An overview of maternal and fetal short and long-term impact of physical activity during pregnancy

Leite, Camila Ferreira; Nascimento, Simony Lira do; Helmo, Fernanda Rodrígues; Monteiro, Maria Luíza Gonçalves dos Reis; Reis, Marlene Antônia dos; Corrêa, Rosana Rosa Miranda

doi:10.1007/s00404-016-4204-9

Cited by 23 publications

(23 citation statements)

References 80 publications

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“…There are many potential mechanisms that might explain a reduction of pain intensity through better PF. Literature has shown that, among healthy adults, MVPA reduces pain sensitivity, that is related to a better PF status . This could be explained through the hypoalgesic effect that aerobic physical activity produces, even in population with any type of chronic pain .…”

Section: Discussionmentioning

confidence: 99%

“…Literature has shown that, among healthy adults, MVPA reduces pain sensitivity, 10 that is related to a better PF status. 11 This could be explained through the hypoalgesic effect that aerobic physical activity produces, even in population with any type of chronic pain. 10 The exact mechanisms to explain hypoalgesia are still unclear, although one of them is the activation of the endogenous opioid system.…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, strong scientific evidence supports that performing moderate‐to‐vigorous physical activity (MVPA) levels reduces pain sensitivity among healthy adults, which might be related to increaseds in physical fitness (PF) . Hence, it seems imperative to find strategies aimed at reducing general and low‐back pain also during pregnancy.…”

Section: Introductionmentioning

confidence: 99%

“…9 On the other hand, strong scientific evidence supports that performing moderate-to-vigorous physical activity (MVPA) levels reduces pain sensitivity among healthy adults, 10 which might be related to increaseds in physical fitness (PF). 11 Hence, it seems imperative to find strategies aimed at reducing general and low-back pain also during pregnancy. In this regard, low levels of muscular fitness have been suggested as a potential risk factor for low-back pain, 12 despite the evidence is weak and results are sometimes contradictory.…”

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confidence: 99%

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Association of self‐reported physical fitness with pain during pregnancy: The GESTAFIT Project

Marín-Jiménez

Acosta‐Manzano

Borges-Cósic

et al. 2019

Scandinavian Med Sci Sports

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Aims To explore the association of self‐reported physical fitness with bodily, lumbar and sciatic pain, and pain disability during pregnancy. Methods The present study sample comprised 159 pregnant women (32.9 ± 4.7 years old). Self‐reported physical fitness was assessed with the International Fitness Scale (IFIS), where higher scores indicate greater physical fitness. Bodily pain was assessed with the 36‐Item Short Form Health Survey (SF‐36), where higher scores indicate lower pain. Lumbar and sciatic pain were measured with a visual analogue scale (VAS). The Oswestry Disability Index (ODI) questionnaire was employed to assess the disability resulting from pain. Measures were assessed at 16th and 34th gestational weeks (g. w.). Results Pregnant women showed low‐moderate pain during pregnancy course. Most of them showed medium self‐reported overall physical fitness. At 16th g. w., greater self‐reported overall physical fitness and cardiorespiratory fitness were associated with less bodily and lumbar pain, and pain disability (all, P < 0.05). Greater muscular strength was associated with less bodily pain and pain disability (both, P < 0.05). Greater speed‐agility was associated with less bodily pain (P < 0.01) and less pain disability (P < 0.05). Self‐reported flexibility was not associated with any outcome (P > 0.05). At 34th g. w., greater overall physical fitness and its components were associated with less bodily and sciatic pain (all, P < 0.05). Conclusion Greater self‐reported overall physical fitness and its components are associated with less bodily, lumbar and sciatic pain, and reduced pain disability during pregnancy. Future studies are needed to explore whether increasing physical fitness before and during pregnancy could decrease pain in this relevant stage.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Association of self‐reported physical fitness with pain during pregnancy: The GESTAFIT Project

Marín-Jiménez

Acosta‐Manzano

Borges-Cósic

et al. 2019

Scandinavian Med Sci Sports

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“…As for the general population, current guidelines for women with low‐risk pregnancies suggest 30 minutes of daily moderate intensity exercise, or at least 150 minutes weekly, including both aerobic and strengthening exercises . Maternal health benefits of exercise during pregnancy are documented in several studies …”

Section: Introductionmentioning

confidence: 99%

Neurodevelopmental outcome in 7‐year‐old children is not affected by exercise during pregnancy: follow up of a multicentre randomised controlled trial

Ellingsen

Pettersen

Stafne

et al. 2019

BJOG

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Objective To investigate whether regular moderate intensity exercise during pregnancy had adverse effect on neurodevelopment of offspring at 7 years of age. Design Follow up of a multicentre randomised controlled trial. Setting St Olavs Hospital, Trondheim University Hospital and Stavanger University Hospital, Norway (2007–09). Population Women randomised to follow a 12‐week structured exercise protocol or standard antenatal care during pregnancy. Methods At 7 years of age, neurodevelopmental outcome was assessed by the parent questionnaire Five‐To‐Fifteen (FTF), including motor skills, executive functions, perception, memory, language, social skills and possible emotional/behavioural problems. Main outcome measure Continuous and dichotomised (cut‐off 90th centile) FTF scores. Results A total of 855 women were randomised to exercise (n = 429) or standard antenatal care (n = 426) during pregnancy. At follow up, 164 (38.2%) children born to mothers in the intervention group and 115 (27.0%) children born to mothers in the control group participated. We found no group differences in FTF scores or in the proportion of children with scores ≥90th centile. Stratified analyses by sex, subgroup analyses of women who adhered to the exercise protocol or sensitivity analyses excluding preterm children and/or children who had been admitted to the neonatal intensive care unit did not change the results. Conclusions In the present randomised controlled trial follow‐up study, regular moderate intensity exercise during pregnancy did not have adverse effect on neurodevelopment of offspring at 7 years of age. Tweetable abstract Moderate intensity exercise during pregnancy had no adverse effect on neurodevelopment of offspring at 7 years of age.

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Effects of physical activity on children's growth

Alves

2019

Jornal de Pediatria

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An overview of maternal and fetal short and long-term impact of physical activity during pregnancy

Abstract: Maternal PA appears to be safe for both mother and fetus, and additional studies are needed to confirm the real influence of this practice in the offspring, as well as the perpetuation and transfer of these features between generations.

Cited by 23 publications

References 80 publications

Association of self‐reported physical fitness with pain during pregnancy: The GESTAFIT Project

Association of self‐reported physical fitness with pain during pregnancy: The GESTAFIT Project

Neurodevelopmental outcome in 7‐year‐old children is not affected by exercise during pregnancy: follow up of a multicentre randomised controlled trial

Effects of physical activity on children's growth

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