THE IMPACT OF PHYSICAL ACTIVITY ON THE HEALTH OF PREGNANT WOMEN AND FETAL AND NEONATAL DEVELOPMENT - A LITERATURE REVIEW
Abstract
Introduction: Physical activity during pregnancy is attracting increasing interest among women, doctors and researchers. In recent years, there has been a growing body of research highlighting the positive effects of physical activity during this period. Contrary to earlier beliefs, physical activity is not only safe, but also recommended. The aim of this review is to analyse the current scientific evidence on the safety and benefits of exercise during pregnancy and to provide recommendations on the type and intensity of activity.
Methods: A comprehensive search of the scientific literature was conducted using PubMed and Google Scholar, taking into account publications published since 2017. Keywords included: "physical activity", "pregnancy", "healthy pregnant woman", "exercise" and "pregnant exercises".
Conclusions: A review of the scientific literature from the last eight years shows that regular, moderate physical activity has a number of health benefits for mother and baby, provided there are no medical contraindications. Promoting individualized, supervised exercise and education for both expectant mothers and healthcare providers should be a key element of prenatal care.
References
Barakat, R., Refoyo, I., Coteron, J., & Franco, E. (2018). Exercise during pregnancy has a preventative effect on excessive maternal weight gain and gestational diabetes. A randomized controlled trial. Brazilian Journal of Physical Therapy, 23(2), 148–155. https://doi.org/10.1016/j.bjpt.2018.11.005
Bauer, I., Hartkopf, J., Kullmann, S., Schleger, F., Hallschmid, M., Pauluschke-Fröhlich, J., Fritsche, A., & Preissl, H. (2020). Spotlight on the fetus: how physical activity during pregnancy influences fetal health: a narrative review. BMJ Open Sport & Exercise Medicine, 6(1), e000658. https://doi.org/10.1136/bmjsem-2019-000658
Brown, W. J., Hayman, M., Haakstad, L. A., Lamerton, T., Mena, G. P., Green, A., Keating, S. E., Gomes, G. A., Coombes, J. S., & Mielke, G. I. (2022). Australian guidelines for physical activity in pregnancy and postpartum. Journal of Science and Medicine in Sport, 25(6), 511–519. https://doi.org/10.1016/j.jsams.2022.03.008
Budler, L. C., & Budler, M. (2022). Physical activity during pregnancy: a systematic review for the assessment of current evidence with future recommendations. BMC Sports Science, Medicine and Rehabilitation, 14(1). https://doi.org/10.1186/s13102-022-00524-z
Bull, F. C., Al-Ansari, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., Carty, C., Chaput, J., Chastin, S., Chou, R., Dempsey, P. C., DiPietro, L., Ekelund, U., Firth, J., Friedenreich, C. M., Garcia, L., Gichu, M., Jago, R., Katzmarzyk, P. T., … Willumsen, J. F. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine, 54(24), 1451–1462. https://doi.org/10.1136/bjsports-2020-102955
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
Cai, C., Busch, S., Wang, R., Sivak, A., & Davenport, M. H. (2022). Physical activity before and during pregnancy and maternal mental health: A systematic review and meta-analysis of observational studies. Journal of Affective Disorders, 309, 393–403. https://doi.org/10.1016/j.jad.2022.04.143
Corso, M., Miarka, B., Figueiredo, T., Bragazzi, N., Carvalho, D., & Dias, I. (2022). Effects of aerobic, strength, and combined training during pregnancy in the blood pressure: A systematic review and meta-analysis. Frontiers in Physiology, 13. https://doi.org/10.3389/fphys.2022.916724
Corrigan, L., Moran, P., McGrath, N., Eustace-Cook, J., & Daly, D. (2022). The characteristics and effectiveness of pregnancy yoga interventions: a systematic review and meta-analysis. BMC Pregnancy and Childbirth, 22(1). https://doi.org/10.1186/s12884-022-04474-9
