Gema Sanabria-Martínez1, Antonio García-Hermoso2, Raquel Poyatos-León1, Alberto González-García3, Mairena Sánchez-López4, Vicente Martínez-Vizcaíno5. 1. Virgen de la Luz Hospital, Cuenca, Spain. 2. Facultad de Ciencias Médicas, Universidad de Santiago de Chile, USACH, Chile. 3. Social and Health Care Research Centre, University of Castilla-La Mancha, Cuenca, Spain. 4. Social and Health Care Research Centre, University of Castilla-La Mancha, Cuenca, Spain School of Education, University of Castilla-La Mancha, Ciudad Real, Spain. 5. Social and Health Care Research Centre, University of Castilla-La Mancha, Cuenca, Spain vicente.martinez@uclm.es.
Abstract
OBJECTIVE: The aim of this study was to conduct a systematic review and meta-analysis of randomized controlled clinical trials (RCTs) assessing the influence of physical exercise interventions during pregnancy on some neonatal outcomes. DATA SOURCE: Key words were used to conduct a computerized search in six databases: Cochrane Library Plus, Science Direct, EMBASE, PubMed, Web of Science, and ClinicalTrials.gov. STUDY INCLUSION AND EXCLUSION CRITERIA: RCTs that included an exercise program for healthy pregnant women who were sedentary or had low levels of physical activity were selected. DATA EXTRACTION: Two independent reviewers extracted data and assessed the quality of the studies included. Of 4296 articles retrieved, 14 RCTs (3044 pregnant women) met the inclusion criteria. DATA SYNTHESIS: Pooled effect sizes (ESs) were calculated using a fixed model. RESULTS: Overall, physical exercise programs during pregnancy produced a small reduction in neonatal birth weight (ES = -.10; p = .04). The Apgar score at 1 minute was also weakly increased with combined exercise (aerobic, strength, and flexibility) (ES = .09; p = .048) and no differences between groups were observed in gestational age at delivery and Apgar score at 5 minutes. CONCLUSION: Structured physical exercise programs during pregnancy appear to be safe for the neonate, mainly favoring a lower birth weight within normal range. However, more studies are needed to establish recommendations.
OBJECTIVE: The aim of this study was to conduct a systematic review and meta-analysis of randomized controlled clinical trials (RCTs) assessing the influence of physical exercise interventions during pregnancy on some neonatal outcomes. DATA SOURCE: Key words were used to conduct a computerized search in six databases: Cochrane Library Plus, Science Direct, EMBASE, PubMed, Web of Science, and ClinicalTrials.gov. STUDY INCLUSION AND EXCLUSION CRITERIA: RCTs that included an exercise program for healthy pregnant women who were sedentary or had low levels of physical activity were selected. DATA EXTRACTION: Two independent reviewers extracted data and assessed the quality of the studies included. Of 4296 articles retrieved, 14 RCTs (3044 pregnant women) met the inclusion criteria. DATA SYNTHESIS: Pooled effect sizes (ESs) were calculated using a fixed model. RESULTS: Overall, physical exercise programs during pregnancy produced a small reduction in neonatal birth weight (ES = -.10; p = .04). The Apgar score at 1 minute was also weakly increased with combined exercise (aerobic, strength, and flexibility) (ES = .09; p = .048) and no differences between groups were observed in gestational age at delivery and Apgar score at 5 minutes. CONCLUSION: Structured physical exercise programs during pregnancy appear to be safe for the neonate, mainly favoring a lower birth weight within normal range. However, more studies are needed to establish recommendations.
Authors: Kaleen M Lavin; Paul M Coen; Liliana C Baptista; Margaret B Bell; Devin Drummer; Sara A Harper; Manoel E Lixandrão; Jeremy S McAdam; Samia M O'Bryan; Sofhia Ramos; Lisa M Roberts; Rick B Vega; Bret H Goodpaster; Marcas M Bamman; Thomas W Buford Journal: Compr Physiol Date: 2022-03-09 Impact factor: 8.915
Authors: Octavio Rivera-Romero; Alberto Olmo; Rocío Muñoz; Pablo Stiefel; María Luisa Miranda; Luis M Beltrán Journal: JMIR Mhealth Uhealth Date: 2018-05-30 Impact factor: 4.773
Authors: Michèle Bisson; Jordie Croteau; Benjamin C Guinhouya; Emmanuel Bujold; François Audibert; William D Fraser; Isabelle Marc Journal: BMJ Open Sport Exerc Med Date: 2017-06-19