Increasing physical activity in postpartum multiethnic women in Hawaii: Results from a pilot study

被引：30

作者：

Albright C.L. ^{[1
,2
]}

Maddock J.E. ^{[1
,3
]}

Nigg C.R. ^{[1
,3
]}

机构：

[1] Cancer Research Center of Hawaii, University of Hawaii at Manoa, Honolulu, HI

[2] Prevention and Control Program, Cancer Research Center of Hawaii, University of Hawaii at Manoa, Honolulu, HI

[3] Department of Public Health Sciences, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI

来源：

BMC Women's Health | / 9卷 / 1期

关键词：

Physical Activity; Physical Activity Intervention; Post Partum Depression; Postpartum Woman; Telephone Counseling;

D O I：

10.1186/1472-6874-9-4

中图分类号：

学科分类号：

摘要：

Background: Mothers of an infant are much less likely to exercise regularly compared to other women. This study tested the efficacy of a brief tailored intervention to increase physical activity (PA) in women 3-12 months after childbirth. The study used a pretest-posttest design. Sedentary women (n = 20) were recruited from a parenting organization. Half the participants were ethnic minorities, mean age was 33 ± 3.8, infants' mean age was 6.9 ± 2.4 months, 50% were primiparas, and mean body mass index was 23.6 ± 4.2. Methods: The two-month intervention included telephone counseling, pedometers, referral to community PA resources, social support, email advice on PA/pedometer goals, and newsletters. The primary outcome of the study was minutes per week of moderate and vigorous leisure-time physical activity measured by the Godin physical activity instrument. Results: All women (100%) returned for post-test measures; thus, paired t-tests were used for pre-post increase in minutes of moderate and vigorous leisure-time physical activity and comparisons of moderate and vigorous leisure-time physical activity increases among ethnic groups. At baseline participants' reported a mean of 3 ± 13.4 minutes per week moderate and vigorous leisure-time physical activity. At post-test this significantly increased to 85.5 ± 76.4 minutes per week of moderate and vigorous leisure-time physical activity (p < .001, Cohen's d = 2.2; effect size r = 0.7). There were no differences in pre to post increases in minutes of moderate and vigorous leisure-time physical activity among races. Conclusion: A telephone/email intervention tailored to meet the needs of postpartum women was effective in increasing physical activity levels. However, randomized trials comparing tailored telephone and email interventions to standard care and including long-term follow-up to determine maintenance of physical activity are warranted. © 2009 Albright et al; licensee BioMed Central Ltd.

引用

共 41 条

[1]

Brown W.J., Trost S.G., Life transitions and changing physical activity patterns in young women, American Journal of Preventive Medicine, 25, 2, pp. 140-143, (2003)

[2]

Caspersen C.J., Pereira M.A., Curran K.M., Changes in physical activity patterns in the United States, by sex and cross-sectional age, Medicine and Science in Sports and Exercise, 32, 9, pp. 1601-1609, (2000)

[3]

Olson C.M., Strawderman M.S., Hinton P.S., Pearson T.A., Gestational weight gain and postpartum behaviors associated with weight change from early pregnancy to 1 y postpartum, International, 27, 1, pp. 117-127, (2003)

[4]

Treuth M.S., Butte N.F., Puyau M., Pregnancy-related changes in physical activity, fitness, and strength, Medicine and Science in Sports and Exercise, 37, 5, pp. 832-837, (2005)

[5]

ACOG Committee opinion. Number 267, January 2002: Exercise during pregnancy and the postpartum period, Obstetrics and Gynecology, 99, 1, pp. 171-173, (2002)

[6]

Albright C.L., Maddock J.E., Nigg C.R., Physical activity before pregnancy and following childbirth in a multiethnic sample of healthy women, Women and Health, 42, 3, pp. 95-110, (2005)

[7]

Fahrenwald N.L., Atwood J.R., Walker S.N., Johnson D.R., Berg K., A randomized pilot test of "Moms on the Move": A physical activity intervention for WIC mothers, Annals of Behavioral Medicine, 27, 2, pp. 82-90, (2004)

[8]

Fahrenwald N.L., Walker S.N., Application of the Transtheoretical Model of behavior change to the physical activity behavior of WIC mothers, Public Health Nursing, 20, 4, pp. 307-317, (2003)

[9]

Armstrong K., Edwards H., The effectiveness of a pram-walking exercise programme in reducing depressive symptomatology for postnatal women, International Journal of Nursing Practice, 10, 4, pp. 177-194, (2004)

[10]

Taylor W.C., Baranowski T., Young D.R., Physical activity interventions in low-income, ethnic minority, and populations with disability, American Journal of Preventive Medicine, 15, pp. 334-343, (1998)

← 1 2 3 4 5 →