Murrell Kadeeja S, Joseph Rodney P
Center for Health Promotion and Disease Prevention, Edson College of Nursing and Health Innovation, Arizona State University, 500 N 3rd Street, Phoenix, AZ, 85004, USA.
Matern Child Health J. 2025 Mar 19. doi: 10.1007/s10995-025-04086-7.
Preconception physical activity may lower the risk of adverse maternal health outcomes. This integrative review examined the relationship between preconception physical activity and maternal health outcomes.
Six electronic databases (i.e., Cochrane Library, PubMed, Science Direct, PsycInfo, SAGE Journals, and Sports Discus) were searched for relevant articles. Articles were eligible for inclusion if they were (1) published between January 1, 2016, and January 9, 2025, in an English-language peer-reviewed journal; (2) included a measure of preconception physical activity; and (3) reported maternal health outcomes during or after birth.
Search procedures retrieved a total of 3608 articles. After a thorough screening process, seven articles met the inclusion criteria of this review. Five articles reported data from prospective cohort studies, and two articles employed cross-sectional designs. Outcomes examined included gestational hypertension (n = 3), gestational diabetes/glucose metabolism (n = 4), preeclampsia (n = 2), infant birth weight (n = 2), pregnancy weight gain (n = 1), duration of pregnancy (n = 1), and mode of delivery (n = 1). Higher preconception physical activity engagement was linked to reduced risks of gestational hypertension (n = 1), gestational diabetes/glucose metabolism (n = 2), preeclampsia (n = 2), low birth weight (n = 1), excessive pregnancy weight gain (n = 1), and post-term delivery (n = 1). Three studies found greater risk reduction with increased moderate-to-vigorous physical activity.
Engaging in regular moderate-to-vigorous physical activity during preconception is associated with a reduced risk of numerous adverse maternal health outcomes.
孕前体育活动可能会降低不良孕产妇健康结局的风险。本系统评价研究了孕前体育活动与孕产妇健康结局之间的关系。
检索了六个电子数据库（即考克兰图书馆、PubMed、科学Direct、PsycInfo、SAGE期刊和体育文摘）以查找相关文章。若文章符合以下条件，则有资格纳入：（1）于2016年1月1日至2025年1月9日期间发表在英文同行评审期刊上；（2）包含孕前体育活动的测量指标；（3）报告了分娩期间或之后的孕产妇健康结局。
检索程序共检索到3608篇文章。经过全面筛选过程，七篇文章符合本评价的纳入标准。五篇文章报告了前瞻性队列研究的数据，两篇文章采用了横断面设计。所研究的结局包括妊娠期高血压（n = 3）、妊娠期糖尿病/糖代谢（n = 4）、子痫前期（n = 2）、婴儿出生体重（n = 2）、孕期体重增加（n = 1）、妊娠持续时间（n = 1）和分娩方式（n = 1）。较高的孕前体育活动参与度与妊娠期高血压（n = 1）、妊娠期糖尿病/糖代谢（n = 2）、子痫前期（n = 2）、低出生体重（n = 1）、孕期体重过度增加（n = 1）和过期产（n = 1）风险降低相关。三项研究发现，随着中等到剧烈体育活动的增加，风险降低幅度更大。
孕前进行规律的中等到剧烈体育活动与降低多种不良孕产妇健康结局的风险相关。
