Atividade física, exercício e condição física durante a gravidez e a situação atual no Chile: uma revisão narrativa

Autores

  • Alejandro A. Candia Henriquez Universidad de O'Higgins https://orcid.org/0000-0002-1726-7559
  • Denisse Valladares-Ide Instituto de Ciencias de la Salud, Universidad de O'Higgins
  • Matías Monsalves-Álvarez Instituto de Ciencias de la Salud, Universidad de O'Higgins https://orcid.org/0000-0003-3163-3911
  • Bernardo J. Krause Instituto de Ciencias de la Salud, Universidad de O'Higgins
  • Sebastián Jannas-Vela Instituto de Ciencias de la Salud, Universidad de O'Higgins

DOI:

https://doi.org/10.47197/retos.v48.96864

Palavras-chave:

Actividad física, gestación, condición física

Resumo

A atividade física e o exercício físico durante a gravidez trazem benefícios tanto para a mãe, ao reduzir o risco de desenvolver condições como pré-eclâmpsia e diabetes gestacional, quanto para o feto, reduzindo condições como macrossomia e morbidade respiratória, levando a um melhor resultado perinatal. Da mesma forma, uma melhor condição física está associada a resultados perinatais favoráveis. Em todo o mundo, existem várias recomendações sobre os níveis de atividade física necessários para obter esses benefícios. A maioria concorda que pelo menos 150 minutos de atividade física moderada por semana devem ser alcançados. Apesar disso, a atividade física, o exercício e a forma física durante a gravidez têm sido pouco explorados no Chile e há uma lacuna no conhecimento sobre o assunto. O objetivo desta revisão é compilar as evidências disponíveis no Chile sobre atividade física, exercício e condição física durante a gravidez, identificando as principais lacunas de conhecimento sobre este tema.

Palavras-chave: Atividade física, gravidez, condição física.

Referências

Aasdahl, L., Nilsen, T. I. L., Meisingset, I., Nordstoga, A. L., Evensen, K. A. I., Paulsen, J., Mork, P. J., & Skarpsno, E. S. (2021). Genetic variants related to physical activity or sedentary behaviour: A systematic review. International Journal of Behavioral Nutrition and Physical Activity, 18(1). https://doi.org/10.1186/s12966-020-01077-5

Abalos, E., Cuesta, C., Grosso, A. L., Chou, D., & Say, L. (2013). Global and regional estimates of preeclampsia and ec-lampsia: A systematic review. European Journal of Obstetrics & Gynecology and Reproductive Biology, 170(1), 1–7. https://doi.org/10.1016/j.ejogrb.2013.05.005

Ainsworth, B. E. (2009). How do i measure physical activity in my patients? Questionnaires and objective methods. British Journal of Sports Medicine, 43(1), 6–9. https://doi.org/10.1136/bjsm.2008.052449

Ainsworth, B. E., Haskell, W. L., Herrmann, S. D., Meckes, N., Bassett, D. R., Tudor-Locke, C., Greer, J. L., Vezina, J., Whitt-Glover, M. C., & Leon, A. S. (2011). 2011 compendium of physical activities: A second update of codes and MET values. Medicine and Science in Sports and Exercise, 43(8), 1575–1581. https://doi.org/10.1249/MSS.0b013e31821ece12

Ainsworth, B. E., Haskell, W. L., Leon, A. S., Jacobs, D. R., Montoye, H. J., Sallis, J. F., & Paffenbarger, R. S. (1993). Compendium of Physical Activities: Classification of energy costs of human physical activities. Medicine & Science in Sports & Exercise, 25(1), 71–80. https://doi.org/10.1249/00005768-199301000-00011

Albrecht, B. M., Flaßkamp, F. T., Koster, A., Eskofier, B. M., & Bammann, K. (2022). Cross-sectional survey on research-ers’ experience in using accelerometers in health-related studies. BMJ Open Sport & Exercise Medicine, 8(2), e001286. https://doi.org/10.1136/bmjsem-2021-001286

American College of Sport Medicine. (2014). ACSM’s Guidelines for Exercise Testing and Prescription.

