23 results on '"Mottola, Michelle F."'
Search Results
2. Impact of Physical Activity Interventions on High-Risk Pregnancies: A Systematic Review and Meta-Analysis.
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Silva-Jose, Cristina, Mottola, Michelle F., Palacio, Montse, Sánchez-Polán, Miguel, Zhang, Dingfeng, Refoyo, Ignacio, and Barakat, Rubén
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HIGH-risk pregnancy , *PHYSICAL activity , *CHILD development , *BED rest , *PREGNANT women - Abstract
Pregnant women with absolute contraindications may be advised against physical activity throughout pregnancy. In this context, bed rest elevates the short-term risk of neonatal complications, thereby exacerbating negative long-term effects on childhood development. The aim of the current study was to investigate the impact of various physical activity interventions during bed rest or activity restriction in pregnancy on factors such as birth weight, preterm birth, maternal hypertension, gestational age at delivery, and the incidence of cesarean sections. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic review was designed. The protocol was registered in the International Prospective Registry of Systematic Reviews (PROSPERO) (CRD42022370875). Nine studies, with a total sample of 3173 women, from six countries on four continents were included. There were significant differences in the relationship between bed rest status and birth weight (Z = 2.64; p = 0.008) (MD = 142.57, 95% CI = 36.56, 248.58, I2 = 0%, Pheterogeneity = 0.45) favourable to active groups. No significant differences were found in other analyzed outcomes. Pregnant women who experience this problem must maintain a minimum of daily activity to alleviate these physiological complications and the medical field must understand the consequences of physical inactivity during pregnancy. [ABSTRACT FROM AUTHOR]
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- 2024
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3. The Influence of Physical Activity during Pregnancy on Miscarriage—Systematic Review and Meta-Analysis.
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Barakat, Rubén, Zhang, Dingfeng, Silva-José, Cristina, Sánchez-Polán, Miguel, Franco, Evelia, and Mottola, Michelle F.
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PHYSICAL activity ,MISCARRIAGE ,RANDOM effects model ,PREGNANCY ,PREGNANT women - Abstract
Miscarriage is an inability to complete the normal process of pregnancy and childbirth and represents a major concern for pregnant women that can be an emotionally devastating event. While it has been suggested that engaging in strenuous physical activity might be associated with an elevated risk of miscarriage, there is a recent systematic review that suggested that prenatal exercise is not associated with fetal mortality. The aim of this systematic review and meta-analysis (SR + MA) was to assess the effects of physical activity during pregnancy on the likelihood of experiencing a miscarriage (Registration No.: CRD42022370629). Thirteen randomized clinical trials (3728 pregnant women) were included. Meta-analyses were conducted with the dependent variable being the miscarriage ratio in each study. The total risk ratio (RR) sum was calculated using a random effects model. The I
2 statistic was utilized to quantify the heterogeneity observed in the results. No significant association between exercise during pregnancy and the occurrence of miscarriage was found (RR = 0.83 95% CI = 0.83 (0.49–1.41); z = 0.69, p = 0.49; I2 = 0.00%, Heterogeneity p = 0.91). Results of the present SR + MA showed no increase in miscarriage risk in those who engaged in low- to moderate-intensity exercise compared to those who did not. [ABSTRACT FROM AUTHOR]- Published
- 2023
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4. How Did Participating in a Prenatal Nutrition and Exercise Program Influence Postpartum Behaviour During COVID-19?
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MOMEN, ROZHAN, WEINREICH, MAYA, NAGPAL, TANIYA S., and MOTTOLA, MICHELLE F.
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COVID-19 pandemic ,NUTRITION ,EXERCISE ,PHYSICAL activity ,PHYSICAL fitness - Abstract
Lifestyle interventions focusing on prenatal physical activity (PA) and healthy nutritional habits can carry forward into the postpartum period. As many health resources, like PA facilities and postpartum support groups, were inaccessible due to the Coronavirus-19 (COVID-19) pandemic restrictions, it may be plausible that individuals who participated in a prenatal lifestyle intervention continued engaging in positive health behaviours on their own. This study explored experiences of postpartum individuals during the pandemic who had engaged in a prenatal PA and nutrition program prior to COVID-19. Semi-structured interviews were completed with postpartum individuals following a qualitative description approach. The study objectives were to identify and summarize the impact of the COVID-19 pandemic on PA and nutritional behaviours postpartum, and the role of previous participation in a prenatal lifestyle intervention, prepandemic, on PA and nutritional habits during postpartum quarantine restrictions. Thirteen participants completed interviews and reported that overall, PA levels stayed the same however, there was a change in PA type, as walking became the prominent choice of PA. Diet became more limited and involved a great deal of meal planning. Participation in a prenatal lifestyle intervention prior to the pandemic positively impacted PA and nutritional habits postpartum during COVID-19 restrictions. Specifically, it enabled individuals to implement walking as a daily PA habit and encouraged important concepts such as mindful eating and meal planning. Prenatal lifestyle interventions can be beneficial in establishing healthy postpartum habits, even during pandemic restrictions. [ABSTRACT FROM AUTHOR]
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- 2023
5. Evaluating Evidence-Based Content, Features of Exercise Instruction, and Expert Involvement in Physical Activity Apps for Pregnant Women: Systematic Search and Content Analysis
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Hayman, Melanie J., Alfrey, Kristie Lee, Waters, Kim, Cannon, Summer, Mielke, Gregore I., Keating, Shelley E., Mena, Gabriela P., Mottola, Michelle F., and Plint, Kelly R.
