Physical activity counseling in maternity and child health care - A controlled trial

被引：25

作者：

Aittasalo M. ^{[1
]}

Pasanen M. ^{[1
]}

Fogelholm M. ^{[2
]}

Kinnunen T.I. ^{[1
]}

Ojala K. ^{[1
]}

Luoto R. ^{[1
,3
]}

机构：

[1] The UKK Institute for Health Promotion Research, Tampere

[2] Health Research Unit, Academy of Finland, Helsinki

[3] Tampere School of Public Health, University of Tampere, Tampere

来源：

BMC Women's Health | / 8卷 / 1期

基金：

美国国家卫生研究院;

关键词：

Physical Activity; International Physical Activity Questionnaire; Postpartum Woman; Child Health Care; Meet Minute;

D O I：

10.1186/1472-6874-8-14

中图分类号：

学科分类号：

摘要：

Background: The purpose of the study is to examine the effects and feasibility of individual physical activity (PA) counseling in maternity and child health clinics in Finland. Methods: Three clinics including both maternity and child health care signed up for the experimental (EXP) and three for the control group (CON). The participants were 132 pregnant and 92 postpartum primiparas. The nurses in EXP integrated a primary and four booster PA counseling sessions into routine visits. An option for supervised group exercise was offered. In CON former practices, usually including brief PA advice, were continued. Leisure-time PA (LTPA) prior to pregnancy was elicited by questionnaire and followed 16-18 and 36-37 weeks' gestation in maternity clinics and 5 and 10 months postpartum in child health clinics. Feasibility included safety, participant responsiveness, realization of counseling and applicability. Results: According to analysis of covariance adjusted for baseline LTPA and possible confounders, no relative between-group differences in LTPA were found at the first follow-up in either maternity or child health clinics. At the last follow-up in maternity clinics the weekly number of at least moderate-intensity LTPA days was 43% (95% CI: 9, 87) higher and the weekly duration of at least moderate-intensity LTPA 154% (95% CI: 16, 455) higher in EXP compared with CON. Counseling proved feasible in both maternity and child health clinics. Conclusion: Counseling encouraged pregnant women to sustain their moderate-intensity LTPA and was feasible in routine practices. No effects were observed if counseling was initiated postpartum. © 2008 Aittasalo et al; licensee BioMed Central Ltd.

引用

共 48 条

[1]

Kesaniemi Y.K., Danforth Jr. E., Jensen M.D., Kopelman P.G., Lefebvre P., Reeder B.A., Dose response issues concerning physical activity and health: An evidence-based symposium, Med Sci Sports Exerc, 33, (2001)

[2]

Pate R.R., Pratt M., Blair S.N., Haskell W.L., Macera C.A., Bouchard C., Buchner D., Ettinger W., Heath G.W., King A.C., Kriska A., Leon A.S., Marcus B.H., Morris J., Paffenbarger Jr. R.S., Patrick K., Pollock M.L., Rippe J.M., Sallis J., Wilmore J.H., Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine, JAMA, 273, pp. 402-407, (1995)

[3]

Vaz de Almeida M.D., Graca P., Afonso C., D'Amicis A., Lappalainen R., Damkjaer S., Physical activity levels and body weight in a nationally representative sample in the European Union, Public Health Nutr, 2, pp. 105-113, (1999)

[4]

Trost S.G., Owen N., Bauman A.E., Sallies J.F., Brown W., Correlates of adults' participation in physical activity: Review and update, Med Sci Sports Exerc, 34, pp. 1996-2001, (2002)

[5]

Evenson K.R., Savitz D.A., Huston S.L., Leisure-time physical activity among pregnant women in the US, Paediatr Perinat Epidemiol, 18, pp. 400-407, (2004)

[6]

Symons Downs D., Hausenblas H.A., Women's exercise beliefs and behaviors during their pregnancy and postpartum, J Midwifery Womens Health, 49, pp. 138-144, (2004)

[7]

Zhang J., Savitz D.A., Exercise during pregnancy among U.S. women, Ann Epidemiol, 6, pp. 53-59, (1996)

[8]

Sampselle C.M., Seng J., Yeo S., Killion C., Oakley D., Physical activity and postpartum wellbeing, JOGNN, 28, pp. 41-49, (1999)

[9]

Whatley Blum J., Beaudoin C.M., Caton-Lemos L., Physical activity patterns and maternal well-being in postpartum women, Mat Child Health J, 8, pp. 163-169, (2004)

[10]

Miller Y.D., Trost S.G., Brown W.J., Mediators of physical activity behavior change among women with young children, Am J Prev Med, 23, pp. 98-103, (2002)

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