Baena-García, L., Coll-Risco, I., Ocón-Hernández, O., Romero-Gallardo, L., Acosta-Manzano, P., May, L., & Aparicio, V. A. (2020). Erratum: Association of objectively measured physical fitness during pregnancy with maternal and neona-tal outcomes. The Gestafit project (PLoS ONE (2020) 15:2 (e0229079) DOI: 10.1371/journal.pone.0229079). PLoS ONE, 15(4), 1–18. https://doi.org/10.1371/journal.pone.0231230

Baena-García, L., Ocón-Hernández, O., Acosta-Manzano, P., Coll-Risco, I., Borges-Cosic, M., Romero-Gallardo, L., de la Flor-Alemany, M., & Aparicio, V. A. (2019). Association of sedentary time and physical activity during pregnancy with maternal and neonatal birth outcomes. The GESTAFIT Project. Scandinavian Journal of Medicine and Science in Sports, 29(3), 407–414. https://doi.org/10.1111/sms.13337

Beetham, K. S., Giles, C., Noetel, M., Clifton, V., Jones, J. C., & Naughton, G. (2019). The effects of vigorous intensity exercise in the third trimester of pregnancy: A systematic review and meta-analysis. BMC Pregnancy and Childbirth, 19(1). https://doi.org/10.1186/s12884-019-2441-1

Birsner, M. L., & Gyamfi-Bannerman, C. (2015). Committee on Obstetric Practice Physical Activity and Exercise During Pregnancy and the Postpartum Period. In ACOG COMMITTEE OPINION Number (Vol. 804).

Borg, G. (1998). Borg’s perceived exertion and pain scales. Human Kinetics.

Brislane, Á., Hayman, M. J., & Davenport, M. H. (2022). A Delphi Study to Identify Research Priorities Regarding Physi-cal Activity, Sedentary Behavior and Sleep in Pregnancy. International Journal of Environmental Research and Public Health, 19(5), 2909. https://doi.org/10.3390/ijerph19052909

Cai, C., & Davenport, M. H. (2022). Prenatal physical activity paradox: Occupational versus leisure-time physical activity. British Journal of Sports Medicine, 56(7), 365–366. https://doi.org/10.1136/bjsports-2021-104945

Caradeux, J., Serra, R., Nien, J.-K., Pérez-Sepulveda, A., Schepeler, M., Guerra, F., Gutiérrez, J., Martínez, J., Cabrera, C., Figueroa-Diesel, H., Soothill, P., & Illanes, S. E. (2013). First trimester prediction of early onset preeclampsia using demographic, clinical, and sonographic data: A cohort study: First trimester prediction of early onset preeclampsia. Pre-natal Diagnosis, 33(8), 732–736. https://doi.org/10.1002/pd.4113

Chasan-Taber, L., Schmidt, M. D., Roberts, D. E., Hosmer, D., Markenson, G., & Freedson, P. S. (2004). Development and Validation of a Pregnancy Physical Activity Questionnaire: Medicine & Science in Sports & Exercise, 36(10), 1750–1760. https://doi.org/10.1249/01.MSS.0000142303.49306.0D

Chen, Y., Ma, G., Hu, Y., Yang, Q., Deavila, J. M., Zhu, M. J., & Du, M. (2021). Effects of Maternal Exercise During Pregnancy on Perinatal Growth and Childhood Obesity Outcomes: A Meta-analysis and Meta-regression. Sports Medici-ne, 51(11), 2329–2347. https://doi.org/10.1007/s40279-021-01499-6

Chetta, A., Zanini, A., Pisi, G., Aiello, M., Tzani, P., Neri, M., & Olivieri, D. (2006). Reference values for the 6-min walk test in healthy subjects 20-50 years old. Respiratory Medicine, 100(9), 1573–1578. https://doi.org/10.1016/j.rmed.2006.01.001

Chung, H. C., Keiller, D. R., Roberts, J. D., & Gordon, D. A. (2021). Do exercise-associated genes explain phenotypic variance in the three components of fitness? A systematic review & meta-analysis. PLoS ONE, 16(10 October). https://doi.org/10.1371/journal.pone.0249501

