ACTIVE PREGNANCY: Workshop on Promotion of Physical Activity in Pregnancy for Exercise Professionals

References

• Bull FC, Al-Ansari SS, Biddle S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behavior. Br J Sports Med. 2020;54:1451–1462. doi:10.1136/bjsports-2020-102955
   PubMed Web of Science ®Google Scholar
• Nascimento SL, Surita FG, Cecatti JG. Physical exercise during pregnancy: a systematic review. Curr Opin Obstet Gynecol. 2012;24(6):387–394. doi:10.1097/GCO.0b013e328359f131
   PubMed Web of Science ®Google Scholar
• Mørkved S, Bø K. Effect of pelvic floor muscle training during pregnancy and after childbirth on prevention and treatment of urinary incontinence: a systematic review. Br J Sports Med. 2014;48(4):299–310. doi:10.1136/bjsports-2012-091758
   PubMed Web of Science ®Google Scholar
• Jorge C, Santos-Rocha R, Bento T. Can group exercise programs improve health outcomes in pregnant women? A systematic review. Curr Womens Health Rev. 2015;11(1):75–87.
   Google Scholar
• Perales M, Santos-Lozano A, Ruiz JR, Lucia A, Barakat R. Benefits of aerobic or resistance training during pregnancy on maternal health and perinatal outcomes: a systematic review. Early Hum Dev. 2016;94:43–48. doi:10.1016/j.earlhumdev.2016.01.004
   PubMed Web of Science ®Google Scholar
• Bgeginski R, Ribeiro PAB, Mottola MF, Ramos JGL. Effects of weekly supervised exercise or physical activity counseling on fasting blood glucose in women diagnosed with gestational diabetes mellitus: a systematic review and meta-analysis of randomized trials. J Diabetes. 2017;9(11):1023–1032. doi:10.1111/1753-0407.12519
   PubMed Web of Science ®Google Scholar
• Magro-Malosso ER, Saccone G, Di Tommaso M, Roman A, Berghella V. Exercise during pregnancy and risk of gestational hypertensive disorders: a systematic review and meta-analysis. Acta Obstet Gynecol Scand. 2017;96(8):921–931. doi:10.1111/aogs.13151
   PubMed Web of Science ®Google Scholar
• Davenport MH, Ruchat SM, Poitras VJ, et al. Prenatal exercise for the prevention of gestational diabetes mellitus and hypertensive disorders of pregnancy: a systematic review and meta-analysis. Br J Sports Med. 2018;52(21):1367–1375. doi:10.1136/bjsports-2018-099355
   PubMed Web of Science ®Google Scholar
• Davenport MH, McCurdy AP, Mottola MF, et al. Impact of prenatal exercise on both prenatal and postnatal anxiety and depressive symptoms: a systematic review and meta-analysis. Br J Sports Med. 2018;52(21):1376–1385. doi:10.1136/bjsports-2018-099697
   PubMed Web of Science ®Google Scholar
• Davenport MH, Marchand AA, Mottola MF, et al. Exercise for the prevention and treatment of low back, pelvic girdle and lumbopelvic pain during pregnancy: a systematic review and meta-analysis. Br J Sports Med. 2019;53(2):90–98. doi:10.1136/bjsports-2018-099400
   PubMed Web of Science ®Google Scholar
• Dipietro L, Evenson KR, Bloodgood B, et al.; 2018 PHYSICAL ACTIVITY GUIDELINES ADVISORY COMMITTEE. Benefits of physical activity during pregnancy and postpartum: an umbrella review. Med Sci Sports Exerc. 2019;51(6):1292–1302. doi:10.1249/MSS.0000000000001941
   PubMed Web of Science ®Google Scholar
• Chan CWH, Au Yeung E, Law BMH. Effectiveness of physical activity interventions on pregnancy-related outcomes among pregnant women: a systematic review. Int J Environ Res Public Health. 2019;16(10):1840. doi:10.3390/ijerph16101840
   PubMed Web of Science ®Google Scholar
