Erratum: Physical Activity during Pregnancy: Recommendations and Assessment Tools

Santini, C.; Imakawa, Thiago dos Santos; Moisés, Elaine Christine Dantas

doi:10.1055/s-0037-1607299

Cited by 3 publications

(2 citation statements)

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“…The evidence presented in this commentary provides a rationale for NHS services (assisted conception) to adopt more robust criteria on dietary intake, alcohol consumption and physical activity to accompany existing criteria which focuses on BMI, smoking and illicit drug use. One method to achieve this could be the introduction of screening tools into assisted conception services which could support clinicians to identify patient dietary intake (including alcohol consumption) and physical activity levels ( 91 , 92 ). The screening tool data could be used to review patient eligibility for IVF and identify any future intervention needs with the intension to improve IVF outcomes.…”

Section: Discussionmentioning

confidence: 99%

Beyond body mass index: a synthesis of lifestyle factors that may influence in vitro fertilisation outcomes

Schneider

Hamer²,

Smith³

et al. 2023

British Journal of Midwifery

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There are several lifestyle factors that are thought to potentially impact in vitro fertilisation outcomes, including body mass index, smoking, alcohol consumption, caffeine, dietary patterns and physical activity. Eligibility criteria for in vitro fertilisation in England often require individuals to be non-smokers, drug free and have a body mass index <30kg/m2. Some researchers have questioned the scientific and ethical basis for the use of body mass index thresholds in fertility treatment, citing evidence that other factors may have a greater effect on the chance of success of in vitro fertilisation. This article aims to briefly synthesise the current evidence on how other factors such as smoking, alcohol, recreational drugs, smoking, caffeine, dietary patterns and physical activity may impact in vitro fertilisation outcomes.

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Section: Discussionmentioning

confidence: 99%

Beyond body mass index: a synthesis of lifestyle factors that may influence in vitro fertilisation outcomes

Schneider

Hamer²,

Smith³

et al. 2023

British Journal of Midwifery

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show abstract

“…The primary objective of FitMum was to evaluate the effects of offering structured supervised exercise training (EXE) or motivational counseling on PA (MOT) compared to standard care (CON) on moderate-to-vigorous intensity PA (MVPA) in pregnant women as determined by a wrist-worn commercial activity tracker. Secondary measures of PA were obtained by the Danish version of the Pregnancy Physical Activity Questionnaire (PPAQ-DK) [27,28] and by the gold standard doubly labeled water (DLW) technique [29][30][31]. The hypotheses were that both EXE and MOT would increase MVPA in pregnancy compared to CON and that EXE would be more effective than MOT [32,33].…”

Section: Introductionmentioning

confidence: 99%

Effects of Structured Supervised Exercise Training or Motivational Counseling on Pregnant Women’s Physical Activity Level: FitMum - Randomized Controlled Trial

Knudsen¹,

Alomairah²,

Roland³

et al. 2022

J Med Internet Res

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Background Physical activity (PA) during pregnancy is an effective and safe way to improve maternal health in uncomplicated pregnancies. However, compliance with PA recommendations remains low among pregnant women. Objective The purpose of this study was to evaluate the effects of offering structured supervised exercise training (EXE) or motivational counseling on PA (MOT) during pregnancy on moderate-to-vigorous intensity physical activity (MVPA) level. Additionally, complementary measures of PA using the Pregnancy Physical Activity Questionnaire (PPAQ) and gold standard doubly labeled water (DLW) technique were investigated. The hypotheses were that both EXE and MOT would increase MVPA in pregnancy compared with standard care (CON) and that EXE would be more effective than MOT. In addition, the association between MVPA and the number of sessions attended was explored. Methods A randomized controlled trial included 220 healthy, inactive pregnant women with a median gestational age of 12.9 (IQR 9.4-13.9) weeks. A total of 219 women were randomized to CON (45/219), EXE (87/219), or MOT (87/219). The primary outcome was MVPA (minutes per week) from randomization to the 29th gestational week obtained by a wrist-worn commercial activity tracker (Vivosport, Garmin International). PA was measured by the activity tracker throughout pregnancy, PPAQ, and DLW. The primary outcome analysis was performed as an analysis of covariance model adjusting for baseline PA. Results The average MVPA (minutes per week) from randomization to the 29th gestational week was 33 (95% CI 18 to 47) in CON, 50 (95% CI 39 to 60) in EXE, and 40 (95% CI 30 to 51) in MOT. When adjusted for baseline MVPA, participants in EXE performed 20 (95% CI 4 to 36) minutes per week more MVPA than participants in CON (P=.02). MOT was not more effective than CON; EXE and MOT also did not differ. MVPA was positively associated with the number of exercise sessions attended in EXE from randomization to delivery (P=.04). Attendance was higher for online (due to COVID-19 restrictions) compared with physical exercise training (P=.03). Adverse events and serious adverse events did not differ between groups. Conclusions Offering EXE was more effective than CON to increase MVPA among pregnant women, whereas offering MOT was not. MVPA in the intervention groups did not reach the recommended level in pregnancy. Changing the intervention to online due to COVID-19 restrictions did not affect MVPA level but increased exercise participation. Trial Registration ClinicalTrials.gov NCT03679130; https://clinicaltrials.gov/ct2/show/NCT03679130 International Registered Report Identifier (IRRID) RR2-10.1136/bmjopen-2020-043671

