@misc{10481/91854, year = {2023}, month = {10}, url = {https://hdl.handle.net/10481/91854}, abstract = {This study aimed to investigate whether the effects of an exercise program during pregnancy on postpartum body composition are moderated by following a healthy dietary pattern (i.e., Mediterranean diet (MD)). Eighty-three pregnant women (control n = 40, exercise n = 43) were included in the present quasi-experimental study. The exercise intervention consisted of a 60 min, 3 day/week throughout pregnancy from gestational week 17, supervised concurrent (aerobic + resistance) exercise program. A food frequency questionnaire and the MD Score (min–max: 0–50) were employed to assess dietary habits and the MD adherence during pregnancy, respectively. Postpartum body composition was measured with dual-energy X-ray absorptiometry, 6 weeks postpartum. The body mass index and the gynecoid fat mass at postpartum were lower in the exercise compared to the control group (p = 0.018 and p = 0.047, respectively). There was an interaction showing that the MD adherence during pregnancy positively moderated the effects of the exercise intervention on postpartum lean mass (p = 0.024), fat mass percentage (p = 0.092), android fat mass (p = 0.076), and android-to-gynecoid fat mass (p = 0.019). The Johnson–Neyman technique revealed that the effects of exercise were enhanced at a MD score of ~31 for lean mass, ~25 for fat mass, ~23 for android fat mass and ~29 for android-to-gynecoid fat mass. Our results suggest that a concurrent-exercise training plus an optimal MD adherence during pregnancy might be a useful strategy to promote a healthier body composition at the postpartum period.}, organization = {Regional Ministry of Health of the Junta de Andalucía (PI-0395-2016)}, organization = {University of Granada, Excellence actions: Units of Excellence; Unit of Excellence on Exercise and Health (UCEES)}, organization = {Junta de Andalucía, Consejería de Conocimiento, Investigación y Universidades and European Regional Development Fund (ERDF), REF. SOMM17/6107/UGR}, organization = {Spanish Ministry of Education, Culture, and Sports (Grant number FPU17/03715)}, publisher = {MDPI}, keywords = {Nutrition}, keywords = {Lifestyle behaviors}, keywords = {Dietary patterns}, title = {Impact of Exercise Intervention Combined with Optimal Mediterranean Diet Adherence during Pregnancy on Postpartum Body Composition: A Quasi-Experimental Study—The GESTAFIT Project}, doi = {10.3390/nu15204413}, author = {De la Flor Alemany, Marta and Acosta Manzano, Pedro and Hidalgo Migueles, Jairo and Henriksson, Pontus and Löf, Marie and Aparicio García-Molina, Virginia}, }