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mHealth ,Physical activity ,Pregnancy ,Systematic review ,Apps ,Evidence-based guidelines ,Mobile health ,Exercise prescription ,App development ,Exercise ,Mobile phone - Abstract
Background: Guidelines for physical activity and exercise during pregnancy recommend that all women without contraindications engage in regular physical activity to improve both their own health and the health of their baby. Many women are uncertain how to safely engage in physical activity and exercise during this life stage and are increasingly using mobile apps to access health-relatedinformation. However, the extent to which apps that provide physical activity and exercise advice align with current evidence-based pregnancy recommendations is unclear. Objective: This study aims to conduct a systematic search and content analysis of apps that promote physical activity and exercise in pregnancy to examine the alignment of the content with current evidence-based recommendations; delivery, format, and features of physical activity and exercise instruction; and credentials of the app developers. Methods: Systematic searches were conducted in the Australian App Store and Google Play Store in October 2020. Apps were identified using combinations of search terms relevant to pregnancy and exercise or physical activity and screened for inclusion (with a primary focus on physical activity and exercise during pregnancy, free to download or did not require immediate paid subscription, and an average user rating of ≥4 out of 5). Apps were then independently reviewed using an author-designed extraction tool. Results: Overall, 27 apps were included in this review (Google Play Store: 16/27, 59%, and App Store: 11/27, 41%). Two-thirds of the apps provided some information relating to the frequency, intensity, time, and type principles of exercise; only 11% (3/27) provided this information in line with current evidence-based guidelines. Approximately one-third of the apps provided information about contraindications to exercise during pregnancy and referenced the supporting evidence. None of the apps actively engaged in screening for potential contraindications. Only 15% (4/27) of the apps collected information about the user's current exercise behaviors, 11% (3/27) allowed users to personalize features relating to their exercise preferences, and a little more than one-third provided information about developer credentials. Conclusions: Few exercise apps designed for pregnancy aligned with current evidence-based physical activity guidelines. None of the apps screened users for contraindications to physical activity and exercise during pregnancy, and most lacked appropriate personalization features to account for an individual's characteristics. Few involved qualified experts during the development of the app. There is a need to improve the quality of apps that promote exercise in pregnancy to ensure that women are appropriately supported to engage in exercise and the potential risk of injury, complications, and adverse pregnancy outcomes for both mother and child is minimized. This could be done by providing expert guidance that aligns with current recommendations, introducing screening measures and features that enable personalization and tailoring to individual users, or by developing a recognized system for regulating apps.
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- 2022
6. How Do Health Schemas Inform Healthy Behaviours During Pregnancy? Qualitative Findings from the Be Healthy in Pregnancy (BHIP) Study.
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Murray-Davis, Beth, Grenier, Lindsay N., Atkinson, Stephanie A., Mottola, Michelle F., Wahoush, Olive, Thabane, Lehana, Xie, Feng, Vickers-Manzin, Jennifer, Moore, Caroline, and Hutton, Eileen K.