Coll-Risco, I., Camiletti-Moirón, D., Acosta-Manzano, P., & Aparicio, V. A. (2019). Translation and cross-cultural adapta-tion of the Pregnancy Physical Activity Questionnaire (PPAQ) into Spanish. The Journal of Maternal-Fetal & Neonatal Medicine, 32(23), 3954–3961. https://doi.org/10.1080/14767058.2018.1479849

Craig, C. L., Marshall, A. L., Sjöström, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., Pratt, M., Ekelund, U., Yngve, A., Sallis, J. F., & Oja, P. (2003). International physical activity questionnaire: 12-Country reliability and validi-ty. Medicine and Science in Sports and Exercise, 35(8), 1381–1395. https://doi.org/10.1249/01.MSS.0000078924.61453.FB

Crispi, F., Miranda, J., & Gratacós, E. (2018). Long-term cardiovascular consequences of fetal growth restriction: Biology, clinical implications, and opportunities for prevention of adult disease. American Journal of Obstetrics and Gynecology, 218(2), S869–S879. https://doi.org/10.1016/j.ajog.2017.12.012

Da Silva, D. F., Mohammad, S., Hutchinson, K. A., & Adamo, K. B. (2020). Cross-Validation of Ratings of Perceived Exertion Derived from Heart Rate Target Ranges Recommended for Pregnant Women.

da Silva, S. G., Evenson, K. R., da Silva, I. C. M., Mendes, M. A., Domingues, M. R., da Silveira, M. F., Wehrmeister, F. C., Ekelund, U., & Hallal, P. C. (2018). Correlates of accelerometer-assessed physical activity in pregnancy-The 2015 Pelotas (Brazil) Birth Cohort Study. Scandinavian Journal of Medicine & Science in Sports, 28(8), 1934–1945. https://doi.org/10.1111/sms.13083

Danielli, M., Gillies, C., Thomas, R. C., Melford, S. E., Baker, P. N., Yates, T., Khunti, K., & Tan, B. K. (2022). Effects of Supervised Exercise on the Development of Hypertensive Disorders of Pregnancy: A Systematic Review and Meta-Analysis. Journal of Clinical Medicine, 11(3), 793. https://doi.org/10.3390/jcm11030793

Dennis, A. T., Salman, M., Paxton, E., Flint, M., Leeton, L., Roodt, F., Yentis, S., & Dyer, R. A. (2019). Resting Hemo-dynamics and Response to Exercise Using the 6-Minute Walk Test in Late Pregnancy: An International Prospective Mul-ticentre Study. Anesthesia and Analgesia, 129(2), 450–457. https://doi.org/10.1213/ANE.0000000000003818

Dimitri, P., Joshi, K., & Jones, N. (2020). Moving more: Physical activity and its positive effects on long term conditions in children and young people. Archives of Disease in Childhood, 105(11), 1035–1040. https://doi.org/10.1136/archdischild-2019-318017

Domingues, M. R., Matijasevich, A., Barros, A. J. D., Santos, I. S., Horta, B. L., & Hallal, P. C. (2014). Physical Activity during Pregnancy and Offspring Neurodevelopment and IQ in the First 4 Years of Life. PLoS ONE, 9(10), e110050. https://doi.org/10.1371/journal.pone.0110050

Engberg, E., Tikkanen, H. O., Koponen, A., Hägglund, H., Kukkonen‐Harjula, K., Tiitinen, A., Peltonen, J. E., & Pöyhönen‐Alho, M. (2018). Cardiorespiratory fitness and health‐related quality of life in women at risk for gestational diabetes. Scandinavian Journal of Medicine & Science in Sports, 28(1), 203–211. https://doi.org/10.1111/sms.12896

Evenson, K. R., Barakat, R., Brown, W. J., Dargent-Molina, P., Haruna, M., Mikkelsen, E. M., Mottola, M. F., Owe, K. M., Rousham, E. K., & Yeo, S. A. (2014). Guidelines for Physical Activity During Pregnancy: Comparisons From Around the World. American Journal of Lifestyle Medicine, 8(2), 102–121. https://doi.org/10.1177/1559827613498204

