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Erschienen in: Maternal and Child Health Journal 5/2012

01.07.2012

A Prospective Study of the Association Between Vigorous Physical Activity During Pregnancy and Length of Gestation and Birthweight

verfasst von: Anne Marie Z. Jukic, Kelly R. Evenson, Julie L. Daniels, Amy H. Herring, Allen J. Wilcox, Katherine E. Hartmann

Erschienen in: Maternal and Child Health Journal | Ausgabe 5/2012

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Abstract

Current US pregnancy-related physical activity recommendations do not provide specific guidance for vigorous intensity activity. We examined the associations between vigorous physical activity during pregnancy and length of gestation and birthweight. Methods: Women were recruited before 10 weeks gestation. At 13–16 weeks gestation, participants reported the type, frequency, and duration of their typical weekly vigorous physical activities. Activity domains included recreational, occupational, household, and child/adult care. Infant birth date was obtained from medical or vital records; if unavailable, self-report was used. Birthweight (from vital records) was studied among term births. We analyzed gestational age among 1,647 births using discrete-time survival analysis. We used logistic and linear regression to analyze preterm birth (birth at <37 weeks) and birthweight, respectively. Vigorous recreational activity was associated with longer gestation (any vs. none, hazard ratio (HR) [95% CI]: 0.85 [0.70, 1.05]) and we did not detect any dose–response association. Higher frequency of vigorous recreational activity sessions (adjusted for total volume of activity) was associated with a decreased odds of preterm birth (≥4 sessions/week vs. 0 or 1, OR [95% CI]: 0.08 (0.006, 1.0). Birthweight was not associated with physical activity measures. In summary, vigorous physical activity does not appear to be detrimental to the timing of birth or birthweight. Our data support a reduced risk of preterm birth with vigorous recreational activity, particularly with increased frequency of recreational activity sessions. Future studies should investigate the components of physical activity (i.e., intensity, duration, and frequency) in relation to birth outcomes.
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Literatur
2.
Zurück zum Zitat Shapiro-Mendoza, C. K., Tomashek, K. M., Kotelchuck, M., Barfield, W., Nannini, A., Weiss, J., et al. (2008). Effect of late-preterm birth and maternal medical conditions on newborn morbidity risk. Pediatrics, 121(2), e223–e232.PubMedCrossRef Shapiro-Mendoza, C. K., Tomashek, K. M., Kotelchuck, M., Barfield, W., Nannini, A., Weiss, J., et al. (2008). Effect of late-preterm birth and maternal medical conditions on newborn morbidity risk. Pediatrics, 121(2), e223–e232.PubMedCrossRef
3.
Zurück zum Zitat Tomashek, K. M., Shapiro-Mendoza, C. K., Davidoff, M. J., & Petrini, J. R. (2007). Differences in mortality between late-preterm and term singleton infants in the United States, 1995–2002. Journal of Pediatrics, 151(5), 450–456.PubMedCrossRef Tomashek, K. M., Shapiro-Mendoza, C. K., Davidoff, M. J., & Petrini, J. R. (2007). Differences in mortality between late-preterm and term singleton infants in the United States, 1995–2002. Journal of Pediatrics, 151(5), 450–456.PubMedCrossRef
4.
Zurück zum Zitat Underwood, M. A., Danielsen, B., & Gilbert, W. M. (2007). Cost, causes and rates of rehospitalization of preterm infants. Journal of Perinatology, 27(10), 614–619.PubMedCrossRef Underwood, M. A., Danielsen, B., & Gilbert, W. M. (2007). Cost, causes and rates of rehospitalization of preterm infants. Journal of Perinatology, 27(10), 614–619.PubMedCrossRef
5.
Zurück zum Zitat Hohimer, A. R., Bissonnette, J. M., Metcalfe, J., & McKean, T. A. (1984). Effect of exercise on uterine blood flow in the pregnant Pygmy goat. American Journal of Physiology, 246(2 Pt 2), H207–H212.PubMed Hohimer, A. R., Bissonnette, J. M., Metcalfe, J., & McKean, T. A. (1984). Effect of exercise on uterine blood flow in the pregnant Pygmy goat. American Journal of Physiology, 246(2 Pt 2), H207–H212.PubMed
6.
Zurück zum Zitat Lotgering, F. K., Gilbert, R. D., & Longo, L. D. (1983). Exercise responses in pregnant sheep: Oxygen consumption, uterine blood flow, and blood volume. Journal of Applied Physiology, 55(3), 834–841.PubMed Lotgering, F. K., Gilbert, R. D., & Longo, L. D. (1983). Exercise responses in pregnant sheep: Oxygen consumption, uterine blood flow, and blood volume. Journal of Applied Physiology, 55(3), 834–841.PubMed
7.
Zurück zum Zitat Nesbitt, A. E., Murphy, R. J., & O’Hagan, K. P. (2005). Effect of gestational stage on uterine artery blood flow during exercise in rabbits. Journal of Applied Physiology, 99(6), 2159–2165.PubMedCrossRef Nesbitt, A. E., Murphy, R. J., & O’Hagan, K. P. (2005). Effect of gestational stage on uterine artery blood flow during exercise in rabbits. Journal of Applied Physiology, 99(6), 2159–2165.PubMedCrossRef
8.
