Research Article
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Investigation of the Effect of Physical Activity Level on Fear of Birth and Quality of Life During Pregnancy

Year 2023, , 430 - 437, 10.07.2023
https://doi.org/10.31067/acusaglik.1208779

Abstract

Purpose: Although the importance of physical activity in every period of life is known, it may decrease depending on the changes during pregnancy. This study aims to understand how physical activity levels, quality of life, and fear of childbirth are affected during pregnancy and to emphasize the importance of physical activity levels during pregnancy.
Methods: Our study's population was planned as a cross-sectional study of pregnant women who applied to the Physiofit wellness center. The sample consists of 84 volunteer pregnant women participating in the study. Physical activity levels; with the Pregnancy Physical Activity Questionnaire (PPAQ), quality of life; with the Short Form-36 (SF-36), fear of birth level; with Wijma Delivery Expectancy/Experience Questionnaire A (WDEQ-A) were evaluated.
Results: It was determined that the total PPAQ score median of pregnant women was 141.27. PPAQ sub-parameter scores were correlated with almost all sub-parameter scores of SF-36 (p<0.05). In comparison with the quality of life, the highest correlation was observed in moderate intensity and sports/exercise type physical activities (p<0.05), no correlation was observed between the sedentary physical activity sub-parameter and any quality of life sub-parameter (p>0.05). A negative and significant correlation was observed between all sub-parameters of physical activity except sedentary-intensity and Household/care-type sub-parameter and WDEQ-A total score(p<0.05).
Conclusion: As a result, it was observed that women's quality of life decreases, and their fear of childbirth increases with the inadequacy of physical activity levels during pregnancy.

