HypertensionMeta-analysis

Exercise effects on maternal vascular health and blood pressure during pregnancy and postpartum: a systematic review and meta-analysis

Eur J Prev CardiolPublished

  • Systematic review and meta-analysis of randomised trials
  • random-effects

Authors' conclusion

Exercise training during pregnancy and the postpartum period demonstrates a favourable effect on reducing maternal BP.

Study context

Population
Women during pregnancy and postpartum
Participants
1,221 women · 20 randomized controlled trials (RCTs)
Comparison
Prenatal or postpartum exercise vs non-exercise control
Outcome
PWV, FMD and BP
Follow-up
From pregnancy to 1-year postpartum

Pooled result

As reported in the abstract

PWV, FMD and BP (exercise vs non-exercise control) · pregnancy to 1-year postpartum

Systolic BP (SBP) reduction with exercise, MD

−4.37 mmHg (−7.48 to −1.26; P = 0.006) (95% CI; P)

Diastolic BP (DBP) reduction with exercise, MD

−2.94 mmHg (−5.17 to −0.71; P = 0.01) (95% CI; P)

Further pooled results

Blood pressure (BP) by gestational stage, exercise type, weekly exercise time and training period (subgroups)

Consistent trends across subgroups

Original publication

Exercise effects on maternal vascular health and blood pressure during pregnancy and postpartum: a systematic review and meta-analysis. Eur J Prev Cardiol. Published 7 May 2024. doi:10.1093/eurjpc/zwae165

Summarised from the published abstract; every number is checked against it