The effects of exercise during pregnancy on placental composition : A systematic review and meta-analysis

Journal article

Kubler, Jade M., Clifton, Vicki L., Moholdt, Trine and Beetham, Kassia S.. (2022). The effects of exercise during pregnancy on placental composition : A systematic review and meta-analysis. Placenta. 117, pp. 39-46. https://doi.org/10.1016/j.placenta.2021.10.008
AuthorsKubler, Jade M., Clifton, Vicki L., Moholdt, Trine and Beetham, Kassia S.
Abstract

Introduction
Morphological changes to the placenta occur as the demands of the foetus increase throughout gestation. Physical activity during pregnancy is known to benefit both the mother and infant, however the impact of antenatal exercise training on placental development is less known. The aim of this systematic review and meta-analysis was to investigate the effects of exercise training during pregnancy on measures of placental composition.

Methods
Six electronic databases were searched from inception to June 2021 for studies comparing regular antenatal exercise with either usual maternal care or no exercise for its effect on measures of placental morphological composition. Meta-analyses were performed for placental weight and the placental weight to birthweight (PWBW) ratio.

Results
Seven randomised controlled trials and two cohort studies were included in the systematic review and meta-analysis (n = 9). There was no significant difference in placental weight (mean difference (MD) = -9.07g, p = 0.42) or the PWBW ratio (MD = 0.00, p = 0.32) between exercise and control groups. Parenchymal tissue volume was higher, represented by an increase in villous tissue, and non-parenchymal volume was lower in women who exercised regularly compared to those that were not exercising during pregnancy.

Discussion
Exercise training during pregnancy may not alter placental weight or the PWBW ratio. However, findings from this review indicate that antenatal exercise training can promote advantageous morphological changes to placental tissues.

Keywordsplacenta; pregnancy; antenatal exercise; physical activity
Year2022
JournalPlacenta
Journal citation117, pp. 39-46
PublisherElsevier Ltd
ISSN0143-4004
Digital Object Identifier (DOI)https://doi.org/10.1016/j.placenta.2021.10.008
PubMed ID34768167
Scopus EID2-s2.0-85118850425
Page range39-46
Publisher's version
License
All rights reserved
File Access Level
Open
Output statusPublished
Publication dates
Online21 Oct 2021
Publication process dates
Accepted13 Oct 2021
Deposited18 Oct 2023
Permalink -

https://acuresearchbank.acu.edu.au/item/8zw2x/the-effects-of-exercise-during-pregnancy-on-placental-composition-a-systematic-review-and-meta-analysis

Log in to edit

Download files

Publisher's version
Kubler_2022_The_effects_of_exercise_during_pregnancy.pdf
License: All rights reserved
File access level: Open

