Abstract
Objective:
We examined the effect of light intensity resistance exercise training performed during the second and third trimester of pregnancy on the newborn's birth size. We also studied the association between maternal body weight prior to pregnancy and newborn's birth size.
Design:
Randomised controlled trial.
Subjects:
We randomly assigned 160 sedentary gravidae to either a training (n=80) or a control (n=80) group. The training programme focused on light resistance and toning exercises (three times per week, 35–40 min per session). We recorded the Apgar score, birth weight, birth length, and head circumference of the newborn, as well as gestational age at time of delivery from hospital perinatal records. We also measured maternal weight and height before parity and gestational weight gain.
Results:
Maternal characteristics neither differed between groups (all P>0.1) nor newborn characteristics (all P>0.1). Maternal body weight was positively and significantly associated with newborn's birth weight and length only in the control group (β=19.20 and 0.065, respectively, P<0.01).
Conclusion:
Light intensity resistance training performed over the second and third trimester of pregnancy does not have a negative impact on the newborn's body size or overall health. Exercise interventions might attenuate the adverse consequences of maternal body weight before pregnancy on the newborn's birth size.
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References
Kajantie E, Osmond C, Barker DJ, Forsen T, Phillips DI, Eriksson JG . Size at birth as a predictor of mortality in adulthood: a follow-up of 350 000 person-years. Int J Epidemiol 2005; 34: 655–663.
Barker DJ, Eriksson JG, Forsen T, Osmond C . Fetal origins of adult disease: strength of effects and biological basis. Int J Epidemiol 2002; 31: 1235–1239.
Heiskanen N, Raatikainen K, Heinonen S . Fetal macrosomia—a continuing obstetric challenge. Biol Neonate 2006; 90: 98–103.
Egeland GM, Skjaerven R, Irgens LM . Birth characteristics of women who develop gestational diabetes: population based study. BMJ 2000; 321: 546–547.
McCormack VA, dos Santos Silva I, Koupil I, Leon DA, Lithell HO . Birth characteristics and adult cancer incidence: Swedish cohort of over 11 000 men and women. Int J Cancer 2005; 115: 611–617.
Lokey EA, Tran ZV, Wells CL, Myers BC, Tran AC . Effects of physical exercise on pregnancy outcomes: a meta-analytic review. Med Sci Sports Exerc 1991; 23: 1234–1239.
Leet T, Flick L . Effect of exercise on birthweight. Clin Obstet Gynecol 2003; 46: 423–431.
Kramer MS, McDonald SW . Aerobic exercise for women during pregnancy. Cochrane Database Syst Rev 2006; 3: CD000180.
Stump CS, Henriksen EJ, Wei Y, Sowers JR . The metabolic syndrome: role of skeletal muscle metabolism. Ann Med 2006; 38: 389–402.
Wolfe RR . The underappreciated role of muscle in health and disease. Am J Clin Nutr 2006; 84: 475–482.
Williams MA, Haskell WL, Ades PA, Amsterdam EA, Bittner V, Franklin BA et al. Resistance exercise in individuals with and without cardiovascular disease: 2007 update: a scientific statement from the American Heart Association Council on Clinical Cardiology and Council on Nutrition, Physical Activity, and Metabolism. Circulation 2007; 116: 572–584.
Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation 2007; 116: 1081–1093.
Kushi LH, Byers T, Doyle C, Bandera EV, McCullough M, McTiernan A et al. American Cancer Society Guidelines on Nutrition and Physical Activity for cancer prevention: reducing the risk of cancer with healthy food choices and physical activity. CA Cancer J Clin 2006; 56: 254–281; quiz 313–314.
Kaiser L, Allen LH . Position of the American Dietetic Association: nutrition and lifestyle for a healthy pregnancy outcome. J Am Diet Assoc 2008; 108: 553–561.
Barakat R, Stirling JR, Lucia A . Does exercise training during pregnancy affect gestational age? A randomised controlled trial. Br J Sports Med 2008; 42: 674–678.
ACOG Committee Opinion. Number 267, January 2002: exercise during pregnancy and the postpartum period. Obstet Gynecol 2002; 99: 171–173.
Rodriguez G, Samper MP, Ventura P, Moreno LA, Olivares JL, Perez-Gonzalez JM . Gender differences in newborn subcutaneous fat distribution. Eur J Pediatr 2004; 163: 457–461.
