Physical Activity Education Research Articles

Analysis of the Implementation of Laboratory Activities in High School Physics Learning from the Perceptions of Teachers and Principals

The laboratory is the main means of learning contextual physics. The results of observations in high schools of Padang Pariaman Regency, West Sumatra, showed that the implementation of laboratory activities in learning physics was still low. An analysis was conducted to highlight the implementation of these laboratory activities in high school physics learning in terms of teachers’ and principals’ perceptions. Aspects that can be disclosed are a) the implementation of laboratory activities in terms of; availability of infrastructure and perceptions of teachers and school principals on laboratory activities, and b) the relationship between teachers’ and principals’ perceptions of laboratory activities in physical education. Sampling was done using the Cluster Random Sampling technique. The data obtained were described using the percent technique. The results of data analysis and processing concluded that a) in terms of the availability of facilities and infrastructure for the implementation of laboratory activities, the average was in the very low category (17.86%), b) The perception of teachers and principals on laboratory activities in physical learning was on average the same for the lower criteria (43.00%) and 45.20%); and c) data on the relationship between the perceptions of teachers and principals on laboratory activities is in a very strong (0.816) and strong (0.788) relationship with their respective contributions of 66.60% and 62.10%. In general, this analysis concludes that a very low percentage The implementation of laboratory activities is largely influenced by the low perception of teachers and principals’ perceptions of the role of laboratory activities in learning physics.

U.S. Islamic Schools’ Promotion of Physical Education and Physical Activity

Abstract: Among Muslims, the states of spiritual well-being and physical health complement each other and should be developed in youth. Regular physical activity (PA) in childhood is associated with multiple health benefits immediately and persisting into adulthood. Schools are ideal venues for children to be physically active owing to curricular (i.e., physical education [PE]), co-curricular (i.e., recess, classroom activity breaks), and extracurricular (i.e., intramural and interscholastic sports) opportunities. Most schools utilize websites to convey and promote information about what they feel is important for website visitors to know. Previous studies on how PE/PA are promoted on school websites excluded U.S. Islamic schools. Therefore, we conducted a content analysis of 222 U.S. Islamic schools’ websites to determine the prevalence of images and verbiage promoting PE/PA and associated characteristics. Our descriptive findings suggest that PE/PA are emphasized less compared with other subject matter: PE was mentioned on 53% of websites, intramurals on 29%, and interscholastic sports on 21%. Thus, the holistic education of children in the Islamic tradition may be compromised.

U.S. Islamic Schools’ Promotion of Physical Education and Physical Activity

Abstract: Among Muslims, the states of spiritual well-being and physical health complement each other and should be developed in youth. Regular physical activity (PA) in childhood is associated with multiple health benefits immediately and persisting into adulthood. Schools are ideal venues for children to be physically active owing to curricular (i.e., physical education [PE]), co-curricular (i.e., recess, classroom activity breaks), and extracurricular (i.e., intramural and interscholastic sports) opportunities. Most schools utilize websites to convey and promote information about what they feel is important for website visitors to know. Previous studies on how PE/PA are promoted on school websites excluded U.S. Islamic schools. Therefore, we conducted a content analysis of 222 U.S. Islamic schools’ websites to determine the prevalence of images and verbiage promoting PE/PA and associated characteristics. Our descriptive findings suggest that PE/PA are emphasized less compared with other subject matter: PE was mentioned on 53% of websites, intramurals on 29%, and interscholastic sports on 21%. Thus, the holistic education of children in the Islamic tradition may be compromised.

Poster (Clinical/Best Practice Implementation) ID 1984967

Background Assessment of physical activity (PA) prescription recall and serum screening for dyslipidemia are critical to describe and mitigate Cardiometabolic Disease (CMD) risk among adults with spinal cord injury or disease (SCI/D). Objectives To report: 1) the frequency of PA prescription recall; and, 2) the frequency of lipid profile assessment and interpretation recall among inpatients with SCI/D during rehabilitation. Methods Adults with SCI/D completed the SCI-HIGH CMD intermediary outcome indicators. A Kinesiologist collected data via interview and chart abstraction among UHN inpatients. Survey responses were scored using Reachlite’s optical character recognition software. Descriptive statistics were used to characterize the participant’s age, sex, impairment characteristics, and report recall rates and the frequency of lipid screening/interpretation. Based on the participant’s needs, either educational materials to increase future adherence to PA guidelines and/or a Mediterranean diet were provided. Results Adult inpatients (n=124), mean age 59 years, 64% paraplegic, and 36% female participated. In total, 14% of participants (16/117) reported being taught the benefits of PA for their heart health; of whom 69% (11/16) recalled exercise instruction. Similarly, 15% of inpatients (17/114) recalled lipid screening during rehabilitation, although chart abstraction revealed that 30% (37/124) had completed lipid screening. Clinical interpretation of their lipid values was recalled by 30% of inpatients. Conclusion There is a significant opportunity to advance PA instruction and lipid profile education and management among inpatients with SCI/D to reduce CMD risk. Inclusion of PA and lipid management instructions in patient-oriented discharge summaries may enhance patient recall/adherence.