Fernández Baños, R. (2015). Prescripción del ejercicio físico en sujetos con diabetes mellitus tipo 2 y diabetes gestacional (Prescription of exercise in subjects with type 2 diabetes mellitus and gestational diabetes). Retos, 29, 134–139. https://doi.org/10.47197/retos.v0i29.35130

Friedenreich, C. M., Courneya, K. S., Neilson, H. K., Matthews, C. E., Willis, G., Irwin, M., Troiano, R., & Ballard-Barbash, R. (2006). Reliability and validity of the past year total physical activity questionnaire. American Journal of Epi-demiology, 163(10), 959–970. https://doi.org/10.1093/aje/kwj112

García-Hermoso, A., Cavero-Redondo, I., Ramírez-Vélez, R., Ruiz, J. R., Ortega, F. B., Lee, D. C., & Martínez-Vizcaíno, V. (2018). Muscular Strength as a Predictor of All-Cause Mortality in an Apparently Healthy Population: A Systematic Review and Meta-Analysis of Data From Approximately 2 Million Men and Women. Archives of Physical Medi-cine and Rehabilitation, 99(10), 2100-2113.e5. https://doi.org/10.1016/j.apmr.2018.01.008

Garmendia, M. L., Corvalan, C., Araya, M., Casanello, P., Kusanovic, J. P., & Uauy, R. (2020). Effectiveness of a norma-tive nutrition intervention in Chilean pregnant women on maternal and neonatal outcomes: The CHiMINCs study. American Journal of Clinical Nutrition, 112(4), 991–1001. https://doi.org/10.1093/ajcn/nqaa185

Garmendia, M. L., Mondschein, S., Montiel, B., & Kusanovic, J. P. (2020). Trends and predictors of gestational diabetes mellitus in Chile. International Journal of Gynecology & Obstetrics, 148(2), 210–218. https://doi.org/10.1002/ijgo.13023

Gascoigne, E. L., Webster, C. M., Honart, A. W., Wang, P., Smith-Ryan, A., & Manuck, T. A. (2023). Physical activity and pregnancy outcomes: An expert review. American Journal of Obstetrics & Gynecology MFM, 5(1), 100758. https://doi.org/10.1016/j.ajogmf.2022.100758

Gilleard, W., Crosbie, J., & Smith, R. (2002). Effect of pregnancy on trunk range of motion when sitting and standing: Trunk motion in pregnancy. Acta Obstetricia et Gynecologica Scandinavica, 81(11), 1011–1020. https://doi.org/10.1034/j.1600-0412.2002.811104.x

Hallal, P. C., Victora, C. G., Azevedo, M. R., & Wells, J. C. K. (2006). Adolescent Physical Activity and Health A Sys-tematic Review. In Sports Med (Vol. 36, Issue 12, pp. 1019–1030).

Hayes, L., McParlin, C., Azevedo, L. B., Jones, D., Newham, J., Olajide, J., McCleman, L., & Heslehurst, N. (2021). The Effectiveness of Smoking Cessation, Alcohol Reduction, Diet and Physical Activity Interventions in Improving Maternal and Infant Health Outcomes: A Systematic Review of Meta-Analyses. Nutrients, 13(3), 1036. https://doi.org/10.3390/nu13031036

Hayes, L., Mcparlin, C., Kinnunen, T. I., Poston, L., Robson, S. C., & Bell, R. (2015). Change in level of physical activity during pregnancy in obese women: Findings from the UPBEAT pilot trial. BMC Pregnancy and Childbirth, 15(1). https://doi.org/10.1186/s12884-015-0479-2

Hegaard, H. K., Kjaergaard, H., Damm, P. P., Petersson, K., & Dykes, A.-K. (2010). Experiences of physical activity during pregnancy in Danish nulliparous women with a physically active life before pregnancy. A qualitative study. In BMC Pregnancy and Childbirth (Vol. 10, p. 33). http://www.biomedcentral.com/1471-2393/10/33

