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Physical activity and exercise during pregnancy in Turkey: A narrative review

Yıl 2023, Cilt: 28 Sayı: 3, 425 - 432, 28.09.2023

Dilara Özen Oruk

https://doi.org/10.21673/anadoluklin.1211698

Öz

It is known that physical activity (PA) in pregnancy is beneficial for both women and fetal health. For the optimal exercise prescription, healthcare professionals interested in obstetrics-gynecology should evaluate women carefully before making any exercise recommendations during pregnancy. If there aren’t any contraindications, pregnant women should be encouraged to engage in regular physical activity. This narrative review aimed to determine PA during pregnancy in Turkey. A literature search was performed in the databases. A total of 29 original articles on PA during pregnancy in Turkey were included in this present study. Eighteen studies were chosen from among these articles for analysis. Two studies assessed PA levels in pregnancy with objective/direct methods such as PA monitors and pedometers, and non-objective/indirect methods were used in all 18 studies. Regarding exercise types, the most preferred exercises during pregnancy were walking, breathing exercises, strengthening exercises, and stretching neck muscles. This narrative review revealed that the level of PA participation and the frequency of regular exercise during pregnancy in Turkey is inadequate. More studies are necessary to examine PA participation from various contexts during pregnancy in Turkey to guide interventions for improving maternal health.