Reducing Metabolic Syndrome Through A 12-week Workplace Nutrition And Physical Activity Education Program

Reducing Metabolic Syndrome Through A 12-week Workplace Nutrition And Physical Activity Education Program

Analysis of difficulties learning artistic gymnastical movements in elementary students

Introduction. Physical activity in education should be tailored to students' nature to allow them to develop their potential without facing challenges. The educational approach at the elementary school level fundamentally differs from that of higher educational levels. Elementary education prioritizes engaging and straightforward learning experiences. Aim. This study aimed to identify challenges faced when learning artistic gymnastics at the elementary school level. Method. This study employed a descriptive research approach, aiming to gather comprehensive information about a specific phenomenon. In this context, the phenomenon under investigation is the experience of elementary school students learning artistic gymnastics movements. Data collection was conducted using a questionnaire. The study sample comprised 80 elementary school students from Sleman Regency. Result. The analysis revealed that difficulties in learning artistic gymnastics in elementary schools can be categorized into three primary elements: student-related, teacher-related, and infrastructure-related. Out of 80 students: 60 reported no personal difficulties, 45 indicated difficulties understanding teacher instructions, 55 stated no issues regarding infrastructure availability. It's evident from these findings that teacher-related factors significantly influence students' learning challenges. Conclusion. The analysis indicates that out of the three elements identified, the teacher-related aspect requires the most attention, primarily because students often found it challenging to understand the teacher's instructions for performing artistic gymnastics activities.

GP specialty trainees' knowledge and values towards physical activity: a national survey of Scottish trainees.

Despite the known benefits of physical activity (PA), one-third of adults in the UK fail to meet recommended levels of PA. PA promotion in primary care has been shown to be effective at improving PA in patients but implementation of PA promotion by GPs remains poor. Research has shown a need to improve PA education in undergraduate medical education, but, to the authors' knowledge, no review of postgraduate medical education has been performed. To assess the knowledge and values of general practice specialist trainees (GPSTs) towards PA promotion in Scotland. Cross-sectional survey distributed to GPSTs in Scotland. A mixed-methods cross-sectional survey, informed by previous research, was developed and distributed to all (n = 1205) GPSTs in Scotland in December 2022. Descriptive statistics were used to analyse quantitative data. A content analysis of free-text responses was also performed. A total of 168 GPSTs responded, representing 13.9% of all GPSTs in Scotland. Of responders, 93.5% reported no previous experience in the subject of sports and exercise science and medicine. Overall, 38.9% of responders stated they were unaware of the current UK PA guidelines, with 33.9% unable to correctly identify the UK PA guidelines when presented with multiple choice options. In addition, 83.3% felt they had been inadequately trained to deliver PA advice during their medical training. This study highlights a lack of knowledge, confidence, and education in PA promotion in GPSTs in Scotland. Given the importance of primary prevention, this urgently needs to be addressed.

Socioeconomic Inequalities, Adolescence, Sex and Disease Duration as Associates of Physical Activity Avoidance Among Children with Type 1 Diabetes.