Held, N. J., Perrotta, A. S., Mueller, T., & Pfoh-MacDonald, S. J. (2022). Agreement of the Apple Watch® and Fitbit Charge® for recording step count and heart rate when exercising in water. Medical & Biological Engineering & Computing, 60(5), 1323–1331. https://doi.org/10.1007/s11517-022-02536-w

Henriksson, P., Sandborg, J., Söderström, E., Leppänen, M. H., Snekkenes, V., Blomberg, M., Ortega, F. B., & Löf, M. (2021). Associations of body composition and physical fitness with gestational diabetes and cardiovascular health in pregnancy: Results from the HealthyMoms trial. Nutrition and Diabetes, 11(1). https://doi.org/10.1038/s41387-021-00158-z

Hesketh, K. R., & Evenson, K. R. (2016). Prevalence of U.S. Pregnant Women Meeting 2015 ACOG Physical Activity Guidelines. American Journal of Preventive Medicine, 51(3), e87–e89. https://doi.org/10.1016/j.amepre.2016.05.023

Jette Sidney, M. K., & Blumchent, G. (1990). Metabolic Equivalents (METS) in Exercise Testing, Exercise Prescription, and Evaluation of Functional Capacity Introduction Metabolic Equivalents of Activities. In Clin. Cardiol (Vol. 13, pp. 555–565).

Leppe, J., Aguilar, N., Mena, M. J., Besomi, M., & Roa, S. (2015). Measuring physical activity and sedentary behaviors in pregnancy: A comparison of accelerometry and questionnaires. Physiotherapy, 101, e861. https://doi.org/10.1016/j.physio.2015.03.1686

Leppe, J., Besomi M., M., Olsen C., C., Mena I., M. J., & Roa A., S. (2013). Nivel de actividad física según GPAQ en mujeres embarazadas y postparto que asisten a un centro de salud familiar. Revista Chilena de Obstetricia y Ginecología, 78(6), 425–431. https://doi.org/10.4067/S0717-75262013000600004

Leppe, J., & Roa, S. (2015). Asociación entre actividad física y salud en la mujer embarazada: Identificación de una línea de base para futuras intervenciones.

López-Bueno, R., Andersen, L. L., Calatayud, J., Casaña, J., Grabovac, I., Oberndorfer, M., & del Pozo Cruz, B. (2022). Associations of handgrip strength with all-cause and cancer mortality in older adults: A prospective cohort study in 28 countries. Age and Ageing, 51(5), afac117. https://doi.org/10.1093/ageing/afac117

Loprinzi, P. D., Fitzgerald, E. M., Woekel, E., & Cardinal, B. J. (2013). Association of Physical Activity and Sedentary Behavior with Biological Markers Among U.S. Pregnant Women. Journal of Women’s Health, 22(11), 953–958. https://doi.org/10.1089/jwh.2013.4394

Loprinzi, P. D., Loprinzi, K. L., & Cardinal, B. J. (2012). The relationship between physical activity and sleep among preg-nant women. Mental Health and Physical Activity, 5(1), 22–27. https://doi.org/10.1016/j.mhpa.2011.12.002

Marasso, D., Lupo, C., Collura, S., Rainoldi, A., & Brustio, P. R. (2021). Subjective versus Objective Measure of Physical Activity: A Systematic Review and Meta-Analysis of the Convergent Validity of the Physical Activity Questionnaire for Children (PAQ-C). International Journal of Environmental Research and Public Health, 18(7), 3413. https://doi.org/10.3390/ijerph18073413

Marín-Jiménez, N., Acosta-Manzano, P., Borges-Cosic, M., Baena-García, L., Coll-Risco, I., Romero-Gallardo, L., & Aparicio, V. A. (2019). Association of self-reported physical fitness with pain during pregnancy: The GESTAFIT Pro-ject. Scandinavian Journal of Medicine and Science in Sports, 29(7), 1022–1030. https://doi.org/10.1111/sms.13426

