"Just because you're pregnant, doesn't mean you're sick!" A qualitative study of beliefs regarding physical activity in black South African women: Bmc Pregnancy and Childbirth

E. D. Watson, S. A. Norris, Catherine E. Draper, A. rdern-Jones, M. N. M. van Poppel, L. K. Micklesfield

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background: Despite the benefits of physical activity during pregnancy, the physiological and psychological changes that occur during this unique period may put women at greater risk of being sedentary. Lifestyle and environmental transitions have left black South African women at increased risk of physical inactivity and associated health risks. Therefore, the aim of this qualitative study was to describe the beliefs regarding physical activity during pregnancy in an urban African population. Methods: Semi-structured interviews (n = 13) were conducted with pregnant black African women during their third trimester. Deductive thematic analysis was completed based on the Theory of Planned Behaviour. Coding and analysis was completed with the assistance of ATLAS.ti software. Results: Participants had a mean age of 28 (19-41) years, and a mean BMI of 30 (19.6-39.0) kg/m(2). Although the majority of women believed that physical activity was beneficial, this did not appear to translate into behaviour. Reported reasons for this included barriers such as pregnancy-related discomforts, lack of time, money and physical activity related education, all of which can contribute to a reduced perceived control to become active. Opportunities to participate in group exercise classes was a commonly reported facilitator for becoming active. In addition, influential role players, such as family, friends and healthcare providers, as well as cultural beliefs, reportedly provided the women with vague, conflicting and often discouraging advice about physical activity during pregnancy. Conclusions: This study provides new theoretical insight on the beliefs of urban South African pregnant women regarding physical activity. Findings from this study suggest a holistic approach to improve physical activity compliance during pregnancy, inclusive of physical activity education and exercise opportunities within a community setting. This study presents critical formative work upon which contextually and culturally sensitive interventions can be developed.
Original languageEnglish
Article number174
JournalBMC Pregnancy and Childbirth
Volume16
DOIs
Publication statusPublished - 2016

Cite this

@article{3907bf78c9a04baa885db782cc636be3,
title = "{"}Just because you're pregnant, doesn't mean you're sick!{"} A qualitative study of beliefs regarding physical activity in black South African women: Bmc Pregnancy and Childbirth",
abstract = "Background: Despite the benefits of physical activity during pregnancy, the physiological and psychological changes that occur during this unique period may put women at greater risk of being sedentary. Lifestyle and environmental transitions have left black South African women at increased risk of physical inactivity and associated health risks. Therefore, the aim of this qualitative study was to describe the beliefs regarding physical activity during pregnancy in an urban African population. Methods: Semi-structured interviews (n = 13) were conducted with pregnant black African women during their third trimester. Deductive thematic analysis was completed based on the Theory of Planned Behaviour. Coding and analysis was completed with the assistance of ATLAS.ti software. Results: Participants had a mean age of 28 (19-41) years, and a mean BMI of 30 (19.6-39.0) kg/m(2). Although the majority of women believed that physical activity was beneficial, this did not appear to translate into behaviour. Reported reasons for this included barriers such as pregnancy-related discomforts, lack of time, money and physical activity related education, all of which can contribute to a reduced perceived control to become active. Opportunities to participate in group exercise classes was a commonly reported facilitator for becoming active. In addition, influential role players, such as family, friends and healthcare providers, as well as cultural beliefs, reportedly provided the women with vague, conflicting and often discouraging advice about physical activity during pregnancy. Conclusions: This study provides new theoretical insight on the beliefs of urban South African pregnant women regarding physical activity. Findings from this study suggest a holistic approach to improve physical activity compliance during pregnancy, inclusive of physical activity education and exercise opportunities within a community setting. This study presents critical formative work upon which contextually and culturally sensitive interventions can be developed.",
author = "Watson, {E. D.} and Norris, {S. A.} and Draper, {Catherine E.} and A. rdern-Jones and {van Poppel}, {M. N. M.} and Micklesfield, {L. K.}",
note = "ISI Document Delivery No.: DR9PX Times Cited: 0 Cited Reference Count: 43 Watson, Estelle D. Norris, Shane A. Draper, Catherine E. Jones, Rachel A. van Poppel, Mireille N. M. Micklesfield, Lisa K. National Research Foundation of South Africa [87944]; Wellcome Trust (UK), Medical Research Council of South Africa; MRC/DFID African Research Leader Scheme (UK) This work is based on the research supported in part by the National Research Foundation of South Africa for the grant no. 87944. Any opinion, finding and conclusion or recommendation expressed in this material is that of the author(s) and the NRF does not accept any liability in this regard. The study was funded by the Wellcome Trust (UK), Medical Research Council of South Africa. SAN is supported by the MRC/DFID African Research Leader Scheme (UK). 0 6 BIOMED CENTRAL LTD LONDON BMC PREGNANCY CHILDB",
year = "2016",
doi = "10.1186/s12884-016-0963-3",
language = "English",
volume = "16",
journal = "BMC Pregnancy and Childbirth",
issn = "1471-2393",
publisher = "BioMed Central",

}

"Just because you're pregnant, doesn't mean you're sick!" A qualitative study of beliefs regarding physical activity in black South African women : Bmc Pregnancy and Childbirth. / Watson, E. D.; Norris, S. A.; Draper, Catherine E.; rdern-Jones, A.; van Poppel, M. N. M.; Micklesfield, L. K.

In: BMC Pregnancy and Childbirth, Vol. 16, 174, 2016.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - "Just because you're pregnant, doesn't mean you're sick!" A qualitative study of beliefs regarding physical activity in black South African women

T2 - Bmc Pregnancy and Childbirth

AU - Watson, E. D.

AU - Norris, S. A.

AU - Draper, Catherine E.

AU - rdern-Jones, A.

AU - van Poppel, M. N. M.

AU - Micklesfield, L. K.

N1 - ISI Document Delivery No.: DR9PX Times Cited: 0 Cited Reference Count: 43 Watson, Estelle D. Norris, Shane A. Draper, Catherine E. Jones, Rachel A. van Poppel, Mireille N. M. Micklesfield, Lisa K. National Research Foundation of South Africa [87944]; Wellcome Trust (UK), Medical Research Council of South Africa; MRC/DFID African Research Leader Scheme (UK) This work is based on the research supported in part by the National Research Foundation of South Africa for the grant no. 87944. Any opinion, finding and conclusion or recommendation expressed in this material is that of the author(s) and the NRF does not accept any liability in this regard. The study was funded by the Wellcome Trust (UK), Medical Research Council of South Africa. SAN is supported by the MRC/DFID African Research Leader Scheme (UK). 0 6 BIOMED CENTRAL LTD LONDON BMC PREGNANCY CHILDB

PY - 2016

Y1 - 2016

N2 - Background: Despite the benefits of physical activity during pregnancy, the physiological and psychological changes that occur during this unique period may put women at greater risk of being sedentary. Lifestyle and environmental transitions have left black South African women at increased risk of physical inactivity and associated health risks. Therefore, the aim of this qualitative study was to describe the beliefs regarding physical activity during pregnancy in an urban African population. Methods: Semi-structured interviews (n = 13) were conducted with pregnant black African women during their third trimester. Deductive thematic analysis was completed based on the Theory of Planned Behaviour. Coding and analysis was completed with the assistance of ATLAS.ti software. Results: Participants had a mean age of 28 (19-41) years, and a mean BMI of 30 (19.6-39.0) kg/m(2). Although the majority of women believed that physical activity was beneficial, this did not appear to translate into behaviour. Reported reasons for this included barriers such as pregnancy-related discomforts, lack of time, money and physical activity related education, all of which can contribute to a reduced perceived control to become active. Opportunities to participate in group exercise classes was a commonly reported facilitator for becoming active. In addition, influential role players, such as family, friends and healthcare providers, as well as cultural beliefs, reportedly provided the women with vague, conflicting and often discouraging advice about physical activity during pregnancy. Conclusions: This study provides new theoretical insight on the beliefs of urban South African pregnant women regarding physical activity. Findings from this study suggest a holistic approach to improve physical activity compliance during pregnancy, inclusive of physical activity education and exercise opportunities within a community setting. This study presents critical formative work upon which contextually and culturally sensitive interventions can be developed.

AB - Background: Despite the benefits of physical activity during pregnancy, the physiological and psychological changes that occur during this unique period may put women at greater risk of being sedentary. Lifestyle and environmental transitions have left black South African women at increased risk of physical inactivity and associated health risks. Therefore, the aim of this qualitative study was to describe the beliefs regarding physical activity during pregnancy in an urban African population. Methods: Semi-structured interviews (n = 13) were conducted with pregnant black African women during their third trimester. Deductive thematic analysis was completed based on the Theory of Planned Behaviour. Coding and analysis was completed with the assistance of ATLAS.ti software. Results: Participants had a mean age of 28 (19-41) years, and a mean BMI of 30 (19.6-39.0) kg/m(2). Although the majority of women believed that physical activity was beneficial, this did not appear to translate into behaviour. Reported reasons for this included barriers such as pregnancy-related discomforts, lack of time, money and physical activity related education, all of which can contribute to a reduced perceived control to become active. Opportunities to participate in group exercise classes was a commonly reported facilitator for becoming active. In addition, influential role players, such as family, friends and healthcare providers, as well as cultural beliefs, reportedly provided the women with vague, conflicting and often discouraging advice about physical activity during pregnancy. Conclusions: This study provides new theoretical insight on the beliefs of urban South African pregnant women regarding physical activity. Findings from this study suggest a holistic approach to improve physical activity compliance during pregnancy, inclusive of physical activity education and exercise opportunities within a community setting. This study presents critical formative work upon which contextually and culturally sensitive interventions can be developed.

U2 - 10.1186/s12884-016-0963-3

DO - 10.1186/s12884-016-0963-3

M3 - Article

VL - 16

JO - BMC Pregnancy and Childbirth

JF - BMC Pregnancy and Childbirth

SN - 1471-2393

M1 - 174

ER -