Physical Activity During Pregnancy – Effects on Fetal and Newborn Health and Future Maternal Well Being

Main Article Content

Izhar Ben Shlomo, MD, Ron Mor, PhD

Abstract

Physical activity (PA) is known to improve quality of life during pregnancy and prevent complications, associated with several chronic conditions. In this review, following a succinct summary of relevant physiological aspects of gestation and effort, we summarize recent literature on the effect of PA on fetal condition and newborn outcome as well as on future maternal well-being. Many women become aware of their health issues as they plan pregnancy or become pregnant turning the period of pregnancy into a window of opportunity to establish healthier routines of life for the future. It was found that physical activity leads to less weight gain during pregnancy, as well as lower weight retention. Active women experience improved course of labor as well as lower rates of post-partum depression. As the main concern of the pregnant woman is her future baby's condition, information regarding this is crucial for those practitioners wishing to help women establish new habits, the center of which is regularly scheduled physical activity. It was shown that newborns to active women are less likely to be either macrosomic or small for gestational age. Children of women who kept physically active during pregnancy had less autistic spectrum disorders and better brain growth, as well as less sleeping disorders.

Keywords: Physiology of pregnancy, Physiology of Exertion, Borg Scale, Fetal health, newborn health, Maternal well-being

Article Details

How to Cite
SHLOMO, Izhar Ben. Physical Activity During Pregnancy – Effects on Fetal and Newborn Health and Future Maternal Well Being. Medical Research Archives, [S.l.], v. 11, n. 1, jan. 2023. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/3574>. Date accessed: 21 nov. 2024.
Section
Research Articles

