Schlüssel Michael Maia, Souza Elton Bicalho de, Reichenheim Michael Eduardo, Kac Gilberto
Instituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil.
Cad Saude Publica. 2008;24 Suppl 4:s531-44. doi: 10.1590/s0102-311x2008001600006.
A systematic literature review was conducted to investigate the effects of physical activity during pregnancy on selected maternal-child health outcomes. The search included articles published from 1980 to 2005 in the MEDLINE and LILACS databases using key words such as physical activity, physical exercise, pregnancy, and gestation. The methodological quality of 37 selected articles was evaluated. It appears to be a consensus that some light-to-moderate physical activity is not a risk factor and may even be considered a protective factor for some outcomes. However, some studies found an association between specific activities (e.g., climbing stairs or standing for long periods) and inadequate birth weight, prematurity, and miscarriage. Few studies found an association between physical activity and maternal weight gain, mode of delivery, or fetal development. Further research is needed to fill these gaps and provide guidelines on the intensity, duration, and frequency of physical activity during pregnancy.
进行了一项系统的文献综述，以调查孕期身体活动对选定的母婴健康结局的影响。检索范围包括1980年至2005年发表在MEDLINE和LILACS数据库中的文章，使用了身体活动、体育锻炼、怀孕和妊娠等关键词。对37篇选定文章的方法学质量进行了评估。似乎存在一种共识，即一些轻度至中度的身体活动不是危险因素，甚至可能被视为某些结局的保护因素。然而，一些研究发现特定活动（如爬楼梯或长时间站立）与低出生体重、早产和流产之间存在关联。很少有研究发现身体活动与孕妇体重增加、分娩方式或胎儿发育之间存在关联。需要进一步的研究来填补这些空白，并提供关于孕期身体活动的强度、持续时间和频率的指导方针。
