Gestational Exercise and Maternal and Child Health: Effects until Delivery and at Post-Natal Follow-up

We studied the influence of pregnancy exercise on maternal/offspring cardiometabolic health until delivery and at follow-up. We pooled data from two randomized controlled trials from our group that were performed following the same methodology (one unpublished). We also collected follow-up data de n...

Descripción completa

Detalles Bibliográficos
Autores: Perales, María, Valenzuela, Pedro L., Barakat, Ruben, Cordero Rodríguez, Yaiza, Peláez, Mireia, López, Carmen, Ruilope, Luis M., Santos-Lozano, Alejandro, Lucia, Alejandro
Tipo de recurso: artículo
Fecha de publicación:2020
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/6548
Acceso en línea:https://hdl.handle.net/20.500.14352/6548
Access Level:acceso abierto
Palabra clave:Obesity
hypertension
diabetes
pregnancy
training
physical activity
Ginecología y obstetricia
3201.08 Ginecología
id ES_b0f48afefdb23a8a0ee7f703a5e12d4e
oai_identifier_str oai:docta.ucm.es:20.500.14352/6548
network_acronym_str ES
network_name_str España
repository_id_str
spelling Gestational Exercise and Maternal and Child Health: Effects until Delivery and at Post-Natal Follow-upPerales, MaríaValenzuela, Pedro L.Barakat, RubenCordero Rodríguez, YaizaPeláez, MireiaLópez, CarmenRuilope, Luis M.Santos-Lozano, AlejandroLucia, AlejandroObesityhypertensiondiabetespregnancytrainingphysical activityGinecología y obstetricia3201.08 GinecologíaWe studied the influence of pregnancy exercise on maternal/offspring cardiometabolic health until delivery and at follow-up. We pooled data from two randomized controlled trials from our group that were performed following the same methodology (one unpublished). We also collected follow-up data de novo from the participants of both trials and their offspring. In total, 1348 women with uncomplicated, singleton gestations were assigned to an intervention (n = 688, performing a supervised, moderate-intensity exercise program (three sessions/week)) or control group (n = 660). Maternal outcomes were excessive gestational weight gain (EGWG), gestational hypertension/diabetes and, at follow-up, return to pre-pregnancy weight within six months, hypertension, overweight/obesity, and other cardiometabolic conditions. Offspring outcomes were macrosomia and low-birthweight and, at follow-up, overweight/obesity, low-weight, and cardiometabolic conditions. Adherence to the intervention, which proved safe, was > 95%. Pregnancy exercise reduced the risk of EGWG, gestational hypertension, and diabetes (adjusted odds ratio (OR) and 95% confidence interval: 0.60 (0.46–0.79), 0.39 (0.23–0.67), and 0.48 (0.28–0.84)), and it was associated with a greater likelihood of returning to pre-pregnancy weight (2.37 (1.26–4.54)) and a lower risk of maternal cardiometabolic conditions (0.27 (0.08–0.95)) at the end of follow-up (median 6.1 years (interquartile range 1.8)). Pregnancy exercise also reduced the risk of macrosomia (0.36 (0.20–0.63)) and of childhood overweight/obesity during the first year (0.20 (0.06–0.63)). Our findings suggest that pregnancy exercise might protect maternal/offspring health.MDPIUniversidad Complutense de Madrid20202020-01-0120202020-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/6548reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Atribución 3.0 Españahttps://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/65482026-06-02T12:44:21Z
dc.title.none.fl_str_mv Gestational Exercise and Maternal and Child Health: Effects until Delivery and at Post-Natal Follow-up
title Gestational Exercise and Maternal and Child Health: Effects until Delivery and at Post-Natal Follow-up
spellingShingle Gestational Exercise and Maternal and Child Health: Effects until Delivery and at Post-Natal Follow-up
Perales, María
Obesity
hypertension
diabetes
pregnancy
training
physical activity
Ginecología y obstetricia
3201.08 Ginecología
title_short Gestational Exercise and Maternal and Child Health: Effects until Delivery and at Post-Natal Follow-up
title_full Gestational Exercise and Maternal and Child Health: Effects until Delivery and at Post-Natal Follow-up
title_fullStr Gestational Exercise and Maternal and Child Health: Effects until Delivery and at Post-Natal Follow-up
title_full_unstemmed Gestational Exercise and Maternal and Child Health: Effects until Delivery and at Post-Natal Follow-up
title_sort Gestational Exercise and Maternal and Child Health: Effects until Delivery and at Post-Natal Follow-up
dc.creator.none.fl_str_mv Perales, María
Valenzuela, Pedro L.
Barakat, Ruben
Cordero Rodríguez, Yaiza
Peláez, Mireia
López, Carmen
Ruilope, Luis M.
Santos-Lozano, Alejandro
Lucia, Alejandro
author Perales, María
author_facet Perales, María
Valenzuela, Pedro L.
Barakat, Ruben
Cordero Rodríguez, Yaiza
Peláez, Mireia
López, Carmen
Ruilope, Luis M.
Santos-Lozano, Alejandro
Lucia, Alejandro
author_role author
author2 Valenzuela, Pedro L.
Barakat, Ruben
Cordero Rodríguez, Yaiza
Peláez, Mireia
López, Carmen
Ruilope, Luis M.
Santos-Lozano, Alejandro
Lucia, Alejandro
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv Obesity
hypertension
diabetes
pregnancy
training
physical activity
Ginecología y obstetricia
3201.08 Ginecología
topic Obesity
hypertension
diabetes
pregnancy
training
physical activity
Ginecología y obstetricia
3201.08 Ginecología
description We studied the influence of pregnancy exercise on maternal/offspring cardiometabolic health until delivery and at follow-up. We pooled data from two randomized controlled trials from our group that were performed following the same methodology (one unpublished). We also collected follow-up data de novo from the participants of both trials and their offspring. In total, 1348 women with uncomplicated, singleton gestations were assigned to an intervention (n = 688, performing a supervised, moderate-intensity exercise program (three sessions/week)) or control group (n = 660). Maternal outcomes were excessive gestational weight gain (EGWG), gestational hypertension/diabetes and, at follow-up, return to pre-pregnancy weight within six months, hypertension, overweight/obesity, and other cardiometabolic conditions. Offspring outcomes were macrosomia and low-birthweight and, at follow-up, overweight/obesity, low-weight, and cardiometabolic conditions. Adherence to the intervention, which proved safe, was > 95%. Pregnancy exercise reduced the risk of EGWG, gestational hypertension, and diabetes (adjusted odds ratio (OR) and 95% confidence interval: 0.60 (0.46–0.79), 0.39 (0.23–0.67), and 0.48 (0.28–0.84)), and it was associated with a greater likelihood of returning to pre-pregnancy weight (2.37 (1.26–4.54)) and a lower risk of maternal cardiometabolic conditions (0.27 (0.08–0.95)) at the end of follow-up (median 6.1 years (interquartile range 1.8)). Pregnancy exercise also reduced the risk of macrosomia (0.36 (0.20–0.63)) and of childhood overweight/obesity during the first year (0.20 (0.06–0.63)). Our findings suggest that pregnancy exercise might protect maternal/offspring health.
publishDate 2020
dc.date.none.fl_str_mv 2020
2020-01-01
2020
2020-01-01
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/6548
url https://hdl.handle.net/20.500.14352/6548
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 3.0 España
https://creativecommons.org/licenses/by/3.0/es/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 3.0 España
https://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869416870086443008
score 15,300719

Similares en LA Referencia