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dc.contributor.authorRuchat, Stephanie-May
dc.contributor.authorMottola, Michelle
dc.contributor.authorSkow, Rachel
dc.contributor.authorNagpal, Taniya
dc.contributor.authorMeah, Victoria L.
dc.contributor.authorJames, Marina
dc.contributor.authorRiske, Laurel
dc.contributor.authorSobierajski, F.
dc.contributor.authorKathol, Amariah
dc.contributor.authorMarchand, Andree-Anne
dc.contributor.authorNuspl, Megan
dc.contributor.authorWeeks, Ashley
dc.contributor.authorGray, Casey
dc.contributor.authorPoitras, Veronica
dc.contributor.authorJaramillo Garcia, Alejandra
dc.contributor.authorBarrowman, Nick
dc.contributor.authorSlater, Linda
dc.contributor.authorAdamo, Kristi
dc.contributor.authorDavies, Gregory
dc.contributor.authorBarakat, Ruben
dc.contributor.authorDavenport, M.H.
dc.identifier.citationRuchat, 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.en_US
dc.descriptionArticle published in British Journal of Sports Medicine on 18 October 2018, available at:
dc.description.abstractObjective. 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).en_US
dc.publisherBMJ Publishing Groupen_US
dc.relation.ispartofseriesBritish Journal of Sports Medicine;
dc.titleEffectiveness of exercise interventions in the prevention of excessive gestational weight gain and postpartum weight retention: a systematic review and meta-analysisen_US
rioxxterms.funderCardiff Metropolitan Universityen_US
rioxxterms.identifier.projectCardiff Metropolian (Internal)en_US

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