Zurück zum Zitat O’Hagan, K. P., & Alberts, J. A. (2003). Uterine artery blood flow and renal sympathetic nerve activity during exercise in rabbit pregnancy. American Journal of Physiology: Regulatory, Integrative and Comparative Physiology, 285(5), R1135–R1144.PubMed O’Hagan, K. P., & Alberts, J. A. (2003). Uterine artery blood flow and renal sympathetic nerve activity during exercise in rabbit pregnancy. American Journal of Physiology: Regulatory, Integrative and Comparative Physiology, 285(5), R1135–R1144.PubMed
9.
Zurück zum Zitat Baumann, H., Huch, A., & Huch, R. (1989). Doppler sonographic evaluation of exercise-induced blood flow velocity and waveform changes in fetal, uteroplacental and large maternal vessels in pregnant women. Journal of Perinatal Medicine, 17(4), 279–287.PubMedCrossRef Baumann, H., Huch, A., & Huch, R. (1989). Doppler sonographic evaluation of exercise-induced blood flow velocity and waveform changes in fetal, uteroplacental and large maternal vessels in pregnant women. Journal of Perinatal Medicine, 17(4), 279–287.PubMedCrossRef
10.
Zurück zum Zitat Erkkola, R. U., Pirhonen, J. P., & Kivijarvi, A. K. (1992). Flow velocity waveforms in uterine and umbilical arteries during submaximal bicycle exercise in normal pregnancy. Obstetrics and Gynecology, 79(4), 611–615.PubMed Erkkola, R. U., Pirhonen, J. P., & Kivijarvi, A. K. (1992). Flow velocity waveforms in uterine and umbilical arteries during submaximal bicycle exercise in normal pregnancy. Obstetrics and Gynecology, 79(4), 611–615.PubMed
11.
Zurück zum Zitat Rauramo, I., & Forss, M. (1988). Effect of exercise on maternal hemodynamics and placental blood flow in healthy women. Acta Obstetrics and Gynecology Scandinavian, 67(1), 21–25.CrossRef Rauramo, I., & Forss, M. (1988). Effect of exercise on maternal hemodynamics and placental blood flow in healthy women. Acta Obstetrics and Gynecology Scandinavian, 67(1), 21–25.CrossRef
12.
Zurück zum Zitat Brenner, I. K., Wolfe, L. A., Monga, M., & McGrath, M. J. (1999). Physical conditioning effects on fetal heart rate responses to graded maternal exercise. Medicine and Science in Sports and Exercise, 31(6), 792–799.PubMedCrossRef Brenner, I. K., Wolfe, L. A., Monga, M., & McGrath, M. J. (1999). Physical conditioning effects on fetal heart rate responses to graded maternal exercise. Medicine and Science in Sports and Exercise, 31(6), 792–799.PubMedCrossRef
13.
Zurück zum Zitat Kennelly, M. M., Geary, M., McCaffrey, N., McLoughlin, P., Staines, A., & McKenna, P. (2002). Exercise-related changes in umbilical and uterine artery waveforms as assessed by Doppler ultrasound scans. American Journal of Obstetrics and Gynecology, 187(3), 661–666.PubMedCrossRef Kennelly, M. M., Geary, M., McCaffrey, N., McLoughlin, P., Staines, A., & McKenna, P. (2002). Exercise-related changes in umbilical and uterine artery waveforms as assessed by Doppler ultrasound scans. American Journal of Obstetrics and Gynecology, 187(3), 661–666.PubMedCrossRef
14.
Zurück zum Zitat Kennelly, M. M., McCaffrey, N., McLoughlin, P., Lyons, S., & McKenna, P. (2002). Fetal heart rate response to strenuous maternal exercise: Not a predictor of fetal distress. American Journal of Obstetrics and Gynecology, 187(3), 811–816.PubMedCrossRef Kennelly, M. M., McCaffrey, N., McLoughlin, P., Lyons, S., & McKenna, P. (2002). Fetal heart rate response to strenuous maternal exercise: Not a predictor of fetal distress. American Journal of Obstetrics and Gynecology, 187(3), 811–816.PubMedCrossRef
15.
Zurück zum Zitat McMurray, R. G., Katz, V. L., Poe, M. P., & Hackney, A. C. (1995). Maternal and fetal responses to low-impact aerobic dance. American Journal of Perinatology, 12(4), 282–285.PubMedCrossRef McMurray, R. G., Katz, V. L., Poe, M. P., & Hackney, A. C. (1995). Maternal and fetal responses to low-impact aerobic dance. American Journal of Perinatology, 12(4), 282–285.PubMedCrossRef
16.
Zurück zum Zitat Morrow, R. J., Ritchie, J. W., & Bull, S. B. (1989). Fetal and maternal hemodynamic responses to exercise in pregnancy assessed by Doppler ultrasonography. American Journal of Obstetrics and Gynecology, 160(1), 138–140.PubMed Morrow, R. J., Ritchie, J. W., & Bull, S. B. (1989). Fetal and maternal hemodynamic responses to exercise in pregnancy assessed by Doppler ultrasonography. American Journal of Obstetrics and Gynecology, 160(1), 138–140.PubMed
17.
