Abstract

BackgroundBirth weight plays an important role in infant mortality and morbidity, childhood development, and adult health. To date there are contradictory results regarding the role of physical activity on birth weight. In addition, it is questioned whether exercise during second and third trimesters of pregnancy might affect gestational age and increase the risk of preterm delivery. Hence, the purpose of this study was to examine the effect of a supervised exercise-program on birth weight, gestational age at delivery and Apgar-score.MethodsSedentary, nulliparous pregnant women (N = 105), mean age 30.7 ± 4.0 years, pre-pregnancy BMI 23.8 ± 4.3 were randomized to either an exercise group (EG, n = 52) or a control group (CG, n = 53). The exercise program consisted of supervised aerobic dance and strength training for 60 minutes, twice per week for a minimum of 12 weeks, with an additional 30 minutes of self-imposed physical activity on the non-supervised week-days.ResultsThere was no statistically significant difference between groups in mean birth weight, low birth weight (< 2500 g) or macrosomia (≥ 4000 g). Per protocol analyses showed higher Apgar score (1 min) in the EG compared with the CG (p = 0.02). No difference was seen in length of gestation.ConclusionAerobic-dance exercise was not associated with reduction in birth weight, preterm birth rate or neonatal well-being.Trial RegistrationClinicalTrials.gov: NCT00617149

Highlights

  • Birth weight plays an important role in infant mortality and morbidity, childhood development, and adult health [9,10,11,12]

  • Low birth weight babies are at an increased risk for mortality, short term and long term morbidities [13,14]

  • The purpose of the present study was to examine the effect of aerobic dance exercise twice a week, in addition to 30 minutes of moderate self-imposed physical activity on the remaining week-days, on birth weight, including the proportion of small (< 2500 g) and large (≥ 4000 g) newborns in nulliparous previously inactive pregnant women

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Summary

Introduction

Birth weight plays an important role in infant mortality and morbidity, childhood development, and adult health. To date there are contradictory results regarding the role of physical activity on birth weight. It is questioned whether exercise during second and third trimesters of pregnancy might affect gestational age and increase the risk of preterm delivery. Low birth weight babies are at an increased risk for mortality, short term and long term morbidities [13,14]. Another concern is the increasing prevalence of newborns with high birth weight or fetal macrosomia [15,16]. Long term health risks include diabetes, obesity, metabolic syndrome and some types of cancer [20,21,22]

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