Loading...
15 results
Search Results
Now showing 1 - 10 of 15
- Influence of physical activity in weight gain, blood glucose levels and blood pressure in pregmant womenPublication . Santos, Paula Clara; Leal, I.; Santos, R.; Vale, S.; Alves, O.; Moreira, C.; Marques, AI.; Soares-Miranda, L.; Mota, J.The purpose of our study was to understand the influence of physical activity (PA) in weight gain, blood glucose levels, blood pressure in pregnancy and parity. Cross-sectional evaluation analysis of 100 women, aged between17 to 42, from Santo Antonio General Hospital was done. PA was assessed using the Pregnancy Physical Activity Questionnaire (PPAQ). We found that levels of PA and total weight gain of pregnant women were not associated (p = 0.352), and there was no linear correlation between the total score for PA and blood glucose levels (p = 0.849 for fasting glucose levels and p = 0.438 for blood sugar levels after 50 g glucose). In addition PA and blood pressure values were also not correlated (p = 0.166 for systolic blood pressure; p = 0.233 for diastolic It was found a correlation between PA and parity (multiparous had higher levels of PA: p = 0.020). The statistical tests used were the Spearman’s ρ and chi-square (p<0.05). In this study we did not find associations among PA and the following variables: gain weight, blood glucose and blood pressure. Howev we saw that PA levels were higher in multiparous compared to primiparous.
- Feasibility, clinical efficacy, and maternal outcomes of a remote exercise program in pregnant women with obesity: The GROB randomized control pilot studyPublication . Bernardo, Diana; Bobadilla-Agouborde, Carolina; Festas, Clarinda; Carvalho, Carlos; Abdalla, Pedro Pugliesi; Amezcua-Prieto, Carmen; Naia-Entonado, Zeltia; Mesquita, Cristina; Mota, Jorge; Santos, Paula ClaraObesity is common in women of reproductive age and increases the risk during pregnancy. Exercising during this period reduces health complications. Home e-health programs are effective in overcoming exercise barriers as pregnant women use technology and the internet for health information. Methods: A single-blind randomized controlled feasibility study with pregnant women with obesity (body mass index [BMI] ≥≥30 kg/m22) was conducted in the University Hospital Center of São João between January and April 2023. Pregnant women were randomized to a control group with standard care and to an experimental group with 8-week remote exercise program using a Phoenix® biofeedback device. Feasibility outcome measures were recruitment rate (≥≥35%), loss to follow-up (≤≤15%), and program fidelity (≥≥1 session/week). Secondary outcomes were evaluated through Pregnancy Physical Activity Questionnaire, Oswestry Index on Disability, and weight assessments at baseline and at the end of the program. Results: Of the 63 eligible participants, 24 (38.1%) were successfully randomized and completed the baseline assessment. Of these, 3 (4.8%) from experimental group did not perform the initial onboarding. The control group had 8.3% of follow-up losses and for the experimental group there were no follow-up losses. Program fidelity (mean ≥≥1 session/week) was fulfilled by 66.7% of successfully randomized participants. Regarding secondary outcomes assessed between baseline and the 8th week, experimental group compared to control group had higher levels of physical activity for sports activities, a lower level of inactivity, and lower disability rates caused by low back pain. Conclusions: Based on the recruitment rate, losses to follow-up, and fidelity rate, the GROB (obesity in pregnancy) study was deemed feasible and worthy of consideration for a larger study. Moreover, the GROB study has the potential to improve maternal outcomes by reducing sedentarism and disability caused by low back pain.
- Urinary incontinence in pregnancy and postpartumPublication . Santos, Paula Clara; Ferreira, M.; Santos, R.; Vale, S.; Marques, A.; Abreu, S.; Mota, J.The aim of this study was to determine the prevalence of Stress Urinary Incontinence (SUI) before pregnancy, during pregnancy and following childbirth, and also to analyze the impact of a health education campaign about SUI prevention following childbirth.
- Modelo transteórico de mudança de comportamentos na promoção da actividade física nas grávidasPublication . Silva, Ana; Santos, Paula ClaraDeterminar se o Modelo Transteórico de Mudança de Comportamento (MTMC) é eficaz na promoção da actividade física (AF) nas grávidas. O grupo experimental (GE) participou no projecto “Mães em Movimento” baseado no MTMC. Aplicou-se o Questionário de AF para Gestantes, Escala de Estados de Mudança, Behavioural Regulation in Exercise Questionnaire e Questionário de Conhecimentos. Na 2ª avaliação, no GE, todas as grávidas referiram praticar AF. A motivação intrínseca e os conhecimentos aumentaram. O MTMC revelou-se um modelo eficaz na promoção da AF em grávidas.