Zurück zum Zitat Lindqvist, P. G., Marsal, K., Merlo, J., & Pirhonen, J. P. (2003). Thermal response to submaximal exercise before, during and after pregnancy: A longitudinal study. The Journal of Matern-Fetal Neonatal Medicine, 13(3), 152–156.CrossRef Lindqvist, P. G., Marsal, K., Merlo, J., & Pirhonen, J. P. (2003). Thermal response to submaximal exercise before, during and after pregnancy: A longitudinal study. The Journal of Matern-Fetal Neonatal Medicine, 13(3), 152–156.CrossRef
18.
Zurück zum Zitat Bonen, A., Campagna, P., Gilchrist, L., Young, D. C., & Beresford, P. (1992). Substrate and endocrine responses during exercise at selected stages of pregnancy. Journal of Applied Physiology, 73(1), 134–142.PubMed Bonen, A., Campagna, P., Gilchrist, L., Young, D. C., & Beresford, P. (1992). Substrate and endocrine responses during exercise at selected stages of pregnancy. Journal of Applied Physiology, 73(1), 134–142.PubMed
19.
Zurück zum Zitat Bonen, A., Campagna, P. D., Gilchrist, L., & Beresford, P. (1995). Substrate and hormonal responses during exercise classes at selected stages of pregnancy. Canadian Journal of Applied Physiology, 20(4), 440–451.PubMedCrossRef Bonen, A., Campagna, P. D., Gilchrist, L., & Beresford, P. (1995). Substrate and hormonal responses during exercise classes at selected stages of pregnancy. Canadian Journal of Applied Physiology, 20(4), 440–451.PubMedCrossRef
20.
Zurück zum Zitat Clapp, J. F., I I I, Wesley, M., & Sleamaker, R. H. (1987). Thermoregulatory and metabolic responses to jogging prior to and during pregnancy. Medicine and Science in Sports and Exercise, 19(2), 124–130.PubMed Clapp, J. F., I I I, Wesley, M., & Sleamaker, R. H. (1987). Thermoregulatory and metabolic responses to jogging prior to and during pregnancy. Medicine and Science in Sports and Exercise, 19(2), 124–130.PubMed
21.
Zurück zum Zitat McMurray, R. G., Hackney, A. C., Guion, W. K., & Katz, V. L. (1996). Metabolic and hormonal responses to low-impact aerobic dance during pregnancy. Medicine and Science in Sports and Exercise, 28(1), 41–46.PubMedCrossRef McMurray, R. G., Hackney, A. C., Guion, W. K., & Katz, V. L. (1996). Metabolic and hormonal responses to low-impact aerobic dance during pregnancy. Medicine and Science in Sports and Exercise, 28(1), 41–46.PubMedCrossRef
22.
Zurück zum Zitat Cunningham, F. G., Gilstrap, L. C., I. I. I., Gant, N. F., Hauth, J. C., Wenstrom, K. D., & Leveno, K. J. (2001). Williams obstetrics (21st ed.). New York: McGraw-Hill, Medical Publishing Division. Cunningham, F. G., Gilstrap, L. C., I. I. I., Gant, N. F., Hauth, J. C., Wenstrom, K. D., & Leveno, K. J. (2001). Williams obstetrics (21st ed.). New York: McGraw-Hill, Medical Publishing Division.
23.
Zurück zum Zitat Chasan-Taber, L., Evenson, K. R., Sternfeld, B., & Kengeri, S. (2007). Assessment of recreational physical activity during pregnancy in epidemiologic studies of birthweight and length of gestation: Methodologic aspects. Women and Health, 45(4), 85–107.CrossRef Chasan-Taber, L., Evenson, K. R., Sternfeld, B., & Kengeri, S. (2007). Assessment of recreational physical activity during pregnancy in epidemiologic studies of birthweight and length of gestation: Methodologic aspects. Women and Health, 45(4), 85–107.CrossRef
24.
Zurück zum Zitat Bonzini, M., Coggon, D., & Palmer, K. T. (2007). Risk of prematurity, low birthweight and pre-eclampsia in relation to working hours and physical activities: A systematic review. Occupational and Environmental Medicine, 64(4), 228–243.PubMedCrossRef Bonzini, M., Coggon, D., & Palmer, K. T. (2007). Risk of prematurity, low birthweight and pre-eclampsia in relation to working hours and physical activities: A systematic review. Occupational and Environmental Medicine, 64(4), 228–243.PubMedCrossRef
25.
Zurück zum Zitat Kramer, M. S., & McDonald, S. W. (2006). Aerobic exercise for women during pregnancy. The Cochrane Database of Systematic Reviews, 3, CD000180. Kramer, M. S., & McDonald, S. W. (2006). Aerobic exercise for women during pregnancy. The Cochrane Database of Systematic Reviews, 3, CD000180.
26.
Zurück zum Zitat ACOG Committee Opinion. (2002). Number 267, January 2002: Exercise during pregnancy and the postpartum period. Obstetrics and Gynecology, 99(1), 171–173. ACOG Committee Opinion. (2002). Number 267, January 2002: Exercise during pregnancy and the postpartum period. Obstetrics and Gynecology, 99(1), 171–173.
27.
Zurück zum Zitat US Department of Health and Human Services. (2008). 2008 Physical activity guidelines for Americans. In Department of Health and Human Services, p. 61. US Department of Health and Human Services. (2008). 2008 Physical activity guidelines for Americans. In Department of Health and Human Services, p. 61.