Meah, V. L., Backx, K., Davenport, M. H., Bruckmann, A., Cockcroft, J., Cornette, J., Duvekot, J. J., Ferrazzi, E., Foo, F. L., Ghossein-Doha, C., Gyselaers, W., Khalil, A., McEniery, C. M., Lees, C., Meah, V., Novelli, G. P., Spaander-man, M., Stohr, E., Tay, J., … Wilkinson, I. (2018). Functional hemodynamic testing in pregnancy: Recommendations of the International Working Group on Maternal Hemodynamics. Ultrasound in Obstetrics and Gynecology, 51(3), 331–340. https://doi.org/10.1002/uog.18890

Melchior, H., Kurch-Bek, D., & Mund, M. (2017). Prävalenz des Gestationsdiabetes: Eine populationsbasierte Leistung-sdatenanalyse des Screenings in der ambulanten Versorgung. Deutsches Arzteblatt International, 114(24), 412–418. https://doi.org/10.3238/arztebl.2017.0412

Ministerio de Salud; Gobierno de Chile. (2015). Guia Perinatal 2015. In Guia perinatal 2015.

Ministerio de Salud & Gobierno de Chile. (2021). ORIENTACIÓN TÉCNICA ACTIVIDAD FÍSICA Y EJERCICIO SEGÚN CURSO DE VIDA Y COMORBILIDAD Parte I: Recomendaciones de actividad física para el curso de vida y comorbilidad.

Ministerio del Deporte. (2021). Encuesta nacional de hábitos de actividad física y deporte 2021 para la población de 5 años y más.

Ministerio del Deporte, Ministerio de Salud, & Ministerio de Educación. (2017). Recomendaciones para la práctica de actividad física según curso de vida 2017.

Mottola, M. F., Davenport, M. H., Ruchat, S. M., Davies, G. A., Poitras, V., Gray, C., Jaramillo, A., Barrowman, N., Adamo, K. B., Duggan, M., Barakat, R., Chilibeck, P., Fleming, K., Forte, M., Korolnek, J., Nagpal, T., Slater, L., Stirling, D., & Zehr, L. (2018). No. 367-2019 Canadian Guideline for Physical Activity throughout Pregnancy. Journal of Obstetrics and Gynaecology Canada, 40(11), 1528–1537. https://doi.org/10.1016/j.jogc.2018.07.001

Muktabhant, B., Lawrie, T. A., Lumbiganon, P., & Laopaiboon, M. (2015). Diet or exercise, or both, for preventing exces-sive weight gain in pregnancy. Cochrane Database of Systematic Reviews, 2015(6). https://doi.org/10.1002/14651858.CD007145.pub3

Myers, J., Kokkinos, P., & Nyelin, E. (2019). Physical activity, cardiorespiratory fitness, and the metabolic syndrome. Nutrients, 11(7). https://doi.org/10.3390/nu11071652

Nascimento, S. L., Surita, F. G., Godoy, A. C., Kasawara, K. T., & Morais, S. S. (2015). Physical activity patterns and factors related to exercise during pregnancy: A cross sectional study. PLoS ONE, 10(6). https://doi.org/10.1371/journal.pone.0128953

Organización Mundial de la Salud. (2020). Actividad Física. Https://Www.Who.Int/Es/News-Room/Fact-Sheets/Detail/Physical-Activity.

Peláez, M., Casla, S., Perales, M., Cordero, Y., & Barakat, R. (2015). El ejercicio físico supervisado durante el embarazo mejora la percepción de la salud. Ensayo clínico aleatorizado (Supervised physical exercise during pregnancy improves health perception. Randomised controlled trial). Retos, 24, 36–38. https://doi.org/10.47197/retos.v0i24.34521

Roberts, D., Fragala, M., Pober, D., Chasan-Taber, L., & Freedson, P. (2002). Energy cost of physical activities during pregnancy. Medicine & Science in Sports & Exercise, 34(5), S124.

