Impact of Exercise Intervention Combined with Optimal Mediterranean Diet Adherence during Pregnancy on Postpartum Body Composition: A Quasi-Experimental Study—The GESTAFIT Project
Metadatos
Mostrar el registro completo del ítemAutor
De la Flor Alemany, Marta; Acosta Manzano, Pedro; Hidalgo Migueles, Jairo; Henriksson, Pontus; Löf, Marie; Aparicio García-Molina, VirginiaEditorial
MDPI
Materia
Nutrition Lifestyle behaviors Dietary patterns
Fecha
2023-10-18Referencia bibliográfica
Flor-Alemany, M.; Acosta-Manzano, P.; Migueles, J.H.; Henriksson, P.; Löf, M.; Aparicio, V.A. Impact of Exercise Intervention Combined with Optimal Mediterranean Diet Adherence during Pregnancy on Postpartum Body Composition: A Quasi- Experimental Study—The GESTAFIT Project. Nutrients 2023, 15, 4413. https://doi.org/10.3390/nu15204413
Patrocinador
Regional Ministry of Health of the Junta de Andalucía (PI-0395-2016); University of Granada, Excellence actions: Units of Excellence; Unit of Excellence on Exercise and Health (UCEES); Junta de Andalucía, Consejería de Conocimiento, Investigación y Universidades and European Regional Development Fund (ERDF), REF. SOMM17/6107/UGR; Spanish Ministry of Education, Culture, and Sports (Grant number FPU17/03715)Resumen
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.