{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:45:40Z","timestamp":1787071540700,"version":"build-2736575974"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Exercise during pregnancy provides well-documented benefits for maternal and fetal health, including reduced risk of gestational diabetes, hypertension, and postpartum depression. However, healthcare providers lack the knowledge or confidence to promote physical activity during routine antenatal care. This study assesses the knowledge, attitudes, and practices (KAP) of primary care physicians in Jeddah, Saudi Arabia, regarding antenatal physical activity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A cross-sectional study utilizing a structured questionnaire evaluated physicians\u2019 knowledge of exercise benefits, adherence to guidelines, attitudes toward prenatal physical activity, and implementation of clinical counseling practices. Descriptive statistics and Chi-square tests were used to examine associations between KAP scores and physician characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of 85 physicians, 95% agreed on exercise benefits, and only 24.7% demonstrated awareness of American College of Obstetricians and Gynecologists (ACOG) guidelines. Positive attitudes (median score: 3\/4) contrasted with limited practices: only 17.4% routinely counseled patients, and 18.6% provided educational materials. Key barriers included lack of competency (87.2%), time constraints (81.4%), and cultural beliefs (73.3%). No significant associations were found between KAP scores and gender, age, or years in practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Although Saudi physicians show growing recognition of prenatal exercise benefits, implementation of structured counseling remains limited. To improve compliance, targeted educational interventions, standardized clinical prompts, and enhanced patient education materials are necessary to bridge the gap between knowledge and practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_964_25","type":"journal-article","created":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T11:01:44Z","timestamp":1764327704000},"page":"4827-4835","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge, attitudes, and practice towards exercise during pregnancy among primary care physicians affiliated with King Fahad General Hospital, Jeddah, Saudi Arabia 2025: A cross-sectional study"],"prefix":"10.4103","volume":"14","author":[{"given":"Sarah U.","family":"Gadi","sequence":"first","affiliation":[{"name":"Preventive Medicine Postgraduate Program, Ministry of Health, Jeddah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed R.","family":"Algethami","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, Faculty of Medicine, University of Jeddah, Jeddah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,11,29]]},"reference":[{"key":"R1-20251211","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1111\/aogs.13151","article-title":"Exercise during pregnancy and risk of gestational hypertensive disorders:A systematic review and meta-analysis","volume":"96","author":"Magro-Malosso","year":"2017","journal-title":"Acta Obstet Gynecol Scand"},{"key":"R3-20251211","first-page":"e13542","article-title":"ACOG Committee opinion no. 650 summary:Physical activity and exercise during pregnancy and the postpartum period","volume":"126","year":"2015","journal-title":"Obstet Gynecol"},{"key":"R4-20251211","doi-asserted-by":"crossref","first-page":"1528","DOI":"10.1016\/j.jogc.2018.07.001","article-title":"No. 367-2019 Canadian guideline for physical activity throughout pregnancy","volume":"40","author":"Mottola","year":"2018","journal-title":"J Obstet Gynaecol Can"},{"key":"R5-20251211","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1097\/GCO.0b013e328359f131","article-title":"Physical exercise during pregnancy","volume":"24","author":"Nascimento","year":"2012","journal-title":"Curr Opin Obstet Gynecol"},{"key":"R6-20251211","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1016\/j.pmrj.2012.07.012","article-title":"Benefits of exercise during pregnancy","volume":"4","author":"Prather","year":"2012","journal-title":"PM R"},{"key":"R7-20251211","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/j.jphys.2017.11.012","article-title":"Attitudes, barriers and enablers to physical activity in pregnant women:A systematic review","volume":"64","author":"Harrison","year":"2018","journal-title":"J Physiother"},{"key":"R8-20251211","doi-asserted-by":"crossref","first-page":"1","DOI":"10.51473\/rcmos.v1i1.2024.625","article-title":"Maternal-fetal health benefits of practicing physical activity during pregnancy","volume":"1","author":"Aires","year":"2024","journal-title":"RCMOS"},{"key":"R9-20251211","doi-asserted-by":"crossref","first-page":"91","DOI":"10.62143\/vwzy6941","article-title":"Exercise in pregnancy:It's effect on maternal and fetal health an evidence based findings","volume":"13","author":"Kapali","year":"2022","journal-title":"J Nurs Educ Nepal"},{"key":"R10-20251211","doi-asserted-by":"crossref","first-page":"54363","DOI":"10.12775\/QS.2024.19.54363","article-title":"Physical activity in pregnancy:The role of exercise in promoting maternal and fetal health","volume":"19","author":"Dubi\u0144ska","year":"2024","journal-title":"Qual Sport"},{"key":"R11-20251211","doi-asserted-by":"crossref","first-page":"55224","DOI":"10.12775\/QS.2024.27.55224","article-title":"The role of physical activity, diet, and stress management in maternal and infant health during pregnancy","volume":"27","author":"Paw\u0142owski","year":"2024","journal-title":"Quality in Sport"},{"key":"R12-20251211","doi-asserted-by":"crossref","first-page":"e87","DOI":"10.1016\/j.amepre.2016.05.023","article-title":"Prevalence of U. 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