquera-Valderrama, Y. F., Escobar-Hurtado, C., & Ramírez-Vélez, R. (2012). Aerobic exercise training during pregnancy reduces depressive symptoms in nulliparous women: A randomised trial. Journal of Physiotherapy, 58(1), 9–15. https://doi.org/10.1016/S1836-9553(12)70067-X

Rubertsson, C., Hellström, J., Cross, M., & Sydsjö, G. (2014). Anxiety in early pregnancy: Prevalence and contributing factors. Archives of Women’s Mental Health, 17(3), 221–228. https://doi.org/10.1007/s00737-013-0409-0

Ruchat, S.-M., Mottola, M. F., Skow, R. J., Nagpal, T. S., Meah, V. L., James, M., Riske, L., Sobierajski, F., Kathol, A. J., Marchand, A.-A., Nuspl, M., Weeks, A., Gray, C. E., Poitras, V. J., Jaramillo Garcia, A., Barrowman, N., Slater, L. G., Adamo, K. B., Davies, G. A., … Davenport, M. H. (2018). Effectiveness of exercise interventions in the prevention of excessive gestational weight gain and postpartum weight retention: A systematic review and meta-analysis. British Journal of Sports Medicine, 52(21), 1347–1356. https://doi.org/10.1136/bjsports-2018-099399

Sánchez-Polán, M., Franco, E., Silva-José, C., Gil-Ares, J., Pérez-Tejero, J., Barakat, R., & Refoyo, I. (2021). Exercise during pregnancy and prenatal depression: A systematic review and meta-analysis. Frontiers in Physiology, 12, 640024. https://doi.org/10.3389/fphys.2021.640024

Saxena, S., Van Ommeren, M., Tang, K. C., & Armstrong, T. P. (2005). Mental health bene-fits of physical activity. Journal of Mental Health, 14(5), 445–451. https://doi.org/10.1080/09638230500270776

Singh, B., Olds, T., Curtis, R., Dumuid, D., Virgara, R., Watson, A., Szeto, K., O’Connor, E., Ferguson, T., Eglitis, E., Miatke, A., Simpson, C. E., & Maher, C. (2023). Effectiveness of physical activity interventions for improving depression, anxiety and distress: An overview of systematic reviews. British Journal of Sports Medicine, 57(18), 1203–1209. https://doi.org/10.1136/bjsports-2022-106195

Slomian, J., Honvo, G., Emonts, P., Reginster, J.-Y., & Bruyère, O. (2019). Consequences of maternal postpartum depression: A systematic review of maternal and infant out-comes. Women’s Health, 15, 174550651984404. https://doi.org/10.1177/1745506519844044

Soma-Pillay, P., Nelson-Piercy, C., Tolppanen, H., & Mebazaa, A. (2016). Physiological changes in pregnancy. Cardiovascular Journal of Africa, 27(2), 89–94. https://doi.org/10.5830/CVJA-2016-021

Syed Nor, S. F., Idris, I. B., & Md Isa, Z. (2022). Physical inactivity in early pregnancy and the determinants in an urban city setting of Kuala Lumpur, Malaysia. BMC Public Health, 22(1), 93. https://doi.org/10.1186/s12889-022-12513-5

Szabó, L. (Ed.). (2021). Growing up in Hungary: Cohort ’18 Hungarian Birth Cohort Study: Technical report 2. Preenatal wave (Working Paper No. 38). Hungarian Demographic Research Institute. https://doi.org/10.21543/WP.2021.38

Szeifert, L. (2010). Depresszió és életminőség krónikus veseelégtelenségben szenvedő betegek körében. [Doctoral dissertation, Semmelweis University]. https://doktori.hu/index.php?menuid=193&lang=HU&vid=5717

Takahasi, E. H. M., Alves, M. T. S. S. D. B., Alves, G. S., Silva, A. A. M. D., Batista, R. F. L., Simões, V. M. F., Del-Ben, C. M., & Barbieri, M. A. (2013). Mental health and physical in-activity during pregnancy: A cross-sectional study nested in the BRISA cohort study. Cadernos de Saúde Pública, 29(8), 1583–1594. https://doi.org/10.1590/S0102-311X2013001200011

