{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T02:54:28Z","timestamp":1791428068774,"version":"4.3.3"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T00:00:00Z","timestamp":1699488000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate the effectiveness of aerobic and\/or resistance group exercise programs associated with pelvic floor muscle training (PFMT) during prenatal care for the prevention and treatment of urinary incontinence (UI) using the best level of evidence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A search was carried out in the MEDLINE\/PubMed, LILACS, PEDro, CENTRAL, and SCOPUS databases, without restrictions. The terms \u201curinary incontinence\u201d and \u201cpregnant woman\u201d were used. Randomized and quasi\u2010randomized clinical trials were included using aerobic and\/or resistance exercise programs plus PFMT as an intervention compared to usual care. The Cochrane tool (RoB 2.0) and GRADE were used to assess risk of bias and certainty of evidence, respectively. Quantitative analysis was assessed by meta\u2010analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Five publications were included. There was a reduction in the reports of UI postintervention at 16 weeks (RR: 0.83; 95% CI: 0.74\u22120.93, one study, 762 women, random effects: <jats:italic>p<\/jats:italic>\u2009=\u20090.002) and after 3 months (RR: 0.76; 95% CI: 0.60\u22120.95, one study, 722 women, random effects: <jats:italic>p<\/jats:italic>\u2009=\u20090.02), based on moderate certainty of evidence and improvement in UI\u2010specific quality of life (MD: \u22122.42; 95% CI: \u22123.32 to \u22121.52, one study, 151 women, random effects: <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.00001), based on low quality of evidence. Other results showed no difference between the postintervention groups, with low and very low evidence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There is moderate evidence that the aerobic and\/or resistance exercise program associated with PFMT compared to usual care can reduce postintervention UI, as well as 3 months postintervention, and that it can improve UI\u2010specific quality of life, but with low\u2010evidence certainty.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.25309","type":"journal-article","created":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T11:34:20Z","timestamp":1699529660000},"page":"205-218","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Effectiveness of group aerobic and\/or resistance exercise programs associated with pelvic floor muscle training during prenatal care for the prevention and treatment of urinary incontinence: A systematic review"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4470-4136","authenticated-orcid":false,"given":"Ana Clara","family":"Santos","sequence":"first","affiliation":[{"name":"Universidade Federal de Pernambuco Recife Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6989-6219","authenticated-orcid":false,"given":"Silvana Neves","family":"Dias","sequence":"additional","affiliation":[{"name":"Universidade Federal de Pernambuco Recife Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2311-8744","authenticated-orcid":false,"given":"Alexandre","family":"Delgado","sequence":"additional","affiliation":[{"name":"Instituto de Medicina Integral Professor Fernando Figueira Recife Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0631-0512","authenticated-orcid":false,"given":"Andrea","family":"Lemos","sequence":"additional","affiliation":[{"name":"Universidade Federal de Pernambuco Recife Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,9]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(02)02243-4"},{"issue":"1","key":"e_1_2_9_3_1","first-page":"216","article-title":"Preval\u00eancia de incontin\u00eancia urin\u00e1ria durante gesta\u00e7\u00e3o","volume":"40","author":"Souza APP","year":"2016","journal-title":"Revista Baiana de Sa\u00fade P\u00fablica"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-013-2061-7"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1809-98232011000200014"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.2174\/1874609811205010035"},{"issue":"5","key":"e_1_2_9_7_1","article-title":"Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women","volume":"5","author":"Woodley SJ","year":"2020","journal-title":"Cochrane Database System Rev"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0034-89102012005000012"},{"issue":"11","key":"e_1_2_9_9_1","doi-asserted-by":"crossref","first-page":"4315","DOI":"10.1590\/1413-812320222711.07882022","article-title":"N\u00edvel de atividade f\u00edsica e fatores associados entre gestantes: estudo epidemiol\u00f3gico de base populacional","volume":"27","author":"Freitas IGC","year":"2022","journal-title":"Cien Saude Colet"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17217928"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0020-7292(94)90773-0"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200201000-00030"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1742-4755-7-23"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2009.062547"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.5123\/S1679-49742015000200017"},{"key":"e_1_2_9_16_1","first-page":"1","article-title":"Statistical algorithms in review manager 5","author":"Deeks JJ","year":"2010","journal-title":"Statistical Methods Group Cochrane Collaboration"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l4898"},{"issue":"4","key":"e_1_2_9_18_1","first-page":"401","article-title":"GRADE guidelines: 3. 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