International journal of nursing sciences · 2026
Factors associated with physical activity and sedentary behavior patterns in pregnant women: A cross-sectional study in Southern China.
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Zeng Lei, Gao Lingling, Han Rongrong, Sun Ke, Luo Peipei, Zhao Juanjuan
Аннотация
OBJECTIVES: Guided by the social-ecological model, this study aimed to explore the patterns and associated factors of physical activity (PA) and sedentary behavior (SB) among pregnant women.
METHODS: This cross-sectional study was conducted in Guangzhou, China, from October 2024 to January 2025. Five hundred and fifty-eight pregnant women were recruited through convenience sampling. They completed the Pregnancy Physical Activity Questionnaire, Pregnancy Discomforts Questionnaire, Pregnancy Physical Activity Self-Efficacy Scale, Pregnancy Physical Activity Social Support Scale, and Physical Activity Neighborhood Environment Scale. Multinomial logistic regression was used to investigate the factors associated with PA and SB patterns.
RESULTS: Four PA and SB lifestyle patterns were identified in this study, including low PA/high SB (n = 165, 29.57 %), high PA/high SB (n = 161, 28.85 %), low PA/low SB (n = 115, 20.61 %), and high PA/low SB (n = 117, 20.97 %). Compared with the healthy pattern of high PA/low SB, low PA/high SB was associated with employment (OR = 3.64), being primipara (OR = 1.85), screen time (OR = 1.44), and self-efficacy (OR = 0.93); high PA/high SB was associated with employment (OR = 4.97) and screen time (OR = 1.42); low PA/low SB correlated with sleep time (OR = 1.33), self-efficacy (OR = 0.95), and social support (OR = 0.98).
CONCLUSIONS: This study revealed a high prevalence of risky PA and SB lifestyle patterns among Chinese pregnant women. Healthcare providers could implement interventions focused on reducing screen time, avoiding excessive sleep, and enhancing self-efficacy at the individual level, while strengthening social support at the social level, to help pregnant women adopt a healthy lifestyle pattern characterized by high PA/low SB.
METHODS: This cross-sectional study was conducted in Guangzhou, China, from October 2024 to January 2025. Five hundred and fifty-eight pregnant women were recruited through convenience sampling. They completed the Pregnancy Physical Activity Questionnaire, Pregnancy Discomforts Questionnaire, Pregnancy Physical Activity Self-Efficacy Scale, Pregnancy Physical Activity Social Support Scale, and Physical Activity Neighborhood Environment Scale. Multinomial logistic regression was used to investigate the factors associated with PA and SB patterns.
RESULTS: Four PA and SB lifestyle patterns were identified in this study, including low PA/high SB (n = 165, 29.57 %), high PA/high SB (n = 161, 28.85 %), low PA/low SB (n = 115, 20.61 %), and high PA/low SB (n = 117, 20.97 %). Compared with the healthy pattern of high PA/low SB, low PA/high SB was associated with employment (OR = 3.64), being primipara (OR = 1.85), screen time (OR = 1.44), and self-efficacy (OR = 0.93); high PA/high SB was associated with employment (OR = 4.97) and screen time (OR = 1.42); low PA/low SB correlated with sleep time (OR = 1.33), self-efficacy (OR = 0.95), and social support (OR = 0.98).
CONCLUSIONS: This study revealed a high prevalence of risky PA and SB lifestyle patterns among Chinese pregnant women. Healthcare providers could implement interventions focused on reducing screen time, avoiding excessive sleep, and enhancing self-efficacy at the individual level, while strengthening social support at the social level, to help pregnant women adopt a healthy lifestyle pattern characterized by high PA/low SB.