• Nakamura A, van der Waerden J, Melchior M, Bolze C, El-Khoury F, Pryor L. Physical activity during pregnancy and postpartum depression: systematic review and meta-analysis. J Affect Disord. 2019;246:29–41. doi:10.1016/j.jad.2018.12.009
   PubMed Web of Science ®Google Scholar
• Cai C, Ruchat SM, Sivak A, Davenport MH. Prenatal exercise and cardiorespiratory health and fitness: a meta-analysis. Med Sci Sports Exerc. 2020;52(7):1538–1548. doi:10.1249/MSS.0000000000002279
   PubMed Web of Science ®Google Scholar
• Morales-Suárez-Varela M, Clemente-Bosch E, Peraita-Costa I, Llopis-Morales A, Martínez I, Llopis-González A. Maternal physical activity during pregnancy and the effect on the mother and newborn: a systematic review. J Phys Act Health. 2020;18(1):130–147. doi:10.1123/jpah.2019-0348
   PubMed Web of Science ®Google Scholar
• Díaz-Burrueco JR, Cano-Ibáñez N, Martín-Peláez S, Khan KS, Amezcua-Prieto C. Effects on the maternal-fetal health outcomes of various physical activity types in healthy pregnant women. A systematic review and meta-analysis. Eur J Obstet Gynecol Reprod Biol. 2021;262:203–215. doi:10.1016/j.ejogrb.2021.05.030
   PubMed Web of Science ®Google Scholar
• Ribeiro MM, Andrade A, Nunes I. Physical exercise in pregnancy: benefits, risks and prescription. J Perinat Med. 2021;50:4–17. doi:10.1515/jpm-2021-0315
   PubMed Web of Science ®Google Scholar
• de Castro R, Antunes R, Mendes D, Szumilewicz A, Santos-Rocha R; Can Group. Exercise programs improve health outcomes in pregnant women? An updated systematic review. Int J Environ Res Public Health. 2022;19(8):4875. doi:10.3390/ijerph19084875
   PubMed Web of Science ®Google Scholar
• Klein WW. Current and future relevance of guidelines. Heart. 2002;87(6):497–500. doi:10.1136/heart.87.6.497
   PubMed Web of Science ®Google Scholar
• Institute of Medicine. Clinical Practice Guidelines: Directions of a New Program. Committee to advise the public health service on clinical practice guidelines. Washington DC: National Academy Press; 1990.
   Google Scholar
• SMA – Sports Medicine Australia. Pregnancy and exercise. Women in sport; 2017. Available from: https://sma.org.au/sma-site-content/uploads/2017/08/SMA-Position-Statement-Exercise-Pregnancy.pdf. Accessed September 9, 2022.
   Google Scholar
• Bø K, Artal R, Barakat R, et al. Exercise and pregnancy in recreational and elite athletes: 2016/2017 evidence summary from the IOC expert group meeting, Lausanne. Part 5 - Recommendations for health professionals and active women. Br J Sports Med. 2018;52(17):1080–1085. doi:10.1136/bjsports-2018-099351
   PubMed Web of Science ®Google Scholar
• USDHHS - U.S. Department of Health and Human Services. Physical Activity Guidelines for Americans. 2nd ed. Washington, DC: U.S. Department of Health and Human Services; 2018.
   Google Scholar
• Mottola MF, Davenport MH, Ruchat S-M, et al. 2019 Canadian guideline for physical activity throughout pregnancy. Br J Sports Med. 2018;52(21):1339–1346. doi:10.1136/bjsports-2018-100056
   PubMed Web of Science ®Google Scholar
• ACOG – American College of Obstetricians and Gynecologists. ACOG Committee Opinion No. 804: physical activity and exercise during pregnancy and the postpartum period. Obstet Gynecol. 2020;135(4):e178–e88. doi:10.1097/AOG.0000000000003772
   PubMed Web of Science ®Google Scholar
• RANZCOG - The Royal Australian and New Zealand College of Obstetricians and Gynaecologists. Exercise in pregnancy. RANZCOG; 2020. Available from: https://ranzcog.edu.au/womens-health/patient-information-resources/exercise-during-pregnancy. Accessed September 9, 2022.
