Physical Activity Behaviors and Barriers in Multifetal Pregnancy: What to Expect When You’re Expecting More

The health benefits of prenatal physical activity (PA) are established for singleton pregnancies. In contrast, individuals with multifetal pregnancies (twins, triplets or more) are recommended to restrict or cease PA. The objectives of the current study were to determine behaviors and barriers to PA in multifetal pregnancies. Between 29 May and 24 July 2020, individuals with multifetal pregnancies participated in an online survey. Of the 415 respondents, there were 366 (88%) twin, 45 (11%) triplet and 4 (1%) quadruplet pregnancies. Twenty-seven percent (n = 104/388) of respondents completed no PA at all during pregnancy, 57% (n = 220/388) completed PA below current recommendations, and 16% (n = 64/388) achieved current recommendations (150-min per week of moderate-intensity activity). Most respondents (n = 314/363 [87%]) perceived barriers to PA during multifetal pregnancy. The most prominent were physical symptoms (n = 204/363 [56%]) and concerns about risks to fetal wellbeing (n = 128/363 [35%]). Sixty percent (n = 92/153) felt that these barriers could be overcome but expressed the need for evidence-based information regarding PA in multifetal pregnancy. Individuals with multifetal pregnancies have low engagement with current PA recommendations but remain physically active in some capacity. There are physical and psychosocial barriers to PA in multifetal pregnancy and future research should focus on how these can be removed.

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Changes in Physical Activity Pre-, During and Post-lockdown COVID-19 Restrictions in New Zealand and the Explanatory Role of Daily Hassles

Frontiers in Psychology ◽

10.3389/fpsyg.2021.642954 ◽

2021 ◽

Vol 12 ◽

Author(s):

Elaine A. Hargreaves ◽

Craig Lee ◽

Matthew Jenkins ◽

Jessica R. Calverley ◽

Ken Hodge ◽

...

Keyword(s):

Physical Activity ◽

Online Survey ◽

Longitudinal Design ◽

Short Form ◽

Daily Hassles ◽

Moderate Intensity ◽

Future Research ◽

Activity Levels ◽

Explanatory Role ◽

Convenience Sample

Covid-19 lockdown restrictions constitute a population-wide “life-change event” disrupting normal daily routines. It was proposed that as a result of these lockdown restrictions, physical activity levels would likely decline. However, it could also be argued that lifestyle disruption may result in the formation of increased physical activity habits. Using a longitudinal design, the purpose of this study was to investigate changes in physical activity of different intensities, across individuals who differed in activity levels prior to lockdown restrictions being imposed, and across three time periods: pre-, during- and post-lockdown. This study also examined the extent to which the experience of daily hassles explained any changes in physical activity. A convenience sample (N = 759) recruited through social media, provided data from an online survey administered during weeks 2–3 of a 5-week lockdown and 231 participants provided complete data again 6 weeks post-lockdown (72% female, M age = 43 years). Participants completed the International Physical Activity Questionnaire–Short Form and the Daily Hassles Scale. Results showed that vigorous and moderate intensity PA were significantly lower during- and post-lockdown compared to pre-lockdown in those individuals who had been highly active pre-lockdown. In contrast, for moderately active individuals pre-lockdown, vigorous and moderate intensity PA was significantly higher during-lockdown compared to pre-lockdown, and these increased levels of vigorous PA were maintained post-lockdown. Participants experienced daily hassles due to inner concerns, time pressures, family, and financial concerns to the same extent during- and post-lockdown. Those daily hassles had a small negative (Standardized β = −0.11; p < 0.05) predictive effect on post-lockdown PA. It appears that to understand the effect of COVID-19 restrictions on PA, the activity status of individuals pre-lockdown needs to be taken into account. The daily hassles appeared to play a role in post-lockdown PA behavior, but future research should investigate why these results occurred.

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379 Do Depressive Symptoms Mediate the Association Between Insomnia and Physical Activity?

