<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2504-3145</journal-id>
<journal-title><![CDATA[Portuguese Journal of Public Health]]></journal-title>
<abbrev-journal-title><![CDATA[Port J Public Health]]></abbrev-journal-title>
<issn>2504-3145</issn>
<publisher>
<publisher-name><![CDATA[Escola Nacional de Saúde Pública]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2504-31452023000200140</article-id>
<article-id pub-id-type="doi">10.1159/000531587</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[The influence of pregestational body mass index and physical activity patterns on maternal, delivery, and newborn outcomes in a sample of portuguese pregnant women: a retrospective cohort study]]></article-title>
<article-title xml:lang="pt"><![CDATA[A influência do Índice de Massa Corporal prégestacional e das características da atividade física nos parâmetros maternos, de parto e do recém-nascido numa amostra de grávidas portuguesas: estudo de coorte retrospetivo]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bernardo]]></surname>
<given-names><![CDATA[Diana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carvalho]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mota]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[Margarida]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[Paula Clara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A7 "/>
<xref ref-type="aff" rid="Af8"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,School of Health, Piaget Institute Department of Physiotherapy KinesioLab Research Unit in Human Movement]]></institution>
<addr-line><![CDATA[Vila Nova de Gaia ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Research Centre in Physical Activity, Health and Leisure (CIAFEL) Faculty of Sport ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Sword Health Technologies Department of Physiotherapy ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,University of Porto FADEUP- Faculty of Sport Laboratory for Integrative and Translational Research in Population Health (ITR)]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,CESPU, Polytechnic Health Institute of the North Physiotherapy Department ]]></institution>
<addr-line><![CDATA[Gandra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Hospital Senhora da Oliveira Physical and Rehabilitation Medicine ]]></institution>
<addr-line><![CDATA[Guimaraes ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Polytechnic of Porto Department of Physiotherapy ESS ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af8">
<institution><![CDATA[,Polytechnic of Porto School of Health Center for Rehabilitation Research (CIR)]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2023</year>
</pub-date>
<volume>41</volume>
<numero>2</numero>
<fpage>140</fpage>
<lpage>150</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2504-31452023000200140&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2504-31452023000200140&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2504-31452023000200140&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  There is a linear association between pregestational body mass index (BMI) and almost all adverse pregnancy outcomes. Pregnancy is &#8220;a window of opportunities&#8221; in terms of changing behavior and improving awareness of healthy living. The proper assessment of physical activity levels, during pregnancy, determines trends, health benefits, and their effects over time. This study aims to describe maternal physical activity levels, stratified by pregestational BMI, verify the accomplishment of physical activity recommendations in pregnant women, and correlate pregestational BMI and physical activity accomplishment with maternal, delivery, and neonatal parameters.  Methods:  A retrospective cohort study was carried out with 103 pregnant women. Physical activity levels were evaluated using a questionnaire and accelerometry. Pregestational BMI was obtained through the Quetelet formula and used the American College of Sports Medicine&#8217;s guidelines were used to determine physical activity accomplishment levels. Continuous data were presented as mean and standard deviation and categorical data as numbers and percentages. The F test was used to examine the differences between groups.  