The Effect of the More Active MuMs in Stirling Trial on Body Composition and Psychological Well-Being Among Postnatal Women

Overview

Journal J Pregnancy

Publisher Wiley

Specialty Gynecology & Obstetrics

Date 2016 Sep 10

PMID 27610245

Citations 7

Authors

Alyssa S Lee

Rhona J McInnes

Adrienne R Hughes

Wendy Guthrie

Ruth Jepson

Affiliations

Soon will be listed here.

Abstract

Introduction. Physical activity is important for health and well-being; however, rates of postnatal physical activity can be low. This paper reports the secondary outcomes of a trial aimed at increasing physical activity among postnatal women. Methods. More Active MuMs in Stirling (MAMMiS) was a randomised controlled trial testing the effect of physical activity consultation and pram walking group intervention among inactive postnatal women. Data were collected on postnatal weight, body composition, general well-being, and fatigue. Participants were also interviewed regarding motivations and perceived benefits of participating in the trial. Results. There was no significant effect of the intervention on any weight/body composition outcome or on general well-being at three or six months of follow-up. There was a significant but inconsistent difference in fatigue between groups. Qualitative data highlighted a number of perceived benefits to weight, body composition, and particularly well-being (including improved fatigue) which were not borne out by objective data. Discussion. The MAMMiS study found no impact of the physical activity intervention on body composition and psychological well-being and indicates that further research is required to identify successful approaches to increase physical activity and improve health and well-being among postnatal women.

Citing Articles

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References

Brown W, Trost S . Life transitions and changing physical activity patterns in young women. Am J Prev Med. 2003; 25(2):140-3. DOI: 10.1016/s0749-3797(03)00119-3. View

Weissgerber T, Wolfe L, Davies G, Mottola M . Exercise in the prevention and treatment of maternal-fetal disease: a review of the literature. Appl Physiol Nutr Metab. 2007; 31(6):661-74. DOI: 10.1139/h06-060. View

Armstrong K, Edwards H . The effects of exercise and social support on mothers reporting depressive symptoms: a pilot randomized controlled trial. Int J Ment Health Nurs. 2003; 12(2):130-8. DOI: 10.1046/j.1440-0979.2003.00229.x. View

Daley A, Jolly K, Sharp D, Turner K, Blamey R, Coleman S . The effectiveness of exercise as a treatment for postnatal depression: study protocol. BMC Pregnancy Childbirth. 2012; 12:45. PMC: 3449184. DOI: 10.1186/1471-2393-12-45. View

Kim C, McEwen L, Kieffer E, Herman W, Piette J . Self-efficacy, social support, and associations with physical activity and body mass index among women with histories of gestational diabetes mellitus. Diabetes Educ. 2008; 34(4):719-28. PMC: 4139034. DOI: 10.1177/0145721708321005. View

Brown W, Pavey T, Bauman A . Comparing population attributable risks for heart disease across the adult lifespan in women. Br J Sports Med. 2014; 49(16):1069-76. DOI: 10.1136/bjsports-2013-093090. View

Haskell W, Lee I, Pate R, Powell K, Blair S, Franklin B . Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc. 2007; 39(8):1423-34. DOI: 10.1249/mss.0b013e3180616b27. View

Armstrong K, Edwards H . The effectiveness of a pram-walking exercise programme in reducing depressive symptomatology for postnatal women. Int J Nurs Pract. 2004; 10(4):177-94. DOI: 10.1111/j.1440-172X.2004.00478.x. View

Gilinsky A, Dale H, Robinson C, Hughes A, McInnes R, Lavallee D . Efficacy of physical activity interventions in post-natal populations: systematic review, meta-analysis and content coding of behaviour change techniques. Health Psychol Rev. 2015; 9(2):244-63. DOI: 10.1080/17437199.2014.899059. View

10.

Grace S, Williams A, Stewart D, Franche R . Health-promoting behaviors through pregnancy, maternity leave, and return to work: effects of role spillover and other correlates. Women Health. 2006; 43(2):51-72. DOI: 10.1300/J013v43n02_04. View

11.

Gunderson E, Rifas-Shiman S, Oken E, Rich-Edwards J, Kleinman K, Taveras E . Association of fewer hours of sleep at 6 months postpartum with substantial weight retention at 1 year postpartum. Am J Epidemiol. 2007; 167(2):178-87. PMC: 2930882. DOI: 10.1093/aje/kwm298. View

12.

Allender S, Hutchinson L, Foster C . Life-change events and participation in physical activity: a systematic review. Health Promot Int. 2008; 23(2):160-72. DOI: 10.1093/heapro/dan012. View

13.

Gilinsky A, Hughes A, McInnes R . More Active Mums in Stirling (MAMMiS): a physical activity intervention for postnatal women. Study protocol for a randomized controlled trial. Trials. 2012; 13:112. PMC: 3480874. DOI: 10.1186/1745-6215-13-112. View

14.

Baker G, Gray S, Wright A, Fitzsimons C, Nimmo M, Lowry R . The effect of a pedometer-based community walking intervention "Walking for Wellbeing in the West" on physical activity levels and health outcomes: a 12-week randomized controlled trial. Int J Behav Nutr Phys Act. 2008; 5:44. PMC: 2546435. DOI: 10.1186/1479-5868-5-44. View

15.

Evenson K, Mottola M, Owe K, Rousham E, Brown W . Summary of international guidelines for physical activity after pregnancy. Obstet Gynecol Surv. 2014; 69(7):407-14. PMC: 4134098. DOI: 10.1097/OGX.0000000000000077. View

16.

Daley A, Winter H, Grimmett C, McGuinness M, McManus R, MacArthur C . Feasibility of an exercise intervention for women with postnatal depression: a pilot randomised controlled trial. Br J Gen Pract. 2008; 58(548):178-83. PMC: 2249793. DOI: 10.3399/bjgp08x277195. View

17.

Marcus B, Rakowski W, Rossi J . Assessing motivational readiness and decision making for exercise. Health Psychol. 1992; 11(4):257-61. DOI: 10.1037//0278-6133.11.4.257. View

18.

Albright C, Maddock J, Nigg C . Physical activity before pregnancy and following childbirth in a multiethnic sample of healthy women in Hawaii. Women Health. 2006; 42(3):95-110. DOI: 10.1300/j013v42n03_06. View

19.

Dritsa M, Dupuis G, Lowensteyn I, Da Costa D . Effects of home-based exercise on fatigue in postpartum depressed women: who is more likely to benefit and why?. J Psychosom Res. 2009; 67(2):159-63. DOI: 10.1016/j.jpsychores.2009.01.010. View

20.

Huberty J, Rowedder L, Hekler E, Adams M, Hanigan E, McClain D . Development and design of an intervention to improve physical activity in pregnant women using Text4baby. Transl Behav Med. 2016; 6(2):285-94. PMC: 4927440. DOI: 10.1007/s13142-015-0339-7. View