References

  • Thivel D, Tremblay A, Genin PM, Panahi S, Rivière D, Duclos M. Physical Activity, Inactivity, and Sedentary Behaviors: Definitions and Implications in Occupational Health. Front Public Health. 2018;6:288. doi:10.3389/fpubh.2018.00288
  • Warburton DER, Bredin SSD. Health benefits of physical activity: a systematic review of current systematic reviews. Curr Opin Cardiol. 2017;32(5):541-556. doi:10.1097/HCO.0000000000000437
  • Lagadec N, Steinecker M, Kapassi A, Magnier AM, Chastang J, Robert S, Gaouaou N, Ibanez G. Factors influencing the quality of life of pregnant women: a systematic review. BMC Pregnancy Childbirth. 2018;18(1):455. doi:10.1186/s12884-018-2087-4
  • Chan CWH, Au Yeung E, Law BMH. Effectiveness of Physical Activity Interventions on Pregnancy-Related Outcomes among Pregnant Women: A Systematic Review. Int J Environ Res Public Health. 2019;16(10):1840. doi:10.3390/ijerph16101840
  • Physical Activity and Exercise During Pregnancy and the Postpartum Period: ACOG Committee Opinion, Number 804. Obstet Gynecol. 2020;135(4):e178-e188. doi:10.1097/AOG.0000000000003772
  • Evenson KR, Barakat R, Brown WJ, Dargent-Molina P, Haruna M, Mikkelsen EM, Mottola MF, Owe KM, Rousham EK, Yeo S. Guidelines for Physical Activity during Pregnancy: Comparisons From Around the World. Am J Lifestyle Med. 2014;8(2):102-121. doi:10.1177/1559827613498204
  • Johnson AR, Kumar MG, Jacob R, Jessie MA, Mary F, Agrawal T, Raman V.. Fear of Childbirth among Pregnant Women Availing Antenatal Services in a Maternity Hospital in Rural Karnataka. Indian J Psychol Med. 2019;41(4):318-322. doi:10.4103/IJPSYM.IJPSYM_292_18
  • Türk R, Sakar T, Erkaya R. The effect of pregnancy on happiness. Procedia. 2017;237:1247–53. doi: 10.1016/j.sbspro.2017.02.198
  • Bahadoran P, Mohamadirizi S. Relationship between physical activity and quality of life in pregnant women. Iran J Nurs Midwifery Res. 2015;20(2):282-286.
  • Guszkowska M. The effect of exercise and childbirth classes on fear of childbirth and locus of labor pain control. Anxiety Stress Coping. 2014;27(2):176-189. doi:10.1080/10615806.2013.830107
  • Mortazavi F, Agah J. Childbirth fear and associated factors in a sample of pregnant iranian women. Oman Med J. 2018;33(6):497–505. doi:10.5001/omj.2018.9
  • Chasan-Taber L, Schmidt MD, Roberts DE, Hosmer D, Markenson G, Freedson PS. Development and validation of a Pregnancy Physical Activity Questionnaire Med Sci Sports Exerc. 2004;36(10):1750-1760. doi:10.1249/01.mss.0000142303.49306.0d
  • Çırak Y, Yılmaz GD, Demir YP, Dalkılınç M, Yaman S. Pregnancy physical activity questionnaire (PPAQ): reliability and validity of Turkish version. J Phys Ther Sci. 2015;27(12):3703-3709. doi:10.1589/jpts.27.3703
  • Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30(6):473-483.
  • Koçyiğit H, Aydemir Ö, Fişek G, Ölmez N, Memiş A. Kısa Form36 (KF-36)’nın Türkçe versiyonunun güvenilirliği ve geçerliliği [Reliability and validity of the Turkish version of short form-36 (SF-36)]. İlaç ve Tedavi Dergisi 1999;12:102-6
  • Korukcu O, Kukulu K, Firat MZ. The reliability and validity of the Turkish version of the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) with pregnant women. J Psychiatr Ment Health Nurs. 2012;19(3):193-202. doi:10.1111/j.1365-2850.2011.01694.x
  • Wijma K, Wijma B, Zar M. Psychometric aspects of the W-DEQ; a new questionnaire for the measurement of fear of childbirth. Journal of psychosomatic obstetrics and gynaecology. 1998;19(2):84–97. doi: 10.3109/01674829809048501
  • Mukaka MM. Statistics corner: A guide to appropriate use of correlation coefficient in medical research. Malawi Med J. 2012;24(3):69-71.
  • Nascimento SL, Surita FG, Godoy AC, Kasawara KT, Morais SS. Physical Activity Patterns and Factors Related to Exercise during Pregnancy: A Cross Sectional Study PLoS One. 2015;10(6):e0128953. doi:10.1371/journal.pone.0128953
  • Kostanoğlu A, Manzak A, Şahin A.Gebelerde fiziksel aktivite seviyesi ve uyku kalitesinin yaşam kalitesine etkisi. Journal of Turkish Sleep Medicine. 2019;3:80-87.
  • Kołomańska D, Zarawski M, Mazur-Bialy A. Physical Activity and Depressive Disorders in Pregnant Women-A Systematic Review. Medicina (Kaunas). 2019;55(5):212. Published 2019 May 26. doi:10.3390/medicina55050212
  • Caputo EL, Ferreira PH, Ferreira ML, et al. Physical Activity Before or During Pregnancy and Low Back Pain: Data From the 2015 Pelotas (Brazil) Birth Cohort Study. J Phys Act Health. 2019;16(10):886-893. doi:10.1123/jpah.2018-0624
  • Cilar Budler L, Budler M. Physical activity during pregnancy: a systematic review for the assessment of current evidence with future recommendations. BMC Sports Sci Med Rehabil. 2022;14(1):133. doi:10.1186/s13102-022-00524-z
  • Krzepota J, Sadowska D, Biernat E. Relationships between Physical Activity and Quality of Life in Pregnant Women in the Second and Third Trimester. Int J Environ Res Public Health. 2018;15(12):2745. doi:10.3390/ijerph15122745
  • Fazzi C, Saunders DH, Linton K, Norman JE, Reynolds RM. Sedentary behaviours during pregnancy: a systematic review. Int J Behav Nutr Phys Act. 2017;14(1):32. doi:10.1186/s12966-017-0485-z
  • Sytsma TT, Zimmerman KP, Manning JB, et al. Perceived Barriers to Exercise in the First Trimester of Pregnancy. J Perinat Educ. 2018;27(4):198-206. doi:10.1891/1058-1243.27.4.198
  • Ward-Ritacco C, Poudevigne MS, O'Connor PJ. Muscle strengthening exercises during pregnancy are associated with increased energy and reduced fatigue. J Psychosom Obstet Gynaecol. 2016;37(2):68-72. doi:10.3109/0167482X.2016.1155552
  • Özdemir ÖÇ, Sürmeli M, Özel A, et al. The relation between physical activity and quality of life in pregnancy. Anatol Clin. 2017;22:95-102. doi: 10.21673/anadoluklin.296544
  • Alipour Z, Lamyian M, Hajizadeh E, Vafaei MA. The association between antenatal anxiety and fear of childbirth in nulliparous women: a prospective study. Iran J Nurs Midwifery Res. 2011;16(2):169-173.
  • Storksen HT, Eberhard-Gran M, Garthus-Niegel S, Eskild A. Fear of childbirth; the relation to anxiety and depression. Acta Obstet Gynecol Scand. 2012;91(2):237-242. doi:10.1111/j.1600-0412.2011.01323.x
Year 2023, , 430 - 437, 10.07.2023
https://doi.org/10.31067/acusaglik.1208779