Anahtar Kelimeler

Exercise healthy lifestyle maternal health pregnancy pregnant women

Destekleyen Kurum

-

Proje Numarası

-

Teşekkür

-

Kaynakça

  • Sızlan A, Kurt E. Gebelik Fizyolojisi. Turkiye Klinikleri J Surg Med Sci. 2007;3(32):1-7.
  • Kader M, Naim-Shuchana S. Physical activity and exercise during pregnancy. Eur J Physiother. 2014;16(1):2-9.
  • Wu W-H, Meijer OG, Uegaki K, et al. Pregnancy-related pelvic girdle pain (PPP), I: Terminology, clinical presentation, and prevalence. Eur Spine J. 2004;13(7):575-89.
  • Hunskaar S, Burgio K, Clark A, et al. Epidemiology of urinary (UI) and faecal (FI) incontinence and pelvic organ prolapse (POP). Incontinence. 2005;1:255-312.
  • ACOG Committee. Opinion no. 804: exercise during pregnancy and the postpartum period. Obstet Gynecol. 2020;135:178-88.
  • Berghella V, Saccone G. Exercise in pregnancy! Am J Obstet Gynecol. 2017;216(4):335-7.
  • Gregg VH, Ferguson JE. Exercise in pregnancy. Clin. Sports Med. 2017;36(4):741-52.
  • Nascimento SL, Surita FG, Cecatti JG. Physical exercise during pregnancy: a systematic review. Curr Opin Obstet Gynecol. 2012;24(6):387-94.
  • Prather H, Spitznagle T, Hunt D. Benefits of exercise during pregnancy. PM R. 2012;4(11):845-50.
  • Evenson KR, Chasan‐Taber L, Symons Downs D, Pearce EE. Review of self‐reported physical activity assessments for pregnancy: summary of the evidence for validity and reliability. Paediatr Perinat Epidemiol. 2012;26(5):479-94.
  • Lee J-H, Park JH, Kim Y-J. Sensitivity of the accelerometer as a measurement tool for upper extremity movement by stroke patients: a comparison with the action research arm test. J Phys Ther Sci. 2015;27(4):1053-4.
  • Uzelpasaci E, Akbayrak T, Özgül S, et al. The Reliability and Validity of the Turkish Kaiser Physical Activity Survey for Pregnant Women. J Phys Act Health. 2019;16(11):962-7.
  • Adanaş Aydın G, Taşan HA, Tarhan N, et al. Reliability and validity of Turkish version of pregnancy physical activity questionnaire (PPAQ) in patients with gestational diabetes mellitus. J Obstet Gynaecol. 2020;40(2):176-181.
  • Aşcı Ö, Rathfisch G. Effect of lifestyle interventions of pregnant women on their dietary habits, lifestyle behaviors, and weight gain: a randomized controlled trial. J Health Popul Nutr. 2016;35(1):1-9.
  • Balsak D, Yildirim Y, Avci ME, et al. Ege bölgesinde yaşayan gebe kadınların gebelik egzersizleri hakkındaki bilgi ve davranışlarının incelenmesi. Balkan Med J. 2007;2007(3):200-4.
  • Başbuğ A, Sönmez Cİ, Kaya AE, Yildirim E. Gestasyonel diyabet taramasında karşılaşılan önemli bir problem: Gebeler neden oral glukoz tolerans testi yaptırmak istemiyor? Konuralp Med J. 2018;10(2):144-8.
  • Bilgin Z, Yılmaz Esencan T. Perception of physical exercise in Turkish pregnant women and affecting factors. Eur J Physiother. 2022;24(2):97-103.
  • Celik N, Atan SU. Investigation of factors affecting postpartum maternal weight retention: A cross-sectional study. J Pak Med Assoc. 2018;68(11):1578-83.
  • Cinar N, Caka SY, Topal S, Yuvaci HU, Erkorkmaz U. The relation of health-related practices of pregnant women, fatigue and prenatal attachment. J Coll Physicians Surg Pak. 2017;27:693-8.
  • 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):3703-9.
  • Kostanoğlu A, Manzak A, Sahin A. The Effect of Physical Activity Level and Sleep Quality on Quality of Life in Pregnant Women. J Turk Sleep Med. 2019;6:80-7.
  • Ölmez S, Keten HS, Kardaş S, et al. Factors affecting general sleep pattern and quality of sleep in pregnant women. Turk J Obstet Gynecol. 2015;12(1):1-5.
  • Özcan S, Duyan V. Fetal health locus of control in a sample of pregnant Turkish women. Turk J Med Sci. 2015;45(3):714-22.
  • Ozdemir S, Bebis H, Ortabag T, Acikel C. Evaluation of the efficacy of an exercise program for pregnant women with low back and pelvic pain: a prospective randomized controlled trial. J Adv Nurs. 2015;71(8):1926-39.
  • Toprak Celenay S, Calik Var E, Ozer Kaya D. Development of an exercise attitude scale in Turkish for pregnant women: validity and reliability. Women Health. 2021;61(9):854-66.
  • Ugurlu M, Yavan T, Karasahin KE. The Effect of an Education and Counseling Program on Maternal/Neonatal Outcomes in Pregnant Women at Risk of Preeclampsia. P R Health Sci J. 2021;40(3):127-35.
  • Yalçın H, Tekin M. Assessing the knowledge level of pregnant women in Karaman about the exercises during pregnancy. J Hum Sci. 2013;10(1):24-33.
  • Yıldırım Dİ, Balcı Ş, Günenç O, Eryılmaz MA. Effect of physical activity on health-related quality of life and depression anxiety in pregnancy. Cukurova Med J. 2020;45(2):547-55.
  • Yuvaci HU, Yazici E, Yazici AB, Cevrioglu S. How often do women use non-drug treatment methods for psyschiatric symptoms during pregnancy and postpartum periods?. Ment Illn. 2019;11(1):7988.
  • Szumilewicz A. Who and how should prescribe and conduct exercise programs for pregnant women? Recommendation based on the European educational standards for pregnancy and postnatal exercise specialists. Dev Period Med. 2018;22(2):107-112.
  • Gaston A, Cramp A. Exercise during pregnancy: a review of patterns and determinants. J Sci Med Sport. 2011;14(4):299-305.
  • Okafor UB, Goon DT. Physical activity and exercise during pregnancy in Africa: a review of the literature. BMC Pregnancy Childbirth. 2020;20(1):732.
  • Zhang Y, Dong S, Zuo J, Hu X, Zhang H, Zhao Y. Physical activity level of urban pregnant women in Tianjin, China: a cross-sectional study. PLoS One. 2014;9(10):e109624.
  • Guelinckx I, Devlieger R, Mullie P, Vansant G. Effect of lifestyle intervention on dietary habits, physical activity, and gestational weight gain in obese pregnant women: a randomized controlled trial. Am J Clin Nutr. 2010;91(2):373-80.
  • Lawan A, Awotidebe AW, Oyeyemi AL, Rufa’i AA, Oyeyemi AY. Relationship between Physical Activity and Health Related Quality of Life among Pregnant Women. Afr J Reprod Health. 2018;22(3):80-9.
  • Santos PC, Abreu S, Moreira C, et al. Physical Activity Patterns During Pregnancy in a Sample of Portuguese Women: A Longitudinal Prospective Study. Iran Red Crescent Med J. 2016;18(3):e22455.
  • Evenson KR, Moos MK, Carrier K, Siega-Riz AM. Perceived barriers to physical activity among pregnant women. Matern Child Health J. 2009;13(3):364-75.
  • Guelfi KJ, Wang C, Dimmock JA, Jackson B, Newnham JP, Yang H. A comparison of beliefs about exercise during pregnancy between Chinese and Australian pregnant women. BMC Pregnancy Childbirth. 2015;15:345.
  • Marquez DX, Bustamante EE, Bock BC, Markenson G, Tovar A, Chasan-Taber L. Perspectives of Latina and non-Latina white women on barriers and facilitators to exercise in pregnancy. Women Health. 2009;49(6):505-21.
  • Connelly M, Brown H, van der Pligt P, Teychenne M. Modifiable barriers to leisure-time physical activity during pregnancy: a qualitative study investigating first time mother’s views and experiences. BMC Pregnancy Childbirth. 2015;15:100.
  • Foxcroft KF, Rowlands IJ, Byrne NM, McIntyre HD, Callaway LK; BAMBINO group. Exercise in obese pregnant women: the role of social factors, lifestyle and pregnancy symptoms. BMC Pregnancy Childbirth. 2011;11:4.
  • Jukic A MZ, Evenson KR, Herring AH, Wilcox AJ, Hartmann KE, Daniels JL. Correlates of physical activity at two time points during pregnancy. J Phys Act Health. 2012;9(3):325-35.
  • Sanda B, Vistad I, Sagedal LR, Haakstad LAH, Lohne-Seiler H, Torstveit MK. Effect of a prenatal lifestyle intervention on physical activity level in late pregnancy and the first year postpartum. PLoS One. 2017;12(11):e0188102.

