Physical activity and pregnancy related health outcomes in overweight and obese pregnant women: A systematic review and meta-analysis
Keywords:
physical activity, exercise, physical fitness, obese, overweight, pregnant women, child-bearing women, health outcomes, health effectsAbstract
---Background Maternal overweight and obesity are considered as one of the obstetric risk factors of many health problems, and physical activity is viewed as one of the strategies in promoting a healthier pregnancy. Hence, the aim of this systematic review is to study the effects of physical activity on various pregnancy-related outcomes in overweight and obese pregnant women. Methodology Three online databases were searched for randomized controlled trials published between the years 2010 and 2021. The articles that reported the effect of physical activity on maternal and/or fetal outcomes were retrieved. The study characteristics and the data on health outcomes were extracted. Effect estimates were calculated using relative risk (RR), mean difference (MD), and standardized mean difference (SMD) with a random-effect model and 95% confidence interval (CI). Results Eleven studies were included for the statistical meta-analysis study. Physical activity was observed to significantly reduced GWG by 0.89 kg (95% CI = -1.63 to -0.14, P=0.02) and no significant results were found for other maternal and fetal outcomes measured. Conclusion Physical activity-only intervention shown to be beneficial in improving gestational weight gain, and appear to have promising results towards promoting good pregnancy-related health outcomes in overweight and obese pregnant women overall.
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