An umbrella review of systematic reviews on interventions of physical activity before pregnancy, during pregnancy, and postpartum to control and/or reduce weight gain
Metadatos
Mostrar el registro completo del ítemAutor
Grau González, Andrea; Sánchez del Pino, Ana; Amezcua Prieto, María Del Carmen; Luef, Birgitte Møller; Vinter, Christina Anne; Jørgensen, Jan Stener; García-Valdés, LuzEditorial
John Wiley & Sons
Materia
Gestational weight gain Physical activity Postpartum body mass index (BMI)
Fecha
2204-03-11Referencia bibliográfica
Grau González A, Sánchez del Pino A, Amezcua-Prieto C, et al. An umbrella review of systematic reviews on interventions of physical activity before pregnancy, during pregnancy, and postpartum to control and/or reduce weight gain. Int J Gynecol Obstet. 2024;00:1- 17. doi:10.1002/ijgo.15453
Patrocinador
Universidad de Granada / CBUA.Resumen
Background: The increasing prevalence of overweight and obesity worldwide
represents
a (chronic) complex public health problem. This is also seen among women
of childbearing age despite increased efforts to promote physical activity (PA) interventions.
Excessive gestational weight gain (GWG) is associated with negative health
outcomes for both mothers and offspring.
Objectives: To summarize current systematic reviews (SRs) on PA interventions during
pregnancy and postpartum to prevent excessive GWG and identify the most effective
approaches.
Search Strategy: A literature search was conducted on major electronic databases
(MEDLINE/Pubmed, Cochrane, Web of Science, Epistemonikos) from inception to
March 2023.
Selection Criteria: This study included SRs and meta-analyses
of studies involving
women aged 18 years or older from diverse ethnic backgrounds, who were either in
the preconception period, pregnant, or within 1 year postpartum and who had no contraindications
for exercise. Women with chronic diseases, such as pre-existing
diabetes
(type 1 or type 2) were excluded.
Data Collection and Analysis: Two reviewers extracted data from selected studies assessing
the impact of PA in preconception, pregnancy, and postpartum. Methodologic
quality was assessed with the AMSTAR-2
tool. A narrative summary of results addresses
relationships between PA and weight before, during, and after pregnancy,
informing future research priorities for preventing excessive weight gain. This study is
registered on PROSPERO (CRD420233946666).
Main Results: Out of 892 identified articles, 25 studies were included after removing
duplicates, unrelated titles, and screening titles and abstracts for eligibility. The results demonstrate that PA can help prevent excessive GWG and postpartum
weight retention. Structured and supervised moderate-intensity
exercise, at least
twice a week, and each session lasting a minimum of 35 min seems to provide the
greatest benefits.
Conclusions: Women who comply with the PA program and recommendations are
more likely to achieve adequate GWG and return to their pre-pregnancy
body mass
index after delivery. Further research is warranted to explore how preconception
PA influences pregnancy and postpartum outcomes given the absence of identified
preconception-focused
interventions.