28.
Zurück zum Zitat Promislow, J. H., Makarushka, C. M., Gorman, J. R., Howards, P. P., Savitz, D. A., & Hartmann, K. E. (2004). Recruitment for a community-based study of early pregnancy: The Right from the Start Study. Pediatric and Perinatal Epidemiology, 18(2), 143–152.PubMedCrossRef Promislow, J. H., Makarushka, C. M., Gorman, J. R., Howards, P. P., Savitz, D. A., & Hartmann, K. E. (2004). Recruitment for a community-based study of early pregnancy: The Right from the Start Study. Pediatric and Perinatal Epidemiology, 18(2), 143–152.PubMedCrossRef
29.
Zurück zum Zitat Evenson, K., & Wen, F. (2010). Measuring physical activity among pregnant women using a structured one-week recall questionnaire: Evidence for validity and reliability. International Journal of Behavioral Nutrition Physical Activity, 7(1), 21.CrossRef Evenson, K., & Wen, F. (2010). Measuring physical activity among pregnant women using a structured one-week recall questionnaire: Evidence for validity and reliability. International Journal of Behavioral Nutrition Physical Activity, 7(1), 21.CrossRef
30.
Zurück zum Zitat Borg, G. A. (1982). Psychophysical bases of perceived exertion. Medicine and Science in Sports and Exercise, 14(5), 377–381.PubMed Borg, G. A. (1982). Psychophysical bases of perceived exertion. Medicine and Science in Sports and Exercise, 14(5), 377–381.PubMed
31.
Zurück zum Zitat Ainsworth, B. E., Haskell, W. L., Whitt, M. C., Irwin, M. L., Swartz, A. M., Strath, S. J., et al. (2000). Compendium of physical activities: An update of activity codes and MET intensities. Medicine and Science in Sports and Exercise, 32(9 Suppl), S498–S504.PubMed Ainsworth, B. E., Haskell, W. L., Whitt, M. C., Irwin, M. L., Swartz, A. M., Strath, S. J., et al. (2000). Compendium of physical activities: An update of activity codes and MET intensities. Medicine and Science in Sports and Exercise, 32(9 Suppl), S498–S504.PubMed
32.
Zurück zum Zitat Ainsworth, B. E., Haskell, W. L., Leon, A. S., Jacobs, D. R., Jr., Montoye, H. J., Sallis, J. F., et al. (1993). Compendium of physical activities: Classification of energy costs of human physical activities. Medicine and Science in Sports and Exercise, 25(1), 71–80.PubMedCrossRef Ainsworth, B. E., Haskell, W. L., Leon, A. S., Jacobs, D. R., Jr., Montoye, H. J., Sallis, J. F., et al. (1993). Compendium of physical activities: Classification of energy costs of human physical activities. Medicine and Science in Sports and Exercise, 25(1), 71–80.PubMedCrossRef
33.
Zurück zum Zitat Greenland, S., Pearl, J., & Robins, J. M. (1999). Causal diagrams for epidemiologic research. Epidemiology, 10(1), 37–48.PubMedCrossRef Greenland, S., Pearl, J., & Robins, J. M. (1999). Causal diagrams for epidemiologic research. Epidemiology, 10(1), 37–48.PubMedCrossRef
34.
Zurück zum Zitat Cole, S. R., & Ananth, C. V. (2001). Regression models for unconstrained, partially or fully constrained continuation odds ratios. International Journal of Epidemiology, 30(6), 1379–1382.PubMedCrossRef Cole, S. R., & Ananth, C. V. (2001). Regression models for unconstrained, partially or fully constrained continuation odds ratios. International Journal of Epidemiology, 30(6), 1379–1382.PubMedCrossRef
35.
Zurück zum Zitat Robinson, L. D., & Jewell, N. P. (1991). Some surprising results about covariate adjustment in logistic-regression models. International Statistical Review, 59(2), 227–240.CrossRef Robinson, L. D., & Jewell, N. P. (1991). Some surprising results about covariate adjustment in logistic-regression models. International Statistical Review, 59(2), 227–240.CrossRef
36.
Zurück zum Zitat Lee, I. M., & Skerrett, P. J. (2001). Physical activity and all-cause mortality: What is the dose-response relation? Medicine and Science in Sports and Exercise, 33(6 Suppl), S459–S71; discussion S493–S494. Lee, I. M., & Skerrett, P. J. (2001). Physical activity and all-cause mortality: What is the dose-response relation? Medicine and Science in Sports and Exercise, 33(6 Suppl), S459–S71; discussion S493–S494.
37.
Zurück zum Zitat Alderman, B. W., Zhao, H., Holt, V. L., Watts, D. H., & Beresford, S. A. (1998). Maternal physical activity in pregnancy and infant size for gestational age. Annals of Epidemiology, 8(8), 513–519.PubMedCrossRef Alderman, B. W., Zhao, H., Holt, V. L., Watts, D. H., & Beresford, S. A. (1998). Maternal physical activity in pregnancy and infant size for gestational age. Annals of Epidemiology, 8(8), 513–519.PubMedCrossRef
38.
Zurück zum Zitat Botkin, C., & Driscoll, C. E. (1991). Maternal aerobic exercise: Newborn effects. The Family Practice Research Journal, 11(4), 387–393. Botkin, C., & Driscoll, C. E. (1991). Maternal aerobic exercise: Newborn effects. The Family Practice Research Journal, 11(4), 387–393.
