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  • 标题:Physical activity during pregnancy and the role of theory in promoting positive behavior change: A systematic review
  • 本地全文:下载
  • 作者:Erika L. Thompson ; Cheryl A. Vamos ; Ellen M. Daley
  • 期刊名称:Journal of Sport and Health Science
  • 印刷版ISSN:2095-2546
  • 出版年度:2017
  • 卷号:6
  • 期号:2
  • 页码:198-206
  • DOI:10.1016/j.jshs.2015.08.001
  • 出版社:Elsevier
  • 摘要:Background: Physical activity (PA) during pregnancy provides physical and psychological benefits for mother and child. U.S. guidelines recommend >=30@?min of moderate exercise for healthy pregnant women most days of the week; however, most women do not meet these recommendations. Theory assists in identifying salient determinants of health behavior to guide health promotion interventions; however, the application of theory to examine PA among pregnant women has not been examined cohesively among multiple levels of influence (e.g., intrapersonal, interpersonal, neighborhood/environmental, and organizational/political). Subsequently, this systematic review aims to identify and evaluate the use of health behavior theory in studies that examine PA during pregnancy. Methods: Articles published before July 2014 were obtained from PubMed and Web of Science. Inclusion criteria applied were: (1) empirically-based; (2) peer-reviewed; (3) measured factors related to PA; (4) comprised a pregnant sample; and (5) applied theory. Fourteen studies were included. Each study's application of theory and theoretical constructs were evaluated. Results: Various theories were utilized to explain and predict PA during pregnancy; yet, the majority of these studies only focused on intrapersonal level determinants. Five theoretical frameworks were applied across the studies-all but one at the intrapersonal level. Few determinants identified were from the interpersonal, neighborhood/environmental, or organizational/political levels. Conclusion: This systematic review synthesized the literature on theoretical constructs related to PA during pregnancy. Interpersonal, community, and societal levels remain understudied. Future research should employ theory-driven multi-level determinants of PA to reflect the interacting factors influencing PA during this critical period in the life course.
  • 关键词:Physical activity; Pregnancy; Theory
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