Abstract :
Pregnancy induced decrease in bone mineral density (BMD) often occurs at the femoral necks, lumbar spine and other sites during the second or third trimester of pregnancy leading to pain in the hips, pelvis, low back etc and sometimes fractures even with mild trauma/falls. Exercising during pregnancy has been known to offer several benefits including improving bone health. However, there is paucity of studies investigating the knowledge, attitude and practice of pregnant women towards exercising to minimize the risk for osteoporosis. The aim of this study was to investigate the knowledge, attitude and practice (KAP) of exercise for the prevention of pregnancy associated osteoporosis among urban and rural dwelling pregnant women in a selected Nigerian community. A total of 258 (168 urban dwelling and 90 rural dwelling) pregnant women were recruited and subjected to interview using a pre-validated questionnaire on KAP of exercise in the prevention of Pregnancy associated osteoporosis. The urban and rural dwelling women had moderate and poor knowledge of exercising for osteoporosis prevention respectively. Both groups of women had moderately positive attitude towards exercising for osteoporosis prevention. Also both groups of women had poor practice towards exercising for osteoporosis prevention. A significant association was only found between having another source of income in the family and the women’s attitude towards exercise.
Keywords :
Attitude, Exercise, Knowledge, Osteoporosis, Practice, pregnancyReferences :
- Anderson HC (1995) Molecular biology of matrix vesicles. Clin Orthop Relat Res: 266-280.
- Anai T, Tomiyasu T, Arima K, Miyakawa I (1999) Pregnancy-associated osteoporosis with elevated levels of circulating parathyroid hormone-related protein: a report of two cases. J Obstet Gynaecol Res 25: 63-67.
- Dunne F, Walters B, Marshall T, Heath DA (1993) Pregnancy associated osteoporosis. Clin Endocrinol (Oxf) 39: 487490.
- Khovidhunkit W & Epstein S. Osteoporosis in pregnancy. Osteoporosis International 1996 6 345–354. (doi:10.1007/BF01623007)
- Smith R, Athanasou NA, Ostlere SJ & Vipond SE. Pregnancy-associated osteoporosis. Quarterly Journal of Medicine 1995 88 865–878.
- Sanz-Salvador L, Garcı´a-Pe´ rez M. A, Tarı´n J. J, Cano A, ENDOCRINOLOGY IN PREGNANCY Bone metabolic changes during pregnancy: a period of vulnerability to osteoporosis and fracture European Journal of Endocrinology (2015) 172, R53–R65
- Starcher BC, Hill CH, Madaras JG (1980) Effect of zinc deficiency on bone collagenase and collagen turnover. J Nutr 110: 2095-2102.
- Ivey JL, Baylink DJ (1981) Postmenopausal osteoporosis: proposed roles of defective coupling and estrogen deficiency. Metab Bone Dis Relat Res 3: 3-7.
- Pentyala, A. Rahman, P. Mysore, T. Tumillo, A. Roy, S. Pentyala, J. Muller, K. Chokshi, S. Khan. 2015 Osteoporosis associated with pregnancy. Archives of Medicine Vol 7 No 3-6
- Chung PH, Maroulis GB (1996) Osteoporosis- An Update on Prevention and Treatment. The Female Patient 2: 39-50 11. Delany AM, Dong Y, Canalis E (1994) Mechanisms of glucocorticoid action in bone cells. J Cell Biochem 56: 295-302.
- Nordin, B.E., Roper, A., 1955 Feb 26. Post-pregnancy osteoporosis; a syndrome? Lancet 268 (6861), 431–434.
- Kovacs, C.S., Ralston, S.H., 2015 Sep. Presentation and management of osteoporosis presenting in association with pregnancy or lactation. Osteoporos. Int. 26 (9), 2223–2241
- Lose G, Lindholm P (1986) Transient painful osteoporosis of the hip in pregnancy. Int J Gynaecol Obstet 24: 13-16.
- Schapira D1 (1992) Transient osteoporosis of the hip. Semin Arthritis Rheum 22: 98-105.
