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Developing Evidence-Based Recommendations Surrounding Training During and Following Pregnancy in Elite Athletes
William M Adams1,2,3,4, Travis Anderson5,6,7, Eric G Post5,6,7
1Department of Kinesiology, Michigan State University, East Lansing, MI, USA.
International Journal of Sports Physiology and Performance
|November 25, 2025
Summary
Research on female athletes during pregnancy is limited, offering little guidance for training. More comprehensive studies are needed to support perinatal athletes with evidence-based care.
Area of Science:
- Sport and Exercise Science
- Reproductive Health
Background:
- Limited research exists on female athletes during pregnancy and postpartum.
- Current literature offers insufficient guidance for training and competition in elite perinatal athletes.
- There is a need to expand research on female athletes' specific needs during the perinatal period.
Purpose of the Study:
- To review current literature on exercise and perinatal stages in elite athletes.
- To identify gaps in knowledge regarding training and competition for perinatal athletes.
- To call for further research and clinical exploration in this specialized area.
Main Methods:
- Literature review of existing studies on exercise and elite athletes during pregnancy and postpartum.
- Analysis of current guidance and its limitations for perinatal athletes.
- Identification of key areas for future research and interdisciplinary collaboration.
Main Results:
- Significant gaps exist in the scientific literature concerning female athletes during the perinatal period.
- Existing guidance for coaches, healthcare providers, and athletes is inadequate.
- There is a lack of comprehensive, evidence-informed strategies for training, nutrition, and injury prevention.
Conclusions:
- An interdisciplinary approach is crucial for evidence-informed care of perinatal athletes.
- Focus should be on physiological changes, training, nutrition, environmental factors, and injury prevention.
- Expanded research is essential to provide proper guidance and support for elite perinatal athletes.
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