SLEEP ◽

10.1093/sleep/zsab072.378 ◽

2021 ◽

Vol 44 (Supplement_2) ◽

pp. A150-A151

Author(s):

Jamie Walker ◽

Rebecca Campbell ◽

Ivan Vargas

Keyword(s):

Physical Activity ◽

Depressive Symptoms ◽

Online Survey ◽

Longitudinal Design ◽

Energy Levels ◽

Depression Scale ◽

Severity Index ◽

Future Research ◽

Activity Levels ◽

Insomnia Symptoms

Abstract Introduction Insomnia and depression are highly comorbid and have been shown to be independently associated with lower levels of physical activity. It is not clear, however, if being less physically active is a risk factor for or consequence of depression and insomnia. The factors that explain the associations between insomnia, depression, and physical activity are likely complex and overlapping. For example, insomnia may predict inactivity by impacting one’s energy levels, leaving them too tired to exercise. Insomnia may also interfere with one’s motivation to exercise due to low mood, as insomnia is associated with the development of depressive symptoms. The purpose of the present study was to explore whether depression mediated the link between insomnia and low levels of physical activity. Methods A national online survey was conducted from April-June 2020. Participants completed surveys to assess demographics, mood, sleep, and physical activity. Depressive symptoms were estimated with the Center for Epidemiologic Studies Depression Scale (CES-D). Insomnia symptoms were estimated with the Insomnia Severity Index (ISI). Physical activity levels were estimated with the International Physical Activity Questionnaire (IPAQ). Analyses were conducted using multiple linear regression, with separate models for depression, insomnia, and the combination of the two, on levels of physical activity. Results 3,952 adults (Mage = 46.9 years) completed the survey. According to the unadjusted models, greater insomnia symptoms were associated with greater depressive symptoms (b = 0.4523, SE = 0.019593, p < .001), and lower levels of physical activity (b = -38.741, SE = 18.236, p = 0.0337). The relationship between insomnia and physical activity was no longer significant, however, when controlling for depression (b = -6.140, SE = 19.274, p = 0.75). According to the mediation analyses, there was an indirect effect of insomnia on physical activity that was explained by differences in depressive symptoms (Sobel Test = -4.895, SE = 6.518, p < .001). Conclusion Our findings support previous research indicating associations between symptoms of insomnia and depression and physical activity. Future research should examine if these same results hold using a longitudinal design. Support (if any) Vargas: K23HL141581

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Habitual Physical Activity Behavior of Patients After Primary Total Hip Arthroplasty

Physical Therapy ◽

10.2522/ptj.20070375 ◽

2008 ◽

Vol 88 (9) ◽

pp. 1039-1048 ◽

Cited By ~ 22

Author(s):

Robert Wagenmakers ◽

Martin Stevens ◽

Wiebren Zijlstra ◽

Monique L Jacobs ◽

Inge van den Akker-Scheek ◽

...

Keyword(s):

Physical Activity ◽

Total Hip Arthroplasty ◽

Odds Ratio ◽

Physical Activity Behavior ◽

Moderate Intensity ◽

Physically Active ◽

Normative Population ◽

Activity Behavior ◽

Charnley Class ◽

Health Enhancing Physical Activity

Background and Purpose Despite recognized health benefits of physical activity, little is known about the habitual physical activity behavior of patients after total hip arthroplasty (THA). The purpose of this study was to analyze this behavior and the fulfillment of guidelines for health-enhancing physical activity of these patients compared with a normative population. Subjects and Methods The participants were 273 patients who had undergone a primary THA (minimum of 1 year postoperatively). Comparisons were made between this group and 273 age- and sex-matched individuals from a normative population. Comparisons also were made between participants with THA under 65 years of age and those 65 years of age and older and among participants with THA in different Charnley classes. Level of physical activity was assessed with the Short QUestionnaire to ASsess Health-enhancing physical activity (SQUASH). Results No significant differences in total amount of physical activity or time spent in different categories of physical activity were found between the THA group and the normative group. Participants with THA spent significantly more minutes in activities of moderate intensity compared with the normative group. Participants with THA who were under 65 years of age were significantly more active than older participants with THA. Charnley class had significant effects on time spent at work, time spent in moderate-intensity activities, and total amount of activity, with the least activity performed by participants in Charnley class C. The guidelines were met by 51.2% of the participants with THA and 48.8% of the normative population. Female participants met the guidelines less frequently than male participants in both the combined groups (odds ratio=0.50, 95% confidence interval=0.35–0.72, P<.001) and the THA group (odds ratio=0.48, 95% confidence interval=0.28–0.80, P=.001). Discussion and Conclusion The results suggest that patients after THA are at least as physically active as a normative population. Nevertheless, a large percentage of these patients do not meet the guidelines; therefore, they need to be stimulated to become more physically active.