   Google Scholar
• UK Department of Health and Social Care. Physical activity guidelines: pregnancy and after childbirth. Infographics explaining the physical activity needed for general health benefits for women in pregnancy and after giving birth. Physical activity guidelines: pregnancy and after childbirth - GOV.UK; 2019. Available from: www.gov.uk. Accessed September 9, 2022.
   Google Scholar
• Campos SB, Buglia S, Colombo CS, et al. Position statement on exercise during pregnancy and the post-partum period - 2021. Arq Bras Cardiol. 2021;117(1):160–180. English, Portuguese. doi:10.36660/abc.20210408
   PubMed Web of Science ®Google Scholar
• Brown WJ, Hayman M, Haakstad LAH, et al. Australian guidelines for physical activity in pregnancy and postpartum. J Sci Med Sport. 2022;25. doi:10.1016/j.jsams.2022.03.008
   Web of Science ®Google Scholar
• Evenson KR, Mottola MF, Artal R. Review of recent physical activity guidelines during pregnancy to facilitate advice by health care providers. Obstet Gynecol Surv. 2019;74(8):481–489. doi:10.1097/OGX.0000000000000693
   PubMed Web of Science ®Google Scholar
• Szumilewicz A, Worska A, Santos-Rocha R, Oviedo-Caro MA. Evidence-based and practice-oriented guidelines for exercising during pregnancy. In: Santos-Rocha R, editor. Exercise and Physical Activity During Pregnancy and Postpartum. Evidence-Based Guidelines. 2nd ed. Switzerland: Springer International Publishing; 2022:Ch.7.
   Google Scholar
• EIM/ACSM. Being active during pregnancy. Exercise is Medicine/American College of Sports Medicine; 2019. Available from: https://www.exerciseismedicine.org/assets/page_documents/EIM_Rx%20for%20Health_Pregnancy.pdf. Accessed September 9, 2022.
   Google Scholar
• ACSM - American College of Sport Medicine. ACSM information on pregnancy physical activity. American College of Sports Medicine; 2020. Available from: https://www.acsm.org/docs/default-source/files-for-resource-library/pregnancy-physical-activity.pdf?sfvrsn=12a73853_4. Accessed September 9, 2022.
   Google Scholar
• NHS - National Health Service. Exercise in pregnancy; 2020. Available from: https://www.nhs.uk/pregnancy/keeping-well/exercise/. Accessed September 9, 2022.
   Google Scholar
• AGDH - Australian Government. Department of Health. Guidelines for physical activity during pregnancy; 2021. Available from: https://www.health.gov.au/resources/publications/physical-activity-and-exercise-during-pregnancy-guidelines-brochure. Accessed September 9, 2022.
   Google Scholar
• Kohl HW, Craig CL, Lambert EV, et al.; Lancet Physical Activity Series Working Group. The pandemic of physical inactivity: global action for public health. Lancet. 2012;380(9838):294–305. doi:10.1016/S0140-6736(12)60898-8
   PubMed Web of Science ®Google Scholar
• Blair SN. Physical inactivity: the biggest public health problem of the 21st century. Br J Sports Med. 2009;43:1–2.
   PubMed Web of Science ®Google Scholar
• Atkinson L, Teychenne M. Psychological, social and behavioural changes during pregnancy: implications for physical activity and exercise. In: Santos-Rocha A, editor. Exercise and Physical Activity During Pregnancy and Postpartum. Evidence-Based Guidelines. 2nd ed. Switzerland: Springer International Publishing; 2022:Ch.2.
   Google Scholar
• Hayman M, Reaburn P, Alley S, Cannon S, Short C. What exercise advice are women receiving from their healthcare practitioners during pregnancy? Women Birth. 2020;33(4):e357–e362. doi:10.1016/j.wombi.2019.07.302
   PubMed Web of Science ®Google Scholar
• Okafor UB, Goon DT. Providing physical activity education and counselling during pregnancy: a qualitative study of midwives’ perspectives. Nig J Clin Pract. 2021;24:718–728.