Abstract

References

  • Thivel D, Tremblay A, Genin PM, Panahi S, Rivière D, Duclos M. Physical Activity, Inactivity, and Sedentary Behaviors: Definitions and Implications in Occupational Health. Front Public Health. 2018;6:288. doi:10.3389/fpubh.2018.00288
  • Warburton DER, Bredin SSD. Health benefits of physical activity: a systematic review of current systematic reviews. Curr Opin Cardiol. 2017;32(5):541-556. doi:10.1097/HCO.0000000000000437
  • Lagadec N, Steinecker M, Kapassi A, Magnier AM, Chastang J, Robert S, Gaouaou N, Ibanez G. Factors influencing the quality of life of pregnant women: a systematic review. BMC Pregnancy Childbirth. 2018;18(1):455. doi:10.1186/s12884-018-2087-4
  • Chan CWH, Au Yeung E, Law BMH. Effectiveness of Physical Activity Interventions on Pregnancy-Related Outcomes among Pregnant Women: A Systematic Review. Int J Environ Res Public Health. 2019;16(10):1840. doi:10.3390/ijerph16101840
  • Physical Activity and Exercise During Pregnancy and the Postpartum Period: ACOG Committee Opinion, Number 804. Obstet Gynecol. 2020;135(4):e178-e188. doi:10.1097/AOG.0000000000003772
  • Evenson KR, Barakat R, Brown WJ, Dargent-Molina P, Haruna M, Mikkelsen EM, Mottola MF, Owe KM, Rousham EK, Yeo S. Guidelines for Physical Activity during Pregnancy: Comparisons From Around the World. Am J Lifestyle Med. 2014;8(2):102-121. doi:10.1177/1559827613498204
  • Johnson AR, Kumar MG, Jacob R, Jessie MA, Mary F, Agrawal T, Raman V.. Fear of Childbirth among Pregnant Women Availing Antenatal Services in a Maternity Hospital in Rural Karnataka. Indian J Psychol Med. 2019;41(4):318-322. doi:10.4103/IJPSYM.IJPSYM_292_18
  • Türk R, Sakar T, Erkaya R. The effect of pregnancy on happiness. Procedia. 2017;237:1247–53. doi: 10.1016/j.sbspro.2017.02.198
  • Bahadoran P, Mohamadirizi S. Relationship between physical activity and quality of life in pregnant women. Iran J Nurs Midwifery Res. 2015;20(2):282-286.
  • Guszkowska M. The effect of exercise and childbirth classes on fear of childbirth and locus of labor pain control. Anxiety Stress Coping. 2014;27(2):176-189. doi:10.1080/10615806.2013.830107
  • Mortazavi F, Agah J. Childbirth fear and associated factors in a sample of pregnant iranian women. Oman Med J. 2018;33(6):497–505. doi:10.5001/omj.2018.9
  • Chasan-Taber L, Schmidt MD, Roberts DE, Hosmer D, Markenson G, Freedson PS. Development and validation of a Pregnancy Physical Activity Questionnaire Med Sci Sports Exerc. 2004;36(10):1750-1760. doi:10.1249/01.mss.0000142303.49306.0d
  • Çırak Y, Yılmaz GD, Demir YP, Dalkılınç M, Yaman S. Pregnancy physical activity questionnaire (PPAQ): reliability and validity of Turkish version. J Phys Ther Sci. 2015;27(12):3703-3709. doi:10.1589/jpts.27.3703
  • Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30(6):473-483.
  • Koçyiğit H, Aydemir Ö, Fişek G, Ölmez N, Memiş A. Kısa Form36 (KF-36)’nın Türkçe versiyonunun güvenilirliği ve geçerliliği [Reliability and validity of the Turkish version of short form-36 (SF-36)]. İlaç ve Tedavi Dergisi 1999;12:102-6
  • Korukcu O, Kukulu K, Firat MZ. The reliability and validity of the Turkish version of the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) with pregnant women. J Psychiatr Ment Health Nurs. 2012;19(3):193-202. doi:10.1111/j.1365-2850.2011.01694.x
