Document Type : Research Paper

Authors

1 M.Sc. in Motor Behavior, Islamic Azad University, Mashhad, Iran

2 Assistant Professor of Motor Behavior, Islamic Azad University, Mashhad, Iran

Abstract

Physical activity during pregnancy has many positive effects for the mother, fetus and the baby. But there are some uncertainties about the consequences for children. The purpose of this study was to investigate the effect of aerobic, resistance and combination exercises during maternal pregnancy on the development of fine and gross motor skills in 12-month-old children. The research method was quasi-experimental with post-test design with control group. Purposeful sampling was performed on 60 healthy pregnant women in the second trimester who volunteered to participate in the study. Samples were randomly divided into four groups of 15 individuals: 1) aerobic exercise, 2) resistance training, 3) combined exercise and 4) control. The training groups were trained for eight weeks in 24 sessions for 60 minutes according to the program. After childbirth, children were assessed at 12 months of age using the PB-2 test. Data were analyzed using ANOVA, LSD and SPSS 22 software. The results showed that there was a significant difference between the motor skills of 12-month-old children whose mothers had physical training and the control group, so that the aerobic training group performed the best.

Keywords

Main Subjects

  1. Cunningham FG, MacDonald PC, Gant NF. Williams’s obstetrics. 24th ed. New York: McGraw-Hill; 2014. p. 67-118
  2. Stuebe AM, Oken E, Gillman MW. Associations of diet and physical activity during pregnancy with risk for excessive gestational weight gain. Am J Obstet Gynecol. 2009;201(1):58.e1-58.e588. doi:10.1016/j.ajog.2009.02.025
  3. Evenson KR. Towards an Understanding of Change in Physical Activity from Pregnancy Through Postpartum. Psychol Sport Exerc. 2011;12(1):36-45. doi:10.1016/j.psychsport.2010.04.010
  4. Pruett, MD, Caputo JL. Exercise guidelines for pregnant and postpartum women. Strength & Conditioning Journal. 2011;33(3):100-3.
  5. Hickman, S. The effects of exercise during pregnancy and postpartum. Senior thesis- final draft.2007;11(2):33-45.
  6. Olson D, Sikka RS, Hayman J, Novak M. Exercise in pregnancy. Curr Sports Med Rep. 2009;8(3):147-53.
  7. Artal R, O'Toole M, White S. Guidelines of the American college of obstetricians and gynecologists for exercise during pregnancy and the postpartum period. Br J Sports Med. 2003; 37:6-12.
  8. Barker DJ. Intrauterine programming of coronary heart disease and stroke. Acta Paediatr Suppl. 1997; 423:178–82.
  9. Moridi G, Fathi M. Malnutrition in childrenunder five in Iran. Adv Nurs Midwifery. 2009;64(19):35-41. (In Persian).
  10. Rodger S. Occupation centered practice with children. London: Wiley Blackwell; 2010. p. 151-241
  11. Baggerly J. Child-centered play therapy research. New York: John Wileyad Sons; 2010. p. 87-125
  12. Artal R, Clapp JF, Vigil DV. Exercise during pregnancy: ACSM current comment. [Internet]. London:Charles J Lockwood, MD, MHCM; 2017[Apr 04, 2017]. Available from: https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&cad=rja&uact=8&ved=2ahUKEwiTi-I6YvqAhWcAGMBHTtIDF0QFjAAegQIBBAB&url=http%3A%2F%2Fenjoypregnancyclub.com%2Fwp-content%2Fuploads%2F2017%2F05%2FExercise%2520during%2520pregnancy%2520and%2520the%2520postpartum%2520period.pdf&usg=AOvVaw3z95UMNZ6CTL-moolNNyWE
  13. ACOG Committee Opinion. Physical activity and exercise during pregnancy and the postpartum period. Committee opinion No.650. Obstet Gynecol. 2015;126(6):135-42.
  14. Clapp J, Lopez B, Harcar-Sevcik R. Neonatal behavioral profile of the offspring of women who continued to exercise regularly throughout pregnancy. Am J Obstet Gynecol. 1999;180(1):91-4.
  15. Jukic A, Lawlor D, Juhl M, Owe K, Lewis B, Liu J, et al. Physical activity during pregnancy and language development in the offspring. Paediatr Perinat Epidemiol. 2013; 27(3):283–93.
  16. Lochmuller EM, Friese K. Pregnancy and sports. MMW Fortschr Med. 2005;147(16):28-9.
  17. Clapp JF, Kim H, Burciu B, Schmidt S, Petry K, Lopez B. Continuing regular exercise during pregnancy: Effect of exercise volume on feto-placental growth. Am J Obstet Gynecol. 2002; 186:142-7.
  18. Edwards MJ. Review: Hyperthermia and fever during pregnancy. Birth Defects Res A Clin Mol Teratol. 2006;76(7):507-16.
  19. Magann EF, Evans SF, Newnham JP. Employment, exertion, and pregnancy outcome: Assessment by kilocalories expended each day. Am J Obstet Gynecol. 1996; 175:182-7.
