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Exercise during pregnancy and risk of gestational hypertensive disorders: a systematic review and meta‐analysis

Acta obstetricia et gynecologica Scandinavica, 2017-08, Vol.96 (8), p.921-931 [Peer Reviewed Journal]

2017 Nordic Federation of Societies of Obstetrics and Gynecology ;2017 Nordic Federation of Societies of Obstetrics and Gynecology. ;Copyright © 2017 Acta Obstetricia et Gynecologica Scandinavica ;ISSN: 0001-6349 ;EISSN: 1600-0412 ;DOI: 10.1111/aogs.13151 ;PMID: 28401531

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  • Title:
    Exercise during pregnancy and risk of gestational hypertensive disorders: a systematic review and meta‐analysis
  • Author: Magro‐Malosso, Elena R. ; Saccone, Gabriele ; Di Tommaso, Mariarosaria ; Roman, Amanda ; Berghella, Vincenzo
  • Subjects: Aerobics ; Evidence-based medicine ; Exercise ; exercise in pregnancy ; Female ; Global Health ; Health risk assessment ; Humans ; Hypertension ; Hypertension, Pregnancy-Induced - epidemiology ; Hypertension, Pregnancy-Induced - etiology ; Hypertension, Pregnancy-Induced - prevention & control ; Maternal Health ; Meta-analysis ; obesity ; Physical activity ; Physical fitness ; Preeclampsia ; Pregnancy ; preterm birth ; Randomized Controlled Trials as Topic ; Risk Factors ; Systematic review
  • Is Part Of: Acta obstetricia et gynecologica Scandinavica, 2017-08, Vol.96 (8), p.921-931
  • Description: Introduction Gestational hypertensive disorders, including gestational hypertension and preeclampsia, are one of the leading causes of maternal morbidity and mortality. The aim of our study was to evaluate the effect of exercise during pregnancy on the risk of gestational hypertensive disorders. Material and methods Electronic databases were searched from their inception to February 2017. Selection criteria included only randomized controlled trials of uncomplicated pregnant women assigned before 23 weeks to an aerobic exercise regimen or not. The summary measures were reported as relative risk with 95% confidence intervals. The primary outcome was the incidence of gestational hypertensive disorders, defined as either gestational hypertension or preeclampsia. Results Seventeen trials, including 5075 pregnant women, were analyzed. Of them, seven contributed data to quantitative meta‐analysis for the primary outcome. Women who were randomized in early pregnancy to aerobic exercise for about 30–60 min two to seven times per week had a significant lower incidence of gestational hypertensive disorders (5.9% vs. 8.5%; relative risk 0.70, 95% confidence interval 0.53–0.83; seven studies, 2517 participants), specifically a lower incidence of gestational hypertension (2.5% vs. 4.6%; relative risk 0.54, 95% confidence interval 0.40–0.74; 16 studies, 4641 participants) compared with controls. The incidence of preeclampsia (2.3% vs. 2.8%; relative risk 0.79, 95% confidence interval 0.45–1.38; six studies, 2230 participants) was similar in both groups. The incidence of cesarean delivery was decreased by 16% in the exercise group. Conclusions Aerobic exercise for about 30–60 min two to seven times per week during pregnancy, as compared with being more sedentary, is associated with a significantly reduced risk of gestational hypertensive disorders overall, gestational hypertension, and cesarean delivery.
  • Publisher: United States: Wiley Subscription Services, Inc
  • Language: English
  • Identifier: ISSN: 0001-6349
    EISSN: 1600-0412
    DOI: 10.1111/aogs.13151
    PMID: 28401531
  • Source: Journals@Ovid Open Access Journal Collection Rolling
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