Pregnancy Activity Levels and Impediments in the Era of COVID-19 Based on the Health Belief Model: A Cross-Sectional Study.
Pregnancy Activity Levels and Impediments in the Era of COVID-19 Based on the Health Belief Model: A Cross-Sectional Study.
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DOI：
10.3390/ijerph19063283
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发表时间：
2022-03-10
影响因子：
--
通讯作者：
Szumilewicz A
中科院分区：
文献类型：
--
作者：
Yu H;He J;Szumilewicz A
身体活动（PA）和锻炼对母亲和胎儿都有好处。许多孕妇避免或严格限制PA，导致分娩前后的并发症。本研究通过检查人口统计学因素、PPA相关健康信念水平（HBL）和当前PPA水平，阐明了每个调节变量对产前体力活动（PPA）的确切影响。健康信念模式（HBM）与国际产前体力活动问卷一起使用。经产孕妇（PPW）的HBL（3.42）显著高于未孕初产妇（NNW）（3.06）。妊娠初产妇（PNW）的PPA水平（每周5.67代谢当量小时（MET-h/周））低于PPW（6.01 MET-h/周）。在PNW和PPW中，所有HBM维度（感知障碍除外）与运动支出呈正相关。根据回归树，PNW参与者年龄≤ 23岁，家庭年收入> CNY 100，001 - 150，000元，能量消耗最高（10.75 MET-h/周），而PPW参与者感知效益得分>4，能量消耗最高（10 MET-h/周）。结果表明，所有组中的HBL均可接受，而PPA水平低于推荐的PA水平。在PPW和PNW中，HBL与运动消耗的相关性最强。在COVID-19的背景下，迫切需要组织公益课程以减轻家庭支出，提高孕妇和NNW的PPA的HBL，并确保个人健康。
Physical activity (PA) and exercise benefit both the mother and the fetus. Many pregnant women avoid or severely limit PA, leading to complications before and after delivery. This study elucidated the precise effect of each moderator variable on prenatal physical activity (PPA) by examining demographic factors, the PPA-related health belief level (HBL), and the current PPA level. The health belief model (HBM) in conjunction with the international prenatal physical activity questionnaire was used. The HBL in pregnant parous women (PPW) (3.42) was significantly higher than that in nonpregnant nulliparous women (NNW) (3.06). The PPA level in pregnant nulliparous women (PNW) (5.67 metabolic equivalent-hours per week (MET-h/week)) was lower than in the PPW (6.01 MET-h/week). All HBM dimensions (except for perceived barriers) were positively correlated with exercise expenditure in both PNW and PPW. According to the regression tree, participants in PNW aged ≤ 23 years with annual household incomes > CNY 100,001–150,000 had the highest energy expenditure (10.75 MET-h/week), whereas participants in PPW with a perceived benefit score of >4 had the highest energy expenditure (10 MET-h/week). The results demonstrated that the HBL in all groups was acceptable, whereas the PPA level was lower than the recommended PA level. In both PPW and PNW, the HBL was most strongly correlated with exercise expenditure. There is an urgent need to organize public-interest courses to alleviate household expenditure, raise the HBL about PPA in pregnant and NNW, and ensure personal health in the context of COVID-19.
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