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Effects of Structured Supervised Exercise Training or Motivational Counseling on Pregnant Women’s Physical Activity Level: FitMum - Randomized Controlled Trial (Preprint)

Knudsen¹,

Alomairah²,

Roland³

et al. 2022

Preprint

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BACKGROUND Physical activity (PA) during pregnancy is an effective and safe way to improve maternal health in uncomplicated pregnancies. However, compliance with PA recommendations remains low among pregnant women. OBJECTIVE The purpose of this study was to evaluate the effects of offering structured supervised exercise training (EXE) or motivational counseling on PA (MOT) during pregnancy on moderate-to-vigorous intensity physical activity (MVPA) level. Additionally, complementary measures of PA using the Pregnancy Physical Activity Questionnaire (PPAQ) and gold standard doubly labeled water (DLW) technique were investigated. The hypotheses were that both EXE and MOT would increase MVPA in pregnancy compared with standard care (CON) and that EXE would be more effective than MOT. In addition, the association between MVPA and the number of sessions attended was explored. METHODS A randomized controlled trial included 220 healthy, inactive pregnant women with a median gestational age of 12.9 (IQR 9.4-13.9) weeks. A total of 219 women were randomized to CON (45/219), EXE (87/219), or MOT (87/219). The primary outcome was MVPA (minutes per week) from randomization to the 29th gestational week obtained by a wrist-worn commercial activity tracker (Vivosport, Garmin International). PA was measured by the activity tracker throughout pregnancy, PPAQ, and DLW. The primary outcome analysis was performed as an analysis of covariance model adjusting for baseline PA. RESULTS The average MVPA (minutes per week) from randomization to the 29th gestational week was 33 (95% CI 18 to 47) in CON, 50 (95% CI 39 to 60) in EXE, and 40 (95% CI 30 to 51) in MOT. When adjusted for baseline MVPA, participants in EXE performed 20 (95% CI 4 to 36) minutes per week more MVPA than participants in CON (P=.02). MOT was not more effective than CON; EXE and MOT also did not differ. MVPA was positively associated with the number of exercise sessions attended in EXE from randomization to delivery (P=.04). Attendance was higher for online (due to COVID-19 restrictions) compared with physical exercise training (P=.03). Adverse events and serious adverse events did not differ between groups. CONCLUSIONS Offering EXE was more effective than CON to increase MVPA among pregnant women, whereas offering MOT was not. MVPA in the intervention groups did not reach the recommended level in pregnancy. Changing the intervention to online due to COVID-19 restrictions did not affect MVPA level but increased exercise participation. CLINICALTRIAL ClinicalTrials.gov NCT03679130; https://clinicaltrials.gov/ct2/show/NCT03679130 INTERNATIONAL REGISTERED REPORT RR2-10.1136/bmjopen-2020-043671

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Erratum: Physical Activity during Pregnancy: Recommendations and Assessment Tools

Cited by 3 publications

References 0 publications

Beyond body mass index: a synthesis of lifestyle factors that may influence in vitro fertilisation outcomes

Beyond body mass index: a synthesis of lifestyle factors that may influence in vitro fertilisation outcomes

Effects of Structured Supervised Exercise Training or Motivational Counseling on Pregnant Women’s Physical Activity Level: FitMum - Randomized Controlled Trial

Effects of Structured Supervised Exercise Training or Motivational Counseling on Pregnant Women’s Physical Activity Level: FitMum - Randomized Controlled Trial (Preprint)

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