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Origins in the Womb: Potential Role of the Physical Therapist in Modulating the Deleterious Effects of Obesity on Maternal and Offspring Health Through Movement Promotion and Prescription During Pregnancy

Rachel A. Tinius, Alison G. Cahill, W. Todd Cade
DOI: 10.2522/ptj.20150678 Published 5 October 2016
Rachel A. Tinius
R.A. Tinius, PhD, School of Kinesiology, Recreation, and Sport, Western Kentucky University, 1059 Smith Stadium, 1906 College Heights Blvd, #11089, Bowling Green, KY 42101 (USA), and Program in Physical Therapy, School of Medicine, Washington University, St Louis, Missouri.
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  • For correspondence: rachel.tinius@wku.edu
Alison G. Cahill
A.G. Cahill, MD, MSCI, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, School of Medicine, Washington University.
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W. Todd Cade
W.T. Cade, PT, PhD, Program in Physical Therapy, School of Medicine, Washington University.
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Abstract

Maternal obesity and associated metabolic disease contribute to adverse outcomes in women and their offspring, and many of these outcomes have significant acute and chronic implications for both mother and neonate. Targeted movement (ie, physical activity or exercise training) during pregnancy has been shown to be safe and effective for improving many of these outcomes in women at a healthy weight and women who are obese. However, movement prescription and advice during pregnancy are often not addressed by health care providers; this situation creates a unique opportunity for physical therapists to use their expertise in movement with patients who are pregnant. The objective of this article is to briefly review the adverse maternal and neonatal outcomes associated with maternal obesity, the benefits of intentional maternal movement during pregnancy for women who are obese, the evidence-based guidelines for prescribing intentional movement during pregnancy for women who are obese, and the potential for physical therapists to become the driving force behind a necessary increase in movement levels in women who are pregnant. Physical therapists can play a significant role in encouraging movement in women who are healthy and women who have metabolic challenges during pregnancy and thus assist in combating the vicious cycle of obesity by improving maternal and offspring health.

  • Received December 14, 2015.
  • Accepted July 7, 2016.
  • © 2016 American Physical Therapy Association
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Vol 96 Issue 12 Table of Contents
Physical Therapy: 96 (12)

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Origins in the Womb: Potential Role of the Physical Therapist in Modulating the Deleterious Effects of Obesity on Maternal and Offspring Health Through Movement Promotion and Prescription During Pregnancy
Rachel A. Tinius, Alison G. Cahill, W. Todd Cade
Physical Therapy Oct 2016, DOI: 10.2522/ptj.20150678

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Origins in the Womb: Potential Role of the Physical Therapist in Modulating the Deleterious Effects of Obesity on Maternal and Offspring Health Through Movement Promotion and Prescription During Pregnancy
Rachel A. Tinius, Alison G. Cahill, W. Todd Cade
Physical Therapy Oct 2016, DOI: 10.2522/ptj.20150678
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Show more Perspectives

Subjects

  • Perspectives
  • Women's Health
    • Pregnancy
  • Intervention
    • Therapeutic Exercise
  • Pediatrics
    • Pediatrics: Other
  • Other Diseases/Conditions
    • Obesity
  • Health and Wellness/Prevention

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