• Promoting positive postpartum mental health through exercise in ethnically diverse priority groups

      Row, M-A; Nevill, AM; Bellingham-Young, Denise; Adamson-Macedo, EN (Routledge, 2013-06-15)
      Postpartum mental health is a significant concern in ethnically diverse priority groups, where challenges that negatively affect mental health can be complex and multi-layered. In 2007, the National Institute for Health and Clinical Excellence (NICE) recommended exercise as a non-pharmacological strategy to ameliorate postpartum mental health problems. Evidence on exercise for postpartum populations is too sparse to inform service development, particularly in deprived, ethnically diverse communities in the UK. This study explored factors relating to exercise to promote postpartum mental health in priority groups. The study design was influenced by the principles of grounded theory. Data were collected through focus groups and interviews from 25 women in an ethnically diverse area of multiple deprivation. Participants were end users, health and community professionals, service providers andcommissioners. Four core categories emerged, namely postpartum exercise (which included the content, culture and setting of exercise), beliefs and values (which reflected howpostpartumwomenmadedecisions about health), support and influence (which explored the independence, dependence and interdependence that shaped relationships and choice), and planning and resources (which related to the practicalities involved in designing, developing and sustaining effective interventions). The findings indicate that wide-ranging factors influence exercise for postpartum women in ethnically diverse priority groups. They integrate practical considerations, social-cognitive factors such as exercise competency and socio-cultural influences. These influences include familial, religious and cultural factors relevant to exercise, mental health, the postpartum stage and health promotion in general.
    • The impact of birthweight on adult minor illness: a study on a subclinical population

      Bellingham-Young, Denise; Adamson-Macedo, EN (Journal of Human Growth and Development, 2013-12)
      Official classification for low birth weight is 2500 gram or below. Whilst there is no consensus of what constitutes normal birth weight, it has been suggested that the optimal birthweight for long term health is 3500 - 4500 gram; hence those with birth weight between 2500 and 3490 gram could be deemed to be a sub clinical population. The objective was to investigate the relationship between disease and birthweight and to compare vulnerability of those with suboptimal and optimal birthweight in adulthood. This is a cohort study; with cross sectional retrospective design involving 258 adults aged 18-62 who knew their birth weight. Participants completed a minor illness checklist, using a median split, participants were categorised as high or low minor illness group. Results indicate a negative correlation between birthweight and minor illness score (r = -.155, p = .013). Those born with sub optimal birthweight are more likely to report minor illness symptoms above the media score of 16 (OR 1.70 CI 95% 1.04-2.79).It is concluded that there is a relationship between birthweight and level of minor illness in adulthood. Those born with birthweight 2500 - 3490 gram appear to be more vulnerable to minor illness. Thus, working with Foetal Origins theory, it may be possible that this group experienced a degree of foetal compensation, the consequence being that the immune system is compromised. Application of a three dimensional equilibrium model is suggested in designing interventions that improve foetal environment and subsequent health chances.