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HEALTH education ,WEIGHT gain in pregnancy ,ATTITUDES of mothers ,FOCUS groups ,VALUES clarification ,RESEARCH methodology ,NUTRITION ,HEALTH status indicators ,PREGNANT women ,GESTATIONAL age ,INTERVIEWING ,PHYSICAL activity ,HEALTH literacy ,QUALITATIVE research ,HEALTH behavior ,HEALTH attitudes ,CHILDREN'S health ,VALUES (Ethics) ,ATTITUDES toward pregnancy ,THEMATIC analysis ,HEALTH promotion ,CONTROL (Psychology) - Abstract
Objective: Excess gestational weight gain (GWG) is associated with adverse long and short-term outcomes for both woman and child, yet evidence demonstrates pregnant women are frequently not engaging in healthy behaviours linked to appropriate weight gain. The purpose of the current study was to explore women's values and beliefs related to weight, nutrition and physical activity during pregnancy and to describe how these beliefs influence their behaviours. Methods: As part of a larger randomized controlled trial, we conducted 20 focus groups with 66 pregnant women between 16 and 24-weeks gestation using a semi-structured interview guide. Focus groups were recorded and transcribed verbatim and analyzed using a grounded theory approach. Results: Three personal health schemas emerged from the findings which illustrated women's diverging beliefs about their health behaviours in pregnancy. 'Interconnected health' described beliefs regarding the impact their health had on that of their growing baby and awareness of risks associated with inappropriate weight gain. 'Gestational weight gain as an indicator of health' illustrated perceptions regarding how GWG impacted health and the utility of guidelines. Finally, 'Control in pregnancy' described the sense of agency over one's body and health. Conclusions for Practice: Our results showed that health-related behaviours in pregnancy are driven by personal health schemas which are often discordant with clinical evidence. Interventions and health care provider advice aimed at behaviour modification would benefit from first understanding and addressing these schemas. Tackling the conflict between beliefs and behaviour may improve health outcomes associated with appropriate weight gain in pregnancy. [ABSTRACT FROM AUTHOR]
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- 2022
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7. A Virtual Exercise Program throughout Pregnancy during the COVID-19 Pandemic Modifies Maternal Weight Gain, Smoking Habits and Birth Weight—Randomized Clinical Trial.
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Silva-Jose, Cristina, Sánchez-Polán, Miguel, Barakat, Ruben, Díaz-Blanco, Ángeles, Mottola, Michelle F., and Refoyo, Ignacio
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BIRTH weight ,SMOKING ,WEIGHT gain ,NEONATAL intensive care units ,LOW birth weight - Abstract
The intrauterine environment is key to health from a short- and long-term perspective. Birth weight is an important indicator that may influence the fetal environment due to epigenetics. Considering physical inactivity, in parallel with higher levels of stress, affecting smoking patterns and the physical and emotional health of the pregnant population, maintaining the health of future generations is crucial. A randomized clinical trial (NCT04563065) was conducted. One-hundred and ninety-two healthy pregnant individuals were assigned to the intervention (IG) or control (CG) group. Overall, significant differences were found between groups when stratified by birth weight (χ
2 (1) = 6.610; p = 0.037) with low birth weight and macrosomia found more often in the CG (4% vs. 14% and 3% vs. 9%, respectively) and higher admissions to the neonatal intensive care unit (χ2 (1) = 5.075; p = 0.024) in the CG (20/28.6%) compared to the IG (9/13.0). Smoking during pregnancy was also found more often in the CG (12/17.1%) compared to the IG (3/4.4%) (p = 0.016). A virtual program of supervised exercise throughout pregnancy during the ongoing pandemic could help to maintain adequate birth weights, modify maternal smoking habits, and lower admissions to the neonatal intensive care unit. [ABSTRACT FROM AUTHOR]- Published
- 2022
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8. Development of the Get Active Questionnaire for Pregnancy: breaking down barriers to prenatal exercise.
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Davenport, Margie H., Neil-Sztramko, Sarah, Lett, Bridget, Duggan, Mary, Mottola, Michelle F., Ruchat, Stephanie-May, Adamo, Kristi B., Andrews, Kate, Artal, Raul, Beamish, Nicole, Chari, Radha, Forte, Milena, Lane, Kirstin N., May, Linda, Maclaren, Kaleigh, and Zahavich, Ashley
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EXPERIMENTAL design ,RESEARCH methodology ,INTERVIEWING ,MEDICAL screening ,PHYSICAL activity ,SURVEYS ,MEDICAL protocols ,EXERCISE ,QUESTIONNAIRES ,PRENATAL care ,PATIENT education - Abstract
Copyright of Applied Physiology, Nutrition & Metabolism is the property of Canadian Science Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2022
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9. Psychometric Properties of the Brazilian Portuguese Version of the PARmed-X for Pregnancy.
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Bgeginski, Roberta, DeSousa, Diogo A., Barroso, Bruna M., Vettorazzi, Janete, Mottola, Michelle F., Schuch, Felipe B., and Ramos, José Geraldo L.
