Exercise during pregnancy improves maternal health perception: a randomized controlled trial

Barakat, Rubén; Peláez, Mireia; Montejo, Rocio; Luaces, María; Zakynthinaki, Maria S.

doi:10.1016/j.ajog.2011.01.043

Cited by 143 publications

(202 citation statements)

References 42 publications

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“…However, MPA prevalence rates among pregnant women are lower than those of the general population and these rates tend to decrease as pregnancy progresses [28,29] putting a large population at risk for pregnancy-associated risk factors [30] including gestational diabetes mellitus [22,31,32], maternal obesity and excessive weight gain during late pregnancy [33], and pre-eclampsia [31,[34][35][36]. Additionally, long-term sedentary lifestyles are associated with increased risks for chronic diseases later in life such as cardiovascular disease [37,38], diabetes [39], obesity [39], and depression [40,41].…”

Section: Introductionmentioning

confidence: 99%

“…To date there are only a few known studies that have examined the effects of antenatal physical activity on PPD. In a small randomized control trial (N = 67), Barakat et al (2011) examined the effects of exercise throughout pregnancy (i.e. weeks 6 -9 through weeks 38 -39) and determined that the exercise group (i.e.…”

Section: Introductionmentioning

confidence: 99%

“…anti-depressants), cognitive therapy as well as alternative treatments (e.g. mindfulness, meditation, physical activity) [22][23][24]. In particular, engaging in regular Moderate-intensity Physical Activity (MPA) has been demonstrated as a successful treatment modality for major and minor depression in the general population [25] and as effective in reducing depression symptomatology as pharmacologic treatments [9].…”

Section: Introductionmentioning

confidence: 99%

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Antenatal physical activity: Investigating the effects on postpartum depression

Guida¹,

Sundaram²,

Leiferman³

2012

Health

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Engaging in regular moderate-intensity physical activity has been demonstrated as a successful treatment modality for both major and minor depression and as effective as pharmacologic treatments. However, less is known about the use of antenatal physical activity as a preventive modality for depression during the perinatal period. The objective of the present study was to determine if there is an association between antenatal physical activity and PPD. A cross-sectional study using the 2007-2008 Pregnancy Risk Assessment Monitoring System (PRAMS) data from Colorado and North Carolina (N = 6026) was conducted. PRAMS self-reported data are from a large randomized sample collected by the CDC that assesses maternal demographic, socio-economic, and pre-pregnancy and perinatal behaviors. Multivariable logistic regression was used to examine the relationship between antenatal sedentary behavior and PPD. Upon adjusting for maternal age, education, race, marital status, parity, stress, smoking, drinking, and prenatal care utilization, women who did not engage in antenatal physical activity were 1.34 times more likely to screen positive for PPD than women who exercised 5 or more days per week [OR 1.34; 95% CI: (1.04, 1.74); p = 0.03]. These findings suggest that not engaging in antenatal exercise may be associated with an increase risk of PPD. Further research is warranted to better understand the effects of antenatal sedentary behavior on PPD and the potential use of physical activity as a preventive modality for PPD.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Antenatal physical activity: Investigating the effects on postpartum depression

Guida¹,

Sundaram²,

Leiferman³

2012

Health

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“…Research on exercise in pregnancy has increased over the years, and many studies have demonstrated the benefits of PE on maternal and fetal outcomes [4,5], including positive maternal psychological factors [6,7] and decreased risks of preeclampsia and gestational diabetes (GD) [8,9].…”

Section: Introductionmentioning

confidence: 99%

Exercise during pregnancy reduces the rate of cesarean and instrumental deliveries: results of a randomized controlled trial