Davenport, M. H., Ruchat, S., Poitras, V. J., Garcia, A. J., Gray, C. E., Barrowman, N., Skow, R. J., Meah, V. L., Riske, L., Sobierajski, F., James, M., Kathol, A. J., Nuspl, M., Marchand, A., Nagpal, T. S., Slater, L. G., Weeks, A., Adamo, K. B., Davies, G. A., … Mottola, M. F. (2018). Prenatal exercise for the prevention of gestational diabetes mellitus and hypertensive disorders of pregnancy: a systematic review and meta-analysis. British Journal of Sports Medicine, 52(21), 1367–1375. https://doi.org/10.1136/bjsports-2018-099355
Davenport, M. H., Ruchat, S., Sobierajski, F., Poitras, V. J., Gray, C. E., Yoo, C., Skow, R. J., Garcia, A. J., Barrowman, N., Meah, V. L., Nagpal, T. S., Riske, L., James, M., Nuspl, M., Weeks, A., Marchand, A., Slater, L. G., Adamo, K. B., Davies, G. A., … Mottola, M. F. (2018). Impact of prenatal exercise on maternal harms, labour and delivery outcomes: a systematic review and meta-analysis. British Journal of Sports Medicine, 53(2), 99–107. https://doi.org/10.1136/bjsports-2018-099821
Dipietro, L., Evenson, K. R., Bloodgood, B., Sprow, K., Troiano, R. P., Piercy, K. L., Vaux-Bjerke, A., & Powell, K. E. (2019). Benefits of Physical Activity during Pregnancy and Postpartum: An Umbrella Review. Medicine & Science in Sports & Exercise, 51(6), 1292–1302. https://doi.org/10.1249/mss.0000000000001941
Fôlha, C. N., Schuch, H. S., Karam, S. A., Domingues, M. R., Hallal, P. C., & Demarco, F. F. (2025). Maternal health during pregnancy and oral health of 4-year-olds: a birth cohort study from Brazil. Brazilian Oral Research, 39. https://doi.org/10.1590/1807-3107bor-2025.vol39.038
Guinhouya, B. C., Duclos, M., Enea, C., & Storme, L. (2022). Beneficial Effects of Maternal Physical Activity during Pregnancy on Fetal, Newborn, and Child Health: Guidelines for Interventions during the Perinatal Period from the French National College of Midwives. Journal of Midwifery & Women’s Health, 67(S1). https://doi.org/10.1111/jmwh.13424
Huifen, Z., Yaping, X., Meijing, Z., Huibin, H., Chunhong, L., Fengfeng, H., & Yaping, Z. (2022). Effects of moderate-intensity resistance exercise on blood glucose and pregnancy outcome in patients with gestational diabetes mellitus: A randomized controlled trial. Journal of Diabetes and Its Complications, 36(5), 108186. https://doi.org/10.1016/j.jdiacomp.2022.108186
Kwiatkowska, E., Kajdy, A., Sikora-Szubert, A., Karowicz-Bilinska, A., Zembron-Lacny, A., Ciechanowski, K., Krzywanski, J., Kwiatkowski, S., Kostka, T., Sieroszewski, P., & Szumilewicz, A. (2023). Polish Society of Gynecologists and Obstetricians (PTGiP) and Polish Society of Sports Medicine (PTMS) recommendations on physical activity during pregnancy and the postpartum period. Ginekologia Polska. https://doi.org/10.5603/gp.a2023.0080
Lindberger, E., Ahlsson, F., Johansson, H., Pitsillos, T., Poromaa, I. S., Wikman, A., & Wikström, A. (2024). Associations of maternal sedentary behavior and physical activity levels in early to mid‐pregnancy with infant outcomes: A cohort study. Acta Obstetricia et Gynecologica Scandinavica. https://doi.org/10.1111/aogs.14983
Lindqvist, M., Lindkvist, M., Eurenius, E., Persson, M., & Mogren, I. (2017). Change of lifestyle habits – Motivation and ability reported by pregnant women in northern Sweden. Sexual & Reproductive Healthcare, 13, 83–90. https://doi.org/10.1016/j.srhc.2017.07.001
Menke, B. R., Duchette, C., Tinius, R. A., Wilson, A. Q., Altizer, E. A., & Maples, J. M. (2022). Physical Activity during Pregnancy and Newborn Body Composition: A Systematic Review. International Journal of Environmental Research and Public Health, 19(12), 7127. https://doi.org/10.3390/ijerph19127127
Moreno-Fernandez, J., Ochoa, J. J., Lopez-Frias, M., & Diaz-Castro, J. (2020). Impact of early nutrition, physical activity and sleep on the fetal programming of disease in the pregnancy: A Narrative review. Nutrients, 12(12), 3900. https://doi.org/10.3390/nu12123900
