PMID- 25688817 OWN - NLM STAT- MEDLINE DCOM- 20151203 LR - 20150218 IS - 1479-828X (Electronic) IS - 0004-8666 (Linking) VI - 55 IP - 1 DP - 2015 Feb TI - Exercise in pregnancy does not alter gestational weight gain, MCP-1 or leptin in obese women. PG - 27-33 LID - 10.1111/ajo.12300 [doi] AB - BACKGROUND: Increasing physical activity in pregnancy may improve pregnancy outcomes for obese women. Exercise could reduce gestational weight gain, improve the maternal circulating lipid profile as well as alter leptin, Interleukin-8 (IL-8) and Monocyte Chemoattractant Protein-1 (MCP-1) levels. AIM: The aim of this study was to investigate the effects of exercise on gestational weight gain, maternal circulating lipids, IL-8, MCP-1 and leptin levels in obese pregnant women. MATERIALS AND METHODS: The analysis was performed in the 35 obese women enrolled in the pilot BAMBINO randomised controlled trial who provided blood samples at 12- and 28-weeks gestation. Women in the exercise intervention arm received an individualised exercise plan. Blood samples, exercise diary and pedometer data were obtained at 12-, 20-, 28- and 36-weeks' gestation. Cord blood was obtained at delivery. RESULTS: Women in the exercise arm exercised more than those in the control arm (P = 0.038). There was no difference in gestational weight gain, excess gestational weight gain, MCP-1 and leptin levels between women in the exercise intervention (n = 19) or the control arm (n = 16). IL-8 was not detectable. Exercise did not alter the maternal lipid profile. CONCLUSIONS: The low level of physical activity achieved in obese women in the exercise intervention arm was insufficient to alter gestational weight gain, MCP-1, leptin or circulating lipid levels. CI - (c) 2015 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists. FAU - Dekker Nitert, Marloes AU - Dekker Nitert M AD - School of Medicine, The University of Queensland, Herston, Queensland, Australia; UQ Centre for Clinical Research, The University of Queensland, Herston, Queensland, Australia. FAU - Barrett, Helen L AU - Barrett HL FAU - Denny, Kerina J AU - Denny KJ FAU - McIntyre, H David AU - McIntyre HD FAU - Callaway, Leonie K AU - Callaway LK CN - BAMBINO group LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - Australia TA - Aust N Z J Obstet Gynaecol JT - The Australian & New Zealand journal of obstetrics & gynaecology JID - 0001027 RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Interleukin-8) RN - 0 (Leptin) SB - IM MH - Adult MH - Chemokine CCL2/blood MH - Exercise/*physiology MH - Female MH - Humans MH - Interleukin-8/blood MH - Leptin/blood MH - Obesity/*blood/therapy MH - Pilot Projects MH - Pregnancy MH - Pregnancy Complications/*blood/prevention & control MH - *Weight Gain MH - Young Adult OTO - NOTNLM OT - exercise OT - gestational weight gain OT - lipids OT - obesity OT - pregnancy FIR - Foxcroft, Katie IR - Foxcroft K FIR - Lingwood, Barbara IR - Lingwood B FIR - Colditz, Paul IR - Colditz P FIR - Byrne, Nuala IR - Byrne N FIR - Rowlands, Ingrid IR - Rowlands I FIR - Groves, Ainsley IR - Groves A FIR - Sansome, Xanthe IR - Sansome X FIR - O'Connor, Briony IR - O'Connor B FIR - Croaker, Susan IR - Croaker S EDAT- 2015/02/18 06:00 MHDA- 2015/12/15 06:00 CRDT- 2015/02/18 06:00 PHST- 2014/08/31 00:00 [received] PHST- 2014/11/11 00:00 [accepted] PHST- 2015/02/18 06:00 [entrez] PHST- 2015/02/18 06:00 [pubmed] PHST- 2015/12/15 06:00 [medline] AID - 10.1111/ajo.12300 [doi] PST - ppublish SO - Aust N Z J Obstet Gynaecol. 2015 Feb;55(1):27-33. doi: 10.1111/ajo.12300.