eprintid: 585 rev_number: 7 eprint_status: archive userid: 2 dir: disk0/00/00/05/85 datestamp: 2022-03-17 23:55:12 lastmod: 2023-07-07 23:30:35 status_changed: 2022-03-17 23:55:12 type: article metadata_visibility: show creators_name: Perales, María creators_name: Valenzuela, Pedro L. creators_name: Barakat, Rubén creators_name: Alejo, Lidia B. creators_name: Cordero, Yaiza creators_name: Pelaez, Mireia creators_name: Lucia, Alejandro creators_id: creators_id: creators_id: creators_id: creators_id: creators_id: mireia.pelaez@uneatlantico.es creators_id: title: Obesity can offset the cardiometabolic benefits of gestational exercise ispublished: pub subjects: uneat_dp divisions: uneatlantico_produccion_cientifica full_text_status: none abstract: Pregnancy exercise can prevent excessive gestational weight gain (EGWG), gestational diabetes mellitus (GDM) and hypertension (GH), but inter-individual variability has not been explored. We aimed to analyze the prevalence--and potential sociodemographic and medical predictors of--non-responsiveness to gestational exercise, and the association of non-responsiveness with adverse pregnancy outcomes. Among 688 women who completed a supervised light-to-moderate intensity exercise program (three ~1-h sessions/week including aerobic, resistance, and pelvic floor muscle training) until near-term, those who showed EGWG, GDM or GH were considered 'non-responders'. A low prevalence of non-responders was observed for GDM (3.6%) and GH (3.4%), but not for EGWG (24.2%). Pre-pregnancy obesity was the strongest predictor of non-responsiveness for GH (odds ratio 8.40 [95% confidence interval 3.10-22.78] and EGWG (5.37 [2.78-10.39]), whereas having a highest education level attenuated the risk of being non-responder for GDM (0.10 [0.02-0.49]). Non-responsiveness for EGWG was associated with a higher risk of prolonged labor length, instrumental/cesarean delivery, and macrosomia, and of lower Apgar scores. No association with negative delivery outcomes was found for GDM/GH. In summary, women with pre-pregnancy obesity might require from additional interventions beyond light-to-moderate intensity gestational exercise (e.g., diet and/or higher exercise loads) to ensure cardiometabolic benefits. date: 2021-09 publication: International Journal of Obesity volume: 45 number: 2 pagerange: 342-347 id_number: doi:10.1038/s41366-020-00669-2 refereed: TRUE issn: 0307-0565 official_url: http://doi.org/10.1038/s41366-020-00669-2 access: close language: en citation: Artículo Materias > Educación física y el deporte Universidad Europea del Atlántico > Investigación > Producción Científica Cerrado Inglés Pregnancy exercise can prevent excessive gestational weight gain (EGWG), gestational diabetes mellitus (GDM) and hypertension (GH), but inter-individual variability has not been explored. We aimed to analyze the prevalence--and potential sociodemographic and medical predictors of--non-responsiveness to gestational exercise, and the association of non-responsiveness with adverse pregnancy outcomes. Among 688 women who completed a supervised light-to-moderate intensity exercise program (three ~1-h sessions/week including aerobic, resistance, and pelvic floor muscle training) until near-term, those who showed EGWG, GDM or GH were considered 'non-responders'. A low prevalence of non-responders was observed for GDM (3.6%) and GH (3.4%), but not for EGWG (24.2%). Pre-pregnancy obesity was the strongest predictor of non-responsiveness for GH (odds ratio 8.40 [95% confidence interval 3.10-22.78] and EGWG (5.37 [2.78-10.39]), whereas having a highest education level attenuated the risk of being non-responder for GDM (0.10 [0.02-0.49]). Non-responsiveness for EGWG was associated with a higher risk of prolonged labor length, instrumental/cesarean delivery, and macrosomia, and of lower Apgar scores. No association with negative delivery outcomes was found for GDM/GH. In summary, women with pre-pregnancy obesity might require from additional interventions beyond light-to-moderate intensity gestational exercise (e.g., diet and/or higher exercise loads) to ensure cardiometabolic benefits. metadata Perales, María; Valenzuela, Pedro L.; Barakat, Rubén; Alejo, Lidia B.; Cordero, Yaiza; Pelaez, Mireia y Lucia, Alejandro mail SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, mireia.pelaez@uneatlantico.es, SIN ESPECIFICAR (2021) Obesity can offset the cardiometabolic benefits of gestational exercise. International Journal of Obesity, 45 (2). pp. 342-347. ISSN 0307-0565