Evidence map›Paper›PMID 41527031›Full record

Trial reportBMC pregnancy and childbirth2026

Exercise in pregnancy and maternal cardiovascular changes.

Gabriele Saccone, Cinzia Perrino, Luca Bardi, Vera Fico, Federica Ilardi, Mariarosaria Motta, Laura Sarno, Attilio Di Spiezio Sardo, Giovanni Esposito, Giuseppe Bifulco

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pregnancy and childbirth, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06355375 (Exercise in Pregnancy and Risk of Postpartum Depression), which is not on this 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.

NCT06355375 naunknown statusnot on this map

Exercise in Pregnancy and Risk of Postpartum Depression

TypeinterventionalSponsorFederico II UniversityRan2024 to 2025Enrolled398ConditionsDepression, Pregnancy RelatedArmsexercise in pregnancy
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

10 authors.

Gabriele SacconeDepartment of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy. gabriele.saccone.1990@gmail.com.
Cinzia PerrinoDepartment of Advanced Biomedical Sciences, School of Medicine, University of Naples Federico II, Naples, Italy.
Luca BardiDepartment of Advanced Biomedical Sciences, School of Medicine, University of Naples Federico II, Naples, Italy.
Vera FicoCardiomyopathy Unit, Careggi University Hospital, Florence, Italy.
Federica IlardiDepartment of Advanced Biomedical Sciences, School of Medicine, University of Naples Federico II, Naples, Italy.
Mariarosaria MottaDepartment of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy.
Laura SarnoDepartment of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy.
Attilio Di Spiezio SardoDepartment of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy.
Giovanni EspositoDepartment of Advanced Biomedical Sciences, School of Medicine, University of Naples Federico II, Naples, Italy.
Giuseppe BifulcoDepartment of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy.

Funding

PNRR European
6 · The paper itself

Abstract

objectiveTo evaluate whether regular aerobic exercise during pregnancy reduces the risk of hypertensive disorders of pregnancy and improves maternal cardiovascular adaptation.

methodsThis was a secondary analysis of a randomized clinical trial including women with singleton gestation randomly assigned in a 1:1 ratio to an exercise group or a control group. The intervention consisted of a structured aerobic exercise program from the first trimester until 35 weeks. Echocardiographic examinations were offered between 37 and 38 weeks. The primary endpoint was the incidence of gestational hypertension. Secondary outcomes included preeclampsia and echocardiographic hemodynamic, geometric and mitral inflow indices.

resultsAmong 938 randomized participants, 54 underwent echocardiography. The incidence of gestational hypertension was lower in the exercise group compared with the control group (10.1% vs 15.1%; RR 0.56, 95% CI 0.33–0.97). Preeclampsia incidence was 2.5% and 3.5%, respectively (RR 0.71, 95% CI 0.23–2.21). In the echocardiography subgroup, exercise participants had lower systolic and diastolic blood pressure, higher stroke volume (79.7 ± 7.3 vs 74.5 ± 9.2; p = 0.02), and more favorable mitral inflow indices, including a higher E’/A’ ratio (1.29 ± 0.17 vs. 1.15 ± 0.23; p = 0.01) and reduced impaired diastolic relaxation (0% vs. 27.3%; p < 0.01).

conclusionRegular exercise during pregnancy is associated with lower risk of gestational hypertension and improved cardiovascular adaptation, supporting its role in maternal hemodynamic health.

trial registrationClinicaltrials.gov NCT06355375 (Registration Date 20240409 ).

Indexed as

ExerciseHypertension, Pregnancy-InducedPre-EclampsiaAdultBlood PressureEchocardiographyFemaleHemodynamicsHumansIncidencePregnancyStroke VolumeCardiacDopplerHypertensionOutputPreeclampsia

Identifiers

PMID41527031
PMCPMC12918390

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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 Socratic graph.