Physical activity during pregnancy and its association with sociodemographic characteristics: a cross-sectional study

Authors

DOI:

https://doi.org/10.12820/rbafs.31e0430

Keywords:

Pregnancy, Physical exercise, Public health, Health promotion

Abstract

Introduction: Pregnancy is a period of intense physical, emotional, and social changes that require adaptations to ensure maternal and fetal well-being. In this context, physical activity (PA) can contribute to preventing gestational complications and promoting the health of the pregnant woman and her baby. However, adherence to adequate levels of PA during pregnancy remains low. Objective: To evaluate the practice of PA among pregnant women receiving care in the public health network of Curitiba, Paraná, Brazil. Methods: This is a cross-sectional study, linked to the Maternal and Child Health Cohort of Curitiba, with the participation of 195 pregnant women aged 16 years or older. Sociodemographic, clinical, and PA-related information were collected and analyzed by descriptive and inferential statistics, using the Chi-square test and Poisson regression with a robust estimator. Results: There was a high prevalence of physical inactivity: 80.5% of pregnant women did not reach 150 minutes of moderate PA per week and 89.2% did not perform vigorous activities for at least 10 continuous minutes. Despite this, 77.4% reported walking for at least 10 minutes per day. Sedentary time predominatly ranged between 4 and 6 hours per day. Consultation with a Physical Education professional was a factor positively associated with greater practice of moderate PA. Conclusion: There is a need to expand access to professional guidance and develop interdisciplinary strategies to promote safe PA during pregnancy, aiming at better maternal and child outcomes.

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References

1. Barakat R, Silva-José C, Sánchez-Polán M, Zhang D, Lobo P, De Roia G, et al. Physical Activity during Pregnancy and Childhood Obesity: Systematic Review and Meta-Analysis. J Clin Med. 2024;13(13):3726. DOI: https://doi.org/10.3390/jcm13133726

2. Sharp KJ, Sherar LB, Kettle VE, Sanders JP, Daley AJ. Effectiveness of interventions to increase device-measured physical activity in pregnant women: systematic review and meta-analysis of randomised controlled trials. Int J Behav Nutr Phys Act. 2022;19(1):142. DOI: https://doi.org/10.1186/s12966-022-01379-w

3. Sánchez-Polán M, Adamo K, Silva-Jose C, Zhang D, Refoyo I, Barakat R. Physical Activity and Self-Perception of Mental and Physical Quality of Life during Pregnancy: A Systematic Review and Meta-Analysis. J Clin Med. 2023;12(17):5549. DOI: https://doi.org/10.3390/jcm12175549

4. Díaz-Burrueco JR, Cano-Ibáñez N, Martín-Peláez S, Khan KS, Amezcua-Prieto C. Effects on the maternal-fetal health outcomes of various physical activity types in healthy pregnant women. A systematic review and meta-analysis. Eur J Obstet Gynecol Reprod Biol. 2021;262:203-15. DOI: https://doi.org/10.1016/j.ejogrb.2021.05.030

5. Wu S, Jin J, Hu K, Wu Y, Zhang D. Prevention of Gestational Diabetes Mellitus and Gestational Weight Gain Restriction in Overweight/Obese Pregnant Women: A Systematic Review and Network Meta-Analysis. Nutrients. 2022;14(12):2383. DOI: https://doi.org/10.3390/nu14122383

6. Silva-Jose C, May L, Sánchez-Polán M, Zhang D, Barrera-Garcimartín A, Refoyo I, et al. Influence of Physical Activity during Pregnancy on Neonatal Complications: Systematic Review and Meta-Analysis. J Pers Med. 2023;14(1):6. DOI: https://doi.org/10.3390/jpm14010006

7. Brasil. Ministério da Saúde. Secretaria de Atenção Primária à Saúde. Departamento de Promoção da Saúde. Guia de Atividade Física para a População Brasileira [recurso eletrônico] / Ministério da Saúde, Secretaria de Atenção Primária à Saúde, Departamento de Promoção da Saúde. – Brasília: Ministério da Saúde, 2021. 54 p.: il.