39.
Zurück zum Zitat Duncombe, D., Skouteris, H., Wertheim, E. H., Kelly, L., Fraser, V., & Paxton, S. J. (2006). Vigorous exercise and birth outcomes in a sample of recreational exercisers: A prospective study across pregnancy. The Australian & New Zealand Journal of Obstetrics & Gynaecology, 46(4), 288–292.CrossRef Duncombe, D., Skouteris, H., Wertheim, E. H., Kelly, L., Fraser, V., & Paxton, S. J. (2006). Vigorous exercise and birth outcomes in a sample of recreational exercisers: A prospective study across pregnancy. The Australian & New Zealand Journal of Obstetrics & Gynaecology, 46(4), 288–292.CrossRef
40.
Zurück zum Zitat Haas, J. S., Fuentes-Afflick, E., Stewart, A. L., Jackson, R. A., Dean, M. L., Brawarsky, P., et al. (2005). Prepregnancy health status and the risk of preterm delivery. Archives of Pediatrics and Adolescent Medicine, 159(1), 58–63.PubMedCrossRef Haas, J. S., Fuentes-Afflick, E., Stewart, A. L., Jackson, R. A., Dean, M. L., Brawarsky, P., et al. (2005). Prepregnancy health status and the risk of preterm delivery. Archives of Pediatrics and Adolescent Medicine, 159(1), 58–63.PubMedCrossRef
41.
Zurück zum Zitat Hall, D. C., & Kaufmann, D. A. (1987). Effects of aerobic and strength conditioning on pregnancy outcomes. American Journal of Obstetrics and Gynecology, 157(5), 1199–1203.PubMed Hall, D. C., & Kaufmann, D. A. (1987). Effects of aerobic and strength conditioning on pregnancy outcomes. American Journal of Obstetrics and Gynecology, 157(5), 1199–1203.PubMed
42.
Zurück zum Zitat Horns, P. N., Ratcliffe, L. P., Leggett, J. C., & Swanson, M. S. (1996). Pregnancy outcomes among active and sedentary primiparous women. Journal of Obstetrics, Gynecology and Neonatal Nursing, 25(1), 49–54. Horns, P. N., Ratcliffe, L. P., Leggett, J. C., & Swanson, M. S. (1996). Pregnancy outcomes among active and sedentary primiparous women. Journal of Obstetrics, Gynecology and Neonatal Nursing, 25(1), 49–54.
43.
Zurück zum Zitat Leiferman, J. A., & Evenson, K. R. (2003). The effect of regular leisure physical activity on birth outcomes. Matern and Child Health Journal, 7(1), 59–64.CrossRef Leiferman, J. A., & Evenson, K. R. (2003). The effect of regular leisure physical activity on birth outcomes. Matern and Child Health Journal, 7(1), 59–64.CrossRef
44.
Zurück zum Zitat Lokey, E. A., Tran, Z. V., Wells, C. L., Myers, B. C., & Tran, A. C. (1991). Effects of physical exercise on pregnancy outcomes: A meta-analytic review. Medicine and Science in Sports and Exercise, 23(11), 1234–1239.PubMed Lokey, E. A., Tran, Z. V., Wells, C. L., Myers, B. C., & Tran, A. C. (1991). Effects of physical exercise on pregnancy outcomes: A meta-analytic review. Medicine and Science in Sports and Exercise, 23(11), 1234–1239.PubMed
45.
Zurück zum Zitat Orr, S. T., James, S. A., Garry, J., Prince, C. B., & Newton, E. R. (2006). Exercise and pregnancy outcome among urban, low-income, black women. Ethnicity and Disease, 16(4), 933–937.PubMed Orr, S. T., James, S. A., Garry, J., Prince, C. B., & Newton, E. R. (2006). Exercise and pregnancy outcome among urban, low-income, black women. Ethnicity and Disease, 16(4), 933–937.PubMed
46.
Zurück zum Zitat Rice, P. L., & Fort, I. L. (1991). The relationship of maternal exercise on labor, delivery and health of the newborn. The Journal of Sports Medicine and Physical Fitness, 31(1), 95–99.PubMed Rice, P. L., & Fort, I. L. (1991). The relationship of maternal exercise on labor, delivery and health of the newborn. The Journal of Sports Medicine and Physical Fitness, 31(1), 95–99.PubMed
47.
Zurück zum Zitat Rose, N. C., Haddow, J. E., Palomaki, G. E., & Knight, G. J. (1991). Self-rated physical activity level during the second trimester and pregnancy outcome. Obstetrics and Gynecology, 78(6), 1078–1080.PubMed Rose, N. C., Haddow, J. E., Palomaki, G. E., & Knight, G. J. (1991). Self-rated physical activity level during the second trimester and pregnancy outcome. Obstetrics and Gynecology, 78(6), 1078–1080.PubMed
48.
Zurück zum Zitat Sternfeld, B., Quesenberry, C. P., Jr., Eskenazi, B., & Newman, L. A. (1995). Exercise during pregnancy and pregnancy outcome. Medicine and Science in Sports and Exercise, 27(5), 634–640.PubMed Sternfeld, B., Quesenberry, C. P., Jr., Eskenazi, B., & Newman, L. A. (1995). Exercise during pregnancy and pregnancy outcome. Medicine and Science in Sports and Exercise, 27(5), 634–640.PubMed
49.