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PSYCHOMETRICS ,DIAGNOSIS of pregnancy ,PHYSICAL activity ,HETEROGENEITY - Abstract
Background: The Physical Activity Readiness Medical Examination (PARmed-X) for Pregnancy aims to facilitate the communication between the health care provider, the fitness professional and the pregnant woman. The purpose of the current study was to test the psychometric properties of the Brazilian Portuguese version of the PARmed-X for Pregnancy. Methods: Reliability and validity of psychometric properties of the Brazilian Portuguese version of the PARmed-X for Pregnancy were tested in 107 women recruited from the Hospital de Clínicas de Porto Alegre. Participants completed the first page of the instrument twice with a minimal interval of 1 week for test-retest reliability analysis. The absolute and relative contraindications to exercise on page 2 of the document were completed by the obstetrician. Results: Results indicated good evidence of construct validity. The isolated items in the PARmed-X document presented a large heterogeneity in kappa coefficients ranging from very low estimates to perfect estimates. The overall indication of prescription of physical activity, nonetheless, presented a good kappa coefficient of 0.749. Conclusions: The Brazilian Portuguese version of the PARmed-X for Pregnancy can be applied as a valid tool for medical screening by health care providers to help inform safe exercise prescription during pregnancy. [ABSTRACT FROM AUTHOR]
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- 2017
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10. Physical activity and prenatal depression: going beyond statistical significance by assessing the impact of reliable and clinical significant change.
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Vargas-Terrones, Marina, Nagpal, Taniya S., Perales, Maria, Prapavessis, Harry, Mottola, Michelle F., and Barakat, Ruben
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PREVENTION of mental depression ,EXERCISE physiology ,PREGNANT women ,PHYSICAL activity ,TREATMENT effectiveness ,COMPARATIVE studies ,PSYCHOLOGICAL tests ,DESCRIPTIVE statistics ,WOMEN'S health ,SECONDARY analysis ,PREGNANCY - Abstract
Background: Previous literature supports exercise as a preventative agent for prenatal depression; however, treatment effects for women at risk for prenatal depression remain unexplored. The purpose of the study was to examine whether exercise can lower depressive symptoms among women who began pregnancy at risk for depression using both a statistical significance and reliable and clinically significant change criteria. Methods: This study is a secondary analysis of two randomized controlled trials that followed the same exercise protocol. Pregnant women were allocated to an exercise intervention group (IG) or control group (CG). All participants completed the Center for Epidemiological Depression (CES-D) scale at gestational week 9–16 and 36–38. Women with a baseline score ⩾16 were included. A clinically reliable cut-off was calculated as a 7-point change in scores from pre- to post-intervention. Results: Thirty-six women in the IG and 25 women in the CG scored ⩾16 on the CES-D at baseline. At week 36–38 the IG had a statistically significant lower CES-D score (14.4 ± 8.6) than the CG (19.4 ± 11.1; p < 0.05). Twenty-two women in the IG (61%) had a clinically reliable decrease in their post-intervention score compared to eight women in the CG (32%; p < 0.05). Among the women who met the reliable change criteria, 18 (81%) in the IG and 7 (88%) in the CG had a score <16 post-intervention, with no difference between groups (p > 0.05). Conclusions: A structured exercise program might be a useful treatment option for women at risk for prenatal depression. [ABSTRACT FROM AUTHOR]
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- 2021
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11. Be Healthy in Pregnancy: Exploring factors that impact pregnant women's nutrition and exercise behaviours.
