No. 367-2019 Canadian Guideline for Physical Activity throughout Pregnancy

Mottola, Michelle F.; Davenport, Margie H.; Ruchat, Stéphanie-May; Davies, Gregory; Poitras, Veronica J.; Gray, Casey; Garcia, Alejandra Jaramillo; Barrowman, Nick; Adamo, Kristi B.; Duggan, Mary; Barakat, Rubén; Chilibeck, Phil; Fleming, Karen; Forte, Milena; Korolnek, Jillian; Nagpal, Taniya S.; Slater, Linda; Stirling, Deanna; Zehr, Lori

doi:10.1016/j.jogc.2018.07.001

Cited by 123 publications

(116 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It should be kept in mind that despite the ACOG update [8], the hypothesis that health professionals take into account pre-pregnancy physical activity and then progressively help their patients reach the recommendations [30,31] can be retained. This especially may concern those women who were sedentary before pregnancy [8,32].…”

Section: Counseling and Pa Behaviorsmentioning

confidence: 99%

Physical Activity Counseling Received Throughout Pregnancy: Effect on Behaviors: A Quasi-experimental Study.

Ruart

Sinnapah

Hue

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Pregnant women declare perceived barriers to physical activity. Although physical activity is not often dispensed, effective counseling by health professionals is recommended. Health professionals training has been proposed as a target to improve physical activity effective counseling. The objective was to evaluate the physical activity counseling of trained and untrained health professionals given to pregnant women and the effect on the women’s physical activity behaviors.Methods: In a quasi-experimental trial, 72 pregnant women were allocated to a control or intervention group. Physical activity counseling was dispensed to the women in the intervention group by trained healthcare providers throughout pregnancy. The women in the control group followed the usual consultations. The counseling and physical activity levels were evaluated by Chi2 tests and repeated measures ANOVAs respectively.Results: Overall, the women received little counseling in accordance with the recommendations, although the intervention group women received it more frequently (p=0.049). All women who received counseling throughout pregnancy limited their decline in physical activity more than the others. The decline in sports activity among normal-weight pregnant women was reduced in the intervention group (p=0.032), and sedentary activity was preserved among the pre-pregnancy overweight women (p=0.027). The total quantity of physical activity was not different in women who received counseling in accordance with recommendations compared with that of the others.Conclusion: Our intervention showed the effectiveness of counseling on physical activity behaviors, although the effect was limited. Training for professionals should be strengthened to ensure that counseling in line with the recommendations is provided throughout pregnancy.Pregnant women should be encouraged to engage in physical activity from the beginning of pregnancy.Trial registration: The database for this study was retrospectively registered under No. MR 5815250919.

show abstract

Section: Counseling and Pa Behaviorsmentioning

confidence: 99%

Physical Activity Counseling Received Throughout Pregnancy: Effect on Behaviors: A Quasi-experimental Study.

Ruart

Sinnapah

Hue

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…In fact, professional associations of obstetricians and gynaecologists5 and, more recently, international guidelines for physical activity1 6 endorse PE throughout the gestational period recommending pregnant women to accumulate at least 150 min of moderate-intensity aerobic activity per week, distributed over at least 3 days a week. However, being active every day is the most beneficial for maternal health 5 7…”

Section: Introductionmentioning

confidence: 99%

Effects of physical exercise during pregnancy on mothers’ and neonates’ health: a protocol for an umbrella review of systematic reviews and meta-analysis of randomised controlled trials

et al. 2019

View full text Add to dashboard Cite

IntroductionA growing interest has emerged on the effects of exercise during gestation. Several systematic reviews and meta-analyses have shown that prenatal exercise could reduce the mothers’ risk for some disorders. Despite this, evidence regarding the risk of caesarean section, birth weight or Apgar score at delivery is still controversial. Furthermore, practitioners are reluctant to recommend exercise to pregnant women suffering from some disorders, such as hypertension, pre-eclampsia or pregnant women with obesity. Moreover, the scarcity of studies addressing the risks and benefits of exercise at higher intensity prevent practitioners from recommending it at higher dosages. Umbrella reviews represent an appropriate design to elucidate the reasons behind the contradictory findings of previous systematic reviews.MethodsThis protocol was developed according to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols and the Cochrane Collaboration Handbook. Medline, EMBASE, Web of Science, Cochrane database of systematic reviews, Epistemonikos, Prospero register and SPORTDiscuss databases will be searched to identify systematic reviews, meta-analyses and randomised controlled trials that examine the effect of exercise on pregnancy outcomes from inception to August 2019. Searches will be conducted from September to November 2019.Statistical analysisMethodological quality will be evaluated using the AMSTAR 2 tool. The certainty of evidence and strength of recommendations for meta-analyses will be assessed by the Grading of Recommendations Assessment, Development and Evaluation framework. The summary effect sizes will be calculated through the use of random-effects and fixed-effects models. Heterogeneity among studies will be assessed using the I2statistic, and evidence of excess significance bias and evidence of small study effects will also be evaluated.Ethics and disseminationEthical approval will not be needed for this review protocol. The results will be disseminated to academic audiences by peer-reviewed publications. Furthermore, results will be disseminated to clinical audiences through professionals’ associations and social networks, and may influence guidelines developers in order to improve outcomes in mothers and offspring.PROSPERO registration numberCRD42019123410.

show abstract

“…Additional benefits of exercise for pregnant women include reduced rates of maternal and fetal complications, such as preeclampsia, gestational hypertension, gestational diabetes, Caesarean section, excessive gestational weight gain, and macrosomia. 1 The trial of supervised moderate to vigorous prenatal exercise by Mireia Pelaez and colleagues, 2 published in this issue of Mayo Clinic Proceedings, adds to this body of evidence. This single-center, randomized, controlled trial involved more than 300 women in which the control group received usual care while the group randomized to an intervention exercise program exercised three times per week for 24 weeks, in sessions lasting 60 to 65 minutes and of moderate to vigorous intensity.…”

mentioning

confidence: 97%

“…Concerns about exercise safety may be compounded by traditional beliefs that are not supported by evidence, including the perception that pregnant women should rest. 1 A focus group study of low-income African American women found that many women had been told that raising their arms above their head could potentially harm the baby by causing the umbilical cord to become wrapped around the baby's neck. 7 Care providers should be aware of cultural and societal beliefs about exercise in pregnancy so that they can address these concerns with patients.…”

mentioning

confidence: 99%