8. Yang X, Li H, Zhao Q, Han R, Xiang Z, Gao L. Clinical Practice Guidelines That Address Physical Activity and Exercise During Pregnancy: A Systematic Review. Midwifery Womens Health. 2022;67(1):53-68. DOI: https://doi.org/10.1111/jmwh.13286

9. Gallo-Galán LM, Gallo-Vallejo MÁ, Gallo-Vallejo JL. Practical recommendations on physical exercise during pregnancy based on the main clinical practice guidelines. Aten Primaria. 2023;55(3). DOI: https://doi.org/10.1016/j.aprim.2022.102553

10. Okafor UB, Goon D Ter. Physical activity advice and counselling by healthcare providers: A scoping review. Healthcare (Basel). 2021;9(5):609. DOI: https://doi.org/10.3390/healthcare9050609

11. Muhammad HFL, Pramono A, Rahman MN. The safety and efficacy of supervised exercise on pregnant women with overweight/obesity: A systematic review and meta-analysis of randomized controlled trials. Clin Obes. 2021;11(2). DOI: https://doi.org/10.1111/cob.12428

12. Secretaria Municipal da Saúde de Curitiba. Pré-natal e puerpério na Atenção Primária. Curitiba; 2025. Disponível em: https://saude.curitiba.pr.gov.br/images/APS/M%C3%A3e%20Curitibana/2%20-%20Pr%C3%A9-natal%20e%20puerp%C3%A9rio%20na%20aten%C3%A7%C3%A3o%20prim%C3%A1ria%20-%20atualizado%20em%2015%20de%20janeiro%20de%202025.pdf> [2025 março].

13. Moysés ST, Silveira Filho AD, Moysés SJ, organizadores. Laboratório de inovações no cuidado das condições crônicas na APS: A implantação do Modelo de Atenção às Condições Crônicas na UBS Alvorada em Curitiba, Paraná Brasília: Organização Pan-Americana da Saúde /Conselho Nacional de Secretários de Saúde, 2012. 193 p.: il.

14. Souza TP, Santos MVA, Corgozinho VA, Oliveira MM, Almeida CS, Souza DAS. Empoderamento da gestante contra a violência obstétrica. Res Soc Dev. 2022;11(6):e27611629100. DOI: https://doi.org/10.33448/rsd-v11i6.29100

15. Moyett JM, Ramey-Collier KL, Zambrano Guevara LM, MacDonald A, Kuller JA, Wheeler SM, et al. CenteringPregnancy: A Review of Implementation and Outcomes. Obstet Gynecol Surv. 2023;78(7):490-9. DOI: https://doi.org/10.1097/OGX.0000000000001169

16. Silva-Jose C, Sánchez-Polán M, Barakat R, Gil-Ares J, Refoyo I. Level of Physical Activity in Pregnant Populations from Different Geographic Regions: A Systematic Review. J Clin Med. 2022;11(15):4638. DOI: https://doi.org/10.3390/jcm11154638

17. Zhang W, Zhang L, Xu P, Guo P, Mao M, Zhao R, et al. Physical activity levels and influencing factors among pregnant women in China: A systematic review and meta-analysis. Int J Nurs Stud. 2024;158:104841. DOI: https://doi.org/10.1016/j.ijnurstu.2024.104841

18. VIGITEL Curitiba. VIGITEL Curitiba 2006–2021 — Prática de Atividade Física. Secretaria Municipal da Saúde de Curitiba. Acesso em: <https://www.saude.curitiba.pr.gov.br/images/Vigitel%202006-2021%20-%20Curitiba%20-%20PR%C3%81TICA%20DE%20ATIVIDADE%20F%C3%8DSICA.pdf.> [2025 março].

19. Bettega PVC, Rocha JS, Carvalho DR, Auler F, Efing AC, Jimenez EJB, Moysés ST, Moysés SJ. Coorte de Saúde Materno-Infantil de Curitiba (COOSMIC): protocolo de estudo. Rev Saúde Pública Paraná. 2022;5(4):1–22. DOI: https://doi.org/10.32811/25954482-2022v5n4.752

20. Zermiani TC. Acesso e acessibilidade ao cuidado pré-natal na Rede de Atenção à Saúde Materno-Infantil de Curitiba-PR [tese]. Curitiba: Universidade Federal do Paraná; 2020.

