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Reducing the Decline in Physical Activity duringPregnancy: A Systematic Review of Behaviour ChangeInterventions

Currie, sinead, Sinclair, Marlene, Murphy, Marie, Madden, Elaine, Dunwoody, Lynn and Liddle, Dianne (2013) Reducing the Decline in Physical Activity duringPregnancy: A Systematic Review of Behaviour ChangeInterventions. PlosOne, 8 (6). pp. 1-12. [Journal article]

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URL: http://www.plosone.org/article/fetchObject.action?uri=info%3Adoi%2F10.1371%2Fjournal.pone.0066385&representation=PDF

DOI: 10.1371/journal.pone.0066385

Abstract

Purpose: Physical activity (PA) typically declines throughout pregnancy. Low levels of PA are associated with excessiveweight gain and subsequently increase risk of pre-eclampsia, gestational diabetes mellitus, hypertension disorders, deliveryby caesarean section and stillbirth. Systematic reviews on PA during pregnancy have not explored the efficacy of behaviourchange techniques or related theory in altering PA behaviour. This systematic review evaluated the content of PAinterventions to reduce the decline of PA in pregnant women with a specific emphasis on the behaviour change techniquesemployed to elicit this change.Search and Review Methodology: Literature searches were conducted in eight databases. Strict inclusion and exclusioncriteria were employed. Two reviewers independently evaluated each intervention using the behaviour change techniques(BCT) taxonomy to identify the specific behaviour change techniques employed. Two reviewers independently assessed therisk of bias using the guidelines from the Cochrane Collaboration. Overall quality was determined using the GRADEapproach.Findings: A total of 1140 potentially eligible papers were identified from which 14 studies were selected for inclusion.Interventions included counselling (n = 6), structured exercise (n = 6) and education (n = 2). Common behaviour changetechniques employed in these studies were goal setting and planning, feedback, repetition and substitution, shapingknowledge and comparison of behaviours. Regular face-to-face meetings were also commonly employed. PA change overtime in intervention groups ranged from increases of 28% to decreases of 25%. In 8 out of 10 studies, which providedadequate data, participants in the intervention group were more physically active post intervention than controls.Conclusions and Implications: Physical activity interventions incorporating behaviour change techniques help reduce thedecline in PA throughout pregnancy. Range of behaviour change techniques can be implemented to reduce this declineincluding goals and planning, shaping knowledge and comparison of outcomes. A lack of high quality interventionshampers conclusions of intervention effectiveness.

Item Type:Journal article
Faculties and Schools:Faculty of Life and Health Sciences > School of Sport
Faculty of Life and Health Sciences > School of Nursing
Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Health Sciences
Faculty of Life and Health Sciences > School of Psychology
Research Institutes and Groups:Institute of Nursing and Health Research
Institute of Nursing and Health Research > Centre for Maternal, Fetal and Infant Research
Sport and Exercise Sciences Research Institute
Psychology Research Institute > Health, Education and Well-being
Psychology Research Institute
Sport and Exercise Sciences Research Institute > Centre for Physical Activity and Health
ID Code:29450
Deposited By: Professor Marlene Sinclair
Deposited On:13 May 2014 08:17
Last Modified:27 Mar 2015 15:03

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