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An overview of maternal and fetal short and long-term impact of physical activity during pregnancy

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Abstract

Purpose

To explore information available in the literature about the possible benefits resulting from physical activity (PA) in non-risky pregnant women, repercussion on maternal organism, fetal development, and on long-term offspring health.

Methods

Critical narrative review using online databases.

Results

Through critical discussion of studies focused on PA practiced during pregnancy, it was observed that some of the outcomes investigated on both mother and offspring showed conflicting findings. Considering the impact of maternal PA in certain offspring characteristics, due to the fact that their findings come from studies with small samples, they do not allow the stablishment of scientific evidence. However, a feature that shows broad consensus among studies is the view of PA during pregnancy as a safe intervention for mother and fetus. In situations where studies employing PA of moderate-intensity have not enough power to ensure a positive influence on certain clinical outcomes, what is observed is the lack of their influence, not negative impacts. Regarding epigenetic modulations measured late in the offspring, it has been attributed to PA a positive modulatory role on metabolic, hemodynamic and even on behavioral characteristics. However, possible mechanisms involved in these epigenetic changes have not been sufficiently explored.

Conclusion

Maternal PA appears to be safe for both mother and fetus, and additional studies are needed to confirm the real influence of this practice in the offspring, as well as the perpetuation and transfer of these features between generations.

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Acknowledgments

We thank Conselho Nacional de Desenvolvimento Cientifico e Tecnológico (CNPq), Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Fundação de Amparo a Pesquisa do Estado de Minas Gerais (FAPEMIG), and Fundação de Ensino e Pesquisa de Uberaba (FUNEPU) for financial support.

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Authors and Affiliations

  1. Department of Physiotherapy, Federal University of Ceará, Fortaleza, Ceará, Brazil

    Camila Ferreira Leite & Simony Lira do Nascimento

  2. Institute of Biological and Natural Sciences, Discipline of General Pathology, Federal University of Triângulo Mineiro, Rua Frei Paulino No. 30, Bairro Nossa Senhora da Abadia, Uberaba, MG, 38025-180, Brazil

    Fernanda Rodrigues Helmo, Maria Luíza Gonçalves dos Reis Monteiro, Marlene Antônia dos Reis & Rosana Rosa Miranda Corrêa

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  1. Camila Ferreira Leite
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Correspondence to Rosana Rosa Miranda Corrêa.

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Funding

This study was funded by Conselho Nacional de Desenvolvimento Cientifico e Tecnológico (CNPq) (Grant Number 470029/20110), Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) (Grant Number PNPD-02604/094), Fundação de Amparo a Pesquisa do Estado de Minas Gerais (FAPEMIG) (Grant Number CDS-APQ-02135-14), and Fundação de Ensino e Pesquisa de Uberaba (FUNEPU) (Grant Number CDS-922/2009).

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Leite, C.F., do Nascimento, S.L., Helmo, F.R. et al. An overview of maternal and fetal short and long-term impact of physical activity during pregnancy. Arch Gynecol Obstet 295, 273–283 (2017). https://doi.org/10.1007/s00404-016-4204-9

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