  • Wijma K, Wijma B, Zar M. Psychometric aspects of the W-DEQ; a new questionnaire for the measurement of fear of childbirth. Journal of psychosomatic obstetrics and gynaecology. 1998;19(2):84–97. doi: 10.3109/01674829809048501
  • Mukaka MM. Statistics corner: A guide to appropriate use of correlation coefficient in medical research. Malawi Med J. 2012;24(3):69-71.
  • Nascimento SL, Surita FG, Godoy AC, Kasawara KT, Morais SS. Physical Activity Patterns and Factors Related to Exercise during Pregnancy: A Cross Sectional Study PLoS One. 2015;10(6):e0128953. doi:10.1371/journal.pone.0128953
  • Kostanoğlu A, Manzak A, Şahin A.Gebelerde fiziksel aktivite seviyesi ve uyku kalitesinin yaşam kalitesine etkisi. Journal of Turkish Sleep Medicine. 2019;3:80-87.
  • Kołomańska D, Zarawski M, Mazur-Bialy A. Physical Activity and Depressive Disorders in Pregnant Women-A Systematic Review. Medicina (Kaunas). 2019;55(5):212. Published 2019 May 26. doi:10.3390/medicina55050212
  • Caputo EL, Ferreira PH, Ferreira ML, et al. Physical Activity Before or During Pregnancy and Low Back Pain: Data From the 2015 Pelotas (Brazil) Birth Cohort Study. J Phys Act Health. 2019;16(10):886-893. doi:10.1123/jpah.2018-0624
  • Cilar Budler L, Budler M. Physical activity during pregnancy: a systematic review for the assessment of current evidence with future recommendations. BMC Sports Sci Med Rehabil. 2022;14(1):133. doi:10.1186/s13102-022-00524-z
  • Krzepota J, Sadowska D, Biernat E. Relationships between Physical Activity and Quality of Life in Pregnant Women in the Second and Third Trimester. Int J Environ Res Public Health. 2018;15(12):2745. doi:10.3390/ijerph15122745
  • Fazzi C, Saunders DH, Linton K, Norman JE, Reynolds RM. Sedentary behaviours during pregnancy: a systematic review. Int J Behav Nutr Phys Act. 2017;14(1):32. doi:10.1186/s12966-017-0485-z
  • Sytsma TT, Zimmerman KP, Manning JB, et al. Perceived Barriers to Exercise in the First Trimester of Pregnancy. J Perinat Educ. 2018;27(4):198-206. doi:10.1891/1058-1243.27.4.198
  • Ward-Ritacco C, Poudevigne MS, O'Connor PJ. Muscle strengthening exercises during pregnancy are associated with increased energy and reduced fatigue. J Psychosom Obstet Gynaecol. 2016;37(2):68-72. doi:10.3109/0167482X.2016.1155552
  • Özdemir ÖÇ, Sürmeli M, Özel A, et al. The relation between physical activity and quality of life in pregnancy. Anatol Clin. 2017;22:95-102. doi: 10.21673/anadoluklin.296544
  • Alipour Z, Lamyian M, Hajizadeh E, Vafaei MA. The association between antenatal anxiety and fear of childbirth in nulliparous women: a prospective study. Iran J Nurs Midwifery Res. 2011;16(2):169-173.
  • Storksen HT, Eberhard-Gran M, Garthus-Niegel S, Eskild A. Fear of childbirth; the relation to anxiety and depression. Acta Obstet Gynecol Scand. 2012;91(2):237-242. doi:10.1111/j.1600-0412.2011.01323.x
There are 30 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Article
Authors

Halil İbrahim Bulguroğlu 0000-0002-6767-7062

Merve Bulguroğlu 0000-0002-5923-4720

Early Pub Date June 19, 2023
Publication Date July 10, 2023
Submission Date November 22, 2022
Published in Issue Year 2023

Cite

EndNote Bulguroğlu Hİ, Bulguroğlu M (July 1, 2023) Investigation of the Effect of Physical Activity Level on Fear of Birth and Quality of Life During Pregnancy. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 14 3 430–437.