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Obesity can offset the cardiometabolic benefits of gestational exercise.
Perales, María; Valenzuela, Pedro L; Barakat, Rubén; Alejo, Lidia B; Cordero, Yaiza; Peláez, Mireia; Lucia, Alejandro.
Afiliación
  • Perales M; Research Institute of Hospital 12 de Octubre ('i+12'), Madrid, Spain.
  • Valenzuela PL; Faculty of Sport Science, Universidad Camilo José Cela, Madrid, Spain.
  • Barakat R; Department of System Biology, Universiy of Alcalá, Madrid, Spain.
  • Alejo LB; Facultad de Ciencias de la Actividad Física y del Deporte, Universidad Politécnica de Madrid, Madrid, Spain.
  • Cordero Y; Faculty of Sport Sciences, Universidad Europea de Madrid, Madrid, Spain.
  • Peláez M; Universidad Complutense de Madrid, Madrid, Spain.
  • Lucia A; Universidad Europea del Atlántico, Santander, Spain.
Int J Obes (Lond) ; 45(2): 342-347, 2021 02.
Article en En | MEDLINE | ID: mdl-32887923
Pregnancy exercise can prevent excessive gestational weight gain (EGWG), gestational diabetes mellitus (GDM) and hypertension (GH), but inter-individual variability has not been explored. We aimed to analyze the prevalence--and potential sociodemographic and medical predictors of--non-responsiveness to gestational exercise, and the association of non-responsiveness with adverse pregnancy outcomes. Among 688 women who completed a supervised light-to-moderate intensity exercise program (three ~1-h sessions/week including aerobic, resistance, and pelvic floor muscle training) until near-term, those who showed EGWG, GDM or GH were considered 'non-responders'. A low prevalence of non-responders was observed for GDM (3.6%) and GH (3.4%), but not for EGWG (24.2%). Pre-pregnancy obesity was the strongest predictor of non-responsiveness for GH (odds ratio 8.40 [95% confidence interval 3.10-22.78] and EGWG (5.37 [2.78-10.39]), whereas having a highest education level attenuated the risk of being non-responder for GDM (0.10 [0.02-0.49]). Non-responsiveness for EGWG was associated with a higher risk of prolonged labor length, instrumental/cesarean delivery, and macrosomia, and of lower Apgar scores. No association with negative delivery outcomes was found for GDM/GH. In summary, women with pre-pregnancy obesity might require from additional interventions beyond light-to-moderate intensity gestational exercise (e.g., diet and/or higher exercise loads) to ensure cardiometabolic benefits.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ejercicio Físico / Diabetes Gestacional / Hipertensión Inducida en el Embarazo / Terapia por Ejercicio / Obesidad Tipo de estudio: Clinical_trials / Etiology_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: Int J Obes (Lond) Asunto de la revista: METABOLISMO Año: 2021 Tipo del documento: Article País de afiliación: España Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ejercicio Físico / Diabetes Gestacional / Hipertensión Inducida en el Embarazo / Terapia por Ejercicio / Obesidad Tipo de estudio: Clinical_trials / Etiology_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: Int J Obes (Lond) Asunto de la revista: METABOLISMO Año: 2021 Tipo del documento: Article País de afiliación: España Pais de publicación: Reino Unido