- Lakhanpal S, Ginsburg WW, Luthra HS, Hunder GG (1987) Transient regional osteoporosis. A study of 56 cases and review of the literature. Ann Intern Med 106: 444-450.
- Zasacki W1 (1993) [Transient osteoporosis of the hip]. Pol Tyg Lek 48 Suppl 3: 43-45.
- Bone mineral densitometry. (1987) Health and Public Policy Committee, American College of Physicians. Ann Intern Med 107: 932-936.
- Spence AP (1990) The Skeletal System. (3rd edtn), The Benjamin/Cummings Publishing Co, New York, USA.
- Wingate L (1984) The epidemiology of osteoporosis. J Med 15: 243-266.
- Aloia JF, Vaswani AN, Yeh JK, Ross P, Ellis K, et al. (1983) Determinants of bone mass in postmenopausal women. Arch Intern Med 143:1700-1704.
- Smith R, Stevenson JC, Winearls CG, Woods CG, Wordsworth BP(1985) Osteoporosis of pregnancy. Lancet 1: 11781180.
- Kelley GA, Kelley KS, Kohrt WM. Exercise and bone mineral density in premenopausal women: a meta-analysis of randomized controlled trials. Int J Endocrinol. 2013;2013:741639.
- Vieira S. Different land-based exercise training programs to improve bone health in postmenopausal women. Med Sci Tech. 2013; 54:158-63.
- Moreira L, Fronza FC, dos Santos RN, Teixeira LR, Kruel LF, Lazaretti-Castro M. High-intensity aquatic exercises (HydrOS) improve physical function and reduce falls among postmenopausal women. Menopause. 2013;20(10):1012-9.
- Moreira LDF, Longo de Oliveira M, Lirani-Galvão AP, Marin-Mio RV, Nolasco dos Santos R, Lazaretti-Castro M, (2014). Arq Bras Endocrinol Metab 58 (5) https://doi.org/10.1590/0004-2730000003374
- Tanveer F, Khalid Z, Sulaiman M (2018) Knowledge, Attitude and Practice of Osteoporosis Prevention among Female Medical Students. PJMHS 12(1):166-169.
- Pande K, Pande S, Tripathi S, Kanoi R, Thakur A, et al. (2005) Poor Knowledge about Osteoporosis in Learned Indian Women. JAPI Vol.53.
- Ungan M and Tumer M (2001) Turkish women knowledge of osteoporosis. Famprac 18:199-203.International osteoporosis foundation. Accessed on 30/3/2014 http://www.iofbonehealth.org/sites/default/files/PDFs/Audit%20Middle%20East_Africa/ME_Audit-Saudi_Arabia.pdf.
- ElTohami K, Sami W, AL Eidan A, AL Mubarak M, Alotaibi F (2015) Study of Knowledge, Attitude and Practice of Osteoporosis among Adult Women in Majmaah City, Saudi Arabia. International Journal of Health and Rehabilitation Sciences 4(3): 185-193.
- Khan YH, Sarriff A, Khan AH and Mallhi TH (2014) Knowledge, Attitude and Practice (KAP) Survey of Osteoporosis among Students of a Tertiary Institution in Malaysia. Trop J Pharm Res, January 13(1):155.
- von Hurst PR, Wham CA (2007) Attitudes and knowledge about osteoporosis risk prevention: a survey of New Zealand women. Public Health Nutrition 10(7), 747-753.
- Puttapitakpong P, Chaikittisilpa S, Panyakhamlerd K, Nimnuan C, Jaisamrarn U et al. (2014) Inter- correlation of knowledge, attitude, and osteoporosis preventive behaviors in women around the age of peak bone mass. BMC Women’s Health 14:35 doi:10.1186/1472-6874-14-35.
- Orces CH, Casas C & Lee S (2003) Determinants of osteoporosis prevention in low-income Mexican-American women. South Med J 96:458-64
- Jalili Z, Nakhaee N, Askari R, Sharifi V (2007). Knowledge, Attitude and Preventive practice of Women Concerning Osteoporosis. Iranian J Publ Health 36(2):19-24.