open access

Vol 89, No 2 (2018)
Research paper
Published online: 2018-02-28
Get Citation

The impact of physical activity during pregnancy on maternal weight and obstetric outcomes

Małgorzata Mizgier1, Kinga Mruczyk1, Grazyna Jarząbek-Bielecka2, Jan Jeszka
·
Pubmed: 29512812
·
Ginekol Pol 2018;89(2):80-88.
Affiliations
  1. Poznan University of Physical Education; Department of Morphological and Health Sciences, Dietetic Division, Faculty of Physical Culture in Gorzów Wlkp.,, Estkowskiego 13,, 66-400 Gorzów Wlkp., Poland
  2. University of Medical Sciences, Poznan, Poland

open access

Vol 89, No 2 (2018)
ORIGINAL PAPERS Obstetrics
Published online: 2018-02-28

Abstract

Objectives: The goal of the paper was to compare weight gain in pregnant women in relation to the week of gestation at birth, the delivery method, and the occurrence of macrosomia and low birth weights for patients with different durations of physical activity during pregnancy.

Materials and methods: The full course of study was completed by 57 pregnant women enrolled in an 18-week physical activity programme during their second and third trimesters. The actual duration of their physical activity was monitored with the ActiGraph GT3X monitor. The patients were divided into two groups: L_MPA (n = 28) — pregnant women with daily physical activity of over 21.38 minutes and S_MPA (n = 29) — pregnant women who exercised less than 21.38 minutes a day. The study compared obstetric results in both groups.

Results: Significantly more patients in the S_MPA group exhibited excess weight gain as compared with the L_MPA group (p = 0.01). There was found to be no significant impact from the duration of physical activity on the occurrence of macrosomia or low birth weight, the gestation age at birth or the delivery method. However, there were two times fewer cases of macrosomia in the L_MPA group.

Conclusions: The results demonstrate that physical activity during pregnancy for at least 21 minutes per day in the second half of the pregnancy reduces the risk of excess weight gain during pregnancy.

Abstract

Objectives: The goal of the paper was to compare weight gain in pregnant women in relation to the week of gestation at birth, the delivery method, and the occurrence of macrosomia and low birth weights for patients with different durations of physical activity during pregnancy.

Materials and methods: The full course of study was completed by 57 pregnant women enrolled in an 18-week physical activity programme during their second and third trimesters. The actual duration of their physical activity was monitored with the ActiGraph GT3X monitor. The patients were divided into two groups: L_MPA (n = 28) — pregnant women with daily physical activity of over 21.38 minutes and S_MPA (n = 29) — pregnant women who exercised less than 21.38 minutes a day. The study compared obstetric results in both groups.

Results: Significantly more patients in the S_MPA group exhibited excess weight gain as compared with the L_MPA group (p = 0.01). There was found to be no significant impact from the duration of physical activity on the occurrence of macrosomia or low birth weight, the gestation age at birth or the delivery method. However, there were two times fewer cases of macrosomia in the L_MPA group.

Conclusions: The results demonstrate that physical activity during pregnancy for at least 21 minutes per day in the second half of the pregnancy reduces the risk of excess weight gain during pregnancy.

Get Citation

Keywords

physical activity, pregnancy, pregnancy outcomes, excessive weight gain

About this article
Title

The impact of physical activity during pregnancy on maternal weight and obstetric outcomes

Journal

Ginekologia Polska

Issue

Vol 89, No 2 (2018)

Article type

Research paper

Pages

80-88

Published online

2018-02-28

Page views

3637

Article views/downloads

2892

DOI

10.5603/GP.a2018.0014

Pubmed

29512812

Bibliographic record

Ginekol Pol 2018;89(2):80-88.

