Effects of prenatal exercise interventions on maternal body composition: A secondary analysis of the FitMum randomized controlled trial.

Autor: Roland CB; Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.; Department of Gynaecology and Obstetrics, Copenhagen University Hospital-North Zealand, Hilleroed, Denmark., Seyedhosseini P; Department of Nuclear Medicine and Clinical Physiology, Copenhagen University Hospital-North Zealand, Hilleroed, Denmark., Knudsen SP; Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.; Department of Gynaecology and Obstetrics, Copenhagen University Hospital-North Zealand, Hilleroed, Denmark., Jessen AD; Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.; Department of Gynaecology and Obstetrics, Copenhagen University Hospital-North Zealand, Hilleroed, Denmark., Jensen IKB; Department of Gynaecology and Obstetrics, Copenhagen University Hospital-North Zealand, Hilleroed, Denmark., Bendix JM; Department of Gynaecology and Obstetrics, Copenhagen University Hospital-North Zealand, Hilleroed, Denmark.; Department of Clinical Research, Copenhagen University Hospital-North Zealand, Hilleroed, Denmark., van Hall G; Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.; Clinical Biochemistry, Clinical Metabolomics Core Facility, Rigshospitalet, Copenhagen, Denmark., Molsted S; Department of Clinical Research, Copenhagen University Hospital-North Zealand, Hilleroed, Denmark.; Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark., Alomairah SA; Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.; Department of Mental Health, John Hopkins Bloomberg School of Public Health, Baltimore, MD, United States of America., Løkkegaard E; Department of Gynaecology and Obstetrics, Copenhagen University Hospital-North Zealand, Hilleroed, Denmark.; Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark., Stallknecht B; Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark., Clausen TD; Department of Gynaecology and Obstetrics, Copenhagen University Hospital-North Zealand, Hilleroed, Denmark.; Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.; Department of Gynecology, Fertility and Obstetrics, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2024 Aug 01; Vol. 19 (8), pp. e0308214. Date of Electronic Publication: 2024 Aug 01 (Print Publication: 2024).
DOI: 10.1371/journal.pone.0308214
Abstrakt: The main objective of the study was to investigate the effects of prenatal exercise interventions on maternal body composition at 28 weeks gestation and 7-14 days after delivery. We also explored associations between physical activity (PA) per se and body composition. This study presents secondary outcomes of the FitMum randomized controlled trial, which included healthy inactive pregnant women at gestational age ≤ 15+0 weeks. They were randomized to structured supervised exercise training, motivational counselling on PA, or standard care. Maternal body composition was measured by doubly labeled water at 28 weeks gestation (n = 134) and by dual-energy X-ray absorptiometry scan 7-14 days after delivery (n = 117). PA, including moderate-to-vigorous-intensity PA (MVPA), active kilocalories, and steps, were measured continuously from inclusion to delivery by a wrist-worn activity tracker. One hundred fifty pregnant women were included with a median pre-pregnancy body mass index (BMI) of 24.1 (21.6-27.9) kg/m2. We found no differences between groups in fat mass, fat percentage or fat-free mass at 28 weeks gestation or 7-14 days after delivery. Visceral adipose tissue mass and bone mineral density measured 7-14 days after delivery did not differ between groups either. Linear regression analyses adjusted for pre-pregnancy BMI showed that a higher number of daily steps was associated with lower fat mass, fat percentage, and visceral adipose tissue mass at 28 weeks gestation and 7-14 days after delivery. Active kilocalories during pregnancy was positively associated with fat-free mass 7-14 days after delivery. Neither structured supervised exercise training nor motivational counselling on PA during pregnancy affected maternal body composition at 28 weeks gestation or 7-14 days after delivery compared to standard care. Interestingly, when adjusted for pre-pregnancy BMI, higher number of daily steps was associated with lower fat content during pregnancy and after delivery, whereas MVPA and active kilocalories were not. Trial registration: ClinicalTrials.gov; NCT03679130; 20/09/2018.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2024 Roland et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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