References

1. Mor R, Ben-Shlomo I. [Physical activity during pregnancy--facts and practical guidelines]. Harefuah. 2014;153(8).
2. Artal R & O’Toole M. Guidelines of the American College of Obstetricians and Gynecologists for exercise during pregnancy and the postpartum period. Br J Sport Med. 2003;37(1):6-12.
3. Weissgerber TL l, Wolfe LA HW& al. Serial respiratory adaptations and an alternate hypothesis of respiratory control in human pregnancy. Respir Physiol Neurobiol. 2006;153(1):39-53.
4. Rebeca de Castro 1, Raul Antunes 1, 2, 3,*ORCID, Diogo Mendes 1, 2ORCID, Anna Szumilewicz 4ORCID andRita Santos-Rocha 5 6. Can Group Exercise Programs Improve Health Outcomes in Pregnant Women? An Updated Systematic Review. Int J Environ Res Public Health. 2022;19(4875):1-36.
5. Wojtyła KG 1ORCID andCezary. Impact of Physical Activity of Pregnant Women on Obstetric Outcomes. Int J Environ Res Public Health. 2022;19(19):2-12.
6. Menke BR, Duchette C, Tinius RA, Wilson AQ, Altizer EA MJ. Physical Activity during Pregnancy and Newborn Body Composition: A Systematic Review. Int J Env Res Public Heal. 2022;19(12):1-22.
7. Nakahara K, Michikawa T, Morokuma S, Ogawa M, Kato K, Sanefuji M, Shibata E, Tsuji M, Shimono M, Kawamoto T, Ohga S KKJE and CSG. Influence of physical activity before and during pregnancy on infant’s sleep and neurodevelopment at 1-year-old. Sci Rep. 2021;14(11).
8. Cannon SS, Lastella M, Evenson KR HM. The association between physical activity and sleep during pregnancy: a systematic review. Behav Sleep Med. 2022;16:1-16.
9. May LE, Suminski RR, Berry A, Langaker MD GK. Maternal physical activity mode and fetal heart outcome. . Early Hum Dev. 2014;90(7):365-369. doi:org/10.1016/j.earlhumdev.2014.04.009
10. Xiaoxu Na, Rajikha Raja NEP, Tadros MR, Al. E. Mother’s physical activity during pregnancy and newborn’s brain cortical development. Front Hum Neurosci. 2022. doi:10.3389/fnhum.2022.943341
11. McMillan AG, May LE, Gaines GG, Isler C KD. . Effects of Aerobic Exercise during Pregnancy on 1-Month Infant Neuromotor Skills. Med Sci Sport Exerc. 2019;51(8):1671-1676. doi:10.1249/MSS.0000000000001958
12. Niño Cruz GI, Ramirez Varela A, da Silva ICM, Hallal PC SI. Physical activity during pregnancy and offspring neurodevelopment: A systematic review. Paediatr Perinat Epidemiol. 2018;32(4):369-379. doi:org/10.1111/ppe.12472
13. Domingues MR, Matijasevich A, Barros AJ, Santos IS, Horta BL HP. Physical activity during pregnancy and offspring neurodevelopment and IQ in the first 4 years of life. . PLoS One. 2014;9(10). doi:10.1371/journal.pone.0110050
14. Tobias DK, Zhang C, van Dam RM, Bowers K HF. Physical activity before and during pregnancy and risk of gestational diabetes mellitus: a meta-analysis. Diabetes Care. 2011;34(1):223-229. doi:org/10.2337/dc10-1368
15. Davenport MH, Meah VL, Ruchat SM, Davies GA, Skow RJ, Barrowman N, Adamo KB, Poitras VJ, Gray CE, Jaramillo Garcia A, Sobierajski F, Riske L, James M, Kathol AJ, Nuspl M, Marchand AA, Nagpal TS, Slater LG, Weeks A, Barakat R MM. Impact of prenatal exercise on neonatal and childhood outcomes: a systematic review and meta-analysis. Br J Sport Med. 2018;52(21):1386-1396. doi:org/10.1136/bjsports-2018-099399
16. Louise J, Poprzeczny AJ, Deussen AR, Vinter C, Tanvig M, Jensen DM, Bogaerts A, Devlieger R, McAuliffe FM, Renault KM, Carlsen E, Geiker N, Poston L, Briley A, Thangaratinam S DJ. The effects of dietary and lifestyle interventions among pregnant women with overweight or obesity on early childhood outcomes: an individual participant data meta-analysis from randomised trials. . BMC Med. 2021;19(1).
17. Morgan K, Zhou SM, Hill R, Lyons RA, Paranjothy S BS. Identifying Prenatal and Postnatal Determinants of Infant Growth: A Structural Equation Modelling Based Cohort Analysis. Int J Env Res Public Heal. 2021;18(19):2-13. doi:org/10.3390/ijerph181910265
18. Kong KL, Gillman MW, Rifas-Shiman SL WX. Leisure time physical activity before and during mid-pregnancy and offspring adiposity in mid-childhood. Pediatr Obes. 2016;11(2):223-229. doi:org/10.1111/ijpo.12024
19. Haakstad, L.A.H.; Edvardsen, E.; Bø K. Effect of regular exercise on blood pressure in normotensive pregnant women. A randomized controlled trial. Hypertens Pregnancy. 2016;35(2):170-180. doi:org/10.3109/10641955.2015.1122036
20. Charkamyani, F.; Hosseinkhani, A.; Neisani Samani, L.; Khedmat L. Reducing the Adverse Maternal and Fetal Outcomes in IVF Women by Exercise Interventions During Pregnancy. Res Q Exerc Sport. 2019;90(4). doi:org/10.1080/02701367.2019.1639601
21. Sanda, B.; Vistad, I.; Sagedal, L.R.; Haakstad, L.A.H.; Lohne-Seiler, H.; Torstveit MK. What is the effect of physical activity on duration and mode of delivery? Secondary analysis from the Norwegian Fit for Delivery trial. . Acta Obs Gynecol Scand. 2018;97(7):861-871. doi:org/10.1111/aogs.13351
22. Rodríguez-Blanque, R.; Sanchez-Garcia, J.C.; Sanchez-López, A.M.; Expósito-Ruiz, M.; Aguilar-Cordero MJ. Randomized Clinical Trial of an Aquatic Physical Exercise Program During Pregnancy. J Obs Gynecol Neonatal Nurs. 2019;48(3):321-331. doi:org/10.1016/j.jogn.2019.02.003
23. Vargas-Terrones, M.; Barakat, R.; Santacruz, B.; Fernandez-Buihgas, I.; Mottola MF. Physical exercise programme during pregnancy decreases perinatal depression risk: A randomised controlled trial. Br J Sport Med. 2019;53(6):348-353. doi:org/10.1136/bjsports-2017-098926
24. Mohammadi F, Malakooti J, Babapoor J M-A-CS. The effect of a home-based exercise intervention on postnatal depression and fatigue: A randomized controlled trial. Int J Nurs Pr. 2015;21(5):478-485. doi:org/10.1111/ijn.12259
25. Moran LJ, Brown WJ, McNaughton SA, Joham AE, Teede HJ.Weight management practices associated with PCOS and their relationships with diet and physical activity. Hum Reprod. 2017;32(3):669-678. doi: 10.1093/humrep/dew348.