The role of physical activity, diet, and stress management in maternal and infant health during pregnancy
DOI:
https://doi.org/10.12775/QS.2024.27.55224Keywords
pregnancy, exercise, sport, rehabilitation, nutrition during pregnancy, postpartum depression, atopy, stress, asthmaAbstract
Introduction and aim of the study: During pregnancy, significant physiological, hormonal and circulatory changes occur that affect both the health of the mother and the child. Therefore, it is important for the mother to maintain physical activity, a healthy diet, and reduce stress to prevent complications and health problems for the mother and the child.
Material and Methods: The Pubmed database was searched. The criteria for qualifying the article for the review were the following keywords: pregnancy, exercise, rehabilitation, nutrition during pregnancy, postpartum depression, atopy, stress, asthma. 30 articles from 2002-2023 were analyzed.
Description of the state of knowledge: Regular physical activity during pregnancy brings many benefits such as reducing the risk of complications during childbirth, postpartum depression and helps to maintain a healthy body weight. Diet also has an impact on the health of both mother and baby. It should be balanced, providing the necessary nutrients and taking into account the mother's caloric needs. It is very important to reduce stress due to its negative impact on the mother and child.
Summary: Physical activity and a healthy diet directly affect the course of pregnancy and the health of the fetus and baby. Exercise prevents pregnancy complications and other diseases, and maternal nutritional status is critical for fetal growth. During pregnancy, women are exposed to stress, which can be the cause of chronic mental disorders. Depression is the most common mental illness that occurs during pregnancy, which is influenced by various factors. In addition, maternal stress has a negative impact on the child's health, potentially increasing the risk of a number of atopic and non-atopic diseases.
References
Ribeiro MM, Andrade A, Nunes I. Physical exercise in pregnancy: benefits, risks and prescription. J Perinat Med. 2021 Sep 6;50(1):4-17. doi: 10.1515/jpm-2021-0315. PMID: 34478617.
Coll CVN, Domingues MR, Stein A, da Silva BGC, Bassani DG, Hartwig FP, da Silva ICM, da Silveira MF, da Silva SG, Bertoldi AD. Efficacy of Regular Exercise During Pregnancy on the Prevention of Postpartum Depression: The PAMELA Randomized Clinical Trial. JAMA Netw Open. 2019 Jan 4;2(1):e186861. doi: 10.1001/jamanetworkopen.2018.6861. PMID: 30646198; PMCID: PMC6324311.
Ghandali NY, Iravani M, Habibi A, Cheraghian B. The effectiveness of a Pilates exercise program during pregnancy on childbirth outcomes: a randomised controlled clinical trial. BMC Pregnancy Childbirth. 2021 Jul 2;21(1):480. doi: 10.1186/s12884-021-03922-2. PMID: 34215198; PMCID: PMC8253242.
Rodríguez-Blanque R, Aguilar-Cordero MJ, Marín-Jiménez AE, Menor-Rodríguez MJ, Montiel-Troya M, Sánchez-García JC. Water Exercise and Quality of Life in Pregnancy: A Randomised Clinical Trial. Int J Environ Res Public Health. 2020 Feb 17;17(4):1288. doi: 10.3390/ijerph17041288. PMID: 32079342; PMCID: PMC7068410.
Hu X, Ma M, Zhao X, Sun W, Liu Y, Zheng Z, Xu L. Effects of exercise therapy for pregnancy-related low back pain and pelvic pain: A protocol for systematic review and meta-analysis. Medicine (Baltimore). 2020 Jan;99(3):e17318. doi: 10.1097/MD.0000000000017318. PMID: 32011431; PMCID: PMC7220333.
Herzberger V, Bäz E, Kunze M, Markfeld-Erol F, Juhasz-Böss I. Exercise During Pregnancy. Dtsch Arztebl Int. 2022 Nov 18;119(46):793-797. doi: 10.3238/arztebl.m2022.0305. PMID: 36045499; PMCID: PMC9902891.