21. Domingues MR, Barros AJD. Leisure-time physical activity during pregnancy in the 2004 Pelotas Birth Cohort Study. Rev Saude Publica. 2007;41(2):173–80. DOI: https://doi.org/10.1590/S0034-89102007000200002

22. De Barros Leite Carvalhaes MA, De Almeida Martiniano AC, Malta MB, Takito MY, D’Aquino Benício MH. Physical activity in pregnant women receiving care in primary health care units. Rev Saude Publica. 2013;47(5):958–67.

23. World Health Organization. Who guidelines on physical activity and sedentary behaviour. Geneva; 2020.

24. Beetham KS, Giles C, Noetel M, Clifton V, Jones JC, Naughton G. The effects of vigorous intensity exercise in the third trimester of pregnancy: A systematic review and meta-analysis. BMC Pregnancy Childbirth. 2019;19(1):281. DOI: https://doi.org/10.1186/s12884-019-2441-1

25. Silva CM, Sartoreli DS, Machado DRL, Perdoná GSC. Padrão de atividade física em gestantes usuárias do Sistema Público de Saúde. Conexões. 2021;19:1–15. DOI: https://doi.org/10.20396/conex.v19i1.8659354

26. Souza VA, Mussi RF de F, Queiroz BM de. Nível de atividade física de gestantes atendidas em unidades básicas de saúde de um município do nordeste brasileiro. Cad Saude Colet. 2019;27(2):131–7. DOI: https://doi.org/10.1590/1414-462x201900020451

27. Tavares J de S, Melo AS de O, Amorim MMR de, Barros V de O, Benício MHD, Takito MY, et al. Associação entre o padrão de atividade física materna, ganho ponderal gestacional e peso ao nascer em uma coorte de 118 gestantes no município de Campina Grande, Nordeste do Brasil. Rev Assoc Med Bras. 2009;55(3):335–41. DOI: https://doi.org/10.1590/S0104-42302009000300029

28. Bacchi M, Mottola MF, Perales M, Refoyo I, Barakat R. Aquatic activities during pregnancy prevent excessive maternal weight gain and preserve birth weight: a randomized clinical trial. Am J Health Promot. 2018;32:729–35. DOI: https://doi.org/10.1177/0890117117697520

29. Chan CWH, Ryan CG, et al. Effectiveness of physical activity interventions in pregnant women: a narrative/systematic review. Int J Environ Res Public Health. 2019;16(10):1840. DOI: https://doi.org/10.3390/ijerph16101840

30. Garnæs KK, Helvik AS, Stafne SN, Mørkved S, Salvesen Ø, et al. Effects of supervised exercise training during pregnancy on psychological well-being among overweight and obese women: secondary analyses of the ETIP-trial, a randomised controlled trial. BMJ Open. 2019;9(11):e028252. DOI: https://doi.org/10.1136/bmjopen-2018-028252

31. Silva ASP, Silva STF. Inatividade física e sedentarismo e suas interfaces com a saúde pública na Covid-19: revisão de escopo de estudos nacionais. Vittalle - Rev Ciênc Saúde. 2022;34(2):58-66. DOI: https://doi.org/10.14295/vittalle.v34i2.13891

32. Kołomańska-Bogucka D, Pławiak N, Mazur-Bialy AI. The Impact of the COVID-19 Pandemic on the Level of Physical Activity, Emotional State, and Health Habits of Women in Late Pregnancy and Early Puerperium. Int J Environ Res Public Health. 2023;20(3):1852. DOI: https://doi.org/10.3390/ijerph20031852

33. Mattos SM, Pereira DS, Moreira TMM, Cestari VRF, Gonzalez RH. Recomendações de atividade física e exercício físico durante a pandemia Covid-19: revisão de escopo sobre publicações no Brasil. Rev Bras Ativ Fís Saúde. 2020;25:e0176. DOI: https://doi.org/10.12820/rbafs.25e0176

Published

04/09/2026

How to Cite

1.
Fagundes IS, Ivnuk L de P, Pereira CH, Orsi JSR, Werneck RI, Schmitt EJ, et al. Physical activity during pregnancy and its association with sociodemographic characteristics: a cross-sectional study. Rev. Bras. Ativ. Fís. Saúde [Internet]. 2026 Apr. 9 [cited 2026 Apr. 18];31:1-13. Available from: https://rbafs.org.br/RBAFS/article/view/15522

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Original Articles