Physical Activity and Preterm Birth: A Literature Review
Abstract
Preterm birth is a major reason for infant mortality and morbidity, representing a public health concern worldwide. Regular and voluntary physical activity is healthy behaviour that should be incorporated by everyone, including pregnant women. On the other hand, some women are exposed to highly demanding occupational physical activities during pregnancy that might represent a threat to the fetus and to their own health. This paper is a literature review of studies (1987-2007) on physical activity during pregnancy and its relationship to preterm birth. Although the effects measured by the studies are not strong and the evidence is impaired by many methodological flaws, it seems that recreational or leisure-time physical activities performed regularly provide protection against prematurity. Studies on occupational physical activities, especially standing for long periods, present contrasting results - some presenting standing as a risk factor, but most showing no association. Housework and other daily activities do not seem to be associated with preterm birth. Regardless of the methodological aspects of the studies reviewed, there is a chance that the real effect of occupational physical activity is being blurred by some underlying factors not easily measured in epidemiological investigations. Our conclusions do not reject the idea that working conditions might represent danger for the pregnancy outcome, but only raise the question that maybe the mechanisms through which employment-related physical activities have been considered up till now could be better and more thoroughly studied. Future studies should pay additional attention to psychological and socioeconomic characteristics, without neglecting biological plausibility.
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Regular leisure physical activity appears to protect against prematurity, low birthweight, gestational diabetes and preeclampsia.
“Regular leisure physical activity appears to protect against prematurity, low birthweight, gestational diabetes and preeclampsia [20–24].”
From Lack of evidence for prescription of antepartum bed rest (2011) · cites this paper as [20]
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Health Inequality - determinants and policies
Diderichsen, F., Andersen, I., Manuel, C., The Working Group of the Danish Review on Social Determinants of Health, Andersen, A.-M. N., Bach, E., Baadsgaard, M., Brønnum-Hansen, H., Hansen, F. K., Jeune, B., et al. (2012) · Scandinavian Journal of Public Health · doi:10.1177/1403494812457734 · Cited by 247 · see citing works
Lack of evidence for prescription of antepartum bed rest
Maloni, J. A. (2011) · Expert Review of Obstetrics & Gynecology · doi:10.1586/eog.11.28 · Cited by 53 · see citing works
Guendelman, S., Pearl, M., Kosa, J. L., Graham, S., Abrams, B., & Kharrazi, M. (2013) · Maternal and Child Health Journal · doi:10.1007/s10995-012-1052-5 · Cited by 43 · see citing works
Bed-rest exercise, activity restriction, and high-risk pregnancies: A feasibility study
Brun, C. R., Shoemaker, J. K., Bocking, A., Hammond, J.-A., Poole, M., & Mottola, M. F. (2011) · Applied Physiology Nutrition and Metabolism · doi:10.1139/h11-036 · Cited by 16 · see citing works
- Authors
- Domingues, M. R., Matijasevich, A., & Barros, A. J. D.
- Affiliations
- Universidade Federal de Pelotas (BR)
- Corresponding author
- Domingues, Marlos Rodrigues
- Venue
- Sports Medicine
- Published
- 2009-11
- Volume
- 39
- Issue
- 11
- Pages
- 961-975
- ISSN
- 0112-1642 (ISSN-L)
- OpenAlex
- W2084777460
- Cited by
- 56
- References
- 102
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 2 · 2022: 4 · 2021: 2 · 2020: 3 · 2019: 2 · 2018: 4 · 2017: 5 · 2016: 2 · 2015: 3 · 2014: 6 · 2013: 4 · 2012: 7
- FWCI
- 0.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Sports Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Conselho Nacional de Desenvolvimento Científico e Tecnológico
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Epidemiology › Preterm Birth and Chorioamnionitis
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- preterm birth, exercise during pregnancy, occupational physical activity, leisure-time physical activity, standing at work, housework, pregnancy outcomes, working conditions, maternal health
- MeSH terms
- Fatigue, Female, Humans, Job Satisfaction, Leisure Activities, Mental Health, Motor Activity, Pregnancy, Risk Factors, Occupational Health, Occupational Exposure, Muscle Fatigue, Premature Birth
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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