Martínez García RM, Jiménez Ortega AI, Peral Suárez Á, Bermejo López LM, Rodríguez-Rodríguez E. Importancia de la nutrición durante el embarazo. Impacto en la composición de la leche materna [Importance of nutrition during pregnancy. Impact on the composition of breast milk]. Nutr Hosp. 2021 Jan 13;37(Spec No2):38-42. Spanish. doi: 10.20960/nh.03355. PMID: 32993313.
Corrigan L, Moran P, McGrath N, Eustace-Cook J, Daly D. The characteristics and effectiveness of pregnancy yoga interventions: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2022 Mar 25;22(1):250. doi: 10.1186/s12884-022-04474-9. PMID: 35337282; PMCID: PMC8957136.
Koletzko B, Godfrey KM, Poston L, Szajewska H, van Goudoever JB, de Waard M, Brands B, Grivell RM, Deussen AR, Dodd JM, Patro-Golab B, Zalewski BM; EarlyNutrition Project Systematic Review Group. Nutrition During Pregnancy, Lactation and Early Childhood and its Implications for Maternal and Long-Term Child Health: The Early Nutrition Project Recommendations. Ann Nutr Metab. 2019;74(2):93-106. doi: 10.1159/000496471. Epub 2019 Jan 23. PMID: 30673669; PMCID: PMC6397768.
Aoyama T, Li D, Bay JL. Weight Gain and Nutrition during Pregnancy: An Analysis of Clinical Practice Guidelines in the Asia-Pacific Region. Nutrients. 2022 Mar 18;14(6):1288. doi: 10.3390/nu14061288. PMID: 35334946; PMCID: PMC8949332.
Huang LT. Maternal and Early-Life Nutrition and Health. Int J Environ Res Public Health. 2020 Oct 30;17(21):7982. doi: 10.3390/ijerph17217982. PMID: 33143058; PMCID: PMC7663172.
Jouanne M, Oddoux S, Noël A, Voisin-Chiret AS. Nutrient Requirements during Pregnancy and Lactation. Nutrients. 2021 Feb 21;13(2):692. doi: 10.3390/nu13020692. PMID: 33670026; PMCID: PMC7926714.
Brown B, Wright C. Safety and efficacy of supplements in pregnancy. Nutr Rev. 2020 Oct 1;78(10):813-826. doi: 10.1093/nutrit/nuz101. Erratum in: Nutr Rev. 2020 Sep 1;78(9):782. PMID: 31925443; PMCID: PMC7558284.
Moreno-Fernandez J, Ochoa JJ, Lopez-Frias M, Diaz-Castro J. Impact of Early Nutrition, Physical Activity and Sleep on the Fetal Programming of Disease in the Pregnancy: A Narrative Review. Nutrients. 2020 Dec 20;12(12):3900. doi: 10.3390/nu12123900. PMID: 33419354; PMCID: PMC7766505.
Mousa A, Naqash A, Lim S. Macronutrient and Micronutrient Intake during Pregnancy: An Overview of Recent Evidence. Nutrients. 2019 Feb 20;11(2):443. doi: 10.3390/nu11020443. PMID: 30791647; PMCID: PMC6413112.
Qian J, Chen Q, Ward SM, Duan E, Zhang Y. Impacts of Caffeine during Pregnancy. Trends Endocrinol Metab. 2020 Mar;31(3):218-227. doi: 10.1016/j.tem.2019.11.004. Epub 2019 Dec 6. PMID: 31818639; PMCID: PMC7035149.
Yelverton CA, Rafferty AA, Moore RL, Byrne DF, Mehegan J, Cotter PD, Van Sinderen D, Murphy EF, Killeen SL, McAuliffe FM. Diet and mental health in pregnancy: Nutrients of importance based on large observational cohort data. Nutrition. 2022 Apr;96:111582. doi: 10.1016/j.nut.2021.111582. Epub 2022 Jan 5. PMID: 35149320.