To determine physical activity(PA) avoidance and its associates among children with type 1 diabetes at four situations: leisure time(LT) PA out of school, LT PA at school during breaks, attendance at physical education(PE) classes and active plays during PE classes. Cross-sectional study. Among 137(9-18 years-old) children with type 1 diabetes registered at Ege University Pediatric Endocrinology Unit(August 2019-February 2020), 92 who attended were interviewed face-to-face. Their responses were rated on a 5-point-Likert scale for PA in four situations. Never/rarely/occasionally responses were defined as avoidance. Chi-square and t/MWU tests and multivariate logistic regression analysis were used to detect variables associated with each avoidance situation. Among the children, 46.7% avoided PA during LT out of school and 52.2% during breaks, 15.2% avoided PE classes and 25.0% avoided active plays during PE classes. The older(14-18 year-olds) avoided PE classes(OR=6.49, 95%CI=1.10-38.13) and PA during breaks(OR=2.85, 95%CI=1.05-7.72) and girls avoided PA out of school(OR=3.18, 95%CI=1.18-8.06) and during breaks(OR=4.12, 95%CI=1.49-11.40). Those who had a sibling(OR=4.50, 95%CI=1.04-19.40) or had a low-educated mother(OR=3.63, 95% CI=1.15-11.46) avoided PA during breaks and those from low-income households avoided PE classes(OR=14.93, 95%CI=2.23-99.67). As the disease prolonged, avoiding PA during LT out of school increased(4-9 years;OR=4.21, 95%CI=1.14-15.52 and ≥10 years; OR=5.94, 95%CI=1.20-29.36). Adolescence, gender, and socioeconomic inequalities deserve special focus for better PA behavior among children with type 1 diabetes. As the disease prolongs, revising and strengthening the interventions for PA is needed.

Older adults with clinically relevant depressive symptoms have equal mobility benefit from a chronic physical activity intervention

Approximately 18% of older adults experience mild-to-severe depressive symptoms in the U.S., which in turn can negatively affect their physical and cognitive health. It is widely acknowledged that physical activity has a positive impact on mood and depression and is highly recommended for symptom management across all ages. Little is known, however, about whether elevated depressive symptoms interfere with the potential benefits of chronic exercise on physical outcomes such as mobility improvements in older adults. In this secondary data analysis of the Lifestyle Interventions and Independence for Elders (LIFE) study, we analyzed data from 1545 older adults (mean age = 78.8, 66.7% female) randomized to either a physical activity or health education intervention with an average of 2.2 years of follow-up. We evaluated whether the presence of clinically relevant depressive symptoms (defined as a rescaled score of ≥16 on the Center for Epidemiological Studies-Depression [CES-D]-11 scale) moderated the effect of a chronic physical activity intervention on incident major mobility disability (MMD), objectively measured as the ability to walk 400 m and assessed every 6 months. There were significant main effects of both the physical activity intervention (p = 0.018) and clinically relevant depression (p < 0.001) on incident MMD, but we found no evidence of moderation by depression status (interaction p-value = 0.989). Our findings suggest older adults with clinically relevant depressive symptoms derive similar benefits from participating in a comprehensive physical activity intervention in terms of reduced risk of mobility disability. These results support the inclusion of older adults with depressive symptoms in behavior-based clinical trials.

Impact of the covid-19 pandemic on physical education: Investigating basic motor skills, physical activity, fitness, and academic achievement

The physical education learning process due to the covid-19 pandemic which resulted in students doing distance learning, limiting physical activity, and having to be physical distanced, became a challenge for students to be able to complete academic achievements in physical education. The purpose of the study of impact covid-19 on basic motor skills, physical activity, fitness, and academic achievement in Physical Education in 9-10-years-old School Children. Materials and methods this study were a correlation study, the object of as many as 80 elementary school students in the Lamongan district aged 9-10 years, who had a body mass index of 19-25 kg/m, normal blood pressure, and normal heart rate voluntarily became a study sample. Data collection for basic motor skills used TGMD-2, Physical activity used PAQ-C, and Fitness used the Indonesian Academic Achievement in Physical Education, Fitness Test used student report cards taken after one semester. The analysis sample used correlation with a significant rate of 0.05%. The result correlation showed that BMS and F were significantly correlated to AA but not correlated to PA (p &lt; 0.000) whereas BMS was significantly correlated to PA and F using (p &lt; 0.000). Conclusions of the study show that the impact of covid-19 affects learning achievement in Physical Education in 9-10-years-old School Children, variables that affect learning outcomes Physical Education are basic motor skills and fitness, while variables of physical activity and fitness directly affect the basic motor skills of students, then the learning outcomes of physical education in school programs are indirectly influenced by physical activity. Future research should conduct an investigation into the variables that are consistently associated with academic success in physical education among young children. This will provide a comprehensive understanding of the topic.

The Significance of Physical Activity Education: A Survey of Medical Students.

