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PE.10. Revisiting the promotion of physical activity in young women and mothers to manage blood pressure and future cardiovascular risk
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Journal Article
PE.10. Revisiting the promotion of physical activity in young women and mothers to manage blood pressure and future cardiovascular risk
2015
Overview
Background: Women who develop pregnancy induced hypertension and preeclampsia face a significantly increased risk of sustained hypertension, heart attack and stroke within 14 years of the affected pregnancy. Young women participate in less physical activity than male peers, however early adoption of regular physical activity is capable of reducing blood pressure and future cardiovascular risk. Therefore understanding barriers and facilitators for young women and mothers to engage in physical activity is important. Aim: A systematic review and synthesis of relevant qualitative research, 2004 and 2014. Method: Medline, CINAHL, PsychInfo and Web of Science databases were searched using the following search terms: qualitative, cardiovascular, hypertension and physical activity. 146 studies were title and abstract dual-screened for eligibility. Studies undertaken in the USA and non-western/ non-European countries were excluded. Review results: 16 studies were selected from a potential 1682. Overall quality and rigour of the studies was sound, two of the studies were considered with caution. Findings: 615 women across five different countries participated in 176 1:1 face to face interviews and 72 focus groups. The majority of the participants were mothers under 50 years. All studies were undertaken in western socio-cultural countries; 'western' provided a culturally diverse research population across 17 different ethnic backgrounds. The synthesised findings gave rise to a new, contemporary understanding of young women's positive perceptions of physical activity, the importance of the family and social context in which they live, and their capacity to overcome multiple constraints to engage in and acknowledge the value of physical activity for both physical and mental well-being. Conclusion: The contemporary messages from this review, inclusive of detail and nuances from different ethnic perspectives, support the marketing of a positive construct of physical activity for young women and mothers. Health professionals can share these messages to motivate new and additional physical activity for early action to help with the management of blood pressure and future cardiovascular risk. doi: 10.1038/jhh.2015.90
Publisher
Nature Publishing Group
Subject
