Physical activity and pregnancy outcomes: an observational study of Greek pregnant women - 06/11/26
Highlights |
• | PA during pregnancy is safe and beneficial for maternal-fetal health. |
• | PA constitutes a non-invasive way, easy and beneficial lifestyle which contributes to a better pregnancy outcome. |
• | PA during pregnancy contributes to better management of conditions like pregnancy related diabetes and hypertensive disorders. |
• | Clinicians need to promote PA during pregnancy and present its positive effects. |
• | Only 14,1% of the participants met the recommendations of international societies for PA during pregnancy. |
Abstract |
Background |
Physical Activity during pregnancy has been a controversial field for years, despite its widely proven benefits in general population. The benefits of PA in both mother and the fetus should be highlighted to provide new insights.
Objective |
Examine the association of PA in Greek pregnant women with pregnancy outcomes.
Study design |
This is a multicenter, prospective, observational study. The participants completed the Greek PPAQ and pregnancy outcomes were collected after birth. The level of PA and consistency with the international PA recommendations was evaluated with the use of METs. All pregnant women speaking greek fluently were eligible. The study was approved by the Ethical Committee of the University Hospital of Ioannina. Statistical analysis was conducted with the R program version 4.3.1. A regression analysis was also conducted for all pregnancy outcomes adjusted to potential cofounders.
Results |
A total of 915 pregnant women filled the PPAQ Greek version and were contacted postnatally for the outcomes. Neonates of active pregnant women had a lower median birthweight (3100 g vs 3170g, OR: 1.12, 95% CI:0.54- 2.11), lower incidence of admission to NICU (6.2% vs. 8.2%, OR: 0.76, 95% CI:0.33- 1.54) or neonatal complications (4.7% vs. 7.1%, OR: 0.64, 95% CI:0.24- 1.40). Moreover, pregnancy related hypertensive disorders and gestational diabetes mellitus were lower in the active group (0.01% vs. 3.8% OR: 0.20, 95% CI:0- 1.21 and 11.6% vs. 13.5%, OR: 0.85, 95% CI:0.46- 1.47 respectively). Vaginal delivery was more common in the active group (43% vs. 37.5% OR: 0.81, 95% CI:0.56- 1.19), as well as the incidence of PTB< 37 weeks (6.2% vs. 7.4%, OR: 0.84, 95% CI:0.36- 1.72). After adjusting for confounders, only birthweight differences were statistically significant (p = 0.036; 95% CI: -153, -5.5).
Conclusion |
This study demonstrates that PA during pregnancy is safe and beneficial for maternal-fetal health in several aspects of pregnancy outcomes. Clinicians should encourage incorporating PA in prenatal care in the absence of complications, while further studies using objective measures are needed to strengthen these findings.
Le texte complet de cet article est disponible en PDF.Keywords : Pregnant women, Physical activity assessment, Mode of delivery, Birthweight, Gestational diabetes mellitus, Pre-eclampsia
Abbreviations : PPAQ, SD, MET, PA, GA, ACOG, FGR, GDM, PE, ART
Plan
Vol 56 - N° 1
Article 103309- janvier 2017 Retour au numéro
Article précédent
- Physical activity and pregnancy outcomes: an observational study of Greek pregnant women
- Ioannis Mitrogiannis, Stylianos Makrydimas, Nektaria Zagoriannakou, Christos Chatzakis, Athina Efthymiou, Panagiotis Bousios, George Makrydimas
- Atypical prenatal sonographic findings in RAF1-related noonan syndrome: a case report without cardiac involvement
- Peijia Xu, Ting Qin, Guoru Wu, Yida Liang, Fengbei Kong
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