Keywords

physical activity
pregnancy
pregnancy outcomes
excessive weight gain

Authors

Małgorzata Mizgier
Kinga Mruczyk
Grazyna Jarząbek-Bielecka
Jan Jeszka

References (30)
  1. Position of the American Dietetic Association: Nutrition and Lifestyle for a Healthy Pregnancy Outcome. Journal of the American Dietetic Association. 2008; 108(3): 553–561.
  2. Muktabhant B, Lumbiganon P, Ngamjarus C, et al. Interventions for preventing excessive weight gain during pregnancy. Cochrane Database Syst Rev. 2012(4): CD007145.
  3. Determining Optimal Weight Gain. Weight gain during pregnancy. Reexaming the guidelines. National Academies Press, Washington, DC 2009.
  4. Streuling I, Beyerlein A, von Kries R. Can gestational weight gain be modified by increasing physical activity and diet counseling? A meta-analysis of interventional trials. Am J Clin Nutr. 2010; 92(4): 678–687.
  5. da Silva SG, Hallal PC, Domingues MR, et al. A randomized controlled trial of exercise during pregnancy on maternal and neonatal outcomes: results from the PAMELA study. Int J Behav Nutr Phys Act. 2017; 14(1): 175.
  6. Ramachenderan J, Bradford J, McLean M. Maternal obesity and pregnancy complications: a review. Aust N Z J Obstet Gynaecol. 2008; 48(3): 228–235.
  7. Bogaerts A, Ameye L, Bijlholt M, et al. INTER-ACT: prevention of pregnancy complications through an e-health driven interpregnancy lifestyle intervention - study protocol of a multicentre randomised controlled trial. BMC Pregnancy Childbirth. 2017; 17(1): 154.
  8. Siega-Riz AM, Siega-Riz AM, Laraia B. The implications of maternal overweight and obesity on the course of pregnancy and birth outcomes. Matern Child Health J. 2006; 10(5 Suppl): S153–S156.
  9. Stotland NE, Cheng YW, Hopkins LM, et al. Gestational weight gain and adverse neonatal outcome among term infants. Obstet Gynecol. 2006; 108(3 Pt 1): 635–643.
  10. Kominiarek MA, Peaceman AM. Gestational weight gain. Am J Obstet Gynecol. 2017; 217(6): 642–651.
  11. Briese V, Voigt M, Hermanussen M, et al. Morbid obesity: pregnancy risks, birth risks and status of the newborn. Homo. 2010; 61(1): 64–72.
  12. Alfaradhi MZ, Ozanne SE. Developmental programming in response to maternal overnutrition. Front Genet. 2011; 2: 27.
  13. Thangaratinam S, Jolly K. Obesity in pregnancy: a review of reviews on the effectiveness of interventions. BJOG. 2010; 117(11): 1309–1312.
  14. Thangaratinam S, Rogozinska E, Jolly K, et al. Effects of interventions in pregnancy on maternal weight and obstetric outcomes: meta-analysis of randomised evidence. BMJ. 2012; 344: e2088.
  15. Barakat R, Pelaez M, Cordero Y, et al. Exercise during pregnancy protects against hypertension and macrosomia: randomized clinical trial. American Journal of Obstetrics and Gynecology. 2016; 214(5): 649.e1–649.e8.
  16. Bień AM. Opieka nad kobietą ciężarną. Warszawa : Wydawnictwo Lekarskie PZWL. ; 2009.
  17. Dłużniewski M, Grzywanowska-Łaniewska I, Wielgś M. Ciąża. Prblemy internisty i kardilga. Lublin: Wydawnictw Czelej Sp. z . z o o. ; 2012.
  18. World Health Organisation. Public health aspects of low birth weight. Third report of the Expert Committee on Maternal and Child Health. WHO Tech Report Serv. 1961; 217: 13.
  19. Nobile CGA, Raffaele G, Altomare C, et al. Influence of maternal and social factors as predictors of low birth weight in Italy. BMC Public Health. 2007; 7: 192.
  20. World Health Organisation. The prevention of perinatal mortality and morbidity. WHO Tech Report Serv. ; 1970: 457.
  21. Polley BA, Wing RR, Sims CJ. Randomized controlled trial to prevent excessive weight gain in pregnant women. Int J Obes Relat Metab Disord. 2002; 26(11): 1494–1502.
  22. Leite CF, do Nascimento SL, Helmo FR, et al. An overview of maternal and fetal short and long-term impact of physical activity during pregnancy. Arch Gynecol Obstet. 2017; 295(2): 273–283.
  23. da Silva SG, Ricardo LI, Evenson KR, et al. Leisure-Time Physical Activity in Pregnancy and Maternal-Child Health: A Systematic Review and Meta-Analysis of Randomized Controlled Trials and Cohort Studies. Sports Med. 2017; 47(2): 295–317.
  24. Wang TW, Apgar BS. Exercise during pregnancy. Am Fam Physician. 1998; 57(8): 1846–52, 1857.
  25. Brown W. The benefits of physical activity during pregnancy. J Sci Med Sport. 2002; 5(1): 37–45.
  26. Clapp JF. Exercise during pregnancy. A clinical update. Clin Sports Med. 2000; 19(2): 273–286.
  27. Penney DS. The effect of vigorous exercise during pregnancy. J Midwifery Womens Health. 2008; 53(2): 155–159.
  28. Kozłowska J, Stanek M. Przebieg porodu i połogu u kobiet po kinezystumulacji w "szkole rodzenia"-próba oceny. Ginekol Pol. 2002; 5: 439–43.
  29. Kosińska K, Krychowska A, Wielgoś M, et al. Postawy ciężarnych wobec porodu-analiza form przygotowania i preferencji. Ginekol Pol. 2005; 76: 973–8.
  30. Babbar S, Parks-Savage AC, Chauhan SP. Yoga during pregnancy: a review. Am J Perinatol. 2012; 29(6): 459–464.

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By VM Media Group sp. z o.o., ul. Świętokrzyska 73, 80–180 Gdańsk
tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl