Anatomy and Cell Biology Publications

Title

2019 Canadian guideline for physical activity throughout pregnancy

Authors

Michelle F. Mottola, R Samuel McLaughlin Foundation-Exercise and Pregnancy Laboratory, School of Kinesiology, Faculty of Health Sciences, Department of Anatomy and Cell Biology, Schulich School of Medicine & Dentistry, Children's Health Research Institute, The University of Western Ontario
Margie H. Davenport, Program for Pregnancy and Postpartum Health, Faculty of Kinesiology, Sport and Recreation, Women and Children's Health Research Institute, Alberta Diabetes Institute, University of Alberta
Stephanie-May Ruchat, Department of Human Kinetics, Universite du Quebec a Trois-Rivieres
Gregory A. Davies, Department of Obstetrics and Gynecology, Queen's University
Veronics J. Poitras, Independent Researcher, Ottawa, Ontario, Canada
Casey E. Gray, Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute
Alejandra Jaramillo Garcia, Independent Researcher, Ottawa, Ontario, Canada
Nick Barrowman, Clinical Research Unit, Children's Hospital of Eastern Ontario Research Institute
Kristi B. Adamo, School of Human Kinetics, Faculty of Health Sciences, University of Ottawa
Mary Duggan, Canadian Society for Exercise Physiology
Ruben Barakat, Facultad de Ciencias de la Actividad Física y del Deporte-INEF, Universidad Politécnica de Madrid
Phil Chilibeck, College of Kinesiology, University of Saskatchewan
Karen Fleming, Department of Family and Community Medicine, Sunnybrook Health Sciences Centre
Milena Forte, Department of Family and Community Medicine, University of Toronto, Granovsky Gluskin Family Medicine Centre, Sinai Health System, Sinai Health System
Jillian Korolnek, Canadian Association of Midwives
Taniya Nagpal, R Samuel McLaughlin Foundation-Exercise and Pregnancy Laboratory, School of Kinesiology, Faculty of Health Sciences, Department of Anatomy and Cell Biology, Schulich School of Medicine & Dentistry, Children's Health Research Institute, The University of Western Ontario
Linda G. Slater, John W Scott Health Sciences Library, University of Alberta
Deanna Stirling, Middlesex-London Health Unit
Lori Zehr, School of Health and Human Services, Camosun College

Document Type

Article

Publication Date

11-2018

Issue

21

Journal

British Journal of Sports Medicine

Volume

52

First Page

1339

Last Page

1346

URL with Digital Object Identifier

https://doi.org/10.1136/bjsports-2018-100056

Abstract

The objective is to provide guidance for pregnant women and obstetric care and exercise professionals on prenatal physical activity. The outcomes evaluated were maternal, fetal or neonatal morbidity, or fetal mortality during and following pregnancy. Literature was retrieved through searches of MEDLINE, EMBASE, PsycINFO, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Scopus and Web of Science Core Collection, CINAHL Plus with Full Text, Child Development & Adolescent Studies, Education Resources Information Center, SPORTDiscus, ClinicalTrials.gov and the Trip Database from inception up to 6 January 2017. Primary studies of any design were eligible, except case studies. Results were limited to English-language, Spanish-language or French-language materials. Articles related to maternal physical activity during pregnancy reporting on maternal, fetal or neonatal morbidity, or fetal mortality were eligible for inclusion. The quality of evidence was rated using the Grading of Recommendations Assessment, Development and Evaluation methodology. The Guidelines Consensus Panel solicited feedback from end users (obstetric care providers, exercise professionals, researchers, policy organisations, and pregnant and postpartum women). The development of these guidelines followed the Appraisal of Guidelines for Research and Evaluation II instrument. The benefits of prenatal physical activity are moderate and no harms were identified; therefore, the difference between desirable and undesirable consequences (net benefit) is expected to be moderate. The majority of stakeholders and end users indicated that following these recommendations would be feasible, acceptable and equitable. Following these recommendations is likely to require minimal resources from both individual and health systems perspectives.

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