Truijens, S. E. M., Spek, V., Van Son, M. J. M., Guid Oei, S., & Pop, V. J. M. (2017). Different patterns of depressive symptoms during pregnancy. Archives of Women’s Mental Health, 20(4), 539–546. https://doi.org/10.1007/s00737-017-0738-5

Underwood, L., Waldie, K., D’Souza, S., Peterson, E. R., & Morton, S. (2016). A review of longitudinal studies on antenatal and postnatal depression. Archives of Women’s Mental Health, 19(5), 711–720. https://doi.org/10.1007/s00737-016-0629-1

Veroszta, Z. (Ed.). (2018). Technical report: Growing up in Hungary: Cohort ’18 Hungarian birth cohort study: Prenatal research, preparational phase (Working Paper No. 30). Hungarian Demographic Research Institute. https://doi.org/10.21543/WP.2018.30

Veroszta, Z. (Ed.). (2019). Conceptual framework: Growing up in Hungary - Cohort ’18: Hungarian birth cohort study (Working Paper No. 32). Hungarian Demographic Re-search Institute. https://doi.org/10.21543/WP.2019.32

Waters, C. S., Hay, D. F., Simmonds, J. R., & Van Goozen, S. H. M. (2014). Antenatal depres-sion and children’s developmental outcomes: Potential mechanisms and treatment options. European Child & Adolescent Psychiatry, 23(10), 957–971. https://doi.org/10.1007/s00787-014-0582-3

Watson, E. D., Brage, S., White, T., Westgate, K., Norris, S. A., Van Poppel, M. N. M., & Mick-lesfield, L. K. (2018). The influence of objectively measured physical activity during pregnancy on maternal and birth outcomes in urban black South African women. Maternal and Child Health Journal, 22(8), 1190–1199. https://doi.org/10.1007/s10995-018-2504-3

Weinstock, M. (2005). The potential influence of maternal stress hormones on devel-opment and mental health of the offspring. Brain, Behavior, and Immunity, 19(4), 296–308. https://doi.org/10.1016/j.bbi.2004.09.006

Witvrouwen, I., Mannaerts, D., Van Berendoncks, A. M., Jacquemyn, Y., & Van Crae-nenbroeck, E. M. (2020). The effect of exercise training during pregnancy to im-prove maternal vascular health: Focus on gestational hypertensive disorders. Fron-tiers in Physiology, 11, 450. https://doi.org/10.3389/fphys.2020.00450

World Health Organization. (2022, October 5). Physical activity. https://www.who.int/news-room/fact-sheets/detail/physical-activity

Yeo, S., Steele, N. M., Chang, M. C., Leclaire, S. M., Ronis, D. L., & Hayashi, R. (2000). Effect of exercise on blood pressure in pregnant women with a high risk of gestational hypertensive disorders. The Journal of Reproductive Medicine, 45(4), 293–298.

Zhang, Y., Dong, S., Zuo, J., Hu, X., Zhang, H., & Zhao, Y. (2014). Physical activity aevel of urban pregnant women in Tianjin, China: A cross-sectional study. PLoS ONE, 9(10), e109624. https://doi.org/10.1371/journal.pone.0109624

Zhou, T., Lin, Y., Xu, F., Ma, X., Wang, N., & Ding, Y. (2022). Factors influencing physical inactivity status among Chinese pregnant women: A cross-sectional study. BMC Public Health, 22(1), 2310. https://doi.org/10.1186/s12889-022-14757-7

Megjelent

2024-09-23

Hogyan kell idézni

Sándor, N. G., Boros, J., Kopcsó, K., & Beatrix, L. (2024). Physical inactivity during pregnancy: its associations with socio-demographic background and mental health. Demográfia, 67(1), 11–42. https://doi.org/10.21543/Dem.67.1.1

Folyóirat szám

Rovat

Cikkek