   PubMed Web of Science ®Google Scholar
• Findley A, Smith DM, Hesketh K, Keyworth C. Exploring womens’ experiences and decision making about physical activity during pregnancy and following birth: a qualitative study. BMC Pregnancy Childbirth. 2020;20(1):1–10. doi:10.1186/s12884-019-2707-7
   Web of Science ®Google Scholar
• Szumilewicz A. Who and how should prescribe and conduct exercise programs for pregnant women? Recommendation based on the European educational standards for pregnancy and postnatal exercise specialists. Dev Period Med. 2018;22(2):107–112.
   PubMedGoogle Scholar
• van Poppel M, Owe KM, Santos-Rocha R, Dias H. Physical activity, exercise and health promotion for the pregnant exerciser and the pregnant athlete. In: Santos-Rocha A, editor. Exercise and Physical Activity During Pregnancy and Postpartum. Evidence-Based Guidelines. 2nd ed. Switzerland: Springer International Publishing; 2022:Ch.1.
   Google Scholar
• Petrov Fieril K, Fagevik Olsén M, Glantz A, Larsson M. Experiences of exercise during pregnancy among women who perform regular resistance training: a qualitative study. Phys Ther. 2014;94(8):1135–1143. doi:10.2522/ptj.20120432
   PubMed Web of Science ®Google Scholar
• Santos-Rocha R, Corrales-Gutierrez I, Szumilewicz A, Pajaujiene S. Exercise testing and prescription during pregnancy. In: Santos-Rocha R, editor. Exercise and Physical Activity During Pregnancy and Postpartum. Evidence-Based Guidelines. 2nd ed. Switzerland: Springer International Publishing; 2022:Ch.8.
   Google Scholar
• Szumilewicz A, Santos-Rocha R. Exercise selection during pregnancy. In: Santos-Rocha R, editor. Exercise and Physical Activity During Pregnancy and Postpartum. Evidence-Based Guidelines. 2nd ed. Switzerland: Springer International Publishing; 2022:Ch.9.
   Google Scholar
• EuropeActive. EuropeActive standards - European qualification framework level 5 - pregnancy and postnatal exercise specialist; 2016. Available from: http://www.ehfa-standards.eu/es-standards. Accessed September 9, 2022.
   Google Scholar
• Atkinson L, Shaw RL, French DP. Is pregnancy a teachable moment for diet and physical activity behaviour change? An interpretative phenomenological analysis of the experiences of women during their first pregnancy. Br J Health Psychol. 2016;21(4):842–858. doi:10.1111/bjhp.12200
   PubMed Web of Science ®Google Scholar
• Rabiepoor S, Rezavand S, Yas A, Ghanizadeh N. Influential factors in physical activity amongst pregnant women. Baltic J Health Phys Activity. 2019;11(2):36–45. doi:10.29359/BJHPA.11.2.04
   Web of Science ®Google Scholar
• Tanha FD, Ghajarzadeh M, Mohseni M, Shariat M, Ranjbar M. Is ACOG guideline helpful for encouraging pregnant women to do exercise during pregnancy? Acta Med Iran. 2014;52(6):458–461.
   PubMedGoogle Scholar
• Santos-Rocha R. Exercise and Sporting Activity During Pregnancy. Evidence-Based Guidelines. Switzerland: Springer International Publishing; 2019.
   Google Scholar
• Santos-Rocha R. Exercise and Physical Activity During Pregnancy and Postpartum. Evidence-Based Guidelines. 2nd ed. Switzerland: Springer International Publishing; 2022.
   Google Scholar
• Perales M, Nagpal TS, Barakat R. Physiological changes during pregnancy. Main adaptations and discomforts and implications for physical activity and exercise. In: Santos-Rocha A, editor. Exercise and Physical Activity During Pregnancy and Postpartum. Evidence-Based Guidelines. 2nd ed. Switzerland: Springer International Publishing; 2022:Ch.3.
   Google Scholar
• Pimenta N, van Poppel M. Body composition changes during pregnancy and effects of physical exercise. In: Santos-Rocha A, editor. Exercise and Physical Activity During Pregnancy and Postpartum. Evidence-Based Guidelines. 2nd ed. Switzerland: Springer International Publishing; 2022:Ch.4.