Less than 20% of US adults meet physical activity (PA) recommendations, yet few physicians provide consistent PA counseling. There is limited research on the state of education of PA counseling in medical school curricula. The purpose of this study was to analyze medical students' perspectives on the current state and perceived quality of PA education in medical school. An online survey was administered to the students of nine United States medical schools in January 2021. Descriptive statistics were used to analyze results. Of 5500 invited students, 1182 (21.5%) responded. Only 8% of students received any formal training on PA counseling for patient or self-use throughout their medical education. The majority (64% and 85%, respectively) of respondents felt that both learning more about the benefits of PA and gaining more practical skills in counseling on PA should be requirements to graduate. Students across all medical school years agreed that formal training on patient counseling for PA should be taught more in-depth. Medical students believe that PA and exercise physiology should comprise more of medical education curricula. Such training may equip students with the tools they believe they need to adequately treat patients effectively throughout their careers.

The effects of the Jigsaw method on students’ physical activity in physical education: The role of student sex and habituation

Jigsaw is an attractive cooperative method for implementing physical education (PE). However, Jigsaw is a demanding method for students and teachers and requires time. Thus, the time required for the implementation of Jigsaw is important with respect to its potential effects on students. Previous findings regarding the effects of Jigsaw on students’ learning in the educational field have been inconsistent, and the consequences of the method on students’ engagement remain understudied. In PE, differences between boys and girls are well known, notably with respect to their engagement in physical activity (PA). The purpose of this study was to investigate the effect of Jigsaw on moderate to vigorous PA (MVPA) in PE classes in light of student sex and habituation (through one sequence and during several sequences). Overall, 254 secondary school students participated in the study. MVPA was measured during the third and sixth lessons of three different PE sequences during a school year. Linear mixed model analyses were performed while controlling for the type of activity taught in PE and the class. The results showed that the Jigsaw condition was associated with smaller sex differences than the control condition. Moreover, differences between the two conditions decreased with habituation through one sequence in favor of Jigsaw but not through three sequences. The results suggest that Jigsaw could be used to reduce inequalities between girls and boys in PE and that long sequences based on a specific activity seem to be preferable to successive sequences involving various activities.

An Examination of the Structural Validity of Instruments Assessing PE Teachers’ Beliefs, Intentions, and Self-Efficacy towards Teaching Physically Active Classes

Schools and, in particular, health and physical education (HPE) classes, has the potential to engage children and adolescents in health-enhancing physical activity. HPE teachers may enable or constrain this behaviour through appropriate classroom strategies and pedagogies that enhance not only student learning but also their engagement in physical activity. Such practices are a result of a teacher’s curricula beliefs, self-efficacy, and intention to teach physical activity as part of their HPE classes. The purpose of this study is to investigate the structural validity of six instruments designed to assess teachers’ beliefs, self-efficacy, and intentions regarding physical activity in physical education using the Rasch Measurement Model (RMM). Data suggest that three out of six instruments demonstrated multidimensional characteristics (curriculum beliefs, self-efficacy, and subjective norm). Model fit data were in the ranges of 0.5 to 1.61 for infit and −2.58 to 3.20 for outfit data. Differential item functioning was only present on one item in the curriculum beliefs instrument. Person reliability was &gt;0.55 and item reliability was &gt;0.73. Qualitative interpretation of Wright maps demonstrated a very good spread of items. Overall, each instrument demonstrated appropriate structural validity when weighed up against all of the components of the RMM.

Factors associated with implemented teacher-led movement and physical activity in early childhood education and care.

Movement and physical activity (MoPA) is critical for children's development and health. This study aimed to explore early childhood education and care (ECEC) educators' reported frequency of implemented gross motor and physical activities (MoPA) among children in ECEC, as well as the educators' reported personal physical activity (PA) levels in leisure time. A cross-sectional survey was performed in 68 preschools in southern Sweden. Data were obtained from questionnaires completed by 359 ECEC educators. The participation rate was 61%. About two thirds offered MoPA once a week or more seldom, while one quarter offered MoPA at least every other day. Educators who reported personal PA three times or more per week, offered MoPA for the children at least every other day to a higher extent (37%) compared to colleagues who reported personal PA once or twice a week (26%) or colleagues who reported that they were never or seldom active (18%) (p = 0.034). The results from multiple logistic regression analysis showed that reported implemented MoPA among children in ECEC was significantly associated with the educators' perceptions that free play improved children's gross motor skills (OR 2.7), the educators' perceptions of needed curricular guidelines for MoPA (OR 2.1), the educators' own leisure PA level (OR 2.0) and the educators' perceptions that adequate gross motor skills were not learned at home (OR 0.4). Teacher-led MoPA occurs sparingly during the preschool day and the teachers believe that the children get sufficient MoPA in free play. The children are expected to develop their motor skills to a sufficient extent during the short moments of offered outdoor play. Teachers who are physically active in their leisure-time seem to offer gross motor training for the children to a higher extent than less active or inactive colleagues.