Taylor HL, Jacobs Jr DR, Schucker B, Knudsen J, Leon AS, Debacker G . A questionnaire for the assessment of leisure time physical activities. J Chronic Dis 1978; 31: 741–755.
Gilmartin AB, Ural SH, Repke JT . Gestational diabetes mellitus. Rev Obstet Gynecol 2008; 1: 129–134.
Schulz KF, Chalmers I, Grimes DA, Altman DG . Assessing the quality of randomization from reports of controlled trials published in obstetrics and gynecology journals. JAMA 1994; 272: 125–128.
Schulz KF, Grimes DA . Allocation concealment in randomised trials: defending against deciphering. Lancet 2002; 359: 614–618.
Holm S . A simple sequentially rejective multiple test procedure. Scand J Statist 1979; 6: 65–70.
Gordi T, Khamis H . Simple solution to a common statistical problem: interpreting multiple tests. Clin Ther 2004; 26: 780–786.
Finster M, Wood M . The Apgar score has survived the test of time. Anesthesiology 2005; 102: 855–857.
Clapp III JF . The effects of maternal exercise on fetal oxygenation and feto-placental growth. Eur J Obstet Gynecol Reprod Biol 2003; 110 (Suppl 1): S80–S85.
Pivarnik JM . Potential effects of maternal physical activity on birth weight: brief review. Med Sci Sports Exerc 1998; 30: 400–406.
Clapp III JF . Exercise during pregnancy. A clinical update. Clin Sports Med 2000; 19: 273–286.
Clapp III JF, Dickstein S . Endurance exercise and pregnancy outcome. Med Sci Sports Exerc 1984; 16: 556–562.
Hatch MC, Stein ZA . Work and exercise during pregnancy: epidemiological studies. In: Artal Mittlemark R, Wiswell R, Drinkwater B (eds). Exercise in Pregnancy, 2nd edn., Williams & Wilkins: Baltimore, 1990, pp 279–286.
Clapp III JF, Capeless EL . Neonatal morphometrics after endurance exercise during pregnancy. Am J Obstet Gynecol 1990; 163: 1805–1811.
Whitaker RC . Predicting preschooler obesity at birth: the role of maternal obesity in early pregnancy. Pediatrics 2004; 114: e29–e36.
Araujo CL, Hallal PC, Nader GA, Neutzling MB, Defatima Vieira M, Menezes AM et al. Effect of birth size and proportionality on BMI and skinfold thickness in early adolescence: prospective birth cohort study. Eur J Clin Nutr 2009; 63: 634–639.
Thompson DR, Obarzanek E, Franko DL, Barton BA, Morrison J, Biro FM et al. Childhood overweight and cardiovascular disease risk factors: the National Heart, Lung, and Blood Institute Growth and Health Study. J Pediatr 2007; 150: 18–25.
Steinberger J, Moran A, Hong CP, Jacobs Jr DR, Sinaiko AR . Adiposity in childhood predicts obesity and insulin resistance in young adulthood. J Pediatr 2001; 138: 469–473.
Guo SS, Wu W, Chumlea WC, Roche AF . Predicting overweight and obesity in adulthood from body mass index values in childhood and adolescence. Am J Clin Nutr 2002; 76: 653–658.
Freedman DS, Khan LK, Dietz WH, Srinivasan SR, Berenson GS . Relationship of childhood obesity to coronary heart disease risk factors in adulthood: the Bogalusa Heart Study. Pediatrics 2001; 108: 712–718.
Baker JL, Olsen LW, Sorensen TI . Childhood body-mass index and the risk of coronary heart disease in adulthood. N Engl J Med 2007; 357: 2329–2337.
Institute of Medicine. Nutrition during Pregancy: Part I Weight Gain and Part II Nutrient Suplements. National Academis Press: Washington, DC, 1990, pp 10–23.
Stotland NE, Cheng YW, Hopkins LM, Caughey AB . Gestational weight gain and adverse neonatal outcome among term infants. Obstet Gynecol 2006; 108: 635–643.
Ong KK, Diderholm B, Salzano G, Wingate D, Hughes IA, Macdougall J et al. Pregnancy insulin, glucose and BMI contribute to birth outcomes in non-diabetic mothers. Diabetes Care 2008; 31: 2193–2197.
