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Effectiveness of exercise interventions in the prevention of excessive gestational weight gain and postpartum weight retention: a systematic review and meta-analysis

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Author
Ruchat, Stephanie-May
Mottola, Michelle
Skow, Rachel
Nagpal, Taniya
Meah, Victoria L.
James, Marina
Riske, Laurel
Sobierajski, F.
Kathol, Amariah
Marchand, Andree-Anne
Nuspl, Megan
Weeks, Ashley
Gray, Casey
Poitras, Veronica
Jaramillo Garcia, Alejandra
Barrowman, Nick
Slater, Linda
Adamo, Kristi
Davies, Gregory
Barakat, Ruben
Davenport, M.H.
Date
2018-10-18
Acceptance date
2018-07-24
Type
Article
Publisher
BMJ Publishing Group
ISSN
1473-0480
Metadata
Show full item record
Abstract
Objective. Gestational weight gain (GWG) has been identified as a critical modifier of maternal and fetal health. This systematic review and meta-analysis aimed to examine the relationship between prenatal exercise, GWG and postpartum weight retention (PPWR). Design. Systematic review with random effects meta-analysis and meta-regression. Online databases were searched up to 6 January 2017. Study eligibility criteria. Studies of all designs in English, Spanish or French were eligible (except case studies and reviews) if they contained information on the population (pregnant women without contraindication to exercise), intervention (frequency, intensity, duration, volume or type of exercise, alone [“exercise-only”] or in combination with other intervention components [eg, dietary; “exercise + co-intervention”]), comparator (no exercise or different frequency, intensity, duration, volume or type of exercise) and outcomes (GWG, excessive GWG (EGWG), inadequate GWG (IGWG) or PPWR). Results. Eighty-four unique studies (n=21 530) were included. ‘Low’ to ‘moderate’ quality evidence from randomised controlled trials (RCTs) showed that exercise-only interventions decreased total GWG (n=5819; −0.9 kg, 95% CI −1.23 to –0.57 kg, I2=52%) and PPWR (n=420; −0.92 kg, 95% CI −1.84 to 0.00 kg, I2=0%) and reduced the odds of EGWG (n=3519; OR 0.68, 95% CI 0.57 to 0.80, I2=12%) compared with no exercise. ‘High’ quality evidence indicated higher odds of IGWG with prenatal exercise-only (n=1628; OR 1.32, 95% CI 1.04 to 1.67, I2=0%) compared with no exercise. Conclusions. Prenatal exercise reduced the odds of EGWG and PPWR but increased the risk of IGWG. However, the latter result should be interpreted with caution because it was based on a limited number of studies (five RCTs).
Journal/conference proceeding
British Journal of Sports Medicine;
Citation
Ruchat, S.M., Mottola, M.F., Skow, R.J., Nagpal, T.S., Meah, V.L., James, M., Riske, L., Sobierajski, F., Kathol, A.J., Marchand, A.A. and Nuspl, M. (2018) 'Effectiveness of exercise interventions in the prevention of excessive gestational weight gain and postpartum weight retention: a systematic review and meta-analysis', British Journal of Sports Medicine, 52(21), pp.1347-1356. DOI: 10.1136/bjsports-2018-099399.
URI
http://hdl.handle.net/10369/10431
DOI
http://dx.doi.org/10.1136/bjsports-2018-099399
Description
Article published in British Journal of Sports Medicine on 18 October 2018, available at: http://dx.doi.org/10.1136/bjsports-2018-099399.
Rights
http://www.rioxx.net/licenses/all-rights-reserved
Sponsorship
Cardiff Metropolitan University (Grant ID: Cardiff Metropolian (Internal))
Collections
  • Sport Research Groups [1088]

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