S Verdière1, B C Guinhouya2, D Salerno3, P Deruelle4. 1. Pôle mère enfant gynécologie, centre hospitalier de Seclin, 59113 Seclin, France. 2. Université de Lille, EA 2694, santé publique : épidémiologie et qualité des soins & UFR ingénierie et management de la santé, 59000 Lille, France. Electronic address: benjamin.guinhouya@univ-lille2.fr. 3. Université de Lille, laboratoire MERCUR - LSRC & UFR ingénierie et management de la santé, 59000 Lille, France. 4. Pôle femme mère nouveau-né, clinique d'obstétrique, maternité Jeanne-de-Flandre, CHRU de Lille, Lille, France; Université de Lille, EA 4489, environnement périnatal et croissance & faculté de médecine, 59000 Lille, France.
Abstract
OBJECTIVE: This paper aimed at providing a critical analysis of data on the risks associated with physical activity of women during their pregnancy. METHODS: Cochrane Library, Google Scholar, PubMed (Medline) and Web of Sciences were searched using a combination of MeSH terms associated to "Physical activity", "Pregnancy" and "Adverse events" or "Risks". Only review papers published from inception of these databases to November 2016 were used in the present analysis. RESULTS: The electronic search yield a total of 104 citations. After a critical analysis of abstracts and/or full-texts, only a systematic review and cohort study on injuries related to physical activity during pregnancy appeared relevant for the current study. Data reveals a very small proportion (<1 %) of adverse events in direct link with the physical activity behavior of pregnant women. Furthermore, there would be less than one serious adverse event per 5000hours of physical activity. The only serious adverse event attributable to physical activity during pregnancy was uterine contractions. The threat of preterm labor and miscarriage risk cannot be primarily attributed to the participation of pregnant women in a physical activity, even vigorous. Moreover, no adverse effects of maternal physical activity on neonatal outcomes were found. CONCLUSION: Physical activity-related risks during pregnancy appear to be infrequent and of minor severity. Though further studies are required to better understand the risk/benefit balance of physical activity during pregnancy, current data do not support the contraindication of this behavior in pregnant women.
OBJECTIVE: This paper aimed at providing a critical analysis of data on the risks associated with physical activity of women during their pregnancy. METHODS: Cochrane Library, Google Scholar, PubMed (Medline) and Web of Sciences were searched using a combination of MeSH terms associated to "Physical activity", "Pregnancy" and "Adverse events" or "Risks". Only review papers published from inception of these databases to November 2016 were used in the present analysis. RESULTS: The electronic search yield a total of 104 citations. After a critical analysis of abstracts and/or full-texts, only a systematic review and cohort study on injuries related to physical activity during pregnancy appeared relevant for the current study. Data reveals a very small proportion (<1 %) of adverse events in direct link with the physical activity behavior of pregnant women. Furthermore, there would be less than one serious adverse event per 5000hours of physical activity. The only serious adverse event attributable to physical activity during pregnancy was uterine contractions. The threat of preterm labor and miscarriage risk cannot be primarily attributed to the participation of pregnant women in a physical activity, even vigorous. Moreover, no adverse effects of maternal physical activity on neonatal outcomes were found. CONCLUSION: Physical activity-related risks during pregnancy appear to be infrequent and of minor severity. Though further studies are required to better understand the risk/benefit balance of physical activity during pregnancy, current data do not support the contraindication of this behavior in pregnant women.
Authors: Caroline Borup Roland; Signe de Place Knudsen; Saud Abdulaziz Alomairah; Anne Dsane Andersen; Jane Bendix; Tine D Clausen; Stig Molsted; Andreas Kryger Jensen; Grete Teilmann; Astrid Pernille Jespersen; Jakob Eg Larsen; Gerrit van Hall; Emil Andersen; Romain Barrès; Ole Hartvig Mortensen; Helle Terkildsen Maindal; Lise Tarnow; Ellen Christine Leth Løkkegaard; Bente Stallknecht Journal: BMJ Open Date: 2021-03-19 Impact factor: 3.006