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Grenier, Lindsay N., Atkinson, Stephanie A., Mottola, Michelle F., Wahoush, Olive, Thabane, Lehana, Xie, Feng, Vickers‐Manzin, Jennifer, Moore, Caroline, Hutton, Eileen K., and Murray‐Davis, Beth
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COUNSELING ,DIET ,EXERCISE ,EXPERIENCE ,GESTATIONAL age ,HEALTH attitudes ,HEALTH promotion ,INTERPERSONAL relations ,INTERVIEWING ,RESEARCH methodology ,MOTHERHOOD ,MOTIVATION (Psychology) ,NUTRITION education ,PARENTING ,PREGNANCY complications ,PREGNANCY & psychology ,WEIGHT gain in pregnancy ,RESEARCH funding ,STATISTICAL sampling ,URBAN hospitals ,VALUES (Ethics) ,QUALITATIVE research ,SOCIAL support ,ACCESS to information ,THEMATIC analysis ,RANDOMIZED controlled trials ,EDUCATIONAL outcomes ,ATTITUDES of mothers ,HEALTH literacy ,PHYSICAL activity ,DATA analysis software ,MEDICAL coding ,DESCRIPTIVE statistics - Abstract
Excess gestational weight gain is associated with short‐ and long‐term pregnancy complications. Although a healthy diet and physical activity during pregnancy are recommended and shown to reduce the risk of complications and improve outcomes, adherence to these recommendations is low. The aims of this study were to explore women's view of nutrition and physical activity during pregnancy and to describe barriers and facilitators experienced in implementing physical activity and nutrition recommendations. In a substudy of the Be Healthy in Pregnancy randomized trial, 20 semistructured focus groups were conducted with 66 women randomized to the control group when they were between 16 and 24 weeks gestation. Focus groups were recorded, transcribed verbatim, coded and thematically analysed. The results indicate that women felt motivated to be healthy for their baby, but competing priorities may take precedence. Participants described limited knowledge and access to information on safe physical activity in pregnancy and lacked the skills needed to operationalize both physical activity and dietary recommendations. Women's behaviours regarding diet and physical activity in pregnancy were highly influenced by their own and their peers' beliefs and values regarding how weight gain impacted their health during pregnancy. Pregnancy symptoms beyond women's control such as fatigue and nausea made physical activity and healthy eating more challenging. Counselling from care providers about nutrition and physical activity was perceived as minimal and ineffective. Future interventions should address improving counselling strategies and address individual's beliefs around nutrition and activity in pregnancy. [ABSTRACT FROM AUTHOR]
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- 2021
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12. Physical activity throughout pregnancy is key to preventing chronic disease.
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Nagpal, Taniya S. and Mottola, Michelle F.
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PHYSICAL activity ,CHRONIC diseases ,PREGNANCY complications ,NON-communicable diseases ,MATERNAL exposure - Abstract
According to The Developmental Origins of Health and Disease theory, the intrauterine environment of the developing fetus may impact later life physiology, including susceptibility to chronic disease conditions. Maternal exposures during pregnancy can affect the intrauterine environment and result in fetal programming for chronic diseases through changes in the structure or function of specific organs. Negative maternal exposures, such as poor nutrition intake, have been shown to increase the risk for later life chronic diseases. On the contrary, healthful behaviors, such as physical activity, may have a positive and protective effect against chronic disease risk. This narrative review summarizes literature to discuss the potential preventative role prenatal physical activity may have on prevalent chronic diseases: obesity, type 2 diabetes, and cardiovascular disease. We describe the natural physiological response to pregnancy that may increase the risk for complications and consequently later life disease for both mother and baby. We then present evidence highlighting the role prenatal exercise may have in preventing pregnancy complications and downstream chronic disease development, as well as proposing potential mechanisms that may explain the protective maternal and fetal physiological response to exercise. As the prevalence of these non-communicable diseases increase globally, intervening during pregnancy with an effective exercise intervention may be the key to preventing chronic disease risk in more than one generation. [ABSTRACT FROM AUTHOR]
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- 2020
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13. Glucose responses to acute and chronic exercise during pregnancy: a systematic review and meta-analysis.
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Davenport, Margie H., Sobierajski, Frances, Mottola, Michelle F., Skow, Rachel J., Meah, Victoria L., Poitras, Veronica J., Gray, Casey E., Jaramillo Garcia, Alejandra, Barrowman, Nick, Riske, Laurel, James, Marina, Nagpal, Taniya S., Marchand, Andree-Anne, Slater, Linda G., Adamo, Kristi B., Davies, Gregory A., Barakat, Ruben, and Ruchat, Stephanie-May
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GLUCOSE in the body ,EXERCISE for pregnant women ,GLYCEMIC control ,PRENATAL care ,PHYSICAL activity - Published
- 2018
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14. Effectiveness of exercise interventions in the prevention of excessive gestational weight gain and postpartum weight retention: a systematic review and meta-analysis.
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Ruchat, Stephanie-May, Mottola, Michelle F., Skow, Rachel J., Nagpal, Taniya S., Meah, Victoria L., James, Marina, Riske, Laurel, Sobierajski, Frances, Kathol, Amariah J., Marchand, Andree-Anne, Nuspl, Megan, Weeks, Ashley, Gray, Casey E., Poitras, Veronica J., Jaramillo Garcia, Alejandra, Barrowman, Nick, Slater, Linda G., Adamo, Kristi B., Davies, Gregory A., and Barakat, Ruben
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WEIGHT gain in pregnancy ,EXERCISE for pregnant women ,MATERNAL health ,PHYSICAL activity ,PRENATAL care - Published
- 2018
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15. 2019 Canadian guideline for physical activity throughout pregnancy.
