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Title: Improving the exercise behaviour of pregnant women in Thailand : a mixed methods feasibility study
Author: Klankhajhon, Sirikanok
ISNI:       0000 0004 7962 7411
Awarding Body: University of East Anglia
Current Institution: University of East Anglia
Date of Award: 2018
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Obesity and overweight (O&O) is a serious global health problem. The prevalence of O&O worldwide is an increasing cause of non-communicable diseases (NCDs). Exercise during pregnancy can increase physical fitness, decrease risk of cardiovascular diseases and control gestational weight gain (GWG). Currently, antenatal care clinics in Thailand do not have routine exercise programmes for pregnant women. The objectives are to determine the acceptability of an exercise programme based on Thai Government guidance for exercise in pregnancy, to access preliminary effects and explore the experiences of participants engaged in an exercise programme and their healthcare professionals' (HCPs) opinions of the programme. A total of 61 women between 12-16 weeks gestation participated in the mixed methods feasibility randomised controlled trial (RCT). They were randomly allocated to the exercise intervention (n = 31) or control group (n = 30) over 10 weeks. Baseline measures were collected before intervention and preliminary effects data after completion of intervention and two weeks after expected date of delivery. Ten women were interviewed and four HCPs attended a focus group at two weeks after the intervention's completion. Analysis of Covariance (ANCOVA) showed the exercise group had lower GWG than control group after controlling for maternal age, pre-pregnancy body mass index (BMI), gestational age, and baby birth weight (p < .001). The study indicated significant increases over time in physical activity after controlling for maternal age, and pre-pregnancy BMI (p < .001). Thematic analysis of the qualitative interviews, identified four themes: exercise is easier than I think, I want to become a modern mum, doubts and concerns at the beginning, and I get active and keep up with exercise until childbirth. The exercise programme was acceptable to women. The study demonstrated feasibility of conducting a larger RCT with an intervention to improve exercise behaviour in pregnant women.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available