   Google Scholar
• Branco M, Santos-Rocha R, Aguiar L, Vieira F, Veloso AP. Biomechanical adaptations of gait in pregnancy. Implications for physical activity and exercise. In: Santos-Rocha A, editor. Exercise and Physical Activity During Pregnancy and Postpartum. Evidence-Based Guidelines. 2nd ed. Switzerland: Springer International Publishing; 2022:Ch.5.
   Google Scholar
• Bø K, Stuge B, Hilde G. Specific musculoskeletal adaptations in pregnancy: pelvic floor, pelvic girdle and low back pain. Implications for physical activity and exercise. In: Santos-Rocha A, editor. Exercise and Physical Activity During Pregnancy and Postpartum. Evidence-Based Guidelines. 2nd ed. Switzerland: Springer International Publishing; 2022:Ch.6.
   Google Scholar
• ACSM - American College of Sports Medicine. ACSM’s Guidelines for Exercise Testing and Prescription. 11th ed. Wolters Kluwer Health; 2021.
   Google Scholar
• Santos-Rocha R, Prior de Freitas J, Fernandes de Carvalho M. Active pregnancy YouTube chanel. https://www.youtube.com/channel/UC0Vyookwc0mcQ5T70imtoNA/playlists. Accessed September 9, 2022.
   Google Scholar
• Santos-Rocha R. Guia da Gravidez Ativa. Atividade Física, Exercício, Desporto e Saúde na Gravidez e Pós-Parto. ESDRM-IPS. Rio Maior: edições ESDRM, 2020. ISBN: ISBN: 978-989-8768-26-1 (print); 978-989-8768-27-8 (e-book). [Active Pregnancy Guide; Portuguese]. Available from: https://www.researchgate.net/profile/Rita-Santos-Rocha/research. Accessed September 9, 2022.
   Google Scholar
• Santos-Rocha R, Prior de Freitas J, Fernandes de Carvalho M. Agenda da Gravidez Ativa. Atividade Física, Exercício, Desporto e Saúde na Gravidez e Pós-Parto. ESDRM-IPS. Rio Maior: edições ESDRM, 2021. ISBN: 978-989-8768-28-5 (print); 978-989-8768-29-2 (e-book). [Active Pregnancy Agenda; Portuguese]. Available from: https://www.researchgate.net/profile/Rita-Santos-Rocha/research. Accessed September 9, 2022.
   Google Scholar
• Santos-Rocha R, Prior de Freitas J, Fernandes de Carvalho M. Gravidez Ativa – Manual do Programa de Exercício Físico. Instituto Politécnico de Santarém - Escola Superior de Desporto Rio Maior, 2021. ISBN: 978-989-8768-30-8 (print); 978-989-8768-31-5 (e-book). [Active Pregnancy Exercise Program Manual; Portuguese]. Available from: https://www.researchgate.net/profile/Rita-Santos-Rocha/research. Accessed September 9, 2022.
   Google Scholar
• Santos-Rocha R. Avaliação e prescrição de exercício durante a gravidez. Instituto Politécnico de Santarém - Escola Superior de Desporto Rio Maior, 2022. ISBN: 978-989-8768-37-7 (print); 978-989-8768-38-4 (e-book)). [Exercise testing and prescription during pregnancy; Portuguese]. Available from: https://www.researchgate.net/profile/Rita-Santos-Rocha/research. Accessed September 9, 2022.
   Google Scholar
• Santos-Rocha R, Silva MRG, Dias H, Jorge R. Promoção da atividade física e do exercício durante a gravidez e o pós-parto - Guia para profissionais de saúde. Instituto Politécnico de Santarém - Escola Superior de Desporto Rio Maior, 2022. ISBN: 978-989-8768-35-3 (print); 978-989-8768-36-0 (e-book). [Exercise and physical activity promotion during pregnancy and postpartum – health professionals’ guide; Portuguese]. Available from: https://www.researchgate.net/profile/Rita-Santos-Rocha/research. Accessed September 9, 2022.