Factors Influencing Attitudes Toward Physical Activity and Exercise Education in Pregnant Women

Background: The aim of this study was to report on attitudes of pregnant women regarding exercise and exercise education and to identify factors influencing their interest in receiving exercise education. Methods: A cross-sectional survey was completed by 134 women being evaluated for a routine obstetrical visit. Self-reported information regarding demographics, physical activity participation, confidence in knowledge about pregnancy exercise guidelines, and interest in receiving information about exercise during pregnancy was obtained. Descriptive statistics were used to summarize the data. Multiple logistic regressions were performed to measure associations between patient characteristics and exercise decline, confidence, and interest. Results: Participants had a mean age of 33.6 ± 4.3 years, mean BMI of 27.9 ± 5.0, and a mean gestational age of 26 ± 10 weeks. Reported level of physical activity decreased during pregnancy for 73.9 % of women. A significant association was found between pre-pregnancy physical activity (OR 2.00 (1.21-3.52), p = 0.010) and exercise decline. Significant, independent relationships were identified between increased confidence in exercise education and younger patient age (OR 0.89(0.82-0.98), p = 0.015), previous pregnancies (OR 0.43 (0.21-0.86), p = 0.060), higher level of pre-pregnancy exercise (OR 1.73 (1.19-2.53), p = 0.004), and more education received from physicians (OR 1.94 (1.54-2.49), p &lt; 0.001). Interest in education was associated with higher level of physical activity before pregnancy (OR 1.75(1.21-2.57), p = 0.004) and lower amount of education received from physicians (OR 0.78(0.63-0.97), p = 0.025). Conclusions: Women commonly report a decline in exercise during pregnancy, particularly among women with high levels of physical activity prior to pregnancy. Attitudes toward pregnancy exercise education were found to be correlated with patient characteristics including age, nulliparity, level of physical activity before pregnancy, and education received from physicians. These associations can be used to identify target populations for future interventions.

Multi-System Influences on Physical Education Preservice Teachers’ Teaching Practice in Pandemic Times

ABSTRACT Teacher training programmes and physical education activities were strikingly affected by the COVID-19 pandemic. Consequently, this study attempted to uncover (i) the systems factors that influenced the teaching practice of 28 preservice teachers during school placement, and how different multi-system interacting influences impacted on (ii) predominant, or (iii) differentiated teaching practices. Data included individual and focus group interviews, field notes, post-observation sessions, and digital portfolios. Eleven system-related factors were identified: macrosystem (lockdown regulations); exosystem (experiential learning); mesosystem (mentoring); microsystem (technology); and individual attributes. Teaching practices were influenced by interacting classroom conditions, prior learner-centred training, mentoring and personal attributes.

Effects of Physical Activity and Nutrition Education on the Gut Microbiota in Overweight and Obese Children.

Childhood obesity continues to represent a growing challenge, and it has been associated with gut microbiota dysbiosis. This study examines the gut microbiota composition in overweight and obese school children and assesses whether a 12-week multidisciplinary intervention can induce changes in the gut microbiota. The intervention, which combined recreational football and nutritional education, was implemented among 15 school children, aged 7-10 years, with a Body Mass Index ≥ 85th percentile. The children were assigned into two groups: Football Group (n = 9) and Nutrition and Football Group (n = 6). Faecal samples were collected at the beginning and end of the program and analysed by sequencing the 16S rRNA gene. Over the intervention, a significant decrease was found collectively for Bifidobacterium genera (p = 0.011) and for Roseburia genera in the Football Group (p = 0.021). The relative abundance of Roseburia (p = 0.002) and Roseburia faecis (p = 0.009) was negatively correlated with moderate to vigorous physical activity (MVPA), while Prevotella copri was positively correlated with MVPA (p = 0.010) and with the daily intake of protein (p = 0.008). Our findings suggest that a multidisciplinary intervention was capable of inducing limited but significant positive changes in the gut microbiota composition in overweight and obese school children.

