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The Need to Objectively Measure Physical Activity During Pregnancy: Considerations for Clinical Research and Public Health Impact

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Abstract

Engaging in recommended levels of physical activity during pregnancy can provide a host of physical and mental health benefits for the expecting mother and her child. However, methodological issues related to physical activity measurement have plagued many studies examining the effects of physical activity during this important life stage. Burgeoning support exists for the more widespread use of objective methods, and accelerometers specifically, for an accurate appraisal of maternal physical activity. In this commentary, we highlight discrepancies between activity estimates obtained via self-report and objective measures and describe the implications of erroneous measurement when making clinical recommendations and in conducting future physical activity and pregnancy research. Most importantly, we aim to foster academic discussion and propose a call to action requiring a paradigm shift where we acknowledge the shortcomings of self-report and move toward an empirically driven approach for physical activity measurement. Results from more high-quality research studies will help support public health messaging and facilitate trust among health care providers, clinical researchers, and expecting mothers regarding the health benefits of physical activity recommendations.

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Authors and Affiliations

  1. Institut du Savoir Montfort (ISM), 202-745A Montréal Rd., Ottawa, ON, K1K 0T1, Canada

    Eva Guérin & Denis Prud’homme

  2. Faculty of Medicine, University of Ottawa, 451 Smyth Rd, Ottawa, ON, K1H 8M5, Canada

    Zachary M. Ferraro

  3. Healthy Active Living and Obesity (HALO) Research Group, Children’s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H8L1, Canada

    Zachary M. Ferraro & Kristi B. Adamo

  4. School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, K1N 6N5, Canada

    Kristi B. Adamo & Denis Prud’homme

Authors
  1. Eva Guérin
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  2. Zachary M. Ferraro
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  3. Kristi B. Adamo
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  4. Denis Prud’homme
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Correspondence to Denis Prud’homme.

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Guérin, E., Ferraro, Z.M., Adamo, K.B. et al. The Need to Objectively Measure Physical Activity During Pregnancy: Considerations for Clinical Research and Public Health Impact. Matern Child Health J 22, 637–641 (2018). https://doi.org/10.1007/s10995-018-2475-4

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  • DOI: https://doi.org/10.1007/s10995-018-2475-4

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