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Mottola, Michelle F., Davenport, Margie H., Ruchat, Stephanie-May, Davies, Gregory A., Poitras, Veronica J., Gray, Casey E., Jaramillo Garcia, Alejandra, Barrowman, Nick, Adamo, Kristi B., Duggan, Mary, Barakat, Ruben, Chilibeck, Phil, Fleming, Karen, Forte, Milena, Korolnek, Jillian, Nagpal, Taniya, Slater, Linda G., Stirling, Deanna, and Zehr, Lori
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PREGNANCY ,PHYSICAL activity ,PHYSICAL fitness for pregnant women ,MATERNAL health ,EXERCISE for pregnant women - Abstract
The objective is to provide guidance for pregnant women and obstetric care and exercise professionals on prenatal physical activity. The outcomes evaluated were maternal, fetal or neonatal morbidity, or fetal mortality during and following pregnancy. Literature was retrieved through searches of MEDLINE, EMBASE, PsycINFO, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Scopus and Web of Science Core Collection, CINAHL Plus with Full Text, Child Development & Adolescent Studies, Education Resources Information Center, SPORTDiscus, ClinicalTrials.gov and the Trip Database from inception up to 6 January 2017. Primary studies of any design were eligible, except case studies. Results were limited to English-language, Spanish-language or French-language materials. Articles related to maternal physical activity during pregnancy reporting on maternal, fetal or neonatal morbidity, or fetal mortality were eligible for inclusion. The quality of evidence was rated using the Grading of Recommendations Assessment, Development and Evaluation methodology. The Guidelines Consensus Panel solicited feedback from end users (obstetric care providers, exercise professionals, researchers, policy organisations, and pregnant and postpartum women). The development of these guidelines followed the Appraisal of Guidelines for Research and Evaluation II instrument. The benefits of prenatal physical activity are moderate and no harms were identified; therefore, the difference between desirable and undesirable consequences (net benefit) is expected to be moderate. The majority of stakeholders and end users indicated that following these recommendations would be feasible, acceptable and equitable. Following these recommendations is likely to require minimal resources from both individual and health systems perspectives. [ABSTRACT FROM AUTHOR]
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- 2018
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16. Guidelines for Physical Activity during Pregnancy: Comparisons From Around the World
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Evenson, Kelly R., Barakat, Ruben, Brown, Wendy J., Dargent-Molina, Patricia, Haruna, Megumi, Mikkelsen, Ellen M., Mottola, Michelle F., Owe, Katrine M., Kim, Emily K., Al-Judaibi, Bandar, Schwarz, Ute I., Ramji, Alnoor, Tam, Edward, Ross, Colin J., Carleton, Bruce C., Department of Epidemiology, University of North Carolina [Chapel Hill] (UNC), University of North Carolina System (UNC)-University of North Carolina System (UNC), Faculty of Physical Activity and Sports Sciences - INEF, Technical University of Madrid, School of Human Movement Studies, Queensland University of Technology [Brisbane] (QUT), Centre de recherche en épidémiologie et santé des populations (CESP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris-Sud - Paris 11 (UP11)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ), Department of Midwifery and Women's health, Division of Health sciences & nursing, Graduate schoool of medicine-Graduate schoool of medicine, Department of Clinical Epidemiology, Aarhus University Hospital, R. Samuel McLaughlin Foundation-Exercise & Pregnancy Laboratory, School of Kinesiology, Faculty of Health Sciences, department of social statistics, Statistics Norway, School of Sport and Exercise Sciences, Loughborough University, School of Nursing, Kelly Evenson acknowledges support by the National Center for Research Resourcesand the National Center for Advancing Translational Sciences, National Institutes of Health(NIH, #UL1TR000083), and the University Research Council at the University of North Carolina–Chapel Hill. Ruben Barakat acknowledges funding from the Spanish Ministry of Science andInnovation (DEP2009-08990) and Technical University of Madrid, Spain (UPM AL12-P-I+D-14).Michelle Mottola acknowledges funding from the Canadian Institutes of Health Research, andendorsement from Health Canada and the Canadian Society of Exercise Physiologists. Thecontent is solely the responsibility of the authors and does not necessarily represent the officialviews of the funding agencies., De Lauzon-Guillain, Blandine, Universidad Politécnica de Madrid (UPM), and Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Université Paris-Sud - Paris 11 (UP11)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)