  20. Halvorsen S, Haakstad LAH, Edvardsen E, Bø K. Effect of aerobic dance on cardiorespiratory fitness in pregnant women: A randomized controlled trial. Physiotherapy; 2013;99(1):42-8.
  21. Kagan KO, Kuhn U. Sports and pregnancy. Herz. 2004;29(4):426-34.
  22. Riemann MK, Kanstrup Hansen IL. Effects on the foetus of exercise in pregnancy. Scandinavian Journal of Medicine and Science in Sports. 2000;10(1):12–9.
  23. Webb KA, Wolfe LA, McGrath MJ. Effects of acute and chronic maternal exercise on fetal heart rate. J Appl Physiol. 1974; 77:2207-13.
  24. Koushaki Jahromi M, Nikbakht H, Namvar Jahromi B. The effect of aerobic physical activity in the third trimester of pregnancy on infant and placenta development. Olympic. 2004; 7:16-7. (In Persian).
  25. Penney DS. The effect of vigorous exercise during pregnancy. Journal of Midwifery and Women's Health. 2008;53(2):155-9.
  26. Mottola MF, McLaughlin RS. Exercise and pregnancy: Canadian guidelines for health care professionals. Well Spring. 2011;22(4):1-4.
  27. Hinton JRDG, Rowbotton DK, Morton AR. Acute intensive interval training in vitro T-lymphocyte function. Int J Sports Med. 1997; 18:132-7.
  28. Newton ER, May L. Adaptation of Maternal-Fetal Physiology to Exercise in Pregnancy: The Basis of Guidelines for Physical Activity in Pregnancy. Clinical Medicine insights. Women's Health. 2017;10:1179562X17693224. DOI: 10.1177/1179562x17693224.
  29. Clapp III, James F. Morphometric and neurodevelopmental outcome at age five years of the offspring of women who continued to exercise regularly throughout pregnancy. The Journal of Pediatrics. 1996;129(6):856-63.
  30. 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 Human Development. 2016 Mar;94:43-48. DOI: 10.1016/j.earlhumdev.2016.01.004.
  31. Aparicio VA, Ocón O, Padilla-Vinuesa C, et al. Effects of supervised aerobic and strength training in overweight and grade I obese pregnant women on maternal and foetal health markers: the GESTAFIT randomized controlled trial. BMC Pregnancy Childbirth. 2016;16(1):290. Published 2016 Sep 29. doi:10.1186/s12884-016-1081-y
  32. White E, Pivarnik J, Pfeiffer K. Resistance training during pregnancy and perinatal outcomes. J Phys Act Health. 2014;11(6):1141–8.
  33. Dalvand H, Dehghan L, Shamsoddini A, Joghataei M, Sazmand A, Feizi A. Standardized of Peabody Developmental Motor Scale (PDMS) in First Grade Elementary School Children in Tehran. JRUMS. 2008; 7 (2) :137-144.           (In Persian).
  34. Linda E MaySusan A ScholtzRichard SuminskiKathleen M Gustafson. Aerobic exercise during pregnancy influences infant heart rate variability at one month of age. Early Human Development. 2014;90(1):33-8.
  35. Skrapari I, Tentolouris N, Perrea D, Bakoyiannis C, Papazafiropoulou A, Katsilambros N. Baroreflex sensitivity in obesity: relationship with cardiac autonomic nervous system activity. Obesity (Silver Spring). 2007;15(7):1685-93. doi:10.1038/oby.2007.201.
  36. Clapp JF 3rd, Simonian S, Lopez B, Appleby-Wineberg S, Harcar-Sevcik R. The one-year morphometric and neurodevelopmental outcome of the offspring of women who continued to exercise regularly throughout pregnancy. Am J Obstet Gynecol. 1998;178(3):594-9. doi:10.1016/s0002-9378(98)70444-2.
  37. Schoenfeld, Brad MSc, CSCS. Resistance Training during pregnancy: Safe and effective program design. SCJ. 2011;33(5):67-75.
  38. May LE, Suminski RR, Langaker MD, Yeh HW, Gustafson KM. Regular maternal exercise dose and fetal heart outcome. Med Sci Sports Exerc. 2012;44(7):1252–8.
  39. May L, Suminski RS. Amount of physical activity in pregnancy and infant heart outcomes. J Neonat Biol. 2014;3(5): 37–42.
  40. ACOG Committee Obstetric Practice ACOG Committee Opinion. Exercise during pregnancy and the postpartum period. Obstet Gynecol. 2002;99(1):171–3.
  41. Kaufman D. The effect of aerobic ventilation and strength on pregnancy outcomes. American Journal of Obstetrics & Gynecology. 1987;157(5):1199-203.
  42. Ming WK, Ding W, Zhang CJP, et al. The effect of exercise during pregnancy on gestational diabetes mellitus in normal-weight women: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2018;18(1):440. Published 2018 Nov 12. doi:10.1186/s12884-018-2068-7.
  43. O'Connor PJ, Poudevigne MS, Cress ME, Motl RW, Clapp JF 3rd. Safety and efficacy of supervised strength training adopted in pregnancy. J Phys Act Health. 2011;8(3):309-320. doi:10.1123/jpah.8.3.309
  44. Kwolek LA, Berry-Cabán CS, Thomas SF. Pregnant soldiers' participation in physical training: A descriptive study. Mil Med. 2011;176(8):926-31.