Evidence map›Paper›PMID 41746799›Full record

SynthesisWomen's health (London, England)

Physical activity postpartum: A systematic review and quality appraisal of clinical guidelines.

Qianwen Lan, Allan Chak Lun Fu, Marnee J McKay, Milena Simic, Josielli Comachio, Ye Tian, Paulo Ferreira

Abstract readSystematic Review
In one paragraph

Synthesis in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Qianwen LanFaculty of Medicine and Health, Sydney Musculoskeletal Health, School of Health Sciences, The University of Sydney, Camperdown, NSW, Australia.ORCID 0000-0002-8111-2965
Allan Chak Lun FuFaculty of Medicine and Health, Sydney Musculoskeletal Health, School of Health Sciences, The University of Sydney, Camperdown, NSW, Australia.
Marnee J McKayFaculty of Medicine and Health, Sydney Musculoskeletal Health, School of Health Sciences, The University of Sydney, Camperdown, NSW, Australia.
Milena SimicFaculty of Medicine and Health, Sydney Musculoskeletal Health, School of Health Sciences, The University of Sydney, Camperdown, NSW, Australia.
Josielli ComachioFaculty of Medicine and Health, Sydney Musculoskeletal Health, School of Health Sciences, The University of Sydney, Camperdown, NSW, Australia.
Ye TianFaculty of Medicine and Health, Sydney Musculoskeletal Health, School of Health Sciences, The University of Sydney, Camperdown, NSW, Australia.
Paulo FerreiraFaculty of Medicine and Health, Sydney Musculoskeletal Health, School of Health Sciences, The University of Sydney, Camperdown, NSW, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostpartum physical activity (PA) is crucial in supporting maternal health, contributing to mental health and well-being, weight management, and overall physical fitness. Although multiple health organizations have issued PA recommendations for postpartum women, the content and quality of these guidelines have not yet been systematically evaluated.

objectivesTo evaluate the quality of published guidelines on PA for postpartum women and to summarize their recommendations to provide clearer guidance for healthcare providers and postpartum women.

designSystematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. DATA SOURCES AND

methodsSix electronic databases were searched for guidelines related to PA for postpartum women. Gray literature was also reviewed. Guidelines were included if they were developed by recognized health organizations, provided PA (including structured supervised exercises) recommendations for postpartum women, and were published or updated within the last 10 years. Data extraction and quality appraisal were independently conducted by pairs of reviewers using the Appraisal of Guidelines Research and Evaluation Tool (AGREE II).

resultsEighteen guidelines were included, with AGREE II scores ranging from 50% to 92%. Seven guidelines (39%) met the criteria for satisfactory methodological quality. Most guidelines recommended that postpartum women engage in at least 150 min of moderate-intensity aerobic PA per week, while the 2025 Canadian guideline supports a minimum of 120 min based on meta-analytic evidence. Common recommendations included pelvic floor muscle training, strengthening exercises, and other exercises, with advice to seek healthcare guidance for women with special conditions.

conclusionThere is a universal agreement across guidelines that postpartum women should aim for at least 120-150 min of moderate-intensity PA weekly. Future research should strengthen the evidence for specific types of PA, delivery mode considerations, and implementation strategies. REGISTRATION: International Prospective Register of Systematic Reviews: PROSPERO (CRD42023447331).

Indexed as

ExercisePostpartum PeriodPractice Guidelines as TopicFemaleHumansAGREE IIexerciseguidelinesmaternal healthphysical activitypostpartumsystematic review

Identifiers

PMID41746799
PMCPMC12949317

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.