Document Type : Research Article

Authors

1 Departmment of Medical Rehabilitation, Obafemi Awolowo University, Ile-Ife, Nigeria

2 Department of Perinatoloy, Obstetrics and Gynaecology, Obafemi Awolowo University, Ile-Ife, Nigeria

3 Department of Nursing Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria, Ile-Ife, Nigeria

4 Department of Medical Rehabilitation, University Of Nigeria, Nsukka, Nigeria

5 Department of Obstetrics and Gynaecology, University College Hospital, Ibadan, Nigeria

6 Department of Physiotherapy, University College Hospital, Ibadan, Nigeria

Abstract

Background: Physical activity (PA) and health-related quality of life (HRQoL) are significantly affected in pregnancy.
Objectives: The aim of this study was to assess these constructs among Nigerian pregnant women and also examine the relationship between them.
Methods: A total of 140 pregnant women were recruited from four selected antenatal clinics in Ile-Ife, Osun State, Nigeria, who participated in this cross-sectional study. The pregnancy physical activity questionnaire (PPAQ); consisting of 33 questions aimed at evaluating different day to day activities and SF-12 health survey; an eight scale grouped questionnaire were used to assess PA and HRQoL, respectively. Descriptive statistics (mean, standard deviation, frequency, and percentage) and inferential statistics (Pearson product moment correlation and one-way ANOVA) were used for data analysis. Alpha level was set at P < 0.05.
Results: The mean age of the participants was 30.4±4.33 years. Household (347.0±452.1) and vigorous intensity (14.3±30.8) PA constituted the highest and least forms of PA. On the other hand, role limitation-physical (82.0±18.3) and health perception (82.0±18.0), and role limitation-mental (54.2±50), respectively were the highest and least rated scales on SF-12. The HRQoL scores were not significantly different (P > 0.05) across the three trimesters of pregnancy except for physical functioning (P = 0.023). However, there were significant differences in PA across the three trimester of pregnancy (P < 0.05), except for vigorous intensity (P = 0.072), sport (P = 0.057), and occupational activity (P = 0.057). There were significant correlations among HRQoL sub-scales and each household, occupational, and moderate intensity PA only (P < 0.05).
Conclusions: Light to moderate intensity and household PA are predominant among Nigerian pregnant women than vigorous intensity, occupational, and sports-related PA. Higher health perception and physical role limitation in HRQoL were mostly demonstrated by the pregnant women. There was a significant inverse relationship between HRQoL and each of moderate intensity, occupational, and household PA.