- Relationship between dairy product intake during pregnancy and neonatal and maternal outcomes among Portuguese womenPublication . Abreu, Sandra; Santos, Paula Clara; Montenegro, Nuno; Mota, JorgeThe role played by dairy product intake during pregnancy on neonatal outcomes has raised interest in the last few years. However, studies on this association remain scarce. Thus, the aim of this study was to determine the association between dairy product consumption during pregnancy and neonatal and maternal outcomes.
- Prevalência e impacte da incontinência urinária e stresse. Antes e durante a gravidezPublication . Santos, Paula Clara; Mendonça, Denise; Alves, Odete; Barbosa, AlcindoIntrodução: A Incontinência Urinária (IU) feminina é um importante problema de saúde pública, quer pela sua elevada prevalência, quer pelo elevado impacte físico, psíquico e social na vida da mulher. O objectivo deste estudo foi determinar a prevalência, o impacte da Incontinência Urinária de Stresse (IUS) antes e durante a gravidez em parturientes do distrito de Viana do Castelo e determinar a percentagem de mulheres que procura apoio de um profissional de saúde para o seu problema. Método: Realizou-se um estudo transversal considerando uma amostra representativa do distrito, constituída por 336 mulheres, cujo parto ocorreu no Hospital de Santa Luzia, no período compreendido entre 15 de Janeiro a 29 de Março de 2002. Todas as mulheres foram submetidas a um questionário no pós-parto hospitalar. Resultados: A prevalência da IUS, definida como Alguma vez teve perda de urina durante a realização de um esforço? foi de 5,4% (IC 95%: 3,0-7,8) antes da gravidez e 51,5% (IC 95%: 46,1-56,9) durante a gravidez actual. Os factores associados à ocorrência da IUS antes da gravidez foram a multiparidade (OR=9,96), a presença de diabetes (OR=4,61) e obesidade (OR=4,76), e à IUS durante a gravidez foram a multiparidade (OR=1,66), a diabetes (OR=2,62) e a obstipação (OR=1,73). A grande maioria (88,9%) das mulheres com IUS sente-se incomodada por se sentir húmida, 48,5% sente-se nervosa ou ansiosa e 57,3% tem medo que os outros se apercebam do odor. Durante a gravidez, apenas menos de metade das mulheres que tiveram perdas de urina procurou apoio de um profissional de saúde, apesar de a maioria ter interesse em tratar o problema. Conclusões: A IUS afecta um grande número de mulheres deste distrito antes e durante a gravidez. A IUS tem reflexos em várias dimensões da saúde, sendo o bem-estar físico e emocional os mais afectados, mas apenas uma pequena percentagem de mulheres revela o seu problema de IUS a um profissional de saúde. Perante esta evidência tornase importante que os profissionais de saúde conheçam esta realidade e se preocupem em dar resposta a estes problemas de saúde.
- Yoga Therapy in PregnancyPublication . Ferreira, Margarida; Saavedra, Mariana; Santos, Paula ClaraYoga is becoming increasingly recognized and used in developed nations as a way to reach a healthier lifestyle as it as a variety of benefits: immunological, neuromuscular, psychological, and in pain control.