Mottola, M. F., Davenport, M. H., Ruchat, S., Davies, G. A., Poitras, V. J., Gray, C. E., Garcia, A. J., Barrowman, N., Adamo, K. B., Duggan, M., Barakat, R., Chilibeck, P., Fleming, K., Forte, M., Korolnek, J., Nagpal, T., Slater, L. G., Stirling, D., & Zehr, L. (2018). 2019 Canadian guideline for physical activity throughout pregnancy. British Journal of Sports Medicine, 52(21), 1339–1346. https://doi.org/10.1136/bjsports-2018-100056
Physical activity and exercise during pregnancy and the postpartum period. (2020). Obstetrics and Gynecology, 135(4), e178–e188. https://doi.org/10.1097/aog.0000000000003772
Poyatos‐León, R., García‐Hermoso, A., Sanabria‐Martínez, G., Álvarez‐Bueno, C., Cavero‐Redondo, I., & Martínez‐Vizcaíno, V. (2017). Effects of exercise‐based interventions on postpartum depression: A meta‐analysis of randomized controlled trials. Birth, 44(3), 200–208. https://doi.org/10.1111/birt.12294
Ribeiro, M. M., Andrade, A., & Nunes, I. (2021). Physical exercise in pregnancy: benefits, risks and prescription. Journal of Perinatal Medicine, 50(1), 4–17. https://doi.org/10.1515/jpm-2021-0315
Rute-Larrieta, C., Mota-Cátedra, G., Carmona-Torres, J. M., Mazoteras-Pardo, V., Barroso-Corroto, E., Navarrete-Tejero, C., Zografakis-Sfakianakis, M., Patelarou, A., Martins, M. M., Da Conceinçao Alves Faria, A., & Laredo-Aguilera, J. A. (2024). Physical Activity during Pregnancy and Risk of Gestational Diabetes Mellitus: A Meta-Review. Life, 14(6), 755. https://doi.org/10.3390/life14060755
Sánchez-Polán, M., Adamo, K., Silva-Jose, C., Zhang, D., Refoyo, I., & Barakat, R. (2023). Physical Activity and Self-Perception of Mental and Physical Quality of Life during Pregnancy: A Systematic Review and Meta-Analysis. Journal of Clinical Medicine, 12(17), 5549. https://doi.org/10.3390/jcm12175549
Silva-Jose, C., Mottola, M. F., Palacio, M., Sánchez-Polán, M., Zhang, D., Refoyo, I., & Barakat, R. (2023). Impact of Physical Activity Interventions on High-Risk Pregnancies: A Systematic Review and Meta-Analysis. Journal of Personalized Medicine, 14(1), 14. https://doi.org/10.3390/jpm14010014
Xie, Y., Zhao, H., Zhao, M., Huang, H., Liu, C., Huang, F., & Wu, J. (2022). Effects of resistance exercise on blood glucose level and pregnancy outcome in patients with gestational diabetes mellitus: a randomized controlled trial. BMJ Open Diabetes Research & Care, 10(2), e002622. https://doi.org/10.1136/bmjdrc-2021-002622
Yang, S., Lan, S., Yen, Y., Hsieh, Y., Kung, P., & Lan, S. (2020). Effects of exercise on sleep quality in pregnant women: a systematic review and meta-analysis of randomized controlled trials. Asian Nursing Research, 14(1), 1–10. https://doi.org/10.1016/j.anr.2020.01.003
Zhang, D., Nagpal, T. S., Silva-José, C., Sánchez-Polán, M., Gil-Ares, J., & Barakat, R. (2023). Influence of Physical Activity during Pregnancy on Birth Weight: Systematic Review and Meta-Analysis of Randomized Controlled Trials. Journal of Clinical Medicine, 12(16), 5421. https://doi.org/10.3390/jcm12165421
Views:
17
Downloads:
10
Copyright (c) 2025 Aleksandra Sokół, Karolina Glajcar, Remigiusz Flakus, Żaneta Kania, Weronika Perczyńska, Gabriela Kapłon, Dominika Gieroba, Julia Szczotka, Gabriela Szpila, Anna Kamieniak, Artur Tumiński, Marianna Chmiel

This work is licensed under a Creative Commons Attribution 4.0 International License.
All articles are published in open-access and licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). Hence, authors retain copyright to the content of the articles.
CC BY 4.0 License allows content to be copied, adapted, displayed, distributed, re-published or otherwise re-used for any purpose including for adaptation and commercial use provided the content is attributed.

