Effects on the maternal-fetal health outcomes of various physical activity types in healthy pregnant women. A systematic review and meta-analysis

Díaz-Burrueco, Javier Ramón; Cano-Ibáñez, Naomi; Martín‐Peláez, Sandra; Khan, Khalid S.; Amezcua‐Prieto, Carmen

doi:10.1016/j.ejogrb.2021.05.030

Cited by 29 publications

(46 citation statements)

References 47 publications

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“…According to the intervention evaluated in each systematic reviews, the whole of the systematic reviews were classified into three groups: (a) systematic reviews about physical activity only: n = 16 (45.7%) [ 19 , 24 , 33 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 ]; (b) systematic reviews containing information about diet exclusively: n = 4 (11.4%) [ 25 , 34 , 49 , 50 ]; and (c) systematic reviews with information about both types of interventions, diet and physical activity: n = 15 (42.9%) [ 18 , 20 , 22 , 23 , 31 , 35 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 ].…”

Section: Resultsmentioning

confidence: 99%

“…The frequency of sessions was around three times per week and sometimes reached five times per week. The duration of each session can vary from 35 min to 60 min [ 19 , 24 , 33 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 ].…”

Section: Resultsmentioning

confidence: 99%

“…Most reviews, regardless of their quality, tend to support that physical activity interventions can reduce the risk of GDM. The effectiveness of physical activity may be restricted by the accomplishment of some criteria: (a) delivering interventions in a healthcare facility [ 36 ]; (b) interventions took place early in pregnancy [ 33 ]; (c) achieving at least 600 MET-min/week of moderate-intensity [ 18 ]; or (d) only water exercise [ 48 ]. The incidence of GDM may decrease with diet intervention.…”

Section: Discussionmentioning

confidence: 99%

“…This difference likely results from variability in the conception of interventions, their duration and other factors perhaps associated with the design of the studies and diet and physical activity patterns assessment. The quality of the RCTs included may also affect the results obtained, and this limitation cannot be discarded [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

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Preventing Gestational Diabetes Mellitus by Improving Healthy Diet and/or Physical Activity during Pregnancy: An Umbrella Review

et al. 2022

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Several epidemiological studies have analyzed the effects of lifestyle modification on reducing the risk of gestational diabetes mellitus (GDM); however, their results remain inconsistent. This umbrella review aims to evaluate the effects of diet and/or physical activity interventions during pregnancy on preventing GDM. Systematic reviews and meta-analysis of randomized clinical trials reporting preventive effects of diet and/or physical activity in reducing the incidence of GDM were included from PubMed, Web of Science, Scopus and Cochrane library. Two authors independently assessed the overlapping and quality of the 35 selected reviews using AMSTAR 2. The results, although variable, tend to defend the protective role of diet and physical activity interventions separately and independently of each other in the prevention of GDM. However, the results for the combined interventions show a possible protective effect; however, it is not entirely clear because most of the analyzed meta-analyses tend to approach 1, and heterogeneity cannot be ruled out. Establishing conclusions about the most efficient type of intervention and a dose–effect relationship was not feasible given the low quality of systematic reviews (83% low to critically low) and the variability in reporting interventions. Therefore, more studies with better quality and definition of the interventions are required. The protocol was previously registered in PROSPERO as CRD42021237895.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Preventing Gestational Diabetes Mellitus by Improving Healthy Diet and/or Physical Activity during Pregnancy: An Umbrella Review

et al. 2022

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“…The benefits associated with physical activity during pregnancy for both maternal and new-born health are supported by research [ 1 , 2 , 3 , 4 ]. For example, regular physical activity during pregnancy has been linked to reduced risk of weight gain [ 5 ], hypertension [ 6 ], diabetes [ 5 , 6 ], back pain [ 7 ], mood disorders [ 8 , 9 ], large for gestational age [ 3 ], premature birth [ 3 ], and caesarean sections [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Relationship between Physical Activity and the Metabolic, Inflammatory Axis in Pregnant Participants