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Comparative physical activity as a global question to assess physical activity among university students

BMC Sports Science Medicine and Rehabilitation ◽

10.1186/s13102-021-00247-7 ◽

2021 ◽

Vol 13 (1) ◽

Author(s):

Katharina Diehl ◽

Alessia Brassat ◽

Jennifer Hilger-Kolb

Keyword(s):

Physical Activity ◽

University Students ◽

Online Survey ◽

Group Level ◽

Comparative Measurement ◽

Cross Sectional ◽

Physically Active ◽

Comparative Optimism ◽

Individual Assessment ◽

The Individual

Abstract Background To assess physical activity (PA), a comparative measurement – evaluating one’s own PA compared to others – may be an appropriate method. In previous studies, the use of comparative measurements led to an effect known as unrealistic comparative optimism (UCO) – people being unrealistically optimistic about their behavior. Our aim was to use this comparative measurement in university students to quantify the prevalence of UCO at the group level and to draw conclusions on its validity. Methods We used data from the Nutrition and Physical Activity in Adolescence Study (NuPhA), a cross-sectional online survey that included only self-reports (n = 689). To assess PA among students, they were asked to rate their PA level compared to that of their same-aged fellow students. In addition, we used the Godin-Shephard leisure-time PA questionnaire and other questions on PA for comparisons. We used bivariate and cluster-based analyses to identify potential UCO. Results We found that UCO at the group level led to an uneven distribution, with a higher proportion of students who rated themselves as being more physically active than average. However, the individual assessment of PA with a single and simple comparative question seemed to be valid. Discussion A global single comparative question seems useful for studies where PA is measured as a covariate in university students.

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Use of Active Video Games to Increase Physical Activity in Children: A (Virtual) Reality?

Pediatric Exercise Science ◽

10.1123/pes.22.1.7 ◽

2010 ◽

Vol 22 (1) ◽

pp. 7-20 ◽

Cited By ~ 103

Author(s):

Louise Foley ◽

Ralph Maddison

Keyword(s):

Physical Activity ◽

Video Games ◽

Energy Expenditure ◽

Physical Activity Behavior ◽

Moderate Intensity ◽

Bibliographic Databases ◽

Future Research ◽

Moderate Intensity Physical Activity ◽

Active Video Games ◽

Active Video

There has been increased research interest in the use of active video games (in which players physically interact with images onscreen) as a means to promote physical activity in children. The aim of this review was to assess active video games as a means of increasing energy expenditure and physical activity behavior in children. Studies were obtained from computerised searches of multiple electronic bibliographic databases. The last search was conducted in December 2008. Eleven studies focused on the quantification of the energy cost associated with playing active video games, and eight studies focused on the utility of active video games as an intervention to increase physical activity in children. Compared with traditional nonactive video games, active video games elicited greater energy expenditure, which was similar in intensity to mild to moderate intensity physical activity. The intervention studies indicate that active video games may have the potential to increase free-living physical activity and improve body composition in children; however, methodological limitations prevent definitive conclusions. Future research should focus on larger, methodologically sound intervention trials to provide definitive answers as to whether this technology is effective in promoting long-term physical activity in children.

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Exploring the Health-Promoting Potential of the “parkrun” Phenomenon: What Factors are Associated With Higher Levels of Participation?