  • 36
    total views
  • 44
    total downloads
  • 1
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Effect of a 3-year lifestyle intervention in patients with chronic kidney disease : A randomized clinical trial
Beetham, Kassia S., Krishnasamy, Rathika, Stanton, Tony, Sacre, Julian W., Douglas, Bettina, Isbel, Nicole M., Coombes, Jeff S. and Howden, Erin J.. (2022). Effect of a 3-year lifestyle intervention in patients with chronic kidney disease : A randomized clinical trial. Journal of the American Society of Nephrology. 33(2), pp. 431-441. https://doi.org/10.1681/ASN.2021050668
‘Beyond the Bump’ : An online wellbeing and lifestyle pilot program during COVID-19 for first year postpartum mothers : A research article
Christie, Hannah E., Roach, Lauren A., Kennedy, Meredith, Beetham, Kassia, Meyer, Barbara J., Schoenaker, Danielle and Francois, Monique. (2022). ‘Beyond the Bump’ : An online wellbeing and lifestyle pilot program during COVID-19 for first year postpartum mothers : A research article. BMC Pregnancy and Childbirth. 22(1), p. Article 591. https://doi.org/10.1186/s12884-022-04913-7
“Worn-out but happy” : Postpartum women's mental health and well-being during COVID-19 restrictions in Australia
Christie, Hannah E., Beetham, Kassia, Stratton, Elizabeth and Francois, Monique E.. (2022). “Worn-out but happy” : Postpartum women's mental health and well-being during COVID-19 restrictions in Australia. Frontiers in Global Women’s Health. 2, p. Article 793602. https://doi.org/10.3389/fgwh.2021.793602
Longitudinal association of physical activity during pregnancy with maternal and infant outcomes: Findings from the Australian longitudinal study of women’s health
Beetham, Kassia S., Spathis, Jemima G., Hoffmann, Samantha, Brown, Wendy J., Clifton, Vicki and Mielke, Gregore I.. (2022). Longitudinal association of physical activity during pregnancy with maternal and infant outcomes: Findings from the Australian longitudinal study of women’s health. Women's Health. 18, pp. 1-9. https://doi.org/10.1177/17455057221142357
Parents’ perspectives on managing risk in play for children with developmental disabilities
Stillianesis, Samantha, Spencer, Grace, Villeneuve, Michelle, Sterman, Julia, Bundy, Anita, Wyver, Shirley, Tranter, Paul, Naughton, Geraldine, Ragen, Jo and Beetham, Kassia S.. (2022). Parents’ perspectives on managing risk in play for children with developmental disabilities. Disability and Society. 37(8), pp. 1272-1292. https://doi.org/10.1080/09687599.2021.1874298
Guidelines for the delivery and monitoring of high intensity interval training in clinical populations
Jenna L. Taylor, David J. Holland, Jemima Spathis, Kassia Beetham, Ulrik Wisløff, Shelley E. Keating and Jeff S. Coombes. (2019). Guidelines for the delivery and monitoring of high intensity interval training in clinical populations. Progress in Cardiovascular Diseases. 62(2), pp. 140-146. https://doi.org/10.1016/j.pcad.2019.01.004
An observation-based instrument to measure what children with disabilities do on the playground: A Rasch analysis
Grady-Dominguez, Patricia, Bundy, Anita, Ragen, Jo, Wyver, Shirley, Villeneuve, Michelle, Naughton, Geraldine, Tranter, Paul, Eakman, Aaron, Hepburn, Susan and Beetham, Kassia. (2019). An observation-based instrument to measure what children with disabilities do on the playground: A Rasch analysis. International Journal of Play. 8(1), pp. 79 - 93. https://doi.org/10.1080/21594937.2019.1580340
Lower parent tolerance of risk in play for children with disability than typically developing children
Beetham, K. S., Sterman, J., Bundy, A. C., Wyver, S., Ragen, J., Engelen, L., Villeneuve, M., Spencer, G., Tranter, P. and Naughton, G.. (2019). Lower parent tolerance of risk in play for children with disability than typically developing children. International Journal of Play. 8(2), pp. 174-185. https://doi.org/10.1080/21594937.2019.1643980
Effects of exercise and lifestyle intervention on oxidative stress in chronic kidney disease
Small, David, Beetham, Kassia, Howden, Erin, Briskey, David, Johnson, David, Isbel, Nicole, Gobe, Glenda and Coombes, Jeff S.. (2017). Effects of exercise and lifestyle intervention on oxidative stress in chronic kidney disease. Redox Report. 22(3), pp. 127 - 136. https://doi.org/10.1080/13510002.2016.1276314
High-intensity interval training and cardiac autonomic control in individuals with metabolic syndrome: a randomised trial
Ramos, Joyce, Dalleck, Lance, Borrani, Fabio, Beetham, Kassia, Mielke, Gregore, Dias, Katrin, Wallen, Matthew, Keating, Shelley, Fassett, Robert and Coombes, Jeff s.. (2017). High-intensity interval training and cardiac autonomic control in individuals with metabolic syndrome: a randomised trial. International Journal of Cardiology. 245, pp. 245 - 252. https://doi.org/10.1016/j.ijcard.2017.07.063
Low-volume high-intensity interval training is sufficient to ameliorate the severity of metabolic syndrome
Ramos, Joyce, Dalleck, Lance, Borrani, Fabio, Beetham, Kassia, Wallen, Mathew, Mallard, Alistair, Clark, Bronwyn K., Gomersall, Sjaan, Keating, Shelley, Fassett, Robert and Coombes, Jeff S.. (2017). Low-volume high-intensity interval training is sufficient to ameliorate the severity of metabolic syndrome. Metabolic Syndrome and Related Disorders. 15(7), pp. 319 - 328. https://doi.org/10.1089/met.2017.0042
Uncertainty in the school playground: shifting rationalities and teachers¿ sense-making in the management of risks for children with disabilities
Spencer, Grace, Bundy, Anita, Wyver, Shirley, Villeneuve, Michelle, Tranter, Paul, Beetham, Kassia, Ragen, Jo and Naughton, Geraldine Ann. (2016). Uncertainty in the school playground: shifting rationalities and teachers¿ sense-making in the management of risks for children with disabilities. Health Risk and Society. https://doi.org/10.1080/13698575.2016.1238447
Outdoor Play Decisions by Caregivers of Children with Disabilities: a Systematic Review of Qualitative Studies
Sterman, Julia, Naughton, Geraldine, Froude, Elspeth, Villeneuve, Michelle, Beetham, Kassia, Wyver, Shirley and Bundy, Anita. (2016). Outdoor Play Decisions by Caregivers of Children with Disabilities: a Systematic Review of Qualitative Studies. 28(6), pp. 931 - 957. https://doi.org/10.1007/s10882-016-9517-x
Uncertainty in the school playground: Shifting rationalities and teachers’ sense-making in the management of risks for children with disabilities
Spencer, Grace, Bundy, Anita, Wyver, Shirley, Villeneuve, Michelle, Tranter, Paul, Beetham, Kassia, Ragen, Jo and Naughton, Geraldine. (2016). Uncertainty in the school playground: Shifting rationalities and teachers’ sense-making in the management of risks for children with disabilities. Health Risk and Society. 18(5-6), pp. 301 - 317. https://doi.org/10.1080/13698575.2016.1238447
Outdoor play decisions by caregivers of children with disabilities: A systematic review of qualitative studies
Sterman, Julia, Naughton, Geraldine Ann, Froude, Elspeth Heather, Villeneuve, Michelle, Beetham, Kassia, Wyver, Shirley and Bundy, Anita. (2016). Outdoor play decisions by caregivers of children with disabilities: A systematic review of qualitative studies. Journal of Developmental and Physical Disabilities. https://doi.org/10.1007/s10882-016-9517-x
The Sydney playground project-levelling the playing field: A cluster trial of a primary school-based intervention aiming to promote manageable risk-taking in children with disability
Bundy, Anita, Wyver, Shirley, Beetham, Kassia, Ragen, Jo, Naughton, Geraldine, Tranter, Paul, Norman, Richard, Villeneuve, Michelle, Spencer, Grace, Honey, Anne, Simpson, Judith, Baur, Louise and Sterman, Julia. (2015). The Sydney playground project-levelling the playing field: A cluster trial of a primary school-based intervention aiming to promote manageable risk-taking in children with disability. BMC Public Health. 15(1125), pp. 1 - 6. https://doi.org/10.1186/s12889-015-2452-4