Effects of non-supervised aerobic exercise on sleep quality and maternal-fetal attachment in pregnant women: A randomized controlled trial

Objectives: This study was designed to evaluate the effect in pregnant women of a non-supervised aerobic exercise intervention on sleep quality and maternal-fetal attachment. Design: Pretest-posttest randomized controlled trial. Setting: Prenatal clinic of a medical center in southern Taiwan. Partic...

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Main Authors: Wen-Chun Shen, Chung-Hey Chen
Format: Article
Language:English
Published: Elsevier 2021-03-01
Series:Complementary Therapies in Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0965229921000121
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author Wen-Chun Shen
Chung-Hey Chen
author_facet Wen-Chun Shen
Chung-Hey Chen
author_sort Wen-Chun Shen
collection DOAJ
description Objectives: This study was designed to evaluate the effect in pregnant women of a non-supervised aerobic exercise intervention on sleep quality and maternal-fetal attachment. Design: Pretest-posttest randomized controlled trial. Setting: Prenatal clinic of a medical center in southern Taiwan. Participants: One hundred and forty eligible, pregnant women were assigned systematically, at a random starting point, to either the experimental group (n = 70) or the control group (n = 70). Intervention: Participants in the experimental group received a 20-minute, low-impact aerobic exercise video on DVD and were instructed to exercise at home at least three times per week for a period of three months. Participants in the control group received routine prenatal care only. Main outcome measures: The Pittsburgh Sleep Quality Index and Modified Maternal-Fetal Attachment Scale were used to assess outcome measures before the intervention and at four and 12-weeks post-intervention. Results: The paired-sample t-tests revealed a significant improvement in sleep quality in the experimental group at 4-weeks posttest, which persisted through 12-weeks posttest. In addition, the experimental group reported a significantly higher mean score for maternal-fetal attachment at 4-weeks posttest than the control group. Conclusion: The results of this study indicate that performing aerobic exercise ameliorates the decline in sleep quality and improves maternal-fetal attachment in women who are pregnant. These findings may be used to encourage pregnant women to regularly perform low-impact aerobic exercise.
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spelling doaj.art-2d56e42bdd434d2ab8537a2e091771322022-12-21T22:04:37ZengElsevierComplementary Therapies in Medicine0965-22992021-03-0157102671Effects of non-supervised aerobic exercise on sleep quality and maternal-fetal attachment in pregnant women: A randomized controlled trialWen-Chun Shen0Chung-Hey Chen1Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, and Case Manager, Department of Neurology, National Cheng Kung University Hospital, Tainan, TaiwanDepartment of Nursing, Hungkuang University, Taichung, and Adjunct Professor, Department of Nursing & Institute of Allied Health Sciences, National Cheng Kung University, Tainan, Taiwan; Corresponding author at: Department of Nursing, Hungkuang University, Taichung, and Adjunct Professor, Department of Nursing & Institute of Allied Health Sciences, National Cheng Kung University, 1 University Road, Tainan, 70101, Taiwan.Objectives: This study was designed to evaluate the effect in pregnant women of a non-supervised aerobic exercise intervention on sleep quality and maternal-fetal attachment. Design: Pretest-posttest randomized controlled trial. Setting: Prenatal clinic of a medical center in southern Taiwan. Participants: One hundred and forty eligible, pregnant women were assigned systematically, at a random starting point, to either the experimental group (n = 70) or the control group (n = 70). Intervention: Participants in the experimental group received a 20-minute, low-impact aerobic exercise video on DVD and were instructed to exercise at home at least three times per week for a period of three months. Participants in the control group received routine prenatal care only. Main outcome measures: The Pittsburgh Sleep Quality Index and Modified Maternal-Fetal Attachment Scale were used to assess outcome measures before the intervention and at four and 12-weeks post-intervention. Results: The paired-sample t-tests revealed a significant improvement in sleep quality in the experimental group at 4-weeks posttest, which persisted through 12-weeks posttest. In addition, the experimental group reported a significantly higher mean score for maternal-fetal attachment at 4-weeks posttest than the control group. Conclusion: The results of this study indicate that performing aerobic exercise ameliorates the decline in sleep quality and improves maternal-fetal attachment in women who are pregnant. These findings may be used to encourage pregnant women to regularly perform low-impact aerobic exercise.http://www.sciencedirect.com/science/article/pii/S0965229921000121Aerobic exercisePrenatal careSleep qualityMaternal-fetal attachment
spellingShingle Wen-Chun Shen
Chung-Hey Chen
Effects of non-supervised aerobic exercise on sleep quality and maternal-fetal attachment in pregnant women: A randomized controlled trial
Complementary Therapies in Medicine
Aerobic exercise
Prenatal care
Sleep quality
Maternal-fetal attachment
title Effects of non-supervised aerobic exercise on sleep quality and maternal-fetal attachment in pregnant women: A randomized controlled trial
title_full Effects of non-supervised aerobic exercise on sleep quality and maternal-fetal attachment in pregnant women: A randomized controlled trial
title_fullStr Effects of non-supervised aerobic exercise on sleep quality and maternal-fetal attachment in pregnant women: A randomized controlled trial
title_full_unstemmed Effects of non-supervised aerobic exercise on sleep quality and maternal-fetal attachment in pregnant women: A randomized controlled trial
title_short Effects of non-supervised aerobic exercise on sleep quality and maternal-fetal attachment in pregnant women: A randomized controlled trial
title_sort effects of non supervised aerobic exercise on sleep quality and maternal fetal attachment in pregnant women a randomized controlled trial
topic Aerobic exercise
Prenatal care
Sleep quality
Maternal-fetal attachment
url http://www.sciencedirect.com/science/article/pii/S0965229921000121
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