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Association Between Regular Exercise and Excessive Newborn Birth Weight

Owe, Katrine Mari MSci; Nystad, Wenche PhD; Bø, Kari Prof, PhD

doi: 10.1097/AOG.0b013e3181b6c105
Original Research

OBJECTIVE: To estimate the association between regular exercise before and during pregnancy and excessive newborn birth weight.

METHODS: Using data from the Norwegian Mother and Child Cohort Study, 36,869 singleton pregnancies lasting at least 37 weeks were included. Information on regular exercise was based on answers from two questionnaires distributed in pregnancy weeks 17 and 30. Linkage to the Medical Birth Registry of Norway provided data on newborn birth weight. The main outcome measure was excessive newborn birth weight, defined as birth weight at or above the 90th percentile. Logistic regression analyses were used to estimate the associations separately for nulliparous (n=16,064) and multiparous (n=20,805) women, and the results are presented as adjusted odds ratios (aORs) with 95% confidence intervals (95% CIs).

RESULTS: Excessive newborn birth weight was observed in 4,033 (10.9%) newborns, 56.1% (n=2,263) of whom were born to multiparous women. An inverse association between regular exercise (at least three times per week) and excessive newborn birth weight in pregnancy weeks 17 and 30 was observed in nulliparous women, aOR 0.72 (95% CI 0.56–0.93) and aOR 0.77 (95% CI 0.61–0.96), respectively. Regular exercise performed before pregnancy did not affect the probability of delivering newborns with an excessive birth weight in nulliparous or multiparous women.

CONCLUSION: Regular exercise during pregnancy reduces the odds of giving birth to newborns with excessive birth weight by 23–28%.

Women exercising regularly during pregnancy are less likely to give birth to newborns with excessive birth weight.

From the 1Department of Sport Medicine, Norwegian School of Sport Sciences, Oslo, Norway; and 2Department of Chronic Diseases, Norwegian Institute of Public Health, Oslo, Norway.

The Norwegian Mother and Child Cohort Study is supported by the Norwegian Ministry of Health, NIH/NIEHS (grant no. N01-ES-85433), NIH/NINDS (grant no. 1 UO1 NS 047537-01), and the Norwegian Research Council/FUGE (grant no. 151918/S10). The authors thank the Medical Birth Registry of Norway for their services.

Corresponding author: Katrine Mari Owe, Department of Sport Medicine, Norwegian School of Sport Sciences, PO Box 4014 Ullevål Stadion, Sognsv. 220, NO-0806 Oslo, Norway; e-mail:

Financial Disclosure The authors did not report any potential conflicts of interest.

© 2009 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.