The influence of exercise during pregnancy on racial/ethnic health disparities and birth outcomes
| Autor: | Devon Kuehn, Edward R. Newton, Carol S. Johnston, David Collier, Madigan J. Raper, Adrienne Muldrow, Nicholas T. Broskey, Samantha Mcdonald, Christy M. Isler, Linda E. May |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Race Adolescent Ethnic group Reproductive medicine Maternal lcsh:Gynecology and obstetrics White People Young Adult 03 medical and health sciences 0302 clinical medicine Pregnancy medicine Humans Infant Health 030212 general & internal medicine Exercise lcsh:RG1-991 Cesarean Section business.industry Obstetrics Infant Newborn Obstetrics and Gynecology Gestational age Secondary data Health Status Disparities 030229 sport sciences Infant Low Birth Weight Delivery mode medicine.disease Racial ethnic Health equity Exercise Therapy Black or African American Treatment Outcome Premature Birth Female Health disparities business Research Article |
| Zdroj: | BMC Pregnancy and Childbirth BMC Pregnancy and Childbirth, Vol 21, Iss 1, Pp 1-9 (2021) |
| ISSN: | 1471-2393 |
| DOI: | 10.1186/s12884-021-03717-5 |
| Popis: | Background Non-Hispanic black (NHB) pregnant women disproportionately experience adverse birth outcomes compared to Non-Hispanic white (NHW) pregnant women. The positive effects of prenatal exercise on maternal and neonatal health may mitigate these disparities. This study evaluated the influence of prenatal exercise on racial/ethnic disparities in gestational age (GA), birthweight (BW), and risks of preterm birth (PTB), cesarean section (CS), and low-birthweight (LBW) neonates. Methods This study performed a secondary data analysis using data from a 24-week, two-arm exercise intervention trial (ENHANCED by Mom). Women with singleton pregnancies (2, and no preexisting health conditions were eligible. The aerobic exercisers (EX) participated in 150 min of moderate-intensity weekly exercise while non-exercising controls (CON) attended low-intensity stretching/breathing sessions. Data on GA, PTB ( Results Participants with complete data (n = 125) were eligible for analyses (EX: n = 58, CON: n = 67). NHB pregnant women delivered lighter neonates (β = − 0.43 kg, 95% CI: − 0.68, − 0.18, p = 0.001). After adjusting for prenatal exercise, racial/ethnic disparities in BW were reduced (β = − 0.39 kg, 95% CI: − 0.65, − 0.13, p = 0.004). Prenatal exercise reduced borderline significant racial/ethnic disparities in PTB (p = 0.053) and GA (p = 0.07) with no effects found for CS and LBW. Conclusions The findings of this study demonstrate that prenatal exercise may attenuate the racial/ethnic disparities observed in neonatal BW, and possibly GA and PTB. Larger, diverse samples and inclusion of maternal biomarkers (e.g., cytokines) are encouraged to further evaluate these relationships. |
| Databáze: | OpenAIRE |
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