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      The Effect of the More Active MuMs in Stirling Trial on Body Composition and Psychological Well-Being among Postnatal Women

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          Abstract

          Introduction. Physical activity is important for health and well-being; however, rates of postnatal physical activity can be low. This paper reports the secondary outcomes of a trial aimed at increasing physical activity among postnatal women. Methods. More Active MuMs in Stirling (MAMMiS) was a randomised controlled trial testing the effect of physical activity consultation and pram walking group intervention among inactive postnatal women. Data were collected on postnatal weight, body composition, general well-being, and fatigue. Participants were also interviewed regarding motivations and perceived benefits of participating in the trial. Results. There was no significant effect of the intervention on any weight/body composition outcome or on general well-being at three or six months of follow-up. There was a significant but inconsistent difference in fatigue between groups. Qualitative data highlighted a number of perceived benefits to weight, body composition, and particularly well-being (including improved fatigue) which were not borne out by objective data. Discussion. The MAMMiS study found no impact of the physical activity intervention on body composition and psychological well-being and indicates that further research is required to identify successful approaches to increase physical activity and improve health and well-being among postnatal women.

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          Most cited references49

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          A birth of inactivity? A review of physical activity and parenthood.

          To review the existing research on physical activity and parenthood in order to establish direction for future research. Articles were limited to English peer-reviewed journals, published from 1989 to 2007. Major findings from 25 independent samples were summarized based on common subtopics of: physical activity of parents compared to non-parents, physical activity barriers, employment and marital status, number of children, and theory-based work applied to parents. Parenthood and physical activity involvement showed a negative relationship (meta-analytic d=0.41 to 0.48, correcting for sampling error) when compared to non-parents. Mothers were generally less active than fathers. Associations were found between specific barriers and parental physical activity, but the relationship between physical activity and marital/employment status as well as number/age of children was inconsistent. Finally, the use of theoretical models applied to understanding early family development and physical activity has been limited. Parents with dependent children are clearly more inactive than non-parents and the topic has received disproportionably scant research considering the size of the effect. Current research has largely been focused on mothers, and has relied heavily on cross-sectional designs and self-report measures. Future work should focus on longitudinal designs across family development, gender and role interactions, and include social ecological frameworks and objective physical activity measurement.
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            Predictors of change in physical activity during and after pregnancy: Project Viva.

            Few studies document longitudinal changes in physical activity from prepregnancy to the postpartum period. This study estimated change in self-reported leisure-time physical activity in 1442 women before pregnancy, during the second trimester, and at 6 months postpartum. In addition, it also examined predictors of becoming insufficiently active during or after pregnancy. The mean (SD) age was 32.5 (4.5) years, 34% of the women were overweight or obese prepregnancy (body mass index equal to or greater than 25 kg/m(2)), and 76% were white. Before pregnancy, the mean total leisure physical activity was 9.6 hours per week. The reported decrease in total activity between prepregnancy and 6 months postpartum was -1.4 (95% CI=-1.0 to -1.9) hours per week, accounted for by decreases in moderate and vigorous physical activity but not walking. Prevalence of insufficiently active lifestyle (less than 150 minutes per week of total activity) increased from 12.6% before pregnancy to 21.7% during the postpartum period. The OR for becoming insufficiently active during pregnancy was 1.58 (95% CI=1.07-2.32) in women with at least one child compared with no children. Predictors of becoming insufficiently active postpartum included postpartum weight retention (OR=1.31; 95% CI=1.05-1.58 for each 5-kg increment); working longer hours in the first trimester (e.g., OR=5.12; 95% CI=1.96-13.4 for 45+ vs 0 hours); and reporting that lack of child care was a barrier to physical activity (OR=1.73; 95% CI=0.99-3.02). Women reported decreases in moderate and vigorous physical activity during pregnancy that persisted at 6 months postpartum. Levels of walking did not decline. Children in the home, longer work hours, and lack of child care were predictors of becoming insufficiently active during or after pregnancy.
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              Life-change events and participation in physical activity: a systematic review.

              Physical inactivity and related diseases are of global public health concern. In many developing countries, levels of health promoting physical activity (PA) are falling despite government initiatives. Previous work has identified that periods of transition across a life course, or 'life-change events' have implications for drop out from PA. As yet, there has been little work to understand the life course as a whole and to furnish a complete list of possible life changes that might affect participation in PA. Our paper presents a review of the published literature in which life events have been studied in relation to their effect on participation in PA. A literature search was conducted for papers published between 1977 and April 2007 and referenced in Pubmed. Papers were reviewed if they; reported the effect of a life-change event; had PA as an outcome; reported results in English; and reported results from observational studies. The references for studies identified during this first phase were searched for further papers. Eighty-seven papers were identified as potentially relevant on the basis of title, of which 19 papers met the inclusion criteria on the basis of full text. Five life changes were identified; change in employment status; change in residence; change in physical status; change in relationships; and change in family structure. It was noted that few longitudinal studies examined PA both before and after a life event. A list of possible life events which might effect participation in PA is presented. This paper represents a first step towards a detailed programme of work on life-change events and PA.
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                Author and article information

                Journal
                J Pregnancy
                J Pregnancy
                JP
                Journal of Pregnancy
                Hindawi Publishing Corporation
                2090-2727
                2090-2735
                2016
                16 August 2016
                : 2016
                : 4183648
                Affiliations
                1School of Health Sciences & Sport, University of Stirling, Stirling FK9 4LA, UK
                2School of Nursing, Midwifery and Social Care, Edinburgh Napier University, Edinburgh EH11 4BN, UK
                3School of Psychological Sciences and Health, University of Strathclyde, Glasgow G1 1QE, UK
                4Scottish Collaboration for Public Health Research & Policy, University of Edinburgh, Edinburgh EH8 9DX, UK
                Author notes

                Academic Editor: Jeffrey Keelan

                Author information
                http://orcid.org/0000-0002-8803-9852
                http://orcid.org/0000-0003-0938-2861
                http://orcid.org/0000-0001-8602-1299
                http://orcid.org/0000-0002-4469-4011
                Article
                10.1155/2016/4183648
                5004019
                a61d875e-3279-469b-8440-7e13e462aeab
                Copyright © 2016 Alyssa S. Lee et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 20 March 2016
                : 5 July 2016
                : 14 July 2016
                Categories
                Research Article

                Obstetrics & Gynecology
                Obstetrics & Gynecology

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