Evidence map›Paper›PMID 42153250›Full record

ArticleJournal of diabetes research2026

Supervised and Unsupervised Physical Activity Programs in Pregnancy-There Is a Benefit for Both.

Christina Sitzberger, Annette Wacker-Gußmann, Renate Oberhoffer, Silvia Lobmaier, Cody Strom, Samantha McDonald, Alex Claiborne, Linda May

Abstract read
In one paragraph

Article in Journal of diabetes research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Christina SitzbergerDepartment of Health and Sport Sciences, Applied Sport Sciences, TUM School of Medicine and Health, Munich, Germany.ORCID https://orcid.org/0000-0002-6103-3485
Annette Wacker-GußmannDepartment of Congenital Heart Disease and Pediatric Cardiology, German Heart Center Munich, Technische Universität München, Munich, Germany, dhm.mhn.de.ORCID https://orcid.org/0000-0001-5143-5029
Renate OberhofferDepartment of Health and Sport Sciences, Institute of Preventive Paediatrics, TUM School of Medicine and Health, Munich, Germany.ORCID https://orcid.org/0000-0002-3166-0488
Silvia LobmaierDepartment of Gynecology and Obstetrics, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany, tum.de.ORCID https://orcid.org/0000-0002-5696-6686
Cody StromKinesiology and Sports Department, University of Southern Indiana, Evansville, Indiana, USA, usi.edu.ORCID https://orcid.org/0000-0002-6921-8919
Samantha McDonaldSchool of Kinesiology and Recreation, Illinois State University, Normal, Illinois, USA, illinoisstate.edu.ORCID https://orcid.org/0000-0002-7191-5086
Alex ClaiborneDepartment of Kinesiology, Nutrition, and Health, Miami University, Oxford, Ohio, USA, miami.edu.ORCID https://orcid.org/0000-0001-7427-3851
Linda MayDepartment of Kinesiology, Human Performance Lab, East Carolina University, Greenville, North Carolina, USA, ecu.edu.ORCID https://orcid.org/0000-0002-8231-2280

Funding

American Heart Association 15GRNT24470029American Heart Association 18IPA34150006Projekt DEALTUM-IAS
6 · The paper itself

Abstract

objectivesRegular physical activity (PA) during pregnancy reduces the risk of cardiometabolic disease. The World Health Organization recommends a minimum of 150 min/week of moderate-intensity exercise for healthy pregnant women. However, these guidelines are not commonly met, and implications for pregnancy outcomes are not fully understood. This study is aimed at determining whether differences between a supervised and an independent training program affect gestational weight gain and birth outcomes.

methodsFour hundred and seventy-eight pregnancies in two countries were investigated with either a supervised or unsupervised exercise program during pregnancy to compare maternal characteristics, PA levels, and birth outcomes and determine predictors of infant morphometrics.

resultsMaternal participants had an average age of 31.7 years (±4.47) with a body mass index (BMI) of 25.07 (±5.18). Analysis of weight gain during pregnancy showed significant differences (p = 0.007), with a substantial increase in the supervised training program cohort (21.99 ± 36.34) compared to a moderate increase in the unsupervised cohort (14.22 ± 10.91). Women in the unsupervised group engaged in more intense and frequent physical activities. Weight gain during pregnancy had the most significant influence on birth weight. The most significant predictor of birth BMI was the intensity of maternal PA.

conclusionsSupervised sports programs are helpful but not necessary to influence pregnancy outcomes. The intensity of PA is the most important issue.

Indexed as

ExerciseGestational Weight GainAdultBirth WeightBody Mass IndexFemaleHumansPregnancyPregnancy Outcomebirth outcomebody mass indexhigh-risk pregnancyphysical activitypregnancysports programsupervised sports program

Identifiers

PMID42153250
PMCPMC13184634

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Registered trials

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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.