ArticleFrontiers in public health2026
Associations between the prenatal exercise environment, exercise experience, and adherence: a cross-sectional study of affective and cognitive pathways.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Prenatal exercise has established health benefits, yet adherence remains low, and the role of the exercise environment in shaping psychological experience during pregnancy is unclear. This study aimed to examine the associations of the prenatal exercise environment with exercise experience and psychological distress, with particular attention to the proposed affective and cognitive pathways within the Prenatal Exercise Environment Dual-pathway framework. Methods: In this cross-sectional study, 361 pregnant women were recruited through multicenter convenience sampling from medical centers in five regions of China. The researcher-developed Prenatal Exercise Environment and Experience Questionnaire underwent preliminary psychometric evaluation in the current sample, followed by structural equation modeling with 5,000 bootstrap resamples and machine-learning analyses. Results: The prenatal exercise environment was positively associated with positive affective state (β = 0.328, Conclusion: Prenatal exercise environments influence psychological outcomes through dual affective and cognitive pathways. Improving environmental quality and reducing negative cognition may enhance exercise engagement and mental well-being during pregnancy.
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