American Journal of Health Promotion ◽

10.1177/0890117118770106 ◽

2018 ◽

Vol 33 (1) ◽

pp. 13-23 ◽

Cited By ~ 11

Author(s):

Verity Cleland ◽

Meredith Nash ◽

Melanie J. Sharman ◽

Suzi Claflin

Keyword(s):

Physical Activity ◽

Environmental Factors ◽

Regression Models ◽

Online Survey ◽

Multivariate Analyses ◽

Health Gain ◽

Cross Sectional ◽

Physically Active ◽

Health Promoting ◽

Intentions To Participate

Purpose: “ parkrun” is a free and increasingly popular weekly 5-km walk/run international community event, representing a novel setting for physical activity (PA) promotion. However, little is known about who participates or why. This study aimed to identify sociodemographic, health, behavioral, individual, social, and environmental factors associated with higher levels of participation. Design: Cross-sectional. Setting: Tasmania, Australia; June 2016. Participants: Three hundred seventy two adult parkrun participants. Measures: Online survey measuring sociodemographic, health, individual, social and environmental factors, parkrun participation, and PA. Analysis: Descriptive statistics, zero-truncated Poisson regression models. Results: Respondents (n = 371) were more commonly women (58%), aged 35 to 53 years (54%), and occasional or nonwalkers/runners (53%) at registration. A total of 44% had overweight/obesity. Half had non-adult children, most spoke English at home, and 7% reported PA-limiting illness/injury/disability. Average run/walk time was 30.2 ± 7.4 minutes. Compared to regular walkers/runners at registration, nonwalkers/runners were less commonly partnered, more commonly had overweight/obesity, less physically active, and had poorer self-rated health. Multivariate analyses revealed relative parkrun participation was inversely associated with education level and positively associated with interstate parkrun participation, perceived social benefits, self-efficacy for parkrun, and intentions to participate. Conclusion: parkrun attracts nonwalkers/runners and population groups hard to engage in physical activity. Individual- and social-level factors were associated with higher relative parkrun participation. parkrun’s scalability, accessibility, and wide appeal confers a research imperative to investigate its potential for public health gain.

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A Meta-Study of Qualitative Research on Social Support Related to Physical Activity Among Older Adults

Kinesiology Review ◽

10.1123/kr.2020-0005 ◽

2020 ◽

pp. 1-15

Author(s):

L. Jayne Beselt ◽

Michelle C. Patterson ◽

Meghan H. McDonough ◽

Jennifer Hewson ◽

Scott MacKay

Keyword(s):

Physical Activity ◽

Social Support ◽

Older Adults ◽

Qualitative Research ◽

Well Being ◽

Future Research ◽

Physically Active ◽

Supportive Behaviors ◽

Study Methodology ◽

Barriers And Challenges

Physical activity (PA) and social support have known benefits for the well-being and health of older adults, and social support is associated with PA behavior and positive affective experiences in PA contexts. The aim of this study was to synthesize qualitative research conducted on the experiences of social support related to PA among older adults (age ≥55 years). Following meta-study methodology, the authors searched nine databases and extracted information from 31 studies. Results were synthesized in terms of common themes and in light of theoretical and methodological perspectives used. The qualitative literature identifies supportive behaviors and social network outcomes which may be useful for informing how best to support older adults to be physically active. This literature rarely reflected the experiences of vulnerable populations, and future research should aim to further understand supportive behaviors which enable older adults to overcome barriers and challenges to being physically active.

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Can Instagram be used to deliver an evidence-based exercise program for young women? A process evaluation

BMC Public Health ◽

10.1186/s12889-020-09563-y ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Rachel G. Curtis ◽

Jillian C. Ryan ◽

Sarah M. Edney ◽

Carol A. Maher

Keyword(s):

