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Is willingness to exercise programmed in utero? Reviewing sedentary behavior and the benefits of physical activity in intrauterine growth restricted individuals.
Bischoff, Adrianne Rahde; Cunha, Fábio da Silva; Dalle Molle, Roberta; Maróstica, Paulo José Cauduro; Silveira, Patrícia Pelufo.
Afiliação
  • Bischoff AR; University of Toronto, Department of Pediatrics, Division of Neonatology, Toronto, Canada; Hospital for Sick Children, Toronto, Canada. Electronic address: adrianne.bischoff@sickkids.ca.
  • Cunha FDS; Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Pediatria, Programa de Pós-Graduação em Saúde da Criança e do Adolescente, Porto Alegre, RS, Brazil.
  • Dalle Molle R; Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Pediatria, Programa de Pós-Graduação em Saúde da Criança e do Adolescente, Porto Alegre, RS, Brazil.
  • Maróstica PJC; Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Pediatria, Programa de Pós-Graduação em Saúde da Criança e do Adolescente, Porto Alegre, RS, Brazil.
  • Silveira PP; Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Pediatria, Programa de Pós-Graduação em Saúde da Criança e do Adolescente, Porto Alegre, RS, Brazil; McGill University, Douglas Mental Health University Institute, Ludmer Centre for Neuroinformatics and Mental Health,
J Pediatr (Rio J) ; 94(6): 582-595, 2018.
Article em En | MEDLINE | ID: mdl-29476706
OBJECTIVE: The literature suggests that a fetus will adapt to surrounding adversities by optimizing its use of energy to improve survival, ultimately leading to the programming of the individual's energy intake and expenditure. While recent reviews focused on the fetal programming of energy intake and food preferences, there is also some evidence that fetal adversity is associated with diminished physical activity levels. Therefore, we aimed to review (a) the evidence for an association between being born with intrauterine growth restriction and sedentarism over the life-course and (b) the potential benefits of physical activity over cardiometabolic risk factors for this population. SOURCES: PubMed, Scielo, Scopus and Embase. SUMMARY OF FINDINGS: Most clinical studies that used objective measures found no association between intrauterine growth restriction and physical activity levels, while most studies that used self-reported questionnaires revealed such relationships, particularly leisure time physical activity. Experimental studies support the existence of fetal programming of physical activity, and show that exposure to exercise during IUGR individuals' life improves metabolic outcomes but less effect was seen on muscle architecture or function. CONCLUSIONS: Alterations in muscle strength and metabolism, as well as altered aerobic performance, may predispose IUGR individuals to be spontaneously less physically active, suggesting that this population may be an important target for preventive interventions. Although very heterogeneous, the different studies allow us to infer that physical activity may have beneficial effects especially for individuals that are more vulnerable to metabolic modifications such as those with IUGR.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Exercício Físico / Desenvolvimento Fetal / Comportamento Sedentário / Retardo do Crescimento Fetal Tipo de estudo: Etiology_studies / Risk_factors_studies Limite: Female / Humans / Male Idioma: En Revista: J Pediatr (Rio J) Ano de publicação: 2018 Tipo de documento: Article País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Exercício Físico / Desenvolvimento Fetal / Comportamento Sedentário / Retardo do Crescimento Fetal Tipo de estudo: Etiology_studies / Risk_factors_studies Limite: Female / Humans / Male Idioma: En Revista: J Pediatr (Rio J) Ano de publicação: 2018 Tipo de documento: Article País de publicação: Brasil