Can Group Exercise Programs Improve Health Outcomes in Pregnant Women? An Updated Systematic Review

Castro, Rebeca de; Antunes, Raúl; Mendes, Diogo; Szumilewicz, Anna; Santos-Rocha, Rita

doi:10.3390/ijerph19084875

Cited by 13 publications

(24 citation statements)

References 77 publications

(219 reference statements)

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“…As regards the prevention strategies, current scientific evidence supports the recommendation to initiate or continue physical exercise in healthy pregnant women. Group exercise programs have positive effects on improving health, well-being, and social support [ 38 ]. This intervention associated with the biological markers could represent the innovation of translational medicine of GDiM and PSUI.…”

Section: Discussionmentioning

confidence: 99%

Transcriptomic Profiling of Rectus Abdominis Muscle in Women with Gestational Diabetes-Induced Myopathy: Characterization of Pathophysiology and Potential Muscle Biomarkers of Pregnancy-Specific Urinary Incontinence

Alves

Oliveira

Reyes

et al. 2022

IJMS

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Gestational diabetes mellitus (GDM) is recognized as a “window of opportunity” for the future prediction of such complications as type 2 diabetes mellitus and pelvic floor muscle disorders, including urinary incontinence and genitourinary dysfunction. Translational studies have reported that pelvic floor muscle disorders are due to a GDM-induced-myopathy (GDiM) of the pelvic floor muscle and rectus abdominis muscle (RAM). We now describe the transcriptome profiling of the RAM obtained by Cesarean section from GDM and non-GDM women with and without pregnancy-specific urinary incontinence (PSUI). We identified 650 genes in total, and the differentially expressed genes were defined by comparing three control groups to the GDM with PSUI group (GDiM). Enrichment analysis showed that GDM with PSUI was associated with decreased gene expression related to muscle structure and muscle protein synthesis, the reduced ability of muscle fibers to ameliorate muscle damage, and the altered the maintenance and generation of energy through glycogenesis. Potential genetic muscle biomarkers were validated by RT-PCR, and their relationship to the pathophysiology of the disease was verified. These findings help elucidate the molecular mechanisms of GDiM and will promote the development of innovative interventions to prevent and treat complications such as post-GDM urinary incontinence.

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Section: Discussionmentioning

confidence: 99%

Transcriptomic Profiling of Rectus Abdominis Muscle in Women with Gestational Diabetes-Induced Myopathy: Characterization of Pathophysiology and Potential Muscle Biomarkers of Pregnancy-Specific Urinary Incontinence

Alves

Oliveira

Reyes

et al. 2022

IJMS

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“…Main references for this content: systematic review studies. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18]…”

Section: Dovepressmentioning

confidence: 99%

“…• Systematic reviews studies [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] • Official recommendations on physical activity during pregnancy and postpartum 1,[21][22][23][24][25][26][27][28][29][32][33][34][35] • Other studies referenced in the presentation, upon request • Chapters developed in the textbook "Exercise and Physical Activity during Pregnancy and Postpartum", published by Springer in 2019, 51 and the second edition in 2022. 52 To be noted that this is the unique international book addressing this topic, so far.…”

Section: • Active Pregnancy Workhop (Powerpoint Presentation) [Unpubl...mentioning

confidence: 99%

“…1 The last three decades produced an increasing amount of scientific evidence on the positive effects of the prenatal physical activity on the maternal and fetal health, as well as in pregnancy outcomes, as shown by recent systematic reviews. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] Practice guidelines have become an increasingly popular tool for synthesis of clinical information. 19 Clinical guidelines are commonly defined as systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances, which objectives are to enhance appropriateness of practice, improve quality of care, lead to better patient outcomes, improve cost effectiveness, help authorities to decide on the approval of drugs and devices, and identify areas of research needed.…”

Section: Introductionmentioning

confidence: 99%

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ACTIVE PREGNANCY: Workshop on Promotion of Physical Activity in Pregnancy for Exercise Professionals

