Exercise during pregnancy protects against hypertension and macrosomia: randomized clinical trial

Barakat, Rubén; Peláez, Mireia; Cordero, Yaiza; Perales, Marı́a; López, Carmina; Coterón, Javier; Mottola, Michelle F.

doi:10.1016/j.ajog.2015.11.039

Cited by 206 publications

(283 citation statements)

References 33 publications

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“…The other found no effect of exercise before or during pregnancy on the rate of gestational hypertension 245. However, a recent large RCT showed that women who initiate structured exercise early in pregnancy are three times more likely to prevent gestational hypertension, are 1.5 times more likely to prevent excessive GWG and are 2.5 times more likely to prevent macrosomic or large babies 246. Quality rating for prevention: moderate, no studies in elite athletes.…”

Section: Pregnancymentioning

confidence: 99%

Exercise and pregnancy in recreational and elite athletes: 2016 evidence summary from the IOC expert group meeting, Lausanne. Part 1—exercise in women planning pregnancy and those who are pregnant

et al. 2016

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Section: Pregnancymentioning

confidence: 99%

Exercise and pregnancy in recreational and elite athletes: 2016 evidence summary from the IOC expert group meeting, Lausanne. Part 1—exercise in women planning pregnancy and those who are pregnant

et al. 2016

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“…Overall, seven studies (n=1759) from five countries (USA,19–21 Australia,22 Canada,23 Spain24 and Norway25) were included. Three studies were RCTs21 24 25 (intervention groups, n=842; control groups, n=840) and included supine exercise within a structured exercise intervention.…”

Section: Resultsmentioning

confidence: 99%

“…There was ‘low’ quality evidence from one RCT (n=765 women) that indicated a structured exercise intervention that included supine exercise was not associated with increased odds of SGA (<2500 g) 24. The quality of evidence was downgraded from ‘high’ to ‘low’ because of high risk of bias (performance bias) and serious inconsistency (see online supplementary table 5).…”

Section: Resultsmentioning

confidence: 99%

Is supine exercise associated with adverse maternal and fetal outcomes? A systematic review

et al. 2018

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ObjectiveTheoretical concerns regarding the supine position at rest due to the gravid uterus obstructing aorta and vena caval flow may impinge uterine blood flow (UBF) to the fetus and maternal venous return.DesignSystematic review.Data sourcesOnline databases up to 11 December 2017.Study criteriaEligible population (pregnant without contraindication to exercise), intervention (frequency, intensity, duration, volume or type of supine exercise), comparator (no exercise or exercise in left lateral rest position, upright posture or other supine exercise), outcomes (potentially adverse effects on maternal blood pressure, cardiac output, heart rate, oxygen saturation, fetal movements, UBF, fetal heart rate (FHR) patterns; adverse events such as bradycardia, low birth weight, intrauterine growth restriction, perinatal mortality and other adverse events as documented by study authors), and study design (except case studies and reviews) published in English, Spanish, French or Portuguese.ResultsSeven studies (n=1759) were included. ‘Very low’ to ‘low’ quality evidence from three randomised controlled trials indicated no association between supervised exercise interventions that included supine exercise and low birth weight compared with no exercise. There was ‘very low’ to ‘low’ quality evidence from four observational studies that showed no adverse events in the mother; however, there were abnormal FHR patterns (as defined by study authors) in 20 of 65 (31%) fetuses during an acute bout of supine exercise. UBF decreased (13%) when women moved from left lateral rest to acute dynamic supine exercise.ConclusionThere was insufficient evidence to ascertain whether maternal exercise in the supine position is safe or should be avoided during pregnancy.

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“…En otro estudio de Barakat y cols, en 2016 (38), se trabajó con un grupo de ejercicio (n = 382) y un grupo de control (n = 383). El primero entrenó tres días a la semana (50-55 min/sesión), desde la semana 9-11 de gestación hasta la 38-39, mientras que el grupo de control recibió una atención estándar.…”

Section: Tabla I Características Basales De La Muestraunclassified

Influencia del ejercicio físico durante el embarazo sobre el peso del recién nacido: un ensayo clínico aleatorizado.

et al. 2017

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Palabras clave:Actividad física. Ganancia de peso durante el embarazo. Parto. Peso del recién nacido. ResumenIntroducción: los últimos estudios han demostrado que la actividad física de la mujer embarazada aporta benefi cios no solo para la madre sino también para el feto, puesto que disminuye el número de recién nacidos macrosómicos y sus consecuencias negativas para los dos. Objetivo: analizar la infl uencia de un programa de actividad física de carácter moderado para la mujer gestante en el medio acuático sobre el peso del recién nacido. Material y métodos: ensayo clínico aleatorizado con 140 mujeres gestantes sanas, con edades entre 21 y 43 años y divididas en dos grupos, estudio (GE, n = 70) y control (GC, n = 70). Las mujeres fueron captadas a las 12 semanas de gestación en el control ecográfi co del primer trimestre, en los distintos servicios de obstetricia de Granada. Se incorporaron al programa en la semana 20 de gestación y terminaron en la semana 37. Los resultados perinatales se obtuvieron del partograma de cada mujer, registrado en los Servicios de Paritorio del Complejo Hospitalario Universitario de Granada. Resultados: la mediana del peso de los bebes de las gestantes que participaron en la intervención fue de 3.250 g, frente a la de los bebes del grupo control, que fue de 3.460 g; existen diferencias estadísticamente signifi cativas entre ambos grupos (p = 0,011). El 86,8% de los dos grupos presentaba pesos dentro de la normalidad clínica, esto es, entre 2.500 y 4.000 g. Las mujeres que siguieron el método SWEP (Study Water Exercise Pregnant) durante el embarazo tuvieron una ganancia ponderal de 8,28 kg, frente a las mujeres sedentarias, en las cuales fue de 11,17 kg (p < 0,001). Sin embargo, la tasa de bebés macrosómicos fue similar, por lo que no se presentan diferencias signifi cativas entre los dos grupos (GC n = 7, GE n = 6). No hubo diferencias signifi cativas en el tiempo de gestación entre ambos grupos, con una media de 279,70 días (GC) y 280,09 días (GE) (p-valor > 0,05). Conclusión: La actividad física de carácter moderado en el medio acuático siguiendo la metodología SWEP no presenta riesgos de parto prematuro y no se altera el tiempo de gestación con respecto a las mujeres sedentarias durante el embarazo. El ejercicio físico ha logrado una disminución signifi cativa del peso del recién nacido y una menor ganancia ponderal durante el embarazo. Estos dos resultados no han sido determinantes para reducir la tasa de macrosomías en nuestro estudio. Key words:Physical activity. Weight gain during pregnancy. Childbirth. Newborn weight. AbstractIntroduction: Recent studies have proved that physical activity of the pregnant woman brings benefi ts not only for the mother but also for the fetus, given that it decreases the number of macrosomic newborns and their negative consequences in both of them. Objective: To analyze in pregnant women the infl uence of a moderate physical activity program in the aquatic environment on the weight of the newborn. Material and methods: A randomized clinical t...

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Exercise during pregnancy protects against hypertension and macrosomia: randomized clinical trial

Cited by 206 publications

References 33 publications

Exercise and pregnancy in recreational and elite athletes: 2016 evidence summary from the IOC expert group meeting, Lausanne. Part 1—exercise in women planning pregnancy and those who are pregnant

Exercise and pregnancy in recreational and elite athletes: 2016 evidence summary from the IOC expert group meeting, Lausanne. Part 1—exercise in women planning pregnancy and those who are pregnant

Is supine exercise associated with adverse maternal and fetal outcomes? A systematic review

Influencia del ejercicio físico durante el embarazo sobre el peso del recién nacido: un ensayo clínico aleatorizado.

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