Grez I1, Roa S2, Leppe J1
1Universidad del Desarrollo, School of Physical Therapy, Santiago, Chile, 2Universidad del Desarrollo, Santiago, Chile
Background: Physical activity during pregnancy has positive health effects on women such as musculoskeletal problems, being highly prevalent Lumbopelvic pain and Urinary Incontinence during pregnancy.
Studies use specific exercise programs, without identifying the Physical Activity levels of pregnant women in their different domains throughout pregnancy, generating a knowledge gap as to whether there is an association between prenatal Physical Activity level and musculoskeletal dysfunctions, specifically Lumbopelvic pain and Urinary Incontinence.
Purpose: To provide objective information to support the development of projects and/or interventions aimed at this population. To allow having a vision of intervention in terms of health, more precise; applying the Pregnancy Physical Activity Questionnaire to pregnant women, will facilitate provide recommendations regarding Physical Activity during pregnancy (maintain or increase Physical Activity levels in the domains as appropriate) or prescribe it.
Methods: Observational prospective cohort study of 66 pregnant women. In each trimester of pregnancy, a survey was conducted to obtain personal and obstetric data and the application of the Pregnancy Physical Activity Questionnaire to obtain the type, duration, frequency and calculation of Physical Activity intensity levels. To assess the difference between trimesters, an analysis of repeated measures was performed through the Friedman Test. For the association between Physical Activity and the proposed health outcomes, the Chi2 and Fisher tests were used.
Results: Median age of the participants was 25 years old (IQR 22-31), 12 years of education (IQR10-12), Body Mass Index of 27 (IQR 24,4-32). The 66,7% of the participants was overweight or obese and 82% reported not have remunerated activity. In the first trimester, 93,4% of the participants reported lumbopelvic pain and 27,3% reported Urinary Incontinence. The median of energy expenditure total in the first trimester was 156 (IQR 107-232) METs/hour/week-1) and showed a statistically significant decrease (p 0.01) during pregnancy. The domain Home/care was the one that presented on average the highest report during the three trimesters (97, 76.9 and 61.1 METs / hour / week-1 respectively). Based on the recommendation of the World Health Organization, about 50% of pregnant women remained as Sufficiently Active.Fisher´s test was negative for the association between the level of prenatal Physical Activity, Lumbopelvic pain and / or Urinary Incontinence (p> 0.05).
Conclusion(s): No association was observed between prenatal Physical Activity level, Lumbopelvic pain and / or Urinary Incontinence. The Home/care domain had the highest report in moderate intensity Physical Activity.
Implications: To present results obtained through national data that will help the decision making for the promotion and recommendation for pregnancy physical activity in different domains in Primary Health Centers. For physiotherapeutic management in pregnant patients in the recommendations of physical activity during this life cycle.
Keywords: Pregnancy Physical Activity, Lumbopelvic Pain, Urinary Incontinence
Funding acknowledgements: Fondo Nacional de Investigación en Salud (FONIS)
Studies use specific exercise programs, without identifying the Physical Activity levels of pregnant women in their different domains throughout pregnancy, generating a knowledge gap as to whether there is an association between prenatal Physical Activity level and musculoskeletal dysfunctions, specifically Lumbopelvic pain and Urinary Incontinence.
Purpose: To provide objective information to support the development of projects and/or interventions aimed at this population. To allow having a vision of intervention in terms of health, more precise; applying the Pregnancy Physical Activity Questionnaire to pregnant women, will facilitate provide recommendations regarding Physical Activity during pregnancy (maintain or increase Physical Activity levels in the domains as appropriate) or prescribe it.
Methods: Observational prospective cohort study of 66 pregnant women. In each trimester of pregnancy, a survey was conducted to obtain personal and obstetric data and the application of the Pregnancy Physical Activity Questionnaire to obtain the type, duration, frequency and calculation of Physical Activity intensity levels. To assess the difference between trimesters, an analysis of repeated measures was performed through the Friedman Test. For the association between Physical Activity and the proposed health outcomes, the Chi2 and Fisher tests were used.
Results: Median age of the participants was 25 years old (IQR 22-31), 12 years of education (IQR10-12), Body Mass Index of 27 (IQR 24,4-32). The 66,7% of the participants was overweight or obese and 82% reported not have remunerated activity. In the first trimester, 93,4% of the participants reported lumbopelvic pain and 27,3% reported Urinary Incontinence. The median of energy expenditure total in the first trimester was 156 (IQR 107-232) METs/hour/week-1) and showed a statistically significant decrease (p 0.01) during pregnancy. The domain Home/care was the one that presented on average the highest report during the three trimesters (97, 76.9 and 61.1 METs / hour / week-1 respectively). Based on the recommendation of the World Health Organization, about 50% of pregnant women remained as Sufficiently Active.Fisher´s test was negative for the association between the level of prenatal Physical Activity, Lumbopelvic pain and / or Urinary Incontinence (p> 0.05).
Conclusion(s): No association was observed between prenatal Physical Activity level, Lumbopelvic pain and / or Urinary Incontinence. The Home/care domain had the highest report in moderate intensity Physical Activity.
Implications: To present results obtained through national data that will help the decision making for the promotion and recommendation for pregnancy physical activity in different domains in Primary Health Centers. For physiotherapeutic management in pregnant patients in the recommendations of physical activity during this life cycle.
Keywords: Pregnancy Physical Activity, Lumbopelvic Pain, Urinary Incontinence
Funding acknowledgements: Fondo Nacional de Investigación en Salud (FONIS)
Topic: Women's & men's pelvic health
Ethics approval required: Yes
Institution: Universidad del Desarrollo
Ethics committee: Research Ethics Committee CAS-UDD
Ethics number: 2011-39
All authors, affiliations and abstracts have been published as submitted.
