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Effects of prenatal exercise on incidence of congenital anomalies and hyperthermia: a systematic review and meta-analysis

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Author
Davenport, M.H.
Yoo, Courtney
Mottola, Michelle
Poitras, Veronica
Jaramillo Garcia, Alejandra
Gray, Casey
Barrowman, Nick
Davies, Gregory
Kathol, Amariah
Skow, Rachel
Meah, Victoria L.
Riske, Laurel
Sobierajski, F.
James, Marina
Nagpal, Taniya
Marchand, Andree-Anne
Slater, Linda
Adamo, Kristi
Barakat, Ruben
Ruchat, Stephanie-May
Date
2018-10-18
Acceptance date
2018-08-23
Type
Article
Publisher
BMJ Publishing Group
ISSN
1473-0480
Metadata
Show full item record
Abstract
Objective. To investigate the relationships between exercise and incidence of congenital anomalies and hyperthermia. Design. Systematic review with random-effects meta-analysis . Data sources. Online databases were searched from inception up to 6 January 2017. Study eligibility criteria. Studies of all designs were eligible (except case studies and reviews) if they were published in English, Spanish or French, and contained information on population (pregnant women without contraindication to exercise), intervention (subjective or objective measures of frequency, intensity, duration, volume or type of exercise, alone [“exercise-only”] or in combination with other intervention components [e.g., dietary; “exercise + co-intervention”]), comparator (no exercise or different frequency, intensity, duration, volume or type of exercise) and outcome (maternal temperature and fetal anomalies). Results. This systematic review and meta-analysis included ‘very low’ quality evidence from 14 studies (n=78 735) reporting on prenatal exercise and the odds of congenital anomalies, and ‘very low’ to ‘low’ quality evidence from 15 studies (n=447) reporting on maternal temperature response to prenatal exercise. Prenatal exercise did not increase the odds of congenital anomalies (OR 1.23, 95% CI 0.77 to 1.95, I2=0%). A small but significant increase in maternal temperature was observed from pre-exercise to both during and immediately after exercise (during: 0.26°C, 95% CI 0.12 to 0.40, I2=70%; following: 0.24°C, 95% CI 0.17 to 0.31, I2=47%). Summary/Conclusions. These data suggest that moderate-to-vigorous prenatal exercise does not induce hyperthermia or increase the odds of congenital anomalies. However, exercise responses were investigated in most studies after 12 weeks’ gestation when the risk of de novo congenital anomalies is negligible.
Journal/conference proceeding
British Journal of Sports Medicine;
Citation
Davenport, M.H., Yoo, C., Mottola, M.F., Poitras, V.J., Garcia, A.J., Gray, C.E., Barrowman, N., Davies, G.A., Kathol, A., Skow, R.J., Meah, V.L. et al (2019) 'Effects of prenatal exercise on incidence of congenital anomalies and hyperthermia: a systematic review and meta-analysis', British Journal of Sports Medicine, 53(2), pp.116-123. DOI: 10.1136/bjsports-2018-099653.
URI
http://hdl.handle.net/10369/10412
DOI
http://dx.doi.org/10.1136/bjsports-2018-099653
Description
Article published in British Journal of Sports Medicine on 18 October 2018, available at: http://dx.doi.org/10.1136/bjsports-2018-099653.
Rights
http://www.rioxx.net/licenses/all-rights-reserved
Sponsorship
Cardiff Metropolitan University (Grant ID: Cardiff Metropolian (Internal))
Collections
  • Sport Research Groups [1084]

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