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Exercise during pregnancy Dose: Influence on preterm birth outcomes
Alex Claiborne1, Breanna Wisseman1, Kara Kern1
1Department of Kinesiology, East Carolina University (ECU), Greenville, NC, USA; Human Performance Laboratory, ECU, Greenville, NC, USA; East Carolina Diabetes & Obesity Institute, ECU, Greenville, NC, USA.
Insights
Increased prenatal exercise volume and duration positively impact preterm birth outcomes. Greater exercise dose is linked to reduced infant hospital stays and improved Apgar scores in neonates.
Area of Science:
- Obstetrics and Gynecology
- Neonatal Health
- Exercise Physiology
Background:
- Preterm delivery poses significant health risks and financial burdens for neonates.
- Prenatal exercise dose influences birth outcomes, potentially mitigating risks associated with preterm birth.
Purpose of the Study:
- To investigate the effect of supervised prenatal exercise dose on preterm birth occurrence.
- To assess the impact of prenatal exercise on health outcomes for preterm neonates.
Main Methods:
- Retrospective analysis of pooled data from three randomized controlled trials.
- Assessed prenatal exercise dose (aerobic, resistance, combination) throughout pregnancy.
- Collected data on gestational age, birth weight, neonatal morphometrics, and Apgar scores for 21 women.
Main Results:
- Exercise during pregnancy showed a trend towards later preterm deliveries (p=0.08).
- Increased prenatal exercise volume and duration correlated with shorter infant hospital stays (p=0.02).
- Higher weekly exercise volume was associated with improved Apgar scores (p=0.01).
Conclusions:
- Greater prenatal exercise volume and duration are associated with improved birth outcomes in preterm neonates.
- Supervised prenatal exercise interventions may positively influence neonatal health and reduce healthcare burdens.
Background:
Preterm delivery typically increases health risk for neonates and is associated with longer infant hospital stay and financial burden. Prenatal exercise dose (frequency, intensity, type, time, volume) have been shown to influence birth outcomes. Increased prenatal exercise dose could therefore provide a critical reduction in health risk and financial burden in preterm neonates.
Objective:
It was our aim to explore the effects of prenatal exercise dose from a supervised exercise intervention in pregnant women on the occurrence of preterm (<37 weeks gestation) births, and the impact on health outcomes in preterm neonates.
Study Design:
This study is a retrospective, secondary analysis of pooled data from three blinded, prospective, randomized controlled trials. Prenatal exercise dose were assessed in supervised aerobic, resistance, and combination sessions throughout pregnancy. In addition to gestational age, birth weight, resting heart rate, neonatal morphometrics (body circumferences, ponderal index), and health status (Apgar-1 and -5) metrics were obtained for 21 women at birth. One-way analysis of variance tests were used to assess the differences between dose grouped as tertiles, while Pearson correlations determined the association between dose and birth outcomes.
Results:
Women exercised for an average of 19.6 wks (range: 6 - 21 wks) during pregnancy. Exercise during pregnancy tended to result in later preterm deliveries (p = 0.08). Greater prenatal exercise volume and duration were associated with reduced infant hospital stay post-delivery (p = 0.02). Weekly exercise volume was associated with increased Apgar scores (p = 0.01).
Conclusion:
Increased prenatal exercise volume and duration is associated with improved birth outcomes in preterm neonates.
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