Effect of an exercise intervention during pregnancy on metabolic health parameters and delivery outcomes in Indian women

IF 0.6 Q3 VETERINARY SCIENCES

Comparative Exercise Physiology Pub Date : 2022-11-15 DOI:10.3920/cep220034

A. Pawalia, V. Yadav, K. Pawalia

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Abstract

Moderate physical activity is important during pregnancy. However, this concept is new in India. This study reported the effect of an exercise intervention on weight changes and delivery outcomes in pregnant Indian women. 60 pregnant women in two groups underwent a pregnancy intervention between 20 weeks of gestation till delivery. Group 1 attended a supervised prenatal weekly exercise session with diet advise & walking for 30 min/day from 20 weeks of gestation till delivery. Group 2 received regular prenatal care at the hospital with general advice on physical activity during pregnancy. Outcome variables-body weight, body mass index (BMI), waist & hip circumference, gestational weight gain (GWG), post-partum weight retention (PPWR) and 2 delivery outcomes, i.e. mode of delivery and prolonged labour. The readings were taken at baseline, at delivery and at 2 months post-delivery. Intervention group retained less PPWR than the control at 2 months post-delivery. Similar results were found for various obesity parameters, waist (5.60±4.96 and 9.46±4.64, P=0.003) and hip (4.33±4.25 and 7.70±7.46, P=0.036) circumference and BMI at 2 months post-partum (2.41±1.65 and 4.28±3.75, P=0.015). Incidence of caesarean section and prolonged labour was less in intervention group too (P=0.012). The pregnancy lifestyle intervention significantly reduced weight retention, obesity parameters, and reduced pregnancy complications, in Indian women. Clinical Trial Registry India no. CTRI/2017/04/008322

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妊娠期运动干预对印度妇女代谢健康参数和分娩结局的影响

怀孕期间适度的体育活动很重要。然而，这个概念在印度是新的。本研究报告了运动干预对印度孕妇体重变化和分娩结局的影响。两组60名孕妇在妊娠20周至分娩期间接受了妊娠干预。第一组参加了有监督的产前每周锻炼课程，包括饮食建议和从妊娠20周到分娩每天步行30分钟。第2组在医院接受定期产前护理，并就怀孕期间的身体活动提供一般性建议。结局变量:体重、体重指数(BMI)、腰围和臀围、妊娠期体重增加(GWG)、产后体重保持(PPWR)和2种分娩结局，即分娩方式和分娩时间延长。分别在基线、分娩时和分娩后2个月进行测量。干预组产后2个月PPWR低于对照组。各肥胖指标腰围(5.60±4.96和9.46±4.64,P=0.003)、臀围(4.33±4.25和7.70±7.46,P=0.036)围围和产后2个月BMI(2.41±1.65和4.28±3.75,P=0.015)均有类似结果。干预组剖宫产和延长分娩的发生率也较低(P=0.012)。妊娠生活方式干预显著降低了印度妇女的体重保持、肥胖参数和妊娠并发症。印度临床试验登记处编号:CTRI / 2017/04/008322

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来源期刊

Comparative Exercise Physiology VETERINARY SCIENCES-

CiteScore

1.50

自引率

11.10%

发文量

期刊介绍： ''Comparative Exercise Physiology'' is the only international peer-reviewed scientific journal specifically dealing with the latest research in exercise physiology across all animal species, including humans. The major objective of the journal is to use this comparative approach to better understand the physiological, nutritional, and biochemical parameters that determine levels of performance and athletic achievement. Core subjects include exercise physiology, biomechanics, gait (including the effect of riders in equestrian sport), nutrition and biochemistry, injury and rehabilitation, psychology and behaviour, and breeding and genetics. This comparative and integrative approach to exercise science ultimately highlights the similarities as well as the differences between humans, horses, dogs, and other athletic or non-athletic species during exercise. The result is a unique forum for new information that serves as a resource for all who want to understand the physiological challenges with exercise.