Perkovic R, Tustonja M, Devic K, Kristo B. Music Therapy and Mental Health in Pregnancy. Psychiatr Danub. 2021 Spring-Summer;33(Suppl 4):786-789. PMID: 34718319.
Alves AC, Cecatti JG, Souza RT. Resilience and Stress during Pregnancy: A Comprehensive Multidimensional Approach in Maternal and Perinatal Health. ScientificWorldJournal. 2021 Aug 13;2021:9512854. doi: 10.1155/2021/9512854. PMID: 34434079; PMCID: PMC8382548.
Bush NR, Savitz J, Coccia M, Jones-Mason K, Adler N, Boyce WT, Laraia B, Epel E. Maternal Stress During Pregnancy Predicts Infant Infectious and Noninfectious Illness. J Pediatr. 2021 Jan;228:117-125.e2. doi: 10.1016/j.jpeds.2020.08.041. Epub 2020 Aug 19. PMID: 32827529; PMCID: PMC7752845.
Lima SAM, El Dib RP, Rodrigues MRK, Ferraz GAR, Molina AC, Neto CAP, et al. Is the risk of low birth weight or preterm labor greater when maternal stress is experienced during pregnancy? A systematic review and meta-analysis of cohort studies. PLoS One 2018;13:e0200594. [PMC free article] [PubMed] [Google Scholar]
Medsker B, Forno E, Simhan H, Celedon JC. Prenatal stress, prematurity, and asthma. Obstet Gynecol Surv 2015;70:773–9. [PMC free article] [PubMed] [Google Scholar]
van de Loo KF, van Gelder MM, Roukema J, Roeleveld N, Merkus PJ, Verhaak CM. Prenatal maternal psychological stress and childhood asthma and wheezing: a meta-analysis. Eur Respir J 2016;47:133–46. [PubMed] [Google Scholar]
Andersson NW, Hansen MV, Larsen AD, Hougaard KS, Kolstad HA, Schlunssen V. Prenatal maternal stress and atopic diseases in the child: a systematic review of observational human studies. Allergy 2016;71: 15–26. [PMC free article][PubMed] [Google Scholar]
Chan CWH, Law BMH, Liu YH, Ambrocio ARB, Au N, Jiang M, et al. The association between maternal stress and childhood eczema: a systematic review. Int J Environ Res Public Health 2018;15:395. [PMC free article] [PubMed] [Google Scholar]
Beijers R, Jansen J, Riksen-Walraven M, de Weerth C. Maternal prenatal anxiety and stress predict infant illnesses and health complaints. Pediatrics 2010;126:e401–9. [PubMed] [Google Scholar] [Ref list]
Merlot E, Couret D, Otten W. Prenatal stress, fetal imprinting and immunity. Brain Behav Immun 2008;22:42–51. [PubMed] [Google Scholar]
Van den Bergh BRH, van den Heuvel MI, Lahti M, Braeken M, de Rooij SR, Entringer S, et al. Prenatal developmental origins of behavior and mental health: The influence of maternal stress in pregnancy. Neurosci Biobehav Rev 2017. July 28 [Epub ahead of print]. [PubMed] [Google Scholar]
von Hertzen LC. Maternal stress and T-cell differentiation of the developing immune system: possible implications for the development of asthma and atopy. J Allergy Clin Immunol 2002;109:923–8. [PubMed] [Google Scholar]
Andersson NW, Li Q, Mills CW, Ly J, Nomura Y, Chen J. Influence of prenatal maternal stress on umbilical cord blood cytokine levels. Arch Womens Ment Health 2016;19:761–7. [PMC free article] [PubMed] [Google Scholar]
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Copyright (c) 2024 Bartosz Pawłowski, Aleksandra Madej, Karolina Haczkur-Pawłowska, Kacper Jasiński, Alicja Kowal, Julia Malczewska, Kornelia Fiszer, Aleksandra Łomża-Łaba, Stanisław Dziurda, Grzegorz Jama
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