Barakat

Peláez

López

et al. 2012

The Journal of Maternal-Fetal & Neonatal Medicine

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107

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In this study, the authors assessed the effects of a structured, moderate-intensity exercise program during the entire length of pregnancy on a woman's method of delivery. Methods:A randomized controlled trial was conducted with 290 healthy pregnant Caucasian (Spanish) women with a singleton gestation who were randomly assigned to either an exercise (n=138) or a control (n=152) group. Pregnancy outcomes, including the type of delivery, were measured at the end of the pregnancy.Results:The percentage of cesarean and instrumental deliveries in the exercise group were lower than in the control group (15.9%, n=22; 11.6%, n=16 vs. 23%, n=35; 19.1%, n=29, respectively; p=0.03). The overall health status of the newborn as well as other pregnancy outcomes were unaffected. Conclusions:Based on these results, a supervised program of moderate-intensity exercise performed throughout pregnancy was associated with a reduction in the rate of cesarean sections and can be recommended for healthy women in pregnancy.

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“…Results from the few RCTs evaluating the relationship between exercise during pregnancy and psychological variables show inconsistent results (Barakat et al, 2011;Marquez-Sterling et al, 2000;Montoya Arizabaleta et al, 2010;Nascimento et al, 2011;Robledo-Colonia et al, 2012). Comparison of findings is also difficult due to the use of different outcome measures, study populations and exercise dosage (mode, intensity and duration).…”

Section: Discussionmentioning

confidence: 99%

What is the effect of regular group exercise on maternal psychological outcomes and common pregnancy complaints? An assessor blinded RCT

2016

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This file was dowloaded from the institutional repository Brage NIH -brage.bibsys.no/nih Haakstad, L. A. H., Torset, B. S., Bø, K. (2015). What is the effect of regular group exercise on maternal psychological outcomes and common pregnancy complaints? An assessor blinded RCT. Midwifery, 32,[81][82][83][84][85][86] Dette er siste tekst-versjon av artikkelen, og den kan inneholde små forskjeller fra forlagets pdf-versjon. Intervention: The exercise intervention followed ACOG guidelines and included a 60 min general fitness class, with 40 min of endurance training/aerobic and 20 min of strength training and stretching/relaxation, performed at least twice per week for a minimum of 12 weeks. Measurements:Outcome measures were assessed through standardized interviews pre-and postintervention (gestation week 36.6, ± 0.9), and included psychological variables related to quality of life, well-being, body image and pregnancy depression, as well as assessment of 13 commonly reported pregnancy complaints.Findings: Post-intervention, using intention to treat (ITT) analysis, women randomized to exercise rated their health significantly better compared to women in the control group (p=0.02) and reported less fatigue related to everyday activities (p=0.04). Women with complete exercise adherence (≥24 sessions) had significantly better scores on measurements of feelings related to sadness, hopelessness and anxiety (p<0.01), compared to the control group. Contradictory, the control group reported higher life enjoyment (p<0.01). There were no significant group differences in body-image or pregnancy depression. With respect to analyzing pregnancy complaints according to ITT, no differences between the groups were found. A comparison of the women who attended ≥19 (80%, n=21) or ≥24 (100%, n=14) exercise sessions with the controlparticipants, showed that fewer women in the exercise group reported nausea/vomiting and numbness/poor circulation in legs.Key conclusion and implication for practise: Participation in regular group exercise during pregnancy contributed to improvements in some variables related to maternal well-being and quality of life. Women with high exercise adherence had significantly better results on several health variables reaping the highest benefits. A qualitative study exploring the barriers of women in achieving recommended amount of activity may be necessary to understand this population and developing better clinical practice educational tools.

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Exercise during pregnancy improves maternal health perception: a randomized controlled trial

Cited by 143 publications

References 42 publications

Antenatal physical activity: Investigating the effects on postpartum depression

Antenatal physical activity: Investigating the effects on postpartum depression

Exercise during pregnancy reduces the rate of cesarean and instrumental deliveries: results of a randomized controlled trial

What is the effect of regular group exercise on maternal psychological outcomes and common pregnancy complaints? An assessor blinded RCT

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