Bockler¹,

Ferrari

Deibert³

et al. 2021

IJERPH

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Physical activity (PA) during pregnancy is beneficial for mother and child. Little is known regarding the effects of PA on specific adipokines/myokines and their impact during pregnancy. This study investigates the correlation between PA during late pregnancy, body composition, and maternal levels of leptin, IL-6, and TNF-α at delivery. In a cross-sectional study of 91 pregnant participants (mean age 33.9 ± 4.6 years) without gestational diabetes mellitus or preeclampsia, anthropometric data and blood samples were taken at delivery. PA during the third trimester was measured via the Pregnancy Physical Activity Questionnaire. Activities were ranked by intensity: sedentary (<1.5 metabolic equivalent (METs)), light (1.5–3.0 METs), moderate (3.0–6.0 METs), and vigorous activity (>6.0 METs). Leptin at delivery correlated positively with body composition and negatively with light PA intensity. Sedentary behaviour showed a positive correlation with IL-6 levels at delivery. Moderate activity during the last trimester, sedentary activity levels, and body composition had the greatest influence on maternal IL-6 at delivery. Completed weeks of pregnancy, moderate and light PA, and sedentary activity had the greatest influence on maternal TNF-α at delivery. PA during late pregnancy potentially affects circulating (adipo-)/myokines. Further studies are needed to examine causal relationships and the impact on maternal and new-born health.

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An umbrella review of systematic reviews on interventions of physical activity before pregnancy, during pregnancy, and postpartum to control and/or reduce weight gain

Grau González,

Sánchez del Pino,

Amezcua‐Prieto

et al. 2024

Intl J Gynecology & Obste

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BackgroundThe increasing prevalence of overweight and obesity worldwide represents a (chronic) complex public health problem. This is also seen among women of childbearing age despite increased efforts to promote physical activity (PA) interventions. Excessive gestational weight gain (GWG) is associated with negative health outcomes for both mothers and offspring.ObjectivesTo summarize current systematic reviews (SRs) on PA interventions during pregnancy and postpartum to prevent excessive GWG and identify the most effective approaches.Search StrategyA literature search was conducted on major electronic databases (MEDLINE/Pubmed, Cochrane, Web of Science, Epistemonikos) from inception to March 2023.Selection CriteriaThis study included SRs and meta‐analyses of studies involving women aged 18 years or older from diverse ethnic backgrounds, who were either in the preconception period, pregnant, or within 1 year postpartum and who had no contraindications for exercise. Women with chronic diseases, such as pre‐existing diabetes (type 1 or type 2) were excluded.Data Collection and AnalysisTwo reviewers extracted data from selected studies assessing the impact of PA in preconception, pregnancy, and postpartum. Methodologic quality was assessed with the AMSTAR‐2 tool. A narrative summary of results addresses relationships between PA and weight before, during, and after pregnancy, informing future research priorities for preventing excessive weight gain. This study is registered on PROSPERO (CRD420233946666).Main ResultsOut of 892 identified articles, 25 studies were included after removing duplicates, unrelated titles, and screening titles and abstracts for eligibility. The results demonstrate that PA can help prevent excessive GWG and postpartum weight retention. Structured and supervised moderate‐intensity exercise, at least twice a week, and each session lasting a minimum of 35 min seems to provide the greatest benefits.ConclusionsWomen who comply with the PA program and recommendations are more likely to achieve adequate GWG and return to their pre‐pregnancy body mass index after delivery. Further research is warranted to explore how preconception PA influences pregnancy and postpartum outcomes given the absence of identified preconception‐focused interventions.

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Effects on the maternal-fetal health outcomes of various physical activity types in healthy pregnant women. A systematic review and meta-analysis

Cited by 29 publications

References 47 publications

Preventing Gestational Diabetes Mellitus by Improving Healthy Diet and/or Physical Activity during Pregnancy: An Umbrella Review

Preventing Gestational Diabetes Mellitus by Improving Healthy Diet and/or Physical Activity during Pregnancy: An Umbrella Review

Relationship between Physical Activity and the Metabolic, Inflammatory Axis in Pregnant Participants

An umbrella review of systematic reviews on interventions of physical activity before pregnancy, during pregnancy, and postpartum to control and/or reduce weight gain

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