Physical activity and associated factors among pregnant women in Ethiopia: facility-based cross-sectional study

Abstract Background Regular physical activity (PA) has health benefits, including reducing the risk of complications during pregnancy. In Ethiopia, little is known about PA status and its determinants among pregnant women. The purpose of this study was to assess PA status and associated factors amon...

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Main Authors: Teklehaimanot Tekle Hailemariam, Yosef Sibhatu Gebregiorgis, Berihu Fisseha Gebremeskel, Tsiwaye Gebreyesus Haile, Theresa Monaco Spitznagle
Format: Article
Language:English
Published: BMC 2020-02-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:https://doi.org/10.1186/s12884-020-2777-6
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author Teklehaimanot Tekle Hailemariam
Yosef Sibhatu Gebregiorgis
Berihu Fisseha Gebremeskel
Tsiwaye Gebreyesus Haile
Theresa Monaco Spitznagle
author_facet Teklehaimanot Tekle Hailemariam
Yosef Sibhatu Gebregiorgis
Berihu Fisseha Gebremeskel
Tsiwaye Gebreyesus Haile
Theresa Monaco Spitznagle
author_sort Teklehaimanot Tekle Hailemariam
collection DOAJ
description Abstract Background Regular physical activity (PA) has health benefits, including reducing the risk of complications during pregnancy. In Ethiopia, little is known about PA status and its determinants among pregnant women. The purpose of this study was to assess PA status and associated factors among pregnant women attending antenatal care at public and private health facilities in Mekelle, Ethiopia. Methods A facility-based cross-sectional study was conducted. Data was collected from 299 pregnant women using a structured questionnaire. Study participants were selected using a simple random sampling technique. A binary logistic regression was modeled to investigate the statistical significance of independent variables with PA status during pregnancy. Factors associated with PA status were estimated using adjusted odds ratios with 95% confidence intervals and statistical significance was declared at p-value < 0.05. Results 79.3% of the study participants were classified as sedentary. The age group of 26–35 years (AOR: 2.69, 95% CI: 1.07–6.78), attending non-formal education (AOR: 13.50, 95% CI: 2.65–68.91), and women who did not work outside the home (AOR: 5.23, 95% CI: 1.34–20.38) were significantly associated with a higher risk of sedentary activity status. Pregnant women who were married (AOR: 0.26, 95% CI: 0.09–0.73), had two children (AOR: 0.13, 95% CI: 0.03–0.59), traveled an hour or more to health facilities (AOR: 0.31, 95% CI: 0.11–0.89) were protected from being sedentary. Conclusion Sedentary PA status was highly prevalent during pregnancy. Pregnant women in the age group of 26–35 years, with a non-formal education, and women who did not work outside the home had a greater risk of reporting being sedentary. Those who were married, had two children, and traveled an hour or more to health facilities were less likely to be sedentary. Stakeholders (Tigrai regional health bureau, Mekelle University, local NGOs working with pregnant women and societies at large) should give higher emphasis on designing appropriate strategies including educational interventions to overcome barriers to PA during pregnancy.
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spelling doaj.art-6cd904aa1f074b6e9307a641979bb9952022-12-21T23:12:50ZengBMCBMC Pregnancy and Childbirth1471-23932020-02-0120111110.1186/s12884-020-2777-6Physical activity and associated factors among pregnant women in Ethiopia: facility-based cross-sectional studyTeklehaimanot Tekle Hailemariam0Yosef Sibhatu Gebregiorgis1Berihu Fisseha Gebremeskel2Tsiwaye Gebreyesus Haile3Theresa Monaco Spitznagle4Department of Physiotherapy, School of Medicine, College of health sciences, and Ayder comprehensive specialized hospital, Mekelle UniversityDepartment of Epidemiology, School of Public health, College of health sciences, Mekelle UniversityDepartment of Physiotherapy, School of Medicine, College of health sciences, and Ayder comprehensive specialized hospital, Mekelle UniversityDepartment of Physiotherapy, School of Medicine, College of health sciences, and Ayder comprehensive specialized hospital, Mekelle UniversitySchool of Medicine, Program in Physical Therapy, Washington UniversityAbstract Background Regular physical activity (PA) has health benefits, including reducing the risk of complications during pregnancy. In Ethiopia, little is known about PA status and its determinants among pregnant women. The purpose of this study was to assess PA status and associated factors among pregnant women attending antenatal care at public and private health facilities in Mekelle, Ethiopia. Methods A facility-based cross-sectional study was conducted. Data was collected from 299 pregnant women using a structured questionnaire. Study participants were selected using a simple random sampling technique. A binary logistic regression was modeled to investigate the statistical significance of independent variables with PA status during pregnancy. Factors associated with PA status were estimated using adjusted odds ratios with 95% confidence intervals and statistical significance was declared at p-value < 0.05. Results 79.3% of the study participants were classified as sedentary. The age group of 26–35 years (AOR: 2.69, 95% CI: 1.07–6.78), attending non-formal education (AOR: 13.50, 95% CI: 2.65–68.91), and women who did not work outside the home (AOR: 5.23, 95% CI: 1.34–20.38) were significantly associated with a higher risk of sedentary activity status. Pregnant women who were married (AOR: 0.26, 95% CI: 0.09–0.73), had two children (AOR: 0.13, 95% CI: 0.03–0.59), traveled an hour or more to health facilities (AOR: 0.31, 95% CI: 0.11–0.89) were protected from being sedentary. Conclusion Sedentary PA status was highly prevalent during pregnancy. Pregnant women in the age group of 26–35 years, with a non-formal education, and women who did not work outside the home had a greater risk of reporting being sedentary. Those who were married, had two children, and traveled an hour or more to health facilities were less likely to be sedentary. Stakeholders (Tigrai regional health bureau, Mekelle University, local NGOs working with pregnant women and societies at large) should give higher emphasis on designing appropriate strategies including educational interventions to overcome barriers to PA during pregnancy.https://doi.org/10.1186/s12884-020-2777-6Physical activityMaternal healthPregnancyExerciseMekelle
spellingShingle Teklehaimanot Tekle Hailemariam
Yosef Sibhatu Gebregiorgis
Berihu Fisseha Gebremeskel
Tsiwaye Gebreyesus Haile
Theresa Monaco Spitznagle
Physical activity and associated factors among pregnant women in Ethiopia: facility-based cross-sectional study
BMC Pregnancy and Childbirth
Physical activity
Maternal health
Pregnancy
Exercise
Mekelle
title Physical activity and associated factors among pregnant women in Ethiopia: facility-based cross-sectional study
title_full Physical activity and associated factors among pregnant women in Ethiopia: facility-based cross-sectional study
title_fullStr Physical activity and associated factors among pregnant women in Ethiopia: facility-based cross-sectional study
title_full_unstemmed Physical activity and associated factors among pregnant women in Ethiopia: facility-based cross-sectional study
title_short Physical activity and associated factors among pregnant women in Ethiopia: facility-based cross-sectional study
title_sort physical activity and associated factors among pregnant women in ethiopia facility based cross sectional study
topic Physical activity
Maternal health
Pregnancy
Exercise
Mekelle
url https://doi.org/10.1186/s12884-020-2777-6
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