- The influence of pre-gestational body mass index and physical activity patterns on maternal, delivery and newborn outcomes in a sample of portuguese pregnant women: a retrospective cohort study.Publication . Bernardo, Diana; Carvalho, Carlos; Mota, Jorge; Ferreira, Margarida; Santos, Paula ClaraThere is a linear association between pregestational body mass index (BMI) and almost all adverse pregnancy outcomes. Pregnancy is “a window of opportunities” in terms of changing behavior and improving awareness of healthy living. The proper assessment of physical activity levels, during pregnancy, determines trends, health benefits, and their effects over time. This study aims to describe maternal physical activity levels, stratified by pregestational BMI, verify the accomplishment of physical activity recommendations in pregnant women, and correlate pregestational BMI and physical activity accomplishment with maternal, delivery, and neonatal parameters. A retrospective cohort study was carried out with 103 pregnant women. Physical activity levels were evaluated using a questionnaire and accelerometry. Pregestational BMI was obtained through the Quetelet formula and used the American College of Sports Medicine’s guidelines were used to determine physical activity accomplishment levels. Continuous data were presented as mean and standard deviation and categorical data as numbers and percentages. The F test was used to examine the differences between groups. Pregnant women in the sample spent 42.9% of their time on household activities, and for pregnant women with obesity, 91.5% of the time was spent on sedentary activities. Women with normative BMI had higher levels of moderate-intensity activities. Only 15.8% of participants with obesity reached the international recommendations for physical activity practice and women who accomplished physical activity recommendations gained less weight during pregnancy. A high percentage of pre-obesity and obese pregnant women exceeded the recommendations for gestational weight gain and the gestational diabetes prevalence was higher in the obesity group (p = 0.03 between groups). Regarding delivery and neonatal parameters (Apgar score 1st, Apgar score 5th, birth weight, length and head circumference), no statistical differences were found when adjusted to a gestational week at birth, between BMI (p = 0.58; p = 0.18; p = 0.60; p = 0.34; p = 0.34, respectively) or physical activity (p = 0.12; p = 0.15; p = 0.83; p = 0.70; p = 0.70, respectively) groups. Pregnant women with obesity, exhibit high levels of sedentary behavior, a high prevalence of gestational diabetes, and exceed recommended gestational weight gain. Healthcare professionals have a crucial role in promoting regular physical activity and lifestyle changes before and during pregnancy.
- Influence of physical activity on anxiety levels in pregnancyPublication . Santos, Paula Clara; Silva, S.; Vale, S.; Santos, R.; Alves, O.; Moreira, C.; Marques, AI.; Soares-Miranda, L.; Mota, J.The aims of this study were twofold. First to evaluate the influence of physical activity (PA) on anxiety levels on pregnancy. Second to analyse the influence of parity and a history of previous miscarriage in PA. In this observational, analytic and cross sectional study, it was used a sample of 100 women, aged 17 to 42 years, from Santo Antonio General Hospital. PA and anxiety were assessed using the Pregnancy Physical Activity Questionnaire (PPAQ) and the Zung Self-Rating Anxiety Scale. It was found that levels of PA were not linearly correlated with the anxiety levels p= 0.144. It was also found an association between PA and parity, whereby multiparous women had higher levels of PA (p=0.020) and between PA and previous miscarriage women with levels of physical activity higher had fewer previous miscarriages (p=0,032). The statistical test used was the Spearman’s ρ and chichisquare. In all tests it was considered a significance level of 0,05. In conclusion, through this study it was not possible to verify that PA during pregnancy is related to anxiety. We concluded that there are only associations between, PA and number of births and PA and a history of previous miscarriage.
- Physical activity during pregnancy and its effects on neonatal outcomesPublication . Santos, Paula C.; Leirós-Rodríguez, Raquel; Abreu, Sandra; Ferreira, Margarida; Alves, Odete; Mota, JorgeDespite the acknowledgement that physical activity is beneficial during pregnancy and may result in positive health outcomes for the newborn child few studies have examined this issue. This research was deemed necessary with the primary objective of identifying possible associations between adherence to American College of Sports Medicine recommendations on neonatal outcome variables at birth. An observational, longitudinal and prospective study focused on a sample of 70 pregnant women (the power score achieved was estimated to be 0.3). Data was collected in three stages (1st and 2nd trimester of pregnancy and 48 h after delivery). The variables analyzed included the physical activity measurement (with accelerometry), neonatal outcomes at birth and the mother's anxiety, dietary intake, anthropometric measures and socio-demographic and lifestyle. Results: 21.4% women were active according to physical activity recommendations. There were no significant differences in neonatal outcomes at birth when comparing adherence to physical activity recommendations and the overall activity levels of the mothers. There were also no statistically significant differences in the birth weights of babies born to active and inactive mothers. Mother's anxiety level, weight gained and dietary intake were not statistically different according to compliance with physical activity behaviour or recommendations. There is no relationship between adherence to physical activity recommendations on neonatal outcome variables at birth. There were also no significant associations with sociodemographic and lifestyle variables. There is a need to identify attitudes associated with negative physical activity behavior to reduce the incidence of comorbidities associated with sedentary lifestyles during pregnancy.