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Does exercise training during pregnancy affect gestational age? A randomised controlled trial [with consumer summary]
Barakat R, Stirling JR, Lucia A
British Journal of Sports Medicine 2008 Aug;42(8):674-678
clinical trial
7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: Some controversy exists over the possibility that exercise during pregnancy might increase the risk of preterm delivery. OBJECTIVE: This study aimed to determine the possible cause-effect relationship between regular exercise performed during the second and third trimesters of pregnancy by previously sedentary, healthy gravidae and gestational age at the moment of delivery. METHODS: Caucasian (Spanish) women with singleton gestation were assigned to either a training (n = 72) or a control (n = 70) group. The supervised training programme focused mainly on very light resistance and toning exercises and included approximately 80 sessions (three times/week, 35 min/session from weeks 12 to 13 to weeks 38 to 39 of pregnancy). RESULTS: No significant differences were found (p > 0.05) between the groups in those maternal characteristics (age, smoking habits, number of hours standing or prior parity history) that could potentially influence gestational age. The mean gestational age did not differ (p = 0.745) between the training (39 weeks, 3 days (SD 1 day)) and the control group (39 weeks, 4 days (SD 1 day)). CONCLUSIONS: Previously sedentary, healthy gravidae with singleton gestation can safely engage in moderate, supervised exercise programmes until the end of gestation as this would not affect gestational age.
Reproduced with permission from the BMJ Publishing Group.

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