Physical Activity ◽

Young Women ◽

Online Survey ◽

Short Form ◽

Low Cost ◽

Exercise Program ◽

Sign Test ◽

Future Research ◽

Post Intervention ◽

Strongly Agree

Abstract Background Instagram provides an opportunity to deliver low cost, accessible and appealing physical activity content. This study evaluated the feasibility of delivering an exercise program for young women using Instagram. Methods A single-group pre- and post-intervention trial examined the feasibility and preliminary efficacy of a 12-week Instagram-delivered program with young inactive women (n = 16; M = 23 years), which prescribed running and body weight exercises to complete three times per week. Daily Instagram posts delivered the exercises, video demonstrations and motivational content. Feasibility was evaluated by examining exposure (Instagram posts viewed per week), engagement (likes, comments and tags on Instagram posts; number of exercise sessions completed per week; retention, defined as completion of the online survey at weeks 6 and 12), and acceptability [whether the program increased participants’ motivation to exercise (1 = strongly disagree-5 = strongly agree); satisfaction with the program (1 = not satisfied-5 = very satisfied)]. Preliminary efficacy was evaluated by comparing baseline and 12-week self-reported physical activity (IPAQ short-form) and fitness (cardiorespiratory and muscle strength; 1 = very poor-5 = very good, International Fitness Scale) using the Exact sign test. Results On average, participants reported seeing six posts in their Instagram feed per week. Posts received an average of five likes (IQR = 3–6). A total of four comments and one tag were observed across all posts. On average, participants reported completing two exercise sessions per week. Retention was 88% at 6 weeks but dropped to 56% at 12 weeks. Participants reported increased motivation to exercise (Mdn = 4, IQR = 3–4) and were satisfied with the program (Mdn = 4, IQR = 3–4). Only self-reported cardiorespiratory fitness showed a meaningful, though nonsignificant, improvement (MdnΔ = 1, IQR = 0–1, p = .06). Conclusions Although Instagram has the potential to deliver a low cost, convenient exercise program for young women, additional research is needed to identify methods of improving engagement (interaction with the Instagram content, exercise sessions completed, and retention in the program). Future research could examine the use of behaviour change theory and provide information that enables participants to tailor the exercises to their interests and needs. Additionally, the use of objective assessments of physical activity and fitness among a larger participants sample is needed.

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Recreational physical activity context and type preferences among male and female Emirati university students

International Health ◽

10.1093/inthealth/ihz002 ◽

2019 ◽

Vol 11 (6) ◽

pp. 507-512 ◽

Cited By ~ 5

Author(s):

C B Doyle ◽

A Khan ◽

N W Burton

Keyword(s):

Physical Activity ◽

University Students ◽

United Arab Emirates ◽

Online Survey ◽

Cross Sectional Study ◽

Future Research ◽

Recreational Physical Activity ◽

Cross Sectional ◽

Activity Types ◽

Competitive Activities

Abstract Background This study assessed recreational physical activity type and context preferences of Emirati university students. Method This was a cross-sectional study in which a stratified random sample (n=628) (female 69.1%, male 30.9% mean age 20.79±3.81 y) completed an online survey. Relationships between gender and preferences were assessed using regression analysis, adjusted for body mass index and age. Results Activities with a fun element were the most preferred context (87.1%). Walking (66.7%) and swimming (61.7%) were the most preferred activity types. Males had significantly higher odds of preferring competitive activities, and activity types such as football, fitness/weights and jogging. Females had significantly higher odds of preferring activities with people of the same gender, with supervision and done at home, and activity types such as walking, aerobics, cycling, squash and yoga. Conclusion These results can inform physical activity planning for university students in the United Arab Emirates. Fun activity opportunities involving walking or swimming and in the local neighbourhood may be popular for both males and females. Future research could explore uptake and maintenance of activity options, based on preferred activity attributes.

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Physical Activity Psychology Research: Where Have We Been? Where Are We Going?

Kinesiology Review ◽

10.1123/kr.2014-0036 ◽

2014 ◽

Vol 3 (1) ◽

pp. 44-52 ◽

Cited By ~ 12

Author(s):

Bradley J. Cardinal

Keyword(s):

Physical Activity ◽

Research Trends ◽

Future Research ◽

Psychology Research ◽

Research Directions ◽

Physically Active ◽

Quarter Century ◽

Call To Action ◽

Future Research Directions ◽

Foundational Work

This paper offers a critical review and analysis of physical activity psychology research over the past quarter century (primarily), describes current research trends in the area, and suggests future research directions. This is a vast and ambitious task. Furthermore, the contributions come from those within kinesiology, as well as outside of kinesiology, with many new disciplines and professions advancing research agendas in this domain. There are rich and distinctive opportunities for interdisciplinary collaborations in this area, opportunities that have genuine transformative potential. Following the paper's introduction, six major topics are addressed, including: what physical activity psychology is, foundational work in physical activity psychology research, trends in physical activity psychology research, behavioral specificity, physical activity prevalence, and where to go in the future. The paper concludes with a call-to-action, particularly aimed at helping to get and keep people physically active across the lifespan, which is the fundamental work of physical activity psychology.

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