Türkiye’de gebelik döneminde fiziksel aktivite ve egzersiz: Bir literatür derlemesi

Yıl 2023, Cilt: 28 Sayı: 3, 425 - 432, 28.09.2023

Dilara Özen Oruk

https://doi.org/10.21673/anadoluklin.1211698

Öz

Gebelikte fiziksel aktivitenin (FA) hem kadın hem de fetal sağlık için faydalı olduğu bilinmektedir. Optimal egzersiz reçetesi için kadın doğum-jinekoloji ile ilgilenen sağlık profesyonellerinin gebelikte herhangi bir egzersiz önerisinde bulunmadan önce dikkatli bir değerlendirme yapması gerekir. Herhangi bir kontrendikasyon yoksa, gebeler düzenli fiziksel aktiviteye teşvik edilmelidir. Bu literatür derlemesinde, Türkiye’de gebelik döneminde FA ve egzersiz düzeyini belirlemek amaçlandı. Çeşitli veri tabanlarında literatür taraması yapıldı. Bu çalışmaya Türkiye’de gebelikte PA ile ilgili toplam 29 orijinal makale dahil edildi. Bu çalışmalardan 18 tanesi analiz edildi. İki çalışmada FA monitörleri ve pedometre gibi objektif/doğrudan yöntemlerle gebelik sırasında FA seviyeleri değerlendirildi ve 18 çalışmanın tümünde objektif olmayan/dolaylı yöntemler kullanıldı. Egzersiz türlerine göre gebelikte en çok tercih edilen egzersizler yürüyüş, nefes egzersizleri, kuvvetlendirme egzersizleri ve boyun kaslarını germe egzersizleriydi. Bu derleme, Türkiye’de gebelikte FA katılım düzeyinin ve düzenli egzersiz sıklığının düşük olduğunu ortaya koymuştur. Anne sağlığını iyileştirmeye yönelik müdahalelere rehberlik etmek için Türkiye’de hamilelik sırasında çeşitli bağlamlardan FA katılımını inceleyen daha fazla çalışmaya ihtiyaç vardır.