Keywords

1. Bahadoran P, Mohamadirizi S. Relationship between physical activity and quality of life in pregnant women. Iran J Nurs Midwifery Res. 2015;20(2):282–6. [PubMed: 25878709]. [PubMed Central: PMC4387656]. ## 2. Barakat R, Perales M. Pregnancy, physical activity, functional capacity and adaptations to exercise. Curr Womens Health Rev. 2015;11(1):13–8. ## 3. Downs DS, Chasan-Taber L, Evenson KR, Leiferman J, Yeo S. Physical activity and pregnancy: Past and present evidence and future recommendations. Res Q Exerc Sport. 2012;83(4):485–502. doi: 10.1080/02701367.2012.10599138. [PubMed: 23367811]. [PubMed Central: PMC3563105]. ## 4. Brown W. The benefits of physical activity during pregnancy. J Sci Med Sport. 2002;5(1):37–45. doi: 10.1016/S1440-2440(02)80296-1. [PubMed: 12054385]. ## 5. Hatch MC, Shu XO, McLean DE, Levin B, Begg M, Reuss L, et al. Maternal exercise during pregnancy, physical fitness, and fetal growth. Am J Epidemiol. 1993;137(10):1105–14. doi: 10.1093/oxfordjournals.aje.a116614. [PubMed: 8317440]. ## 6. Juhl M, Olsen J, Andersen PK, Nohr EA, Andersen AM. Physical exercise during pregnancy and fetal growth measures: A study within the Danish National Birth Cohort. Am J Obstet Gynecol. 2010;202(1):63 e1–8. doi: 10.1016/j.ajog.2009.07.033. [PubMed: 19800601]. ## 7. Gjestland K, Bo K, Owe KM, Eberhard-Gran M. Do pregnant women follow exercise guidelines? Prevalence data among 3482 women, and prediction of low-back pain, pelvic girdle pain and depression. Br J Sports Med. 2013;47(8):515–20. doi: 10.1136/bjsports-2012-091344. [PubMed: 22904295]. ## 8. Acog Committee Obstetric Practice. ACOG Committee opinion. Number 267, January 2002: Exercise during pregnancy and the postpartum period. Obstet Gynecol. 2002;99(1):171–3. doi: 10.1097/00006250-200201000-00030. [PubMed: 11777528]. ## 9. Olsson C, Nilsson-Wikmar L. Health-related quality of life and physical ability among pregnant women with and without back pain in late pregnancy. Acta Obstet Gynecol Scand. 2004;83(4):351–7. doi: 10.1080/j.0001-6349.2004.00384.x. [PubMed: 15005782]. ## 10. Forger F, Ostensen M, Schumacher A, Villiger PM. Impact of pregnancy on health related quality of life evaluated prospectively in pregnant women with rheumatic diseases by the SF-36 health survey. Ann Rheum Dis. 2005;64(10):1494–9. doi: 10.1136/ard.2004.033019. [PubMed: 15778241]. [PubMed Central: PMC1755222]. ## 11. Ramírez-Vélez R. Pregnancy and health-related quality of life: A cross sectional study. Colombia Med. 2011;42(4):476–81. ## 12. Naseem K, Khurshid S, Khan SF, Moeen A, Farooq MU, Sheikh S, et al. Health related quality of life in pregnant women: a comparison between urban and rural populations. J Pak Med Assoc. 2011;61(3):308–12. doi: 10.1590/S0102-311X2011000200003. [PubMed: 21465959]. ## 13. Tendais I, Figueiredo B, Mota J, Conde A. Physical activity, health related quality of life and depression during pregnancy. Cad Saude Publica. 2011;27(2):219–28. [PubMed: 21359458]. ## 14. Hueston WJ, Kasik-Miller S. Changes in functional health status during normal pregnancy. J Fam Pract. 1998;47(3):209–12. [PubMed: 9752373]. ## 15. Villar J, Ba’aqeel H, Piaggio G, Lumbiganon P, Miguel Belizan J, Farnot U, et al. WHO antenatal care randomised trial for the evaluation of a new model of routine antenatal care. Lancet. 2001;357(9268):1551–64. doi: 10.1016/s0140-6736(00)04722-x. [PubMed: 11377642]. ## 16. Carroli G, Rooney C, Villar J. How effective is antenatal care in preventing maternal mortality and serious morbidity? An overview of the evidence. Paediatr Perinat Epidemiol. 2001;15 Suppl 1:1–42. doi: 10.1046/j.1365-3016.2001.00001.x. [PubMed: 11243499]. ## 17. Evenson KR, Wen F. National trends in self-reported physical activity and sedentary behaviors among pregnant women: NHANES 1999-2006. Prev Med. 2010;50(3):123–8. doi: 10.1016/j.ypmed.2009.12.015. [PubMed: 20053370]. ## 18. US Department of Health and Human Services. Physical activity guidelines for Americans. Washington, DC: USDHHS; 2008. ## 19. 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):1750–60. doi: 10.1249/01.MSS.0000142303.49306.0D. [PubMed: 15595297]. ## 20. Ware J Jr, Kosinski M, Keller SD. A 12-item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34(3):220–33. doi: 10.1097/00005650-199603000-00003. [PubMed: 8628042]. ## 21. Roberts DE, Fragala MS, Pober D, Chasan-Taber L, Freedson PS. Energy cost of physical activities during pregnancy. Med Sci Sports Exerc. 2002;34(5). S124. doi: 10.1097/00005768-200205001-00701. ## 22. Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, et al. Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc. 2000;32(9 Suppl):S498–504. [PubMed: 10993420]. ## 23. Matsuzaki M, Haruna M, Nakayama K, Shiraishi M, Ota E, Murayama R, et al. Adapting the pregnancy physical activity questionnaire for Japanese pregnant women. J Obstet Gynecol Neonatal Nurs. 2014;43(1):107–16. doi: 10.1111/1552-6909.12267. [PubMed: 24428147]. ## 24. Brazier JE, Harper R, Jones NM, O’Cathain A, Thomas KJ, Usherwood T, et al. Validating the SF-36 health survey questionnaire: New outcome measure for primary care. BMJ. 1992;305(6846):160–4. doi: 10.1136/bmj.305.6846.160. [PubMed: 1285753]. [PubMed Central: PMC1883187]. ## 25. Borodulin KM, Evenson KR, Wen F, Herring AH, Benson AM. Physical activity patterns during pregnancy. Med Sci Sports Exerc. 2008;40(11):1901–8. doi: 10.1249/MSS.0b013e31817f1957. [PubMed: 18845974]. [PubMed Central: PMC3319731]. ## 26. Renault K, Norgaard K, Andreasen KR, Secher NJ, Nilas L. Physical activity during pregnancy in obese and normal-weight women as assessed by pedometer. Acta Obstet Gynecol Scand. 2010;89(7):956–61. doi: 10.3109/00016341003792459. [PubMed: 20583938]. ## 27. Borodulin K, Evenson KR, Herring AH. Physical activity patterns during pregnancy through postpartum. BMC Womens Health. 2009;9:32. doi: 10.1186/1472-6874-9-32. [PubMed: 19925650]. [PubMed Central: PMC2784751]. ## 28. Florindo AA, Guimaraes VV, Cesar CL, Barros MB, Alves MC, Goldbaum M. Epidemiology of leisure, transportation, occupational, and household physical activity: Prevalence and associated factors. J Phys Act Health. 2009;6(5):625–32. doi: 10.1123/jpah.6.5.625. [PubMed: 19953839]. ## 29. Evert J; Mentalhelp.net. The second trimester. 2005. ## 30. Mottola MF, Campbell MK. Activity patterns during pregnancy. Can J Appl Physiol. 2003;28(4):642–53. doi: 10.1139/h03-049. [PubMed: 12904639]. ## 31. Mudd LM, Nechuta S, Pivarnik JM, Paneth N; Michigan Alliance for National Children’s Study. Factors associated with women’s perceptions of physical activity safety during pregnancy. Prev Med. 2009;49(2-3):194–9. doi: 10.1016/j.ypmed.2009.06.004. [PubMed: 19540874]. ## 32. Adeniyi AF, Ogwumike OO. Physical activity and energy expenditure: Findings from the Ibadan Pregnant Women’s Survey. Afr J Reprod Health. 2014;18(2):117–26. [PubMed: 25022148]. ## 33. Moyer CA, Yang H, Kwawukume Y, Gupta A, Zhu Y, Koranteng I, et al. Optimism/pessimism and health-related quality of life during pregnancy across three continents: A matched cohort study in China, Ghana, and the United States. BMC Pregnancy Childbirth. 2009;9:39. doi: 10.1186/1471-2393-9-39. [PubMed: 19723332]. [PubMed Central: PMC2744663]. ## 34. Vinturache A, Stephenson N, McDonald S, Wu M, Bayrampour H, Tough S. Health-related quality of life in pregnancy and postpartum among women with assisted conception in Canada. Fertil Steril. 2015;104(1):188–95 e1. doi: 10.1016/j.fertnstert.2015.04.012. [PubMed: 25956365]. ## 35. Anokye NK, Trueman P, Green C, Pavey TG, Taylor RS. Physical activity and health related quality of life. BMC Public Health. 2012;12:624. doi: 10.1186/1471-2458-12-624. [PubMed: 22871153]. [PubMed Central: PMC3490805]. ## 36. Shephard R. Aging and exercise. Encyclopedia of sport medicine and science; 1998. ## 37. Bongard V, McDermott AY, Dallal GE, Schaefer EJ. Effects of age and gender on physical performance. Age (Dordr). 2007;29(2-3):77–85. doi: 10.1007/s11357-007-9034-z. [PubMed: 19424833]. [PubMed Central: PMC2267663]. ## 38. Lim JY, Paik NJ, Park WB. Poster 102: The effect of age and sex on physical function and quality of life in korean elderly: The Korean longitudinal study on health and aging. Arch Phys Med Rehabil. 2008;89(11):e52. doi: 10.1016/j.apmr.2008.09.132. ## 39. Guthold R, Ono T, Strong KL, Chatterji S, Morabia A. Worldwide variability in physical inactivity a 51-country survey. Am J Prev Med. 2008;34(6):486–94. doi: 10.1016/j.amepre.2008.02.013. [PubMed: 18471584]. ## 40. Dumith SC, Domingues MR, Mendoza-Sassi RA, Cesar JA. Physical activity during pregnancy and its association with maternal and child health indicators. Rev Saude Publica. 2012;46(2):327–33. doi: 10.1590/s0034-89102012005000012. [PubMed: 22331181]. ## 41. Michel G, Bisegger C, Fuhr DC, Abel T, Kidscreen group. Age and gender differences in health-related quality of life of children and adolescents in Europe: Amultilevel analysis. Qual Life Res. 2009;18(9):1147–57. doi: 10.1007/s11136-009-9538-3. [PubMed: 19774493]. ## 42. Bolton K, Kremer P, Rossthorn N, Moodie M, Gibbs L, Waters E, et al. The effect of gender and age on the association between weight status and health-related quality of life in Australian adolescents. BMC Public Health. 2014;14:898. doi: 10.1186/1471-2458-14-898. [PubMed: 25183192]. [PubMed Central: PMC4158070]. ##