《运动与健康科学》(英文版)
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Journal of Sport and Health Science  2017, Vol. 6 Issue (2): 198-206    DOI: 10.1016/j.jshs.2015.08.001
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Physical activity during pregnancy and the role of theory in promoting positive behavior change: A systematic review
Erika L. Thompson, Cheryl A. Vamos, Ellen M. Daley
Department of Community and Family Health, University of South Florida, Tampa, FL 33612, USA
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Abstract Background: Physical activity (PA) during pregnancy provides physical and psychological benefits for mother and child. U.S. guidelines recommend ≥ 30 min of moderate exercise for healthy pregnant women most days of the week; however, most women do not meet these recommendations. Theory assists in identifying salient determinants of health behavior to guide health promotion interventions; however, the application of theory to examine PA among pregnant women has not been examined cohesively among multiple levels of influence (e.g., intrapersonal, interpersonal, neighborhood/environmental, and organizational/political). Subsequently, this systematic review aims to identify and evaluate the use of health behavior theory in studies that examine PA during pregnancy.
Methods: Articles published before July 2014 were obtained from PubMed and Web of Science. Inclusion criteria applied were:(1) empiricallybased; (2) peer-reviewed; (3) measured factors related to PA; (4) comprised a pregnant sample; and (5) applied theory. Fourteen studies were included. Each study's application of theory and theoretical constructs were evaluated.
Results: Various theories were utilized to explain and predict PA during pregnancy; yet, the majority of these studies only focused on intrapersonal level determinants. Five theoretical frameworks were applied across the studies-all but one at the intrapersonal level. Few determinants identified were from the interpersonal, neighborhood/environmental, or organizational/political levels.
Conclusion: This systematic review synthesized the literature on theoretical constructs related to PA during pregnancy. Interpersonal, community, and societal levels remain understudied. Future research should employ theory-driven multi-level determinants of PA to reflect the interacting factors influencing PA during this critical period in the life course.
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Key wordsPhysical activity   Pregnancy   Theory     
Published: 2015-11-18
Corresponding Authors: Erika L.Thompson,E-mail address:ethomps1@health.usf.edu   
 E-mail: ethomps1@health.usf.edu
Cite this article:   
Erika L. Thompson, Cheryl A. Vamos, Ellen M. Daley. Physical activity during pregnancy and the role of theory in promoting positive behavior change: A systematic review[J]. Journal of Sport and Health Science, 2017, 6(2): 198-206.
 
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