Zurück zum Zitat Both, M. I., Overvest, M. A., Wildhagen, M. F., Golding, J., & Wildschut, H. I. (2010). The association of daily physical activity and birth outcome: A population-based cohort study. European Journal of Epidemiology, 25(6), 421–429. Both, M. I., Overvest, M. A., Wildhagen, M. F., Golding, J., & Wildschut, H. I. (2010). The association of daily physical activity and birth outcome: A population-based cohort study. European Journal of Epidemiology, 25(6), 421–429.
50.
Zurück zum Zitat Hopkins, S. A., Baldi, J. C., Cutfield, W. S., McCowan, L., & Hofman, P. L. (2010). Exercise training in pregnancy reduces offspring size without changes in maternal insulin sensitivity. The Journal of Clinical Endocrinology and Metabolism, 95(5), 2080–2088.PubMedCrossRef Hopkins, S. A., Baldi, J. C., Cutfield, W. S., McCowan, L., & Hofman, P. L. (2010). Exercise training in pregnancy reduces offspring size without changes in maternal insulin sensitivity. The Journal of Clinical Endocrinology and Metabolism, 95(5), 2080–2088.PubMedCrossRef
51.
Zurück zum Zitat Badr, L. K., Abdallah, B., & Mahmoud, A. (2005). Precursors of preterm birth: Comparison of three ethnic groups in the middle East and the United States. Journal of Obstetrics, Gynecology and Neonatal Nursing, 34(4), 444–452.CrossRef Badr, L. K., Abdallah, B., & Mahmoud, A. (2005). Precursors of preterm birth: Comparison of three ethnic groups in the middle East and the United States. Journal of Obstetrics, Gynecology and Neonatal Nursing, 34(4), 444–452.CrossRef
52.
Zurück zum Zitat Berkowitz, G. S., Kelsey, J. L., Holford, T. R., & Berkowitz, R. L. (1983). Physical activity and the risk of spontaneous preterm delivery. The Journal of Reproductive Medicine, 28(9), 581–588.PubMed Berkowitz, G. S., Kelsey, J. L., Holford, T. R., & Berkowitz, R. L. (1983). Physical activity and the risk of spontaneous preterm delivery. The Journal of Reproductive Medicine, 28(9), 581–588.PubMed
53.
Zurück zum Zitat Evenson, K. R., Siega-Riz, A. M., Savitz, D. A., Leiferman, J. A., & Thorp, J. M., Jr. (2002). Vigorous leisure activity and pregnancy outcome. Epidemiology, 13(6), 653–659.PubMedCrossRef Evenson, K. R., Siega-Riz, A. M., Savitz, D. A., Leiferman, J. A., & Thorp, J. M., Jr. (2002). Vigorous leisure activity and pregnancy outcome. Epidemiology, 13(6), 653–659.PubMedCrossRef
54.
Zurück zum Zitat Hatch, M., Levin, B., Shu, X. O., & Susser, M. (1998). Maternal leisure-time exercise and timely delivery. American Journal of Public Health, 88(10), 1528–1533.PubMedCrossRef Hatch, M., Levin, B., Shu, X. O., & Susser, M. (1998). Maternal leisure-time exercise and timely delivery. American Journal of Public Health, 88(10), 1528–1533.PubMedCrossRef
55.
Zurück zum Zitat Magann, E. F., Evans, S. F., & Newnham, J. P. (1996). Employment, exertion, and pregnancy outcome: Assessment by kilocalories expended each day. American Journal of Obstetrics and Gynecology, 175(1), 182–187.PubMedCrossRef Magann, E. F., Evans, S. F., & Newnham, J. P. (1996). Employment, exertion, and pregnancy outcome: Assessment by kilocalories expended each day. American Journal of Obstetrics and Gynecology, 175(1), 182–187.PubMedCrossRef
56.
Zurück zum Zitat Misra, D. P., Strobino, D. M., Stashinko, E. E., Nagey, D. A., & Nanda, J. (1998). Effects of physical activity on preterm birth. American Journal of Epidemiology, 147(7), 628–635.PubMedCrossRef Misra, D. P., Strobino, D. M., Stashinko, E. E., Nagey, D. A., & Nanda, J. (1998). Effects of physical activity on preterm birth. American Journal of Epidemiology, 147(7), 628–635.PubMedCrossRef
57.
Zurück zum Zitat Juhl, M., Kogevinas, M., Andersen, P. K., Andersen, A. M., & Olsen, J. (2010). Is swimming during pregnancy a safe exercise? Epidemiology, 21(2), 253–258.PubMedCrossRef Juhl, M., Kogevinas, M., Andersen, P. K., Andersen, A. M., & Olsen, J. (2010). Is swimming during pregnancy a safe exercise? Epidemiology, 21(2), 253–258.PubMedCrossRef
58.
Zurück zum Zitat Domingues, M. R., Barros, A. J., & Matijasevich, A. (2008). Leisure time physical activity during pregnancy and preterm birth in Brazil. International Journal of Gynaecology and Obstetrics, 103(1), 9–15.PubMedCrossRef Domingues, M. R., Barros, A. J., & Matijasevich, A. (2008). Leisure time physical activity during pregnancy and preterm birth in Brazil. International Journal of Gynaecology and Obstetrics, 103(1), 9–15.PubMedCrossRef
59.