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medicine.medical_specialty ,prenatal ,Medicina ,MEDLINE ,Alternative medicine ,Physical activity ,Medicine (miscellaneous) ,Article ,03 medical and health sciences ,0302 clinical medicine ,Exercise program ,medicine ,030212 general & internal medicine ,guidelines ,Deportes ,Pregnancy ,030219 obstetrics & reproductive medicine ,exercise ,business.industry ,Health Policy ,Public Health, Environmental and Occupational Health ,medicine.disease ,global ,3. Good health ,[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie ,Family medicine ,Physical therapy ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,pregnancy ,business ,leisure activities - Abstract
INTRODUCTION: Women attain numerous benefits from physical activity during pregnancy. However, due to physical changes that occur during pregnancy, special precautions are also needed. This review summarizes current guidelines for physical activity among pregnant women worldwide.METHODS: We searched PubMed (MedLINE) for country-specific governmental and clinical guidelines on physical activity during pregnancy through the year 2012. We cross-referenced with articles referring to guidelines, with only the most recent included. An abstraction form was used to extract key details and summarize.RESULTS: In total, 11 guidelines were identified from nine countries (Australia, Canada, Denmark, France, Japan, Norway, Spain, United Kingdom, United States). Most guidelines supported moderate intensity physical activity during pregnancy (10/11) and indicated specific frequency (9/11) and duration/time (9/11) recommendations. Most guidelines provided advice on initiating an exercise program during pregnancy (10/11). Six guidelines included absolute and relative contraindications to exercise. All guidelines generally ruled-out sports with risks of falls, trauma, or collisions. Six guidelines included indications for stopping exercise during pregnancy.CONCLUSION: This review contrasted pregnancy-related physical activity guidelines from around the world, and can help to inform new guidelines as they are created or updated, and facilitate the development of a worldwide guideline.
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- 2014
17. Translation and cross-cultural adaptation of the PARmed-X for Pregnancy into Brazilian Portuguese.
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Bgeginski, Roberta, Schuch, Felipe Barreto, Mottola, Michelle F., and Ramos, José Geraldo Lopes
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HEALTH promotion ,MEDICAL protocols ,RESEARCH funding ,TRANSCULTURAL medical care ,TRANSLATIONS - Abstract
Copyright of Applied Physiology, Nutrition & Metabolism is the property of Canadian Science Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2016
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18. Exercise Is Associated with a Reduction in Gestational Diabetes Mellitus.
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CORDERO, YAIZA, MOTTOLA, MICHELLE F., VARGAS, JUANA, BLANCO, MAITE, and BARAKAT, RUBÉN
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GESTATIONAL diabetes , *CONFIDENCE intervals , *STATISTICAL correlation , *EXERCISE , *GOODNESS-of-fit tests , *INTERVIEWING , *RESEARCH funding , *T-test (Statistics) , *STATISTICAL power analysis , *EFFECT sizes (Statistics) , *BODY mass index , *RANDOMIZED controlled trials , *DATA analysis software , *DESCRIPTIVE statistics , *PREVENTION - Abstract
PURPOSE: The objective of this study is to assess the effectiveness of a maternal exercise program (land/aquatic activities, both aerobic and muscular conditioning) in preventing gestational diabetes mellitus (GDM). METHODS: Three hundred and forty-two pregnant women from Spain (age, 33.24 ± 4.3 yr) without obstetric contraindications were recruited for a clinical randomized controlled trial. The intervention group (IG, n = 101) exercised for 60 and 50 min on land and in water, respectively, three times per week. The control group (n = 156) received usual standard care. RESULTS: The prevalence of GDM was reduced in the IG group (IG, 1%, n = 1, vs control group, 8.8%, n = 13 (χ1² = 6.84, P = 0.009)) with a significant risk estimate (odds ratio = 0.103; 95% confidence interval, 0.013-0.803). CONCLUSION: The exercise program performed during pregnancy reduced the prevalence of GDM by preserving glucose tolerance. [ABSTRACT FROM AUTHOR]
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- 2015
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19. Activity Restriction Increases Deoxypyridinoline Excretion in Hospitalized High-Risk Pregnant Women.
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Vanderspank, Dana, Bernier, Suzanne M., Sopper, Maggie M., Watson, Patricia, and Mottola, Michelle F.
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HIGH-risk pregnancy ,DISEASE risk factors ,OSTEOPOROSIS ,ANALYSIS of variance ,BIOMARKERS ,BONE resorption ,CREATININE ,HOSPITAL care ,LONGITUDINAL method ,THIRD trimester of pregnancy ,QUESTIONNAIRES ,RESEARCH funding ,STATISTICAL sampling ,STATISTICS ,T-test (Statistics) ,U-statistics ,DATA analysis ,PHYSICAL activity ,DATA analysis software ,DESCRIPTIVE statistics - Published
- 2014
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20. The important role of physical activity in the prevention and management of gestational diabetes mellitus.
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Ruchat, Stephanie‐May and Mottola, Michelle F.
