{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T01:59:12Z","timestamp":1791683952657,"version":"4.3.4"},"reference-count":44,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T00:00:00Z","timestamp":1753920000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T00:00:00Z","timestamp":1753920000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100008749","name":"American College of Sports Medicine","doi-asserted-by":"publisher","award":["21-01399"],"award-info":[{"award-number":["21-01399"]}],"id":[{"id":"10.13039\/100008749","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Sixty-three percent of pregnant persons report experiencing lumbopelvic pain (LPP), which can negatively impact quality of life and lead to the development of fear avoidance behaviors. Exercise is a safe, non-pharmacological treatment for reducing and preventing the development of pain, but the volume of exercise required for one to benefit from it is unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Determine whether meeting exercise guidelines during pregnancy associates with LPP, disability, and fear avoidance behaviors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Pregnant persons (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200950, 32.0\u2009\u00b1\u20094.2\u2009years, 28\u201332\u2009weeks of gestation) were included. Participants completed questionnaires assessing second-trimester physical activity (PPAQ), current pain, lumbopelvic disability, and fear avoidance and then underwent a physical examination for the presence of LPP. Participants who met exercise guidelines (&gt;150\u2009min moderate intensity physical activity\/week, PA,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200924) were compared with those who were not physically active (&lt;90\u2009min moderate intensity physical activity\/week, NPA,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200926). Nonparametric tests compared groups on outcomes with significance set at\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05. Post hoc odds ratios were calculated for moderate disability status. Spearman\u2019s rho correlations were conducted between physical activity (MET min\/week), pain, and disability.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      NPA participants reported more disability due to LPP (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.02), more fear avoidance behaviors (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.03), and more provoked LPP (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.09) than PA participants. NPA participants were also more likely to report LPP disability (OR\u2009=\u20093.89, 95% CI: 1.19\u201312.68) and fear avoidance behaviors (OR\u2009=\u20094.38, 95% CI: 1.03\u201318.56). In all participants, more moderate intensity physical activities were associated with less disability (\n                      <jats:italic toggle=\"yes\">ps<\/jats:italic>\n                      \u2009&lt;\u20090.05) and fewer fear avoidance behaviors (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.06). Pain severity did not differ between groups (\n                      <jats:italic toggle=\"yes\">ps<\/jats:italic>\n                      \u2009&gt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Meeting pregnancy exercise guidelines throughout the second trimester associated with less LPP disability, fewer fear avoidance behaviors, and less-provoked pain, but did not associate with pain severity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057251321019","type":"journal-article","created":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T09:57:07Z","timestamp":1753955827000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Meeting exercise guidelines during pregnancy associates with less lumbopelvic disability and fear avoidance"],"prefix":"10.1177","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5788-4412","authenticated-orcid":false,"given":"Traci A","family":"McCarthy","sequence":"first","affiliation":[{"name":"Stockton University, Galloway, NJ, USA"},{"name":"Rutgers University, New Brunswick, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7266-4071","authenticated-orcid":false,"given":"Adrienne H","family":"Simonds","sequence":"additional","affiliation":[{"name":"Rutgers University, Newark, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Velez","sequence":"additional","affiliation":[{"name":"Rutgers University, New Brunswick, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea M","family":"Spaeth","sequence":"additional","affiliation":[{"name":"Rutgers University, New Brunswick, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,7,31]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14714"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-003-0615-y"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2018-099400"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000201259.63363.e1"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-008-0602-4"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/1741-7015-9-15"},{"key":"e_1_3_4_8_2","first-page":"305","article-title":"The relationship between fear-avoidance beliefs and pain in pregnant women with pelvic girdle pain: a cross-sectional study","volume":"6","author":"Rashidi Fakari F","year":"2018","unstructured":"Rashidi Fakari F, Simbar M, Saei Ghare Naz M. 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