The association of maternal sedentary behaviour before and during pregnancy and offspring health outcomes: A systematic review and meta-analysis

IF 2.5 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-10-12 DOI:10.1016/j.midw.2025.104633

Jia Wang , Rui Dong , Sen Qu , Dongchun Chang , Mengxia Hong , Yu Wang , Wen Zhong , Zhenqing Ren , Jie Wang

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引用次数: 0

Abstract

Background

Sedentary behaviour is prevalent and associated with adverse maternal outcomes. However, conflicting results exist regarding the relationship between maternal sedentary behaviour before or during pregnancy and the consequences for offspring.

Aim

The present systematic review and meta-analysis aimed to quantitatively and qualitatively synthesise the existing evidence on the associations of maternal sedentary behaviour before or during pregnancy with offspring health outcomes.

Methods

Studies were obtained by searching relevant literature using seven databases from inception to February 4, 2025. Two independent reviewers screened the literature, assessed study eligibility, and extracted data. The quality of included studies was evaluated using the Newcastle-Ottawa Scale. A meta-analysis was conducted for a minimum of two comparable studies; otherwise, a narrative synthesis was employed.

Findings

Nine studies were included in this review. Outcome variables were birth outcomes (n = 8) and infant weight at 12 months (n = 1). Meta-analysis of two studies showed no statistically significant association between maternal sedentary time during pregnancy and low birth weight (odds ratio = 1.68, 95 % confidence intervals = 0.63–4.50). In the narrative synthesis, three studies found an association between maternal sedentary time during pregnancy and birth outcomes. Maternal sedentary time before pregnancy was associated with non-cardiac birth defects but not with birth weight or small for gestational age.

Conclusions

Although there is some evidence that mothers’ sedentary behaviour before or during pregnancy may be associated with the health of offspring, more high-quality studies are needed to confirm these findings and determine the impact on long-term offspring outcomes.

查看原文本刊更多论文

孕妇孕前和孕期久坐行为与后代健康结局的关系：一项系统综述和荟萃分析。

背景：久坐行为是普遍存在的，并与不良的产妇结局有关。然而，关于母亲在怀孕前或怀孕期间的久坐行为与对后代的影响之间的关系，存在着相互矛盾的结果。目的：本系统综述和荟萃分析旨在定量和定性地综合现有证据，证明母亲在怀孕前或怀孕期间的久坐行为与后代健康结果的关联。方法：检索7个数据库自成立至2025年2月4日的相关文献。两名独立审稿人筛选文献，评估研究资格，并提取数据。采用纽卡斯尔-渥太华量表评估纳入研究的质量。至少对两项可比研究进行了荟萃分析；除此之外，还采用了叙事综合。结果：本综述纳入了9项研究。结局变量为出生结局（n = 8）和12个月时婴儿体重（n = 1）。两项研究的荟萃分析显示，孕期产妇久坐时间与低出生体重之间无统计学意义的关联（优势比= 1.68,95%可信区间= 0.63-4.50）。在叙述性综合中，三项研究发现了母亲在怀孕期间久坐不动的时间与分娩结果之间的联系。孕妇孕前久坐时间与非心脏性出生缺陷有关，但与出生体重或胎龄小无关。结论：虽然有一些证据表明母亲在怀孕前或怀孕期间的久坐行为可能与后代的健康有关，但需要更多高质量的研究来证实这些发现并确定对后代长期结局的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.