Zurück zum Zitat Hegaard, H. K., Hedegaard, M., Damm, P., Ottesen, B., Petersson, K., & Henriksen, T. B. (2008). Leisure time physical activity is associated with a reduced risk of preterm delivery. American Journal of Obstetrics and Gynecology, 198(2), 180e1–180e5. Hegaard, H. K., Hedegaard, M., Damm, P., Ottesen, B., Petersson, K., & Henriksen, T. B. (2008). Leisure time physical activity is associated with a reduced risk of preterm delivery. American Journal of Obstetrics and Gynecology, 198(2), 180e1–180e5.
60.
Zurück zum Zitat Juhl, M., Andersen, P. K., Olsen, J., Madsen, M., Jorgensen, T., Nohr, E. A., et al. (2008). Physical exercise during pregnancy and the risk of preterm birth: A study within the Danish National Birth Cohort. American Journal of Epidemiology, 167(7), 859–866.PubMedCrossRef Juhl, M., Andersen, P. K., Olsen, J., Madsen, M., Jorgensen, T., Nohr, E. A., et al. (2008). Physical exercise during pregnancy and the risk of preterm birth: A study within the Danish National Birth Cohort. American Journal of Epidemiology, 167(7), 859–866.PubMedCrossRef
61.
Zurück zum Zitat Takito, M. Y., & Benicio, M. H. (2010). Physical activity during pregnancy and fetal outcomes: A case-control study. Revista de Saude Publica, 44(1), 90–101.PubMedCrossRef Takito, M. Y., & Benicio, M. H. (2010). Physical activity during pregnancy and fetal outcomes: A case-control study. Revista de Saude Publica, 44(1), 90–101.PubMedCrossRef
62.
Zurück zum Zitat Bergmann, A., Zygmunt, M., & Clapp, J. F., I. I. I. (2004). Running throughout pregnancy: Effect on placental villous vascular volume and cell proliferation. Placenta, 25(8–9), 694–698.PubMedCrossRef Bergmann, A., Zygmunt, M., & Clapp, J. F., I. I. I. (2004). Running throughout pregnancy: Effect on placental villous vascular volume and cell proliferation. Placenta, 25(8–9), 694–698.PubMedCrossRef
63.
Zurück zum Zitat Clapp, J. F. (2006). Influence of endurance exercise and diet on human placental development and fetal growth. Placenta, 27(6–7), 527–534.PubMedCrossRef Clapp, J. F. (2006). Influence of endurance exercise and diet on human placental development and fetal growth. Placenta, 27(6–7), 527–534.PubMedCrossRef
64.
Zurück zum Zitat Nieuwenhuijsen, M. J., Northstone, K., & Golding, J. (2002). Swimming and birth weight. Epidemiology, 13(6), 725–728.PubMedCrossRef Nieuwenhuijsen, M. J., Northstone, K., & Golding, J. (2002). Swimming and birth weight. Epidemiology, 13(6), 725–728.PubMedCrossRef
65.
Zurück zum Zitat Collings, C. A., Curet, L. B., & Mullin, J. P. (1983). Maternal and fetal responses to a maternal aerobic exercise program. American Journal of Obstetrics and Gynecology, 145(6), 702–707.PubMed Collings, C. A., Curet, L. B., & Mullin, J. P. (1983). Maternal and fetal responses to a maternal aerobic exercise program. American Journal of Obstetrics and Gynecology, 145(6), 702–707.PubMed
66.
Zurück zum Zitat Hatch, M. C., Shu, X. O., McLean, D. E., Levin, B., Begg, M., Reuss, L., et al. (1993). Maternal exercise during pregnancy, physical fitness, and fetal growth. American Journal of Epidemiology, 137(10), 1105–1114.PubMed Hatch, M. C., Shu, X. O., McLean, D. E., Levin, B., Begg, M., Reuss, L., et al. (1993). Maternal exercise during pregnancy, physical fitness, and fetal growth. American Journal of Epidemiology, 137(10), 1105–1114.PubMed
67.
Zurück zum Zitat Campbell, M. K., & Mottola, M. F. (2001). Recreational exercise and occupational activity during pregnancy and birth weight: A case-control study. American Journal of Obstetrics and Gynecology, 184(3), 403–408.PubMedCrossRef Campbell, M. K., & Mottola, M. F. (2001). Recreational exercise and occupational activity during pregnancy and birth weight: A case-control study. American Journal of Obstetrics and Gynecology, 184(3), 403–408.PubMedCrossRef
68.
Zurück zum Zitat Clapp, J. F., I. I. I., & Capeless, E. L. (1990). Neonatal morphometrics after endurance exercise during pregnancy. American Journal of Obstetrics and Gynecology, 163(6 Pt 1), 1805–1811.PubMed Clapp, J. F., I. I. I., & Capeless, E. L. (1990). Neonatal morphometrics after endurance exercise during pregnancy. American Journal of Obstetrics and Gynecology, 163(6 Pt 1), 1805–1811.PubMed
69.
