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The influence of physical activity during pregnancy on maternal, fetal or infant heart rate variability: a systematic review

Overview of attention for article published in BMC Pregnancy and Childbirth, October 2016
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Title
The influence of physical activity during pregnancy on maternal, fetal or infant heart rate variability: a systematic review
Published in
BMC Pregnancy and Childbirth, October 2016
DOI 10.1186/s12884-016-1121-7
Pubmed ID
Authors

Pavel Dietz, Estelle D. Watson, Matteo C. Sattler, Wolfgang Ruf, Sylvia Titze, Mireille van Poppel

Abstract

Physical activity (PA) during pregnancy has been shown to be associated with several positive effects for mother, fetus, and offspring. Heart rate variability (HRV) is a noninvasive and surrogate marker to determine fetal overall health and the development of fetal autonomic nervous system. In addition, it has been shown to be significantly influenced by maternal behavior. However, the influence of maternal PA on HRV has not yet been systematically reviewed. Therefore, the aim of this systematic review was to assess the influence of regular maternal PA on maternal, fetal or infant HRV. A systematic literature search following a priori formulated criteria of studies that examined the influence of regular maternal PA (assessed for a minimum period of 6 weeks) on maternal, fetal or infant HRV was performed in the databases Pubmed and SPORTDiscus. Quality of each study was assessed using the standardized Quality Assessment Tool for Quantitative Studies (QATQS). Nine articles were included into the present systematic review: two intervention studies, one prospective longitudinal study, and six post-hoc analysis of subsets of the longitudinal study. Of these articles four referred to maternal HRV, five to fetal HRV, and one to infant HRV. The overall global rating for the standardized quality assessment of the articles was moderate to weak. The articles regarding the influence of maternal PA on maternal HRV indicated contrary results. Five of five articles regarding the influence of maternal PA on fetal HRV showed increases of fetal HRV on most parameters depending on maternal PA. The article referring to infant HRV (measured one month postnatal) showed an increased HRV. Based on the current evidence available, our overall conclusion is that the hypothesis that maternal PA influences maternal HRV cannot be supported, but there is a trend that maternal PA might increase fetal and infant HRV (clinical conclusion). Therefore, we recommend that further, high quality studies addressing the influence of maternal PA on HRV should be performed (methodological conclusion).

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 184 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 184 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 27 15%
Student > Ph. D. Student 22 12%
Student > Bachelor 22 12%
Researcher 17 9%
Student > Postgraduate 11 6%
Other 27 15%
Unknown 58 32%
Readers by discipline Count As %
Medicine and Dentistry 27 15%
Nursing and Health Professions 25 14%
Sports and Recreations 22 12%
Biochemistry, Genetics and Molecular Biology 9 5%
Agricultural and Biological Sciences 8 4%
Other 30 16%
Unknown 63 34%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 October 2016.
All research outputs
#18,968,282
of 23,509,982 outputs
Outputs from BMC Pregnancy and Childbirth
#3,568
of 4,317 outputs
Outputs of similar age
#239,558
of 315,854 outputs
Outputs of similar age from BMC Pregnancy and Childbirth
#78
of 92 outputs
Altmetric has tracked 23,509,982 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,317 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.0. This one is in the 9th percentile – i.e., 9% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 315,854 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 13th percentile – i.e., 13% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 92 others from the same source and published within six weeks on either side of this one. This one is in the 8th percentile – i.e., 8% of its contemporaries scored the same or lower than it.