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Influence of maternal physical activity on infant's body composition
M Bisson1,2, F Tremblay1, O St-Onge3
1Department of Pediatrics, Centre Hospitalier Universitaire (CHU) de Québec, Université Laval, Québec City, QC, Canada.
Insights
Maternal physical activity (PA) intensity during pregnancy impacts neonatal body composition. Vigorous PA may decrease birthweight and adiposity, while moderate PA influences lean mass, but interactions exist.
Area of Science:
- Obstetrics and Gynecology
- Neonatal Health
- Exercise Physiology
Background:
- Physical activity (PA) during pregnancy may mitigate neonatal adiposity, a key indicator of future metabolic health issues.
- Understanding the relationship between maternal exercise intensity and offspring body composition is crucial for prenatal care.
Purpose of the Study:
- To investigate the association between the intensity of maternal physical activity during pregnancy and the resulting neonatal body composition.
- To determine how different levels and types of physical activity (moderate vs. vigorous) influence neonatal outcomes.
Main Methods:
- Maternal physical activity was objectively measured using accelerometry at 17 and 36 weeks of gestation.
- Neonatal body composition was assessed post-delivery using dual-energy X-ray absorptiometry.
- Multivariate regression analyses examined associations between maternal PA (moderate PA [MPA], vigorous PA [VPA]) and neonatal outcomes.
Main Results:
- Vigorous physical activity (VPA) at any point during pregnancy was linked to decreased birthweight (BW).
- VPA specifically at 17 weeks of gestation was associated with reduced neonatal adiposity (fat percentage).
- Moderate physical activity (MPA) at 36 weeks was linked to increased neonatal lean mass. High MPA combined with VPA at 17 weeks significantly reduced neonatal bone mineral content (BMC) and BW.
Conclusions:
- The intensity of maternal exercise during pregnancy plays a significant role in modulating neonatal body composition.
- Further research is needed to ascertain the long-term health implications of reduced birthweight, adiposity, and bone mineral content associated with vigorous physical activity.
Background:
Physical activity (PA) during pregnancy might contribute to reduce neonatal adiposity, a predictor of metabolic disturbances.
Objective:
The objective of the study was to evaluate the association between maternal PA intensity and neonatal body composition.
Methods:
Maternal PA measured by accelerometry and nutrition were documented during pregnancy, as well as neonatal body composition by dual-energy X-ray absorptiometry following delivery. Associations between PA at 17 and 36 weeks (time spent in moderate PA (MPA), vigorous PA (VPA) status and their interaction) and neonatal body composition were addressed by multivariate regression analyses.
Results:
From 104 women, 50 (48%) and 16 (18%) performed VPA at 17 and 36 weeks of pregnancy. Performing VPA at either time was associated with a decreased birthweight (BW), while only VPA at 17 weeks decreased neonatal adiposity (fat percentage: -2.3 ± 0.8%, p = 0.003). MPA at 36 weeks was associated with an increased lean mass (2.0 ± 0.8 g per min day-1 , p = 0.012). Significant interactions were found for BW and bone mineral content (BMC). MPA at 17 weeks tended to increase BW, but not BMC, in the no VPA strata. By contrast, high levels of MPA (≥112 min d-1 ) combined with VPA at 17 weeks reduced neonatal BMC and BW compared with no VPA (BMC: -5.4 ± 2.0 g, p = 0.008, BW: -302.8 ± 83.7 g, p = 0.0003). Differences were not significant with low MPA levels.
Conclusions:
Exercise intensity modulates neonatal body composition. The long-term significance of a reduced BW, adiposity and BMC with VPA requires further study.
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