Results:  Pregnant women in the sample spent 42.9% of their time on household activities, and for pregnant women with obesity, 91.5% of the time was spent on sedentary activities. Women with normative BMI had higher levels of moderate-intensity activities. Only 15.8% of participants with obesity reached the international recommendations for physical activity practice and women who accomplished physical activity recommendations gained less weight during pregnancy. A high percentage of pre-obesity and obese pregnant women exceeded the recommendations for gestational weight gain and the gestational diabetes prevalence was higher in the obesity group (p = 0.03 between groups). Regarding delivery and neonatal parameters (Apgar score 1st, Apgar score 5th, birth weight, length and head circumference), no statistical differences were found when adjusted to a gestational week at birth, between BMI (p = 0.58; p = 0.18; p = 0.60; p = 0.34; p = 0.34, respectively) or physical activity (p = 0.12; p = 0.15; p = 0.83; p = 0.70; p = 0.70, respectively) groups.  Conclusion:  Pregnant women with obesity, exhibit high levels of sedentary behavior, a high prevalence of gestational diabetes, and exceed recommended gestational weight gain. Healthcare professionals have a crucial role in promoting regular physical activity and lifestyle changes before and during pregnancy.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  Existe uma associação linear entre o Índice de Massa Corporal (IMC) pré-gestacional e quase todos os desfechos adversos da gravidez. A gravidez é &#8220;uma janela de oportunidades&#8221; em termos de mudança de comportamento e melhoria da conscientização sobre uma vida saudável. A avaliação adequada dos níveis de Atividade Física, durante a gravidez, determina tendências, benefícios para a saúde e os seus efeitos ao longo do tempo. Este estudo tem como objetivo descrever as atividades e os níveis de atividade física materna, estratificados pelo IMC pré-gestacional, verificar o cumprimento das recomendações de atividade física em grávidas e correlacionar o IMC e a realização de atividade física com parâmetros maternos, de parto e neonatais.  Métodos:  Foi realizado um estudo de coorte retrospetivo com 103 grávidas. O tipo e a intensidade da atividade física foram avaliados por questionário e acelerometria, o IMC pré-gestacional foi obtido pela fórmula de Quetelet e utilizaram-se as diretrizes do American College of Sport Medicine para determinar os níveis de realização da atividade física. Os dados contínuos foram apresentados em média e desvio padrão, e os dados categóricos em números e percentagens. O F test e foi utilizado para examinar as diferenças entre os grupos.  Resultados:  As grávidas da amostra despenderam 42.9% do tempo em atividades domésticas e, as grávidas com obesidade, 91.5% do tempo em atividades sedentárias. Grávidas com IMC normativo apresentaram níveis mais elevados de atividades de intensidade moderada, 15.8% das participantes com obesidade atingiram as recomendações internacionais para a prática de atividade física e as mulheres que cumpriram as recomendações de atividade física ganharam menos peso durante a gravidez. Grande percentagem das grávidas com sobrepeso e obesidade não cumpriu com as recomendações para ganho de peso gestacional e a incidência de diabetes gestacional foi maior no grupo obesidade (p = 0.03 entre os grupos). Relativamente aos parâmetros de parto e neonatais (apgar 1º, apgar 5º, peso tamanho e perímetro cefálico), não foram encontradas diferenças estatísticas, quando os scores foram ajustados à semana de gestacional, entre os grupos de IMC (p = 0.58; p = 0.18; p = 0.60; p = 0.34; p = 0.34 respetivamente) ou atividade física (p = 0.12; p = 0.15; p = 0.83; p = 0.70; p = 0.70 respetivamente).  Conclusão:  Grávidas com obesidade apresentam altos níveis de comportamento sedentário, alta prevalência de diabetes gestacional e excedem o ganho de peso gestacional recomendado. Os profissionais de saúde têm um papel crucial na promoção da atividade física regular e mudanças no estilo de vida antes e durante a gravidez.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Physical activity]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Pregnant women]]></kwd>
<kwd lng="en"><![CDATA[Body mass index]]></kwd>
<kwd lng="en"><![CDATA[Obesity]]></kwd>
<kwd lng="en"><![CDATA[Pre-obesity]]></kwd>
<kwd lng="pt"><![CDATA[Atividade física]]></kwd>
<kwd lng="pt"><![CDATA[Gravidez]]></kwd>
<kwd lng="pt"><![CDATA[Mulheres grávidas]]></kwd>
<kwd lng="pt"><![CDATA[IMC]]></kwd>
<kwd lng="pt"><![CDATA[Obesidade]]></kwd>
<kwd lng="pt"><![CDATA[Pré-obesidade]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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