{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T22:57:12Z","timestamp":1779317832832,"version":"3.51.4"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,9,4]],"date-time":"2021-09-04T00:00:00Z","timestamp":1630713600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Worldviews Ev Based Nurs"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Hypertensive disorders of pregnancy increase a woman\u2019s risk for developing cardiovascular disease, with risk factors manifested as early as one year postpartum. Researchers are examining how physical activity may help to mitigate cardiovascular risk factors in this population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>Review the existing scientific literature on the impact of physical activity in women with a history of hypertensive disorders of pregnancy related to physical activity and cardiovascular risk factor outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This integrative review examined research studies addressing physical activity in women with a history of preeclampsia or other hypertensive disorders of pregnancy. Using four databases, the search strategy included published studies through December 31, 2019. Identified studies were assessed using Joanna Briggs Institute critical appraisal tools.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The initial search identified 1,166 publications. Seven studies including two observational, four quasi\u2010experimental, and one experimental study were included in the review. Although the studies had limitations, none of these limitations were deemed significant enough to eliminate a study from the review. Studies were conducted in four countries, and participants were predominantly White. Physical activity interventions primarily consisted of delivery of educational content, and data were primarily obtained by self\u2010report. Of the five studies utilizing intervention strategies, three reported positive findings including increased physical activity, enhanced physiologic adaptations, and decreased physical inactivity. One study reported mixed findings of improved physical fitness in both groups, while another reported no change in intent to change exercise behavior associated with the intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Linking Evidence to Action<\/jats:title><jats:p>Physical activity promotion among women with a history of hypertensive disorders of pregnancy has been studied by a small group of researchers. Current literature on the topic is characterized by limited sample diversity, lack of exercise\u2010based interventions, and over reliance on self\u2010report to measure physical activity. It is imperative that further research be conducted to facilitate improved cardiovascular outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/wvn.12537","type":"journal-article","created":{"date-parts":[[2021,9,5]],"date-time":"2021-09-05T06:33:45Z","timestamp":1630823625000},"page":"47-55","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Physical Activity and Cardiovascular Risk Factor Outcomes in Women with a History of Hypertensive Disorders of Pregnancy: Integrative Review"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0588-9772","authenticated-orcid":false,"given":"Mary","family":"Byrnes","sequence":"first","affiliation":[{"name":"Rush University Medical Center Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan Weber","family":"Buchholz","sequence":"additional","affiliation":[{"name":"College of Nursing Michigan State University East Lansing MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,9,4]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"American College of Obstetricians and Gynecologists Task Force on Hypertension in Pregnancy. (2013)Hypertension in pregnancy (Practice Guideline).Washington DC:Author. Available from:https:\/\/www.acog.org\/~\/media\/Task%20Force%20and%20Work%20Group%20Reports\/public\/HypertensioninPregnancy.pdf"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/10641955.2018.1460668"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.02.015"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYP.0b013e318293645f"},{"key":"e_1_2_8_6_1","volume-title":"Impact of PA on cardiovascular risk factors in women with a history of HDP: An integrative review [registration]","author":"Center for Open Science","year":"2020"},{"key":"e_1_2_8_7_1","unstructured":"Centers for Disease Control and Prevention (CDC). (2020)Women and heart disease. Available at:https:\/\/www.cdc.gov\/heartdisease\/women.htm#:~:text=Heart%20disease%20is%20the%20leading in%20every%205%20female%20deaths.&text=Heart%20disease%20is%20the%20leading%20cause%20of%20death%20for%20African women%20in%20the%20United%20States"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1249\/01.MSS.0000142303.49306.0D"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12966-018-0652-x"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.116.021516"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11936-018-0653-8"},{"key":"e_1_2_8_12_1","unstructured":"Franki R.(2017)Preeclampsia\/eclampsia rate highest in black women. OBGYN News. Available from:https:\/\/www.mdedge.com\/obgyn\/article\/136887\/obstetrics\/preeclampsia\/eclampsia\u2010rate\u2010highest\u2010black\u2010women"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJR.0b013e32831f1b77"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1479-5868-9-103"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(15)30283-8"},{"key":"e_1_2_8_16_1","unstructured":"Joanna Briggs Institute. (2020)Critical appraisal tools.https:\/\/joannabriggs.org\/critical\u2010appraisal\u2010tools"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1933719109332091"},{"issue":"28","key":"e_1_2_8_18_1","article-title":"Hypertension after preeclampsia and relation to the C1114G polymorphism (rs4606) in RGS2: data from the Norweigian HUNT2 study","volume":"15","author":"Kvehaugen A.S.","year":"2014","journal-title":"BMC Medical Genetics"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCRESAHA.118.312669"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1249\/JSR.0000000000000276"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2009.06.005"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2018.7523"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2014.04.025"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.j3024"},{"key":"e_1_2_8_25_1","unstructured":"United States (US) Department of Health and Human Services. (2018)PA guidelines for Americans.2nd edn.United States (US) Department of Health and Human Services."},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.116.003497"}],"container-title":["Worldviews on Evidence-Based Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/wvn.12537","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/wvn.12537","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/sigmapubs.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/wvn.12537","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,27]],"date-time":"2023-08-27T09:10:50Z","timestamp":1693127450000},"score":1,"resource":{"primary":{"URL":"https:\/\/sigmapubs.onlinelibrary.wiley.com\/doi\/10.1111\/wvn.12537"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,4]]},"references-count":25,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,2]]}},"alternative-id":["10.1111\/wvn.12537"],"URL":"https:\/\/doi.org\/10.1111\/wvn.12537","archive":["Portico"],"relation":{},"ISSN":["1545-102X","1741-6787"],"issn-type":[{"value":"1545-102X","type":"print"},{"value":"1741-6787","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,4]]},"assertion":[{"value":"2021-02-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-09-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}