Anahtar Kelimeler

Anne sağlığı egzersiz gebelik gebe kadınlar sağlıklı yaşam tarzı

Proje Numarası

-

Kaynakça

  • Sızlan A, Kurt E. Gebelik Fizyolojisi. Turkiye Klinikleri J Surg Med Sci. 2007;3(32):1-7.
  • Kader M, Naim-Shuchana S. Physical activity and exercise during pregnancy. Eur J Physiother. 2014;16(1):2-9.
  • Wu W-H, Meijer OG, Uegaki K, et al. Pregnancy-related pelvic girdle pain (PPP), I: Terminology, clinical presentation, and prevalence. Eur Spine J. 2004;13(7):575-89.
  • Hunskaar S, Burgio K, Clark A, et al. Epidemiology of urinary (UI) and faecal (FI) incontinence and pelvic organ prolapse (POP). Incontinence. 2005;1:255-312.
  • ACOG Committee. Opinion no. 804: exercise during pregnancy and the postpartum period. Obstet Gynecol. 2020;135:178-88.
  • Berghella V, Saccone G. Exercise in pregnancy! Am J Obstet Gynecol. 2017;216(4):335-7.
  • Gregg VH, Ferguson JE. Exercise in pregnancy. Clin. Sports Med. 2017;36(4):741-52.
  • Nascimento SL, Surita FG, Cecatti JG. Physical exercise during pregnancy: a systematic review. Curr Opin Obstet Gynecol. 2012;24(6):387-94.
  • Prather H, Spitznagle T, Hunt D. Benefits of exercise during pregnancy. PM R. 2012;4(11):845-50.
  • Evenson KR, Chasan‐Taber L, Symons Downs D, Pearce EE. Review of self‐reported physical activity assessments for pregnancy: summary of the evidence for validity and reliability. Paediatr Perinat Epidemiol. 2012;26(5):479-94.
  • Lee J-H, Park JH, Kim Y-J. Sensitivity of the accelerometer as a measurement tool for upper extremity movement by stroke patients: a comparison with the action research arm test. J Phys Ther Sci. 2015;27(4):1053-4.
  • Uzelpasaci E, Akbayrak T, Özgül S, et al. The Reliability and Validity of the Turkish Kaiser Physical Activity Survey for Pregnant Women. J Phys Act Health. 2019;16(11):962-7.
  • Adanaş Aydın G, Taşan HA, Tarhan N, et al. Reliability and validity of Turkish version of pregnancy physical activity questionnaire (PPAQ) in patients with gestational diabetes mellitus. J Obstet Gynaecol. 2020;40(2):176-181.
  • Aşcı Ö, Rathfisch G. Effect of lifestyle interventions of pregnant women on their dietary habits, lifestyle behaviors, and weight gain: a randomized controlled trial. J Health Popul Nutr. 2016;35(1):1-9.
  • Balsak D, Yildirim Y, Avci ME, et al. Ege bölgesinde yaşayan gebe kadınların gebelik egzersizleri hakkındaki bilgi ve davranışlarının incelenmesi. Balkan Med J. 2007;2007(3):200-4.
  • Başbuğ A, Sönmez Cİ, Kaya AE, Yildirim E. Gestasyonel diyabet taramasında karşılaşılan önemli bir problem: Gebeler neden oral glukoz tolerans testi yaptırmak istemiyor? Konuralp Med J. 2018;10(2):144-8.
  • Bilgin Z, Yılmaz Esencan T. Perception of physical exercise in Turkish pregnant women and affecting factors. Eur J Physiother. 2022;24(2):97-103.
  • Celik N, Atan SU. Investigation of factors affecting postpartum maternal weight retention: A cross-sectional study. J Pak Med Assoc. 2018;68(11):1578-83.
  • Cinar N, Caka SY, Topal S, Yuvaci HU, Erkorkmaz U. The relation of health-related practices of pregnant women, fatigue and prenatal attachment. J Coll Physicians Surg Pak. 2017;27:693-8.
  • 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):3703-9.
  • Kostanoğlu A, Manzak A, Sahin A. The Effect of Physical Activity Level and Sleep Quality on Quality of Life in Pregnant Women. J Turk Sleep Med. 2019;6:80-7.
  • Ölmez S, Keten HS, Kardaş S, et al. Factors affecting general sleep pattern and quality of sleep in pregnant women. Turk J Obstet Gynecol. 2015;12(1):1-5.
  • Özcan S, Duyan V. Fetal health locus of control in a sample of pregnant Turkish women. Turk J Med Sci. 2015;45(3):714-22.
  • Ozdemir S, Bebis H, Ortabag T, Acikel C. Evaluation of the efficacy of an exercise program for pregnant women with low back and pelvic pain: a prospective randomized controlled trial. J Adv Nurs. 2015;71(8):1926-39.
  • Toprak Celenay S, Calik Var E, Ozer Kaya D. Development of an exercise attitude scale in Turkish for pregnant women: validity and reliability. Women Health. 2021;61(9):854-66.