- Abstract
The actual pathophysiology behind gestational diabetes mellitus (GDM) is still unclear, but a deterioration in insulin resistance beyond that induced by pregnancy, combined with beta cell dysfunction, plays a key role. Interventions that help improve glucose tolerance by attenuating pregnancy-induced insulin resistance or achieve glycaemic control may therefore help in preventing and managing GDM. In non-pregnant populations, physical activity has been associated with an improvement in glucose homeostasis and insulin sensitivity and a risk reduction for type 2 diabetes mellitus (T2DM) and is a cornerstone for T2DM treatment. However, there is still controversy regarding the benefits of physical activity in preventing and managing GDM. The objective of this review is therefore to provide a comprehensive overview of the effect of prenatal physical activity-based interventions on (1) glucose tolerance, insulin sensitivity and GDM prevention and (2) glycaemic control and insulin use in GDM women. On the basis of the available literature, there is a lack of consistent evidence regarding the benefits of physical activity on improving glucose tolerance and insulin sensitivity and preventing GDM. However, it appears that physical activity may help to achieve good glycaemic control and limit insulin use in GDM women. Compliance appears to be a major problem in physical activity-based intervention studies aimed at GDM prevention. Rigorous scientific research is still required to make an informed decision about the role of physical activity in the prevention and management of GDM and to develop evidence-based physical activity guidelines for GDM prevention and management. Copyright © 2013 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF
21. Preventing Long-Term Risk of Obesity for Two Generations: Prenatal Physical Activity Is Part of the Puzzle.
- Author
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Ruchat, Stephanie-May and Mottola, Michelle F.
- Subjects
- *
PHYSICAL activity , *WEIGHT gain , *OBESITY risk factors , *MEDICAL databases , *DISEASE incidence , *BIRTH weight , *FOOD habits - Abstract
Background. The period surrounding pregnancy has been identified as a risk period for overweight/obesity in both mother and child because of excessive gestational weight gain (GWG). The promotion of a healthy GWG is therefore of paramount importance in the context of the prevention of obesity in the current and next generations. Objective. To provide a comprehensive overview of the effect of prenatal physical activity interventions, alone or in combination with nutritional counselling, on GWG and to address whether preventing excessive GWG decreases the incidence of infant high birth weight and/or postpartum weight retention. Method. A search of the PubMed database was conducted to identify all relevant studies. Nineteen studies were included in this review: 13 interventions combining physical activity, nutrition, andGWG counselling and 6 interventions including physical activity alone. Results. Prenatal lifestyle interventions promoting healthy eating and physical activity habits appear to be the most effective approach to prevent excessive GWG. Achievement of appropriate GWG may also decrease the incidence of high infant birth weight and postpartum weight retention. Conclusion. Healthy eating habits during pregnancy, combined with an active lifestyle, may be important elements in the prevention of long-term risk of obesity for two generations. [ABSTRACT FROM AUTHOR]
- Published
- 2012
- Full Text
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22. Effects of weekly supervised exercise or physical activity counseling on fasting blood glucose in women diagnosed with gestational diabetes mellitus: A systematic review and meta-analysis of randomized trials.
- Author
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Bgeginski, Roberta, Ribeiro, Paula A.B., Mottola, Michelle F., and Ramos, José Geraldo L.
- Subjects
EXERCISE physiology ,PHYSICAL activity ,BLOOD sugar ,GESTATIONAL diabetes ,INSULIN resistance ,HYPERGLYCEMIA ,PATIENTS - Abstract
Copyright of Journal of Diabetes is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2017
- Full Text
- View/download PDF
23. Health Benefits of Physical Activity during Pregnancy: An International Perspective.
- Author
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MUDD, LANAY M., OWE, KATRIN M., MOTTOLA, MICHELLE F., and PIVARNIK, JAMES M.
- Subjects
- *
HYPERTENSION epidemiology , *BIRTH weight , *BODY composition , *GESTATIONAL diabetes , *HEALTH , *EVALUATION of medical care , *PREGNANCY , *WEIGHT gain , *PHYSICAL activity - Abstract
The article discusses international epidemiological research on the health benefits of leisure time physical activity (LTPA) and exercise by pregnant women related to pregnancy outcome, maternal health, and child health. The authors looked at studies of the association of LTPA with various pregnancy-related health factors such as gestational diabetes, hypertension, and excessive weight gain in women, and birth weight and body composition in infants. The potential biases posed by subject self-reporting of exercise activity and self-selection of healthier women for LTPA research are noted.
- Published
- 2013
- Full Text
- View/download PDF
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