Cedergren MI . Maternal morbid obesity and the risk of adverse pregnancy outcome. Obstet Gynecol 2004; 103: 219–224.
Rode L, Nilas L, Wojdemann K, Tabor A . Obesity-related complications in Danish single cephalic term pregnancies. Obstet Gynecol 2005; 105: 537–542.
Watkins ML, Rasmussen SA, Honein MA, Botto LD, Moore CA . Maternal obesity and risk for birth defects. Pediatrics 2003; 111: 1152–1158.
Hillier TA, Pedula KL, Vesco KK, Schmidt MM, Mullen JA, LeBlanc ES et al. Excess gestational weight gain: modifying fetal macrosomia risk associated with maternal glucose. Obstet Gynecol 2008; 112: 1007–1014.
Pedersen BK . Body mass index-independent effect of fitness and physical activity for all-cause mortality. Scand J Med Sci Sports 2007; 17: 196–204.
Jovanovic-Peterson L, Durak EP, Peterson CM . Randomized trial of diet versus diet plus cardiovascular conditioning on glucose levels in gestational diabetes. Am J Obstet Gynecol 1989; 161: 415–419.
Bung P, Artal R, Khodiguian N, Kjos S . Exercise in gestational diabetes. An optional therapeutic approach? Diabetes 1991; 40 (Suppl 2): 182–185.
Lesser KB, Gruppuso PA, Terry RB, Carpenter MW . Exercise fails to improve postprandial glycemic excursion in women with gestational diabetes. J Matern Fetal Med 1996; 5: 211–217.
Avery MD, Leon AS, Kopher RA . Effects of a partially home-based exercise program for women with gestational diabetes. Obstet Gynecol 1997; 89: 10–15.
Avery MD, Walker AJ . Acute effect of exercise on blood glucose and insulin levels in women with gestational diabetes. J Matern Fetal Med 2001; 10: 52–58.
Webb KA, Wolfe LA, McGrath MJ . Effects of acute and chronic maternal exercise on fetal heart rate. J Appl Physiol 1994; 77: 2207–2213.
Garcia-Patterson A, Martin E, Ubeda J, Maria MA, de Leiva A, Corcoy R . Evaluation of light exercise in the treatment of gestational diabetes. Diabetes Care 2001; 24: 2006–2007.
Yeo S, Davidge S, Ronis DL, Antonakos CL, Hayashi R, O’Leary S . A comparison of walking versus stretching exercises to reduce the incidence of preeclampsia: a randomized clinical trial. Hypertens Pregnancy 2008; 27: 113–130.
Clapp III JF, Kim H, Burciu B, Lopez B . Beginning regular exercise in early pregnancy: effect on fetoplacental growth. Am J Obstet Gynecol 2000; 183: 1484–1488.
Hall DC, Kaufmann DA . Effects of aerobic and strength conditioning on pregnancy outcomes. Am J Obstet Gynecol 1987; 157: 1199–1203.
Thomis MA, Beunen GP, Maes HH, Blimkie CJ, Van Leemputte M, Claessens AL et al. Strength training: importance of genetic factors. Med Sci Sports Exerc 1998; 30: 724–731.
Apgar V . A proposal for a new method of evaluation of the newborn infant. Curr Res Anesth Analg 1953; 32: 260–267.
de Oliveira C, Lopes MA, Carla Longo e Pereira L, Zugaib M . Effects of pelvic floor muscle training during pregnancy. Clinics 2007; 62: 439–446.
Eliasson K, Nordlander I, Larson B, Hammarstrom M, Mattsson E . Influence of physical activity on urinary leakage in primiparous women. Scand J Med Sci Sports 2005; 15: 87–94.
Acknowledgements
This work was partially supported by the programme I3 2006 and by the post doctoral research programme (EX-2007-1124), Ministerio de Educación y Ciencia, Spain, and Swedish Council for Working Life and Social Research (FAS). We thank the technical assistance of the Gynaecology and Obstetric Service of ‘Severo Ochoa’ Hospital of Madrid.
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Barakat, R., Lucia, A. & Ruiz, J. Resistance exercise training during pregnancy and newborn's birth size: a randomised controlled trial. Int J Obes 33, 1048–1057 (2009). https://doi.org/10.1038/ijo.2009.150
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DOI: https://doi.org/10.1038/ijo.2009.150
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