Zurück zum Zitat Perkins, C. C., Pivarnik, J. M., Paneth, N., & Stein, A. D. (2007). Physical activity and fetal growth during pregnancy. Obstetrics and Gynecology, 109(1), 81–87.PubMedCrossRef Perkins, C. C., Pivarnik, J. M., Paneth, N., & Stein, A. D. (2007). Physical activity and fetal growth during pregnancy. Obstetrics and Gynecology, 109(1), 81–87.PubMedCrossRef
70.
Zurück zum Zitat Juhl, M., Olsen, J., Andersen, P. K., Nohr, E. A., & Andersen, A. M. (2010). Physical exercise during pregnancy and fetal growth measures: A study within the Danish National Birth Cohort. American Journal of Obstetrics and Gynecology, 202(1), 63e1–63e8. Juhl, M., Olsen, J., Andersen, P. K., Nohr, E. A., & Andersen, A. M. (2010). Physical exercise during pregnancy and fetal growth measures: A study within the Danish National Birth Cohort. American Journal of Obstetrics and Gynecology, 202(1), 63e1–63e8.
71.
Zurück zum Zitat Hegaard, H. K., Petersson, K., Hedegaard, M., Ottesen, B., Dykes, A. K., Henriksen, T. B., et al. (2009). Sports and leisure-time physical activity in pregnancy and birth weight: A population-based study. Scandinavian Journal of Medicine and Science in Sports, 20(1), e96–e102.PubMedCrossRef Hegaard, H. K., Petersson, K., Hedegaard, M., Ottesen, B., Dykes, A. K., Henriksen, T. B., et al. (2009). Sports and leisure-time physical activity in pregnancy and birth weight: A population-based study. Scandinavian Journal of Medicine and Science in Sports, 20(1), e96–e102.PubMedCrossRef
72.
Zurück zum Zitat Kardel, K. R., & Kase, T. (1998). Training in pregnant women: Effects on fetal development and birth. American Journal of Obstetrics and Gynecology, 178(2), 280–286.PubMedCrossRef Kardel, K. R., & Kase, T. (1998). Training in pregnant women: Effects on fetal development and birth. American Journal of Obstetrics and Gynecology, 178(2), 280–286.PubMedCrossRef
73.
Zurück zum Zitat Klebanoff, M. A., Shiono, P. H., & Carey, J. C. (1990). The effect of physical activity during pregnancy on preterm delivery and birth weight. American Journal of Obstetrics and Gynecology, 163(5 Pt 1), 1450–1456.PubMed Klebanoff, M. A., Shiono, P. H., & Carey, J. C. (1990). The effect of physical activity during pregnancy on preterm delivery and birth weight. American Journal of Obstetrics and Gynecology, 163(5 Pt 1), 1450–1456.PubMed
74.
Zurück zum Zitat Fortier, I., Marcoux, S., & Brisson, J. (1995). Maternal work during pregnancy and the risks of delivering a small-for-gestational-age or preterm infant. Scandinavian Journal of Work, Environment & Health, 21(6), 412–418. Fortier, I., Marcoux, S., & Brisson, J. (1995). Maternal work during pregnancy and the risks of delivering a small-for-gestational-age or preterm infant. Scandinavian Journal of Work, Environment & Health, 21(6), 412–418.
75.
Zurück zum Zitat Launer, L. J., Villar, J., Kestler, E., & de Onis, M. (1990). The effect of maternal work on fetal growth and duration of pregnancy: A prospective study. British Journal of Obstetrics Gynaecology, 97(1), 62–70.CrossRef Launer, L. J., Villar, J., Kestler, E., & de Onis, M. (1990). The effect of maternal work on fetal growth and duration of pregnancy: A prospective study. British Journal of Obstetrics Gynaecology, 97(1), 62–70.CrossRef
76.
Zurück zum Zitat Nurminen, T., Lusa, S., Ilmarinen, J., & Kurppa, K. (1989). Physical work load, fetal development and course of pregnancy. Scandinavian Journal of Work, Environment & Health, 15(6), 404–414. Nurminen, T., Lusa, S., Ilmarinen, J., & Kurppa, K. (1989). Physical work load, fetal development and course of pregnancy. Scandinavian Journal of Work, Environment & Health, 15(6), 404–414.
77.
Zurück zum Zitat Tuntiseranee, P., Geater, A., Chongsuvivatwong, V., & Kor-anantakul, O. (1998). The effect of heavy maternal workload on fetal growth retardation and preterm delivery. A study among southern Thai women. J Occupational and Environmental Medicine, 40(11), 1013–1021.CrossRef Tuntiseranee, P., Geater, A., Chongsuvivatwong, V., & Kor-anantakul, O. (1998). The effect of heavy maternal workload on fetal growth retardation and preterm delivery. A study among southern Thai women. J Occupational and Environmental Medicine, 40(11), 1013–1021.CrossRef
Metadaten
Titel
A Prospective Study of the Association Between Vigorous Physical Activity During Pregnancy and Length of Gestation and Birthweight
verfasst von
Anne Marie Z. Jukic
Kelly R. Evenson
Julie L. Daniels
Amy H. Herring
Allen J. Wilcox
Katherine E. Hartmann
Publikationsdatum
01.07.2012
Verlag
Springer US
Erschienen in
Maternal and Child Health Journal / Ausgabe 5/2012
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-011-0831-8

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