Santos-Rocha¹,

Pajaujienė²,

Szumilewicz³

2022

JMDH

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Introduction A one-day workshop on promotion of physical activity in pregnancy for exercise professionals was delivered during 2021, to 137 participants. The main aim of this workshop was to motivate and prepare exercise professionals for promoting physical activity and implementing prenatal exercise programs, in their respective private or public fitness centers or other physical activity settings. Methods The contents of the workshop were focused on six topics based on the “Pregnancy and Postpartum Exercise Specialist” educational standards by EuropeActive and the “Exercise and Physical Activity during Pregnancy and Postpartum” textbook published by Springer. Participants provided feedback on the effectiveness and satisfaction with the workshop. Results Overall evaluations from the feedback forms showed that majority of the participants agreed that the workshop achieved its objectives with a major recommendation as to the organization of more short duration workshops, the inclusion of practical sessions, and the separation of the contents addressing the postpartum period. Discussion The workshop on promotion of physical activity in pregnancy for exercise professionals was successfully organized and the participants are looking forward for future ones.

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“…11 In the prenatal period, exercise intervention reduces the number of pregnancy complications by 40 %. [12][13][14] Data on the influence of prenatal exercises on blood pressure values and microcirculatory characteristics in pregnant women with a normal pregnancy are rare. Nailfold capillaroscopy is a non-invasive method that provides insight into microcirculatory changes and provides an opportunity to assess the effect of treatment.…”

Section: Introductionmentioning

confidence: 99%

The research of correlation between blood pressure and nailfold capillary parameters in exercising and non-exercising pregnant women

Ljubojević¹,

Bojanić²,

Nožica-Radulović³

et al. 2022

Scripta Medica

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Background/Aim: With an increase in cardiac output, blood pressure values in pregnancy increase. The aim of the study was to examine the effect of prenatal exercises on the circulatory parameters and the correlation between blood pressure and nailfold capillary parameters in healthy pregnant women. Methods: The blood pressure shape and length of nailfold capillary were assessed in 35 non-exercising pregnant women and 35 pregnant women who exercised, at the beginning of the study (between 20 and 32 gestational week) and the end of the study (28 - 40 gestational week). Results: The elevation in blood pressure was significantly lower in pregnant women who exercised in relation to non-exercising pregnant women. After eight weeks, the length of the capillary loops was increased by 30 µm and the number of pregnant women with pronounced shape changes of capillary loops increased, with no difference between the groups. Non-exercisers had a correlation between the change in diastolic pressure and the increase in capillary length (r = 0.53, p = 0.001). In the experimental group, the correlation between the change in blood pressure and the increase in the length of capillary loops was not determined. Conclusion: Prenatal physical activity had a beneficial impact on the circulation of pregnant women. In pregnant women in the third trimester, after eight weeks of follow-up, the length of the nailfold capillary loops and the presence of pronounced shape changes of capillary loops were increased, without difference between exercisers and non-exercisers. In non-exercising pregnant women, the capillary length was increased with the elevation of diastolic blood pressure, while the correlation was not found in pregnant women who exercised.

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Can Group Exercise Programs Improve Health Outcomes in Pregnant Women? An Updated Systematic Review

Cited by 13 publications

References 77 publications

Transcriptomic Profiling of Rectus Abdominis Muscle in Women with Gestational Diabetes-Induced Myopathy: Characterization of Pathophysiology and Potential Muscle Biomarkers of Pregnancy-Specific Urinary Incontinence

Transcriptomic Profiling of Rectus Abdominis Muscle in Women with Gestational Diabetes-Induced Myopathy: Characterization of Pathophysiology and Potential Muscle Biomarkers of Pregnancy-Specific Urinary Incontinence

ACTIVE PREGNANCY: Workshop on Promotion of Physical Activity in Pregnancy for Exercise Professionals

The research of correlation between blood pressure and nailfold capillary parameters in exercising and non-exercising pregnant women

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