  • Ugurlu M, Yavan T, Karasahin KE. The Effect of an Education and Counseling Program on Maternal/Neonatal Outcomes in Pregnant Women at Risk of Preeclampsia. P R Health Sci J. 2021;40(3):127-35.
  • Yalçın H, Tekin M. Assessing the knowledge level of pregnant women in Karaman about the exercises during pregnancy. J Hum Sci. 2013;10(1):24-33.
  • Yıldırım Dİ, Balcı Ş, Günenç O, Eryılmaz MA. Effect of physical activity on health-related quality of life and depression anxiety in pregnancy. Cukurova Med J. 2020;45(2):547-55.
  • Yuvaci HU, Yazici E, Yazici AB, Cevrioglu S. How often do women use non-drug treatment methods for psyschiatric symptoms during pregnancy and postpartum periods?. Ment Illn. 2019;11(1):7988.
  • Szumilewicz A. Who and how should prescribe and conduct exercise programs for pregnant women? Recommendation based on the European educational standards for pregnancy and postnatal exercise specialists. Dev Period Med. 2018;22(2):107-112.
  • Gaston A, Cramp A. Exercise during pregnancy: a review of patterns and determinants. J Sci Med Sport. 2011;14(4):299-305.
  • Okafor UB, Goon DT. Physical activity and exercise during pregnancy in Africa: a review of the literature. BMC Pregnancy Childbirth. 2020;20(1):732.
  • Zhang Y, Dong S, Zuo J, Hu X, Zhang H, Zhao Y. Physical activity level of urban pregnant women in Tianjin, China: a cross-sectional study. PLoS One. 2014;9(10):e109624.
  • Guelinckx I, Devlieger R, Mullie P, Vansant G. Effect of lifestyle intervention on dietary habits, physical activity, and gestational weight gain in obese pregnant women: a randomized controlled trial. Am J Clin Nutr. 2010;91(2):373-80.
  • Lawan A, Awotidebe AW, Oyeyemi AL, Rufa’i AA, Oyeyemi AY. Relationship between Physical Activity and Health Related Quality of Life among Pregnant Women. Afr J Reprod Health. 2018;22(3):80-9.
  • Santos PC, Abreu S, Moreira C, et al. Physical Activity Patterns During Pregnancy in a Sample of Portuguese Women: A Longitudinal Prospective Study. Iran Red Crescent Med J. 2016;18(3):e22455.
  • Evenson KR, Moos MK, Carrier K, Siega-Riz AM. Perceived barriers to physical activity among pregnant women. Matern Child Health J. 2009;13(3):364-75.
  • Guelfi KJ, Wang C, Dimmock JA, Jackson B, Newnham JP, Yang H. A comparison of beliefs about exercise during pregnancy between Chinese and Australian pregnant women. BMC Pregnancy Childbirth. 2015;15:345.
  • Marquez DX, Bustamante EE, Bock BC, Markenson G, Tovar A, Chasan-Taber L. Perspectives of Latina and non-Latina white women on barriers and facilitators to exercise in pregnancy. Women Health. 2009;49(6):505-21.
  • Connelly M, Brown H, van der Pligt P, Teychenne M. Modifiable barriers to leisure-time physical activity during pregnancy: a qualitative study investigating first time mother’s views and experiences. BMC Pregnancy Childbirth. 2015;15:100.
  • Foxcroft KF, Rowlands IJ, Byrne NM, McIntyre HD, Callaway LK; BAMBINO group. Exercise in obese pregnant women: the role of social factors, lifestyle and pregnancy symptoms. BMC Pregnancy Childbirth. 2011;11:4.
  • Jukic A MZ, Evenson KR, Herring AH, Wilcox AJ, Hartmann KE, Daniels JL. Correlates of physical activity at two time points during pregnancy. J Phys Act Health. 2012;9(3):325-35.
  • Sanda B, Vistad I, Sagedal LR, Haakstad LAH, Lohne-Seiler H, Torstveit MK. Effect of a prenatal lifestyle intervention on physical activity level in late pregnancy and the first year postpartum. PLoS One. 2017;12(11):e0188102.
Toplam 43 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri (Diğer)
Bölüm DERLEME
Yazarlar

Dilara Özen Oruk 0000-0001-8180-2328

Proje Numarası -
Yayımlanma Tarihi 28 Eylül 2023
Kabul Tarihi 11 Mayıs 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 28 Sayı: 3

Kaynak Göster

Vancouver Özen Oruk D. Physical activity and exercise during pregnancy in Turkey: A narrative review. Anadolu Klin. 2023;28(3):425-32.
 Kapak Resmi İndir

13151 This Journal licensed under a CC BY-NC (Creative Commons Attribution-NonCommercial 4.0) International License.