Romero-Gallardo, L., Roldan Reoyo, O., Castro-Piñero, J., May, L. E., Ocón-Hernández, O., Mottola, M. F., Aparicio, V. A., & Soriano-Maldonado, A. (2022). Assessment of physical fitness during pregnancy: Validity and reliability of fit-ness tests, and relationship with maternal and neonatal health – a systematic review. BMJ Open Sport & Exercise Medicine, 8(3), e001318. https://doi.org/10.1136/bmjsem-2022-001318

Ross, R., Blair, S. N., Arena, R., Church, T. S., Després, J. P., Franklin, B. A., Haskell, W. L., Kaminsky, L. A., Levine, B. D., Lavie, C. J., Myers, J., Niebauer, J., Sallis, R., Sawada, S. S., Sui, X., & Wisløff, U. (2016). Importance of As-sessing Cardiorespiratory Fitness in Clinical Practice: A Case for Fitness as a Clinical Vital Sign: A Scientific Statement from the American Heart Association. Circulation, 134(24), e653–e699. https://doi.org/10.1161/CIR.0000000000000461

Ruiz-Ruiz, J., Mesa, J. L. M., Gutiérrez, A., & Castillo, M. J. (2002). Hand size influences optimal grip span in women but not in men. Journal of Hand Surgery, 27(5), 897–901. https://doi.org/10.1053/jhsu.2002.34315

Sánchez-Mompeán, S., López-Sánchez, G. F., & Zauder, R. (2018). Translation and transcultural adaptation of the Pregnancy Physical Activity Questionnaire (PPAQ) into Spanish. ESHPA-Education, Sport, Health and Physical Activity. 2(2), 124–144.

Santos, P. C., Abreu, S., Moreira, C., Santos, R., Ferreira, M., Alves, O., Moreira, P., & Mota, J. (2016). Physical Activi-ty Patterns During Pregnancy in a Sample of Portuguese Women: A Longitudinal Prospective Study. Iranian Red Crescent Medical Journal, 18(3). https://doi.org/10.5812/ircmj.22455

Sattler, M. C., Jaunig, J., Watson, E. D., van Poppel, M. N. M., Mokkink, L. B., Terwee, C. B., & Dietz, P. (2018). Phys-ical Activity Questionnaires for Pregnancy: A Systematic Review of Measurement Properties. Sports Medicine, 48(10), 2317–2346. https://doi.org/10.1007/s40279-018-0961-x

Suchomel, T. J., Nimphius, S., & Stone, M. H. (2016). The Importance of Muscular Strength in Athletic Performance. Sports Medicine, 46(10), 1419–1449. https://doi.org/10.1007/s40279-016-0486-0

Suliga, E., Sobaś, K., & Król, G. (2017). Validation of the Pregnancy Physical Activity Questionnaire (PPAQ). Medical Studies, 1(March), 40–45. https://doi.org/10.5114/ms.2017.66955

Teede, H. J., Bailey, C., Moran, L. J., Bahri Khomami, M., Enticott, J., Ranasinha, S., Rogozińska, E., Skouteris, H., Boyle, J. A., Thangaratinam, S., & Harrison, C. L. (2022). Association of Antenatal Diet and Physical Activity-Based Interventions With Gestational Weight Gain and Pregnancy Outcomes: A Systematic Review and Meta-analysis. JAMA Internal Medicine, 182(2), 106–114. https://doi.org/10.1001/jamainternmed.2021.6373

Żelaźniewicz, A., & Pawłowski, B. (2018). Maternal hand grip strength in pregnancy, newborn sex and birth weight. Early Human Development, 119(January), 51–55. https://doi.org/10.1016/j.earlhumdev.2018.03.004

Publicado

2023-03-31

Como Citar

Candia Henriquez, A. A., Valladares-Ide, D., Monsalves-Álvarez, M. ., Krause, B. J., & Jannas-Vela, S. (2023). Atividade física, exercício e condição física durante a gravidez e a situação atual no Chile: uma revisão narrativa. Retos, 48, 1060–1069. https://doi.org/10.47197/retos.v48.96864

Edição

Secção

Revisões teóricas sistemáticas e/ou metanálises

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