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Although total sexual function and BI scores of the groups were similar (p\u2009&gt;\u20090.05), dyspareunia during pregnancy and level of kinesiophobia were higher, and energy expenditure during moderate-intensity PA was lower in pregnant women with PGP (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). The PGP group had moderate activity limitation and reported increased PGP intensity during sexual activities (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). PA level was significantly correlated with sexual desire (r\u2009=\u20090.180), and overall sexual function was correlated with kinesiophobia (r\u2009=\u2009-0.344) and BI (r\u2009=\u2009-0.199) during pregnancy (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). These findings suggest that pregnant women with PGP are more vulnerable to sexual dysfunctions, and there is a need to develop biopsychosocial framework-oriented management strategies which aim to improve PA level and to eliminate psychological factors such as kinesiophobia and negative BI.<\/jats:p><jats:p><jats:bold>Clinical Trial Registration<\/jats:bold>: NCT05990361<\/jats:p>","DOI":"10.1007\/s43032-024-01644-2","type":"journal-article","created":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T17:01:51Z","timestamp":1720544511000},"page":"3122-3131","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Sexual Function of Women with and without Pregnancy-Related Pelvic Girdle Pain and its Relationship with Physical Activity, Kinesiophobia and Body Image: A Cross-Sectional Comparative Study"],"prefix":"10.1007","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3928-2207","authenticated-orcid":false,"given":"Semiha","family":"Yeni\u015fehir","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0233-4533","authenticated-orcid":false,"given":"\u0130lkim \u00c7\u0131tak","family":"Karakaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7961-0087","authenticated-orcid":false,"given":"G\u00fcrkan","family":"\u00d6zbey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,7,9]]},"reference":[{"key":"1644_CR1","doi-asserted-by":"publisher","unstructured":"Barger D. 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