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All Journal JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery)
Anafrin Yugistyowati
Universitas Alma Ata, Yogyakarta, Indonesia
Health Professions Medicine & Pharmacology Nursing Public Health Other

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Physical activity and exercise during pregnancy in relation to gestational weight gain: A systematic review with synthesis without meta-analysis Chori Elsera; Anafrin Yugistyowati; Umi Faridah; Devi Permata Sari; Marwanti
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 2 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(2).314-330

Abstract

Background: Excessive gestational weight gain (GWG) is associated with adverse maternal and neonatal outcomes, including gestational diabetes mellitus, hypertensive disorders, increased birth weight, and postpartum weight retention. Physical activity and structured exercise are modifiable lifestyle factors that may help prevent excessive GWG, yet evidence varies by intervention type, intensity, duration, and adherence. Objectives: This systematic review aimed to synthesize evidence from randomized controlled trials on the effects of physical activity and exercise interventions during pregnancy on gestational weight gain. Methods: This systematic review followed PRISMA 2020 guidelines and used a Synthesis Without Meta-analysis approach. Searches were conducted in PubMed, ScienceDirect, Scopus, and Emerald for studies published between 2013 and 2023. Eligible studies were randomized controlled trials involving pregnant women receiving physical activity or exercise interventions. GWG was the primary outcome, while gestational diabetes mellitus, hypertensive disorders, neonatal outcomes, and adherence were secondary outcomes. Screening was conducted using Rayyan, and study quality was assessed using the CASP checklist. Results: A total of 2,052 records were identified. After duplicate removal and eligibility screening, 27 full-text articles were assessed, and 4 randomized controlled trials were included. The included studies generally suggest that structured exercise during pregnancy may help reduce excessive GWG, although findings varied across populations and intervention characteristics. Conclusions: Physical activity and structured exercise during pregnancy may help prevent excessive gestational weight gain, although their effectiveness depends on adherence, baseline BMI, and intervention characteristics. Integrating exercise counseling into antenatal care may support appropriate gestational weight gain
The association of age, gender, and duration of gadget use with adolescent mental health Lia Dian Ayuningrum; Erna Yovi Kurniawati; Adenia Dwi Ristanti; Siti Roshaidai Mohd Arifin; Dewi Humairo Nailatul Izzah; Anafrin Yugistyowati
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 1 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(1).189-205

Abstract

Background: Adolescence is a developmental period characterized by heightened emotional and behavioral vulnerability, which may be influenced by increasing exposure to digital devices. Objectives: This study aimed to examine the association between age, gender, and duration of gadget use and mental health among adolescents. Methods: A school-based cross-sectional study was conducted among 69 twelfth-grade students aged 15–18 years at a vocational high school in Central Java, Indonesia, selected through accidental sampling. Mental health status was assessed using the Strengths and Difficulties Questionnaire (SDQ-18), while duration of gadget use was measured using a structured self-report questionnaire. Descriptive statistics were used to summarize participant characteristics. Associations were analyzed using Chi-square tests and multiple linear regression to identify independent predictors of emotional strength and behavioral difficulties. Results: High gadget use was significantly associated with abnormal emotional difficulties (93.8%) and lower emotional strength (87.5%). Bivariate analysis demonstrated significant associations between gadget use and mental health outcomes (p < 0.001) and between age and mental health (p = 0.027), whereas gender was not significantly associated (p = 0.117). In multivariate models, gadget use and emotional difficulties remained significant predictors (p < 0.05), explaining 81.2% of the variance in emotional strength (R² = 0.812) and 76.5% of the variance in behavioral difficulties (R² = 0.765). Conclusions: These findings indicate that greater duration of gadget use is associated with poorer mental health indicators among adolescents. Given the cross-sectional design, causal inferences cannot be established. Strategies promoting balanced digital use and school-based mental health support may help mitigate potential adverse outcomes.
Co-Authors Adenia Dwi Ristanti Chori Elsera Devi Permata Sari Dewi Humairo Nailatul Izzah Erna Yovi Kurniawati Lia Dian Ayuningrum Marwanti Siti Roshaidai Mohd Arifin Umi Faridah