   Google Scholar
• Worska A, Szumilewicz A. Aktywność fizyczna kobiet w ciąży w świadomości przyszłych instruktorów rekreacji ruchowej (Physical activity of expecting mothers in the awareness of future exercise professionals; Polish). J Educ Health Sport. 2015;5(8):91–102.
   Google Scholar
• Szumilewicz A, Santos-Rocha R, Worska A, et al. How to HIIT while pregnant? The protocols characteristics and effects of high intensity interval training implemented during pregnancy - a systematic review. Baltic J Phys Activity Health. 2022;14(1):1–16.
   Web of Science ®Google Scholar
• Nagpal TS, Everest C, Goudreau AD, Manicks M, Adamo KB. To HIIT or not to HIIT? The question pregnant women may be searching for online: a descriptive observational study. Perspect Public Health. 2021;2021:1757913920985898.
   Google Scholar
• Meah VL, Davies GA, Davenport MH. Why can’t I exercise during pregnancy? Time to revisit medical ‘absolute’ and ‘relative’ contraindications: systematic review of evidence of harm and a call to action. Br J Sports Med. 2020;54(23):1395–1404. doi:10.1136/bjsports-2020-102042
   PubMed Web of Science ®Google Scholar
• CSEP/SCPE. Get active questionnaire for pregnancy (GAQ-P). Canadian Society for Exercise Physiology (CSEP); 2021. www.csep.ca/getactivequestionnaire-pregnancy. Accessed September 9, 2022.
   Google Scholar
• EuropeActive and Education: building and consultation process: https://www.europeactive-standards.eu/es-standards. Accessed September 9, 2022.
   Google Scholar
• EuropeActive. Exercise in Pregnancy and Postpartum Lifelong Learning Standard, 2022.
   Google Scholar
• Mills H, Atkinson L, Olander EK, et al. A bump start needed: linking guidelines, policy and practice in promoting physical activity during and beyond pregnancy. Br J Sports Med. 2019;54:13.
   PubMed Web of Science ®Google Scholar
• De Vivo M, Mills H. “They turn to you first for everything”: midwives’ perspectives on roles, responsibilities, and barriers in providing physical activity advice and guidance during pregnancy. BMC Pregnancy Childbirth. 2019;19:462. doi:10.1186/s12884-019-2607-x
   PubMed Web of Science ®Google Scholar
• Szumilewicz A. The New Era of Pre- and Postnatal Exercise - Training for Instructors and Trainers of Various Forms of Physical Activity in the Field of Online Provision of Exercise for Pregnant and Postpartum Women (The NEPPE Project). Poland: Gdansk University of Physical Education and Sport, Financed by Polish National Academic Exchange Agency (NAWA); 2021–2023.
   Google Scholar
• Santos-Rocha R, Szumilewicz A, Pajaujiene S. Exercise prescription and adaptation in the early postpartum. In: Santos-Rocha A, editor. Exercise and Physical Activity During Pregnancy and Postpartum. Evidence-Based Guidelines. 2nd ed. Switzerland: Springer International Publishing; 2022:Ch.10.
   Google Scholar
• Berriman J, Szumilewicz A, Bogdanova A, Collins C. Standards for people and places in the fitness and physical activity sector. In: Middelkamp J, Rutgers H, editors. Operational Excellence and Transformative Leadership. Brussels, Belgium & Den Bosch, the Netherlands: EuropeActive & BlackBox Publisher; 2021:128–147.
   Google Scholar
• Union CE. Council Recommendation of 22 May 2017 on the European Qualifications Framework for lifelong learning and repealing the recommendation of the European Parliament and of the Council of 23 April 2008 on the establishment of the European Qualifications Framework for lifelong learning. J Eur Union. 2017;2017:15–28.
   Google Scholar
• European Commission. Recommendation of the European Parliament and of the Council of the 18 June 2009 on the establishment of a European Credit System for Vocational Education and Training (ECVET). J Eur Union. 2009;155:11.
   Google Scholar
• EC. ECTS Users’ Guide. Luxembourg: Publications Office of the European Union; 2015.
   Google Scholar
• BE-TWIN. ECVET-ECTS: building bridges and overcoming differences. A methodological guide produced in the framework of the BE-TWIN Project. 2010.
   Google Scholar