Effects of Exercise-Based Interventions on Neonatal Outcomes

Sanabria-Martínez, Gema; García-Hermoso, António; Poyatos-León, Raquel; García, Alberto González; Sánchez‐López, Mairena; Martínez‐Vizcaíno, Vicente

doi:10.1177/0890117116639569

Cited by 42 publications

(31 citation statements)

References 57 publications

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“…In line with a meta-analysis which focused on antenatal interventions for overweight or obese pregnant women, 44 the present meta-analysis found no significant difference in the risk of gestational hypertension or preeclampsia between the exercise and control groups. Similar to previous studies, 38,39,42,43,45 the current meta-analysis found no difference in the risk of cesarean delivery between the two groups, especially when both overweight and obese pregnant women were involved.…”

Section: Discussionsupporting

confidence: 89%

Effects of physical exercise during pregnancy on maternal and infant outcomes in overweight and obese pregnant women: A meta‐analysis

Ouyang

Nie

et al. 2018

Birth

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Background:Overweight and obesity are related to maternal and infant physical health, such as gestational diabetes, preeclampsia, and macrosomia. The purpose of this meta-analysis was to assess the effect of physical exercise on maternal and infant outcomes in overweight and obese pregnant women. Methods: Two researchers independently searched Cochrane Library, Embase, PubMed, Web of Science, and ClinicalTrials.gov. for English-language articles based on randomized controlled trials examining physical exercise in overweight and obese pregnant women and its effect on maternal and infant outcomes. Primary outcomes were gestational weight gain and a relative risk of gestational diabetes. Secondary outcomes were gestational hypertension, preeclampsia, cesarean delivery, birthweight, large for gestational age, small for gestational age, macrosomia, and preterm birth. Risk bias was evaluated by Cochrane Collaboration's tool. The results of integration were reported as relative risks (RR), mean difference, or standard mean difference with 95% confidence intervals (CI). This meta-analysis was registered on PROSPERO on November 18, 2017, with registration number CRD42017081565. Results: Thirteen studies involving 1439 participants were included. Physical exercise reduced gestational weight gain (mean difference = −1.14 kg, 95% CI = [−1.67 to −0.62], P < 0.0001) and the risk of gestational diabetes (RR = 0.71, 95% CI = [0.57-0.89], P = 0.004) in overweight and obese pregnant women. There were no significant differences in other outcomes such as gestational hypertension, preeclampsia, cesarean delivery, birthweight, large for gestational age, small for gestational age, macrosomia, and preterm birth. Conclusions: Prenatal exercise interventions reduced gestational weight gain and the risk of gestational diabetes for overweight and obese pregnant women, which reinforced the benefits of exercise during pregnancy. However, no evidence was found with respect to benefits and/or harm for infants. Consideration should be taken when interpreting these findings as a result of the relative small sample size in this meta-analysis.Further larger well-designed randomized trials may be helpful to assess the short-term and long-term effects of prenatal exercise on maternal and infant outcomes. K E Y W O R D Sexercise, infant health outcomes, maternal health outcomes, meta-analysis, overweight and obesity 212 | DU et al.

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Section: Discussionsupporting

confidence: 89%

Effects of physical exercise during pregnancy on maternal and infant outcomes in overweight and obese pregnant women: A meta‐analysis

Ouyang

Nie

et al. 2018

Birth

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“…16 The Australian LIMIT RCT 19 also showed that lifestyle interventions addressing diet and exercise, which were similar to those used in the UPBEAT study, had no effect on reducing the proportion of LGA in overweight and obese pregnant women; however, the proportion of infants weighing >4 kg was lower in the women allocated to the intervention group. A recent meta-analysis 55 including 14 RCTs reported that an exercise program during pregnancy was effective at reducing neonatal birthweight, moreover, did not negatively affect gestational age at delivery. Barakat et al 56 showed that a 3 d/wk exercise program with sessions lasting 50-55 minutes from 9-11 gestational weeks until 38-39 weeks was effective in preventing the development of hypertension and reducing the incidence of macrosomia.…”

Section: Reports Of Major Impactmentioning

confidence: 99%

A randomized clinical trial of exercise during pregnancy to prevent gestational diabetes mellitus and improve pregnancy outcome in overweight and obese pregnant women

Wang

Wei

Zhang

et al. 2017

American Journal of Obstetrics and Gynecology

321

357

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Cycling exercise initiated early in pregnancy and performed at least 30 minutes, 3 times per week, is associated with a significant reduction in the frequency of gestational diabetes mellitus in overweight/obese pregnant women. And this effect is very relevant to that exercise at the beginning of pregnancy decreases the gestational weight gain before the mid-second trimester. Furthermore, there was no evidence that the exercise prescribed in this study increased the risk of preterm birth or reduced the mean gestational age at birth.

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“…[5][6][7][8][9][10] In terms of life style during pregnancy, physical activity (PA) practice has shown beneficial maternal and child health effects. [11][12][13] Current evidence suggests a lower incidence of pregnancy-related complications such as gestational diabetes, preeclampsia, preterm birth and postpartum depression. 14,15 In addition, studies focusing on the neonatal period and child growth have shown a lower incidence of low birthweight, improved child body composition (lower body fat percentage), and a greater ponderal index.…”

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confidence: 99%

Physical activity during pregnancy and offspring neurodevelopment: A systematic review

Niño-Cruz

Varela

Silva

et al. 2018

Paediatric Perinatal Epid

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Effects of Exercise-Based Interventions on Neonatal Outcomes

Abstract: Structured physical exercise programs during pregnancy appear to be safe for the neonate, mainly favoring a lower birth weight within normal range. However, more studies are needed to establish recommendations.

Cited by 42 publications

References 57 publications

Effects of physical exercise during pregnancy on maternal and infant outcomes in overweight and obese pregnant women: A meta‐analysis

Effects of physical exercise during pregnancy on maternal and infant outcomes in overweight and obese pregnant women: A meta‐analysis

A randomized clinical trial of exercise during pregnancy to prevent gestational diabetes mellitus and improve pregnancy outcome in overweight and obese pregnant women

Physical activity during pregnancy and offspring neurodevelopment: A systematic review

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