Modern approaches to determining the impact of physical activity on the psychological health of students in wartime

The article analyzes modern approaches to determining the impact of physical activity on the psychological health of students in wartime. Through the use of the meta-analysis method, we have determined that most authors used the following research methods to obtain results on this issue: the SAN method (well-being, activity, mood), body mass index, vital and strength indices, Robinson's index, and the Fremdheim method. Based on the results of their research, it can be argued that sports have a positive impact on the psychological state of students. Systematic curricular and extracurricular physical exercises are an important condition for the normal physical and spiritual development of a student's personality, a prerequisite for fostering priority orientations to health promotion and a motivational incentive for regular independent exercise and sports. Physical activity improves cognitive functions, in particular, increases cognitive performance, memory and cognitive flexibility. Sports can also improve students' psychological well-being by providing a positive mood, reducing symptoms of depression, improving self-esteem, and developing social skills. In addition, sports can help regulate emotions and provide students with psychological comfort and self-discipline, and thus can be used as an additional argument in support of the introduction of physical education and health activities into the curriculum of higher education institutions. Sport can be an effective means of improving students' physical and mental health, contributing to their learning and overall well-being. The main goal of our further research will be to determine the impact of physical activity on the psychological health of students in wartime in non-core higher education institutions in Vinnytsia.

Occupational Therapy to Improve Productivity of the Elderly by Creating Photo Frames at Panti Werdha Batam

Aging is accompanied by physiological changes and an increased prevalence of acute and chronic diseases, leading to a decline in organ function and a reduced ability to adapt to environmental factors. Occupational therapy, encompassing activities related to personal care, recreation, and productivity, holds significance for individuals. This study aimed to identify the needs and analyze the situation of elderly residents at the Budi Sosial Foundation's Elderly Home. The four-stage methodology involved situational analysis, health assessments, and physical activity education sessions. The implementation phase included simulation and assistance, where participants were engaged in arranging popsicle sticks into frame shapes. Monitoring and evaluation were conducted to assess the effectiveness of the health assessments and physical activity education, with all 17 (100%) active elderly participants observed. The results demonstrate the potential benefits of occupational therapy in promoting physical activity and overall health among elderly individuals. These findings imply the importance of integrating occupational therapy interventions to enhance the well-being and functional abilities of the elderly population.&#x0D; Highlights:&#x0D; &#x0D; Occupational therapy: A beneficial intervention for elderly individuals' well-being and functional abilities.&#x0D; Physical activity promotion: Enhancing the overall health and adaptability of the aging population.&#x0D; Health assessment: Evaluating the effectiveness of occupational therapy interventions in elderly care.&#x0D; &#x0D; Keywords: aging, occupational therapy, physical activity, health assessment, elderly population

Association between physical activity education and prescription during prenatal care and maternal and fetal health outcomes: a quasi-experimental study

BackgroundPhysical activity (PA) during pregnancy is associated with healthy gestational weight gain (GWG) and a reduced risk of developing gestational diabetes (GD), gestational hypertension (GHT) and fetal macrosomia. However, in Canada, less than 20% of pregnant women meet PA recommendations. This study assessed associations between an intervention including PA education by prenatal nurses and a PA prescription delivered by physicians and fetal and maternal outcomes.MethodsThis is a quasi-experimental study. Two groups of women who received their prenatal care at the obstetrics clinic of a university hospital were created. In the first group, 394 pregnant women followed at the clinic received standard care. In the second group, 422 women followed at the clinic received standard care supplemented with education on the relevance of PA during pregnancy and a prescription for PA. Data for both study groups were obtained from the medical records of the mothers and their newborns. Logistic regressions were used to compare the odds of developing excessive GWG, GD, GHT, and fetal macrosomia between the two study groups.ResultsThe addition of PA education and PA prescription to prenatal care was associated with 29% lower odds of developing excessive GWG (adjusted odds ratios (OR) 0.71, 95% confidence intervals (CI) 0.51–0.99), 73% lower odds of developing GHT (0.27, 0.14–0.53), 44% lower odds of fetal macrosomia (> 4 kg) (0.56, 0.34–0.93), and 40% lower odds of being large for gestational age (0.60, 0.36–0.99). The intervention was not associated with a difference in odds of developing GD (0.48, 0.12–1.94).ConclusionsThe inclusion of education and prescription of PA as part of routine prenatal care was associated with improvements in maternal and fetal health outcomes, including significantly lower odds of GWG, GHT and macrosomia.