Abstract

Physical activity (PA) during pregnancy has positive health implications for both mother and child. However, current literature indicates that not all pregnant women meet the international recommendations for PA (at least 150 min/week of moderate-to-vigorous PA). The main objective of this study was to assess PA levels among pregnant women in the city of Donostia-San Sebastian and identify their main sociodemographic predictors. We recruited 441 women in the 12th week of pregnancy from the local public obstetric health services. Women wore an accelerometer for one week during two separate time points (1st and 2nd trimesters of pregnancy) and completed a questionnaire assessing several sociodemographic variables as well as self-reported PA. With this information, we estimated women’s overall PA levels during both time points. The fulfillment of PA recommendations raised up to 77% and 85% during the first and second trimesters, respectively. We found that a higher number of children and a greater preference for exercise positively predicted light-to-moderate PA, being the most consistent predictors. The availability of a greater number of cars negatively predicted moderate-to-vigorous PA.

Highlights

  • Of participants by timepoint were removed from analyses

  • We aimed to assess whether physical activity (PA) levels among pregnant women in the metropolitan area of Donostia-San Sebastián meet international guidelines and to identify predictors of objective and self-reported estimations of PA among this population [2,3]

  • Time devoted to PA was similar during the second trimester

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Summary

Introduction

Many studies, including several reviews and meta-analyses, have confirmed physical and emotional benefits during pregnancy [3,4,5,6,7,8], while the risks are scarce [9]. PA helps to avoid excessive weight gain during pregnancy, which decreases the risks of comorbidities, such as gestational diabetes [3,10,11,12], macrosomia [7,13], preeclampsia [8,14], and assisted or caesarean delivery [15,16,17]. The emotional benefits of PA include the strengthening of one’s mood and self-esteem, increased sleep quality [3,20], and decreased stress during pregnancy [21]

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