A Medically Supervised Pregnancy Exercise Intervention in Obese Women

Daly, Niamh; Farren, Maria; McKeating, Aoife; O’Kelly, Ruth; Stapleton, Mary; Turner, Michael J.

doi:10.1097/aog.0000000000002267

Cited by 50 publications

(170 citation statements)

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“…32 Two studies were conducted in lowand middle-income countries: China and Brazil. [19][20][21]26,27,[29][30][31][32]34 Three studies had a sample size greater than 100 in each group. Ten studies had a small sample size (<60 in each group).…”

Section: Resultsmentioning

confidence: 99%

“…33,34 A total of 1439 participants were included in this metaanalysis. 22,28,33 Seven studies included obese pregnant women 19,21,[26][27][28][29]32 and six studies included both overweight and obese pregnant women. [19][20][21]26,27,[29][30][31][32]34 Three studies had a sample size greater than 100 in each group.…”

Section: Resultsmentioning

confidence: 99%

“…Ten studies had a small sample size (<60 in each group). 20,22,30,31,33,34 Average body mass index (BMI) of participants was greater than 30 kg/m 2 in 12 studies [19][20][21][22][26][27][28][29][30][31][32]34 with the exception of one study where it was 26.79 ± 2.75 kg/m 2 . 22,28,33 Seven studies included obese pregnant women 19,21,[26][27][28][29]32 and six studies included both overweight and obese pregnant women.…”

Section: Resultsmentioning

confidence: 99%

“…22,28,33 Seven studies included obese pregnant women 19,21,[26][27][28][29]32 and six studies included both overweight and obese pregnant women. 29,[31][32][33][34] Of the other eight studies, three recruited women before 20 weeks 20,22,30 ; one at 18 weeks 26 ; one before 16 weeks 28 ; two at 12 weeks 19,27 ; and one at 11-14 weeks of gestation. 33 The five studies that reported mean gestational age at study recruitment had a pooled mean gestational age of 11.4 ± 2.7 weeks.…”

Section: Resultsmentioning

confidence: 99%

“…20,22,30,31,33,34 Average body mass index (BMI) of participants was greater than 30 kg/m 2 in 12 studies [19][20][21][22][26][27][28][29][30][31][32]34 with the exception of one study where it was 26.79 ± 2.75 kg/m 2 . 21 Exercise programs in the intervention groups were "stationary cycling" at least three times each week (30 min/session) 20,26,33 ; "aerobic strength and muscle exercises" two to three times each week (60 min/ session) 30,32,34 ; "walking for 11 000 steps or at least 30 minutes daily" 28,31 ; "mixed method of stationary cycling, treadmill walk and muscle exercise" one to three times each week (about 50 min/session) 21,22,29 ; and "personalized exercise plan," respectively. 29,[31][32][33][34] Of the other eight studies, three recruited women before 20 weeks 20,22,30 ; one at 18 weeks 26 ; one before 16 weeks 28 ; two at 12 weeks 19,27 ; and one at 11-14 weeks of gestation.…”

Section: Resultsmentioning

confidence: 99%

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Effects of physical exercise during pregnancy on maternal and infant outcomes in overweight and obese pregnant women: A meta‐analysis

Ouyang

Nie

et al. 2018

Birth

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Background:Overweight and obesity are related to maternal and infant physical health, such as gestational diabetes, preeclampsia, and macrosomia. The purpose of this meta-analysis was to assess the effect of physical exercise on maternal and infant outcomes in overweight and obese pregnant women. Methods: Two researchers independently searched Cochrane Library, Embase, PubMed, Web of Science, and ClinicalTrials.gov. for English-language articles based on randomized controlled trials examining physical exercise in overweight and obese pregnant women and its effect on maternal and infant outcomes. Primary outcomes were gestational weight gain and a relative risk of gestational diabetes. Secondary outcomes were gestational hypertension, preeclampsia, cesarean delivery, birthweight, large for gestational age, small for gestational age, macrosomia, and preterm birth. Risk bias was evaluated by Cochrane Collaboration's tool. The results of integration were reported as relative risks (RR), mean difference, or standard mean difference with 95% confidence intervals (CI). This meta-analysis was registered on PROSPERO on November 18, 2017, with registration number CRD42017081565. Results: Thirteen studies involving 1439 participants were included. Physical exercise reduced gestational weight gain (mean difference = −1.14 kg, 95% CI = [−1.67 to −0.62], P < 0.0001) and the risk of gestational diabetes (RR = 0.71, 95% CI = [0.57-0.89], P = 0.004) in overweight and obese pregnant women. There were no significant differences in other outcomes such as gestational hypertension, preeclampsia, cesarean delivery, birthweight, large for gestational age, small for gestational age, macrosomia, and preterm birth. Conclusions: Prenatal exercise interventions reduced gestational weight gain and the risk of gestational diabetes for overweight and obese pregnant women, which reinforced the benefits of exercise during pregnancy. However, no evidence was found with respect to benefits and/or harm for infants. Consideration should be taken when interpreting these findings as a result of the relative small sample size in this meta-analysis.Further larger well-designed randomized trials may be helpful to assess the short-term and long-term effects of prenatal exercise on maternal and infant outcomes. K E Y W O R D Sexercise, infant health outcomes, maternal health outcomes, meta-analysis, overweight and obesity 212 | DU et al.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Effects of physical exercise during pregnancy on maternal and infant outcomes in overweight and obese pregnant women: A meta‐analysis

Ouyang

Nie

et al. 2018

Birth

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Counseling and Behavioral Interventions for Healthy Weight and Weight Gain in Pregnancy

Cantor

Jungbauer

McDonagh

et al. 2021

JAMA

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IMPORTANCECounseling and active behavioral interventions to limit excess gestational weight gain (GWG) during pregnancy may improve health outcomes for women and infants. The 2009 National Academy of Medicine (NAM; formerly the Institute of Medicine) recommendations for healthy GWG vary according to prepregnancy weight category.OBJECTIVE To review and synthesize the evidence on benefits and harms of behavioral interventions to promote healthy weight gain during pregnancy to inform the US Preventive Services Task Force recommendation.

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Behavioural interventions delivered through interactive social media for health behaviour change, health outcomes, and health equity in the adult population

Petkovic

Duench

Trawin

et al. 2021

Cochrane Database of Systematic Reviews

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A Medically Supervised Pregnancy Exercise Intervention in Obese Women

Abstract: International Standard Randomised Controlled Trials (ISRCTN) registry, ISRCTN 31045925.

Cited by 50 publications

References 28 publications

Effects of physical exercise during pregnancy on maternal and infant outcomes in overweight and obese pregnant women: A meta‐analysis

Effects of physical exercise during pregnancy on maternal and infant outcomes in overweight and obese pregnant women: A meta‐analysis

Counseling and Behavioral Interventions for Healthy Weight and Weight Gain in Pregnancy

Behavioural interventions delivered through interactive social media for health behaviour change, health outcomes, and health equity in the adult population

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