The effect of maternal exercise during pregnancy on abnormal fetal growth

Tomić, Vlatka; Sporiš, Goran; Tomić, Jozo; Milanović, Zoran; Zigmundovac-Klaić, Djurdja; Pantelić, Saša

doi:10.3325/cmj.2013.54.362

Cited by 67 publications

(118 citation statements)

References 28 publications

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“…Although not all GDM events can be prevented, lifestyle interventions introduced early in pregnancy or before pregnancy have the potential of preventing GDM development, at least among some women. This is supported by the promising findings from large observational studies on pre-pregnancy diet and lifestyle (Table 1), aforementioned positive findings from studies that started the intervention early in pregnancy [31][32][33][34][35][36][37][38][39][40], and by the successful prevention of type 2 diabetes with diet and lifestyle modification among non-pregnant individuals, for example, in the FDPS [26] and in the US DPP [27]. Finally, findings from animal and human medical studies have demonstrated the biological plausibility of improving insulin sensitivity and secretion through diet and lifestyle modification.…”

mentioning

confidence: 61%

“…The few studies that did demonstrate a significant beneficial effect of diet and/or physical activity all started the intervention relatively early, in the first trimester, before or near 13 weeks of gestation [31][32][33][34][35][36][37][38][39][40]. For example, among all the published studies to date on physical activity interventions for GDM prevention [41,42], the point estimate for the majority of studies indicate a beneficial effect, yet only those with the intervention starting early in the first trimester had statistically significant findings [33][34][35]38]. The same was true for intervention approaches that combined physical activity with diet modification [36,37,40], administered diet modification/supplement alone [39] or pharmacological intervention with metformin [31].…”

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confidence: 99%

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Risk factors for gestational diabetes: is prevention possible?

2016

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Gestational diabetes mellitus (GDM), a common pregnancy complication, continues to be a significant public health and clinical problem. It carries significant short-term and long-term adverse health outcomes for both mother and offspring, which reinforces the significance of understanding risk factors, in particular modifiable factors, for GDM and of preventing the condition. Research in the past decade from observational studies has identified a few diet and lifestyle factors that are associated with GDM risk and demonstrated that time frames both before and during pregnancy may be relevant to the development of GDM. Findings from intervention studies on the effect of diet and lifestyle on the prevention of GDM have been largely controversial and inconsistent. Variations in study population, types of intervention, timing and duration of intervention and diagnostic criteria for GDM may all at least partly account for the large heterogeneity in the findings from these intervention studies. This review provides an overview of emerging diet, lifestyle, and other factors that may help to prevent GDM, and the challenges associated with prevention. It also discusses major methodological concerns about the available epidemiological studies on GDM risk factors. Findings from both observational and intervention studies are discussed.

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confidence: 61%

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confidence: 99%

Risk factors for gestational diabetes: is prevention possible?

2016

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“…Mode of exercise included walking, stationary cycling, aerobic dance, water gymnastics, and resistance training. Exercise intensity was assessed by heart rate monitors 19,20,[23][24][25][26][27][28][29][32][33][34][35][36]40,41,[43][44][45]47 and the Borg Scale of Perceived Exertion. 17,37,[42][43][44][45][46] Three studies did not report exercise intensity 31,38,39 and many did not give a precise intensity range (eg, less than 70% heart rate reserve).…”

Section: Resultsmentioning

confidence: 99%

“…When P values were not available for change-from-baseline outcomes such as gestational weight gain, 19,20 the standard deviation of the change was estimated using the correlation coefficient between preintervention and postintervention values from other studies in the review (Cochrane Handbook 16.1.3.2 18 ).…”

Section: Study Selectionmentioning

confidence: 99%

The Effect of Supervised Prenatal Exercise on Fetal Growth

Wiebe

Boulé

Chari

et al. 2015

Obstetrics &Amp; Gynecology

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“…El beneficio no sólo es para la madre sino también para el feto, pues disminuye el riesgo de macrosomía y todo esto facilita un parto más fisiológico (26)(27)(28)(29). El aumento excesivo de peso y la dificultad de perderlo tras el parto suponen factores de riesgo en la aparición de complicaciones durante la gestación, el parto, la salud del feto y la futura salud de la madre (30)(31)(32).…”

Section: Introductionunclassified

Influencia del programa SWEP (Study Water Exercise Pregnant) en los resultados perinatales: protocolo de estudio

et al. 2016

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Introduction: Moderate exercise training during the pregnancy benefits both the pregnant woman and the fetus. The research papers consulted have linked physical activity with the reduction of the number of cesareans, instrumental delivery and with a more physiological delivery. It also prevents excessive weight gain in women and decreases the risk of gestational diabetes and high blood pressure. Aims: The aim of this research is to know if an exercise program of moderate character with Water Study Exercise Pregnant (SWEP) method, performed in an aquatic environment, contributes to have more favorable results in the perinatal period, both for women and baby. Material and methods: The design is a randomized clinical trial. The sample will consist of 364 pregnant women, with a total universe of 6,579 births occurred in Granada (Spain) during 2014. The sample was divided into two groups, intervention group and control group. The activity will be carried out in the water sporting facilities of the Faculty of Sports Science of the University of Granada, which have two pools suitable for our purposes: a 25-meter polyvalent pool and a 12.5-meter pool for training. Results: The exercise program designed specifically for the project called SWEP is performed from 20 to 37 weeks of gestation (SG), and it consists of three weekly sessions, with duration of 60 minutes each. Sessions will include three phases: warm-up phase, the main phase in which the exercise is divided into an aerobic phase and strength training and endurance training phase and a final phase of stretching and relaxation. The variables that will be studied are: a) Maternal: weight, BMI, blood pressure, O'Sullivan test, postpartum depression, level of self-rated health, sleep quality and perceived exertion during physical activity; b) fetal: weight, Apgar scores, head circumference and GA (Gestational age); c) peripartum: time dilation, expulsion and delivery, type of delivery, episiotomy, type of feed received by the RN and time of exclusive breastfeeding; and d) descriptive: age, occupation, education level, type of exercise done before and OF (obstetric formula). Conclusion: With aquatic moderate physical activity during pregnancy (method SWEP), we intended to improve the variables above.

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The effect of maternal exercise during pregnancy on abnormal fetal growth

Cited by 67 publications

References 28 publications

Risk factors for gestational diabetes: is prevention possible?

Risk factors for gestational diabetes: is prevention possible?

The Effect of Supervised Prenatal Exercise on Fetal Growth

Influencia del programa SWEP (Study Water Exercise Pregnant) en los resultados perinatales: protocolo de estudio

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