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Here, we summarize the current body of literature examining the association between PA, placenta biology, and physiology while also highlighting areas where gaps in knowledge exist. PA during pregnancy induces metabolic changes, influencing nutrient availability and transporter expression in the placenta. Hormones and cytokines secreted during PA contribute to health benefits, with intricate interactions in pro\u2010 and anti\u2010inflammatory markers. Extracellular vesicles and placental \u201c\u2010omics\u201d data suggest that gestational PA can shape placental biology, affecting gene expression, DNA methylation, metabolite profiles, and protein regulation. However, whether cytokines that respond to PA alter placental proteomic profiles during pregnancy remains to be elucidated. The limited research on placenta mitochondria of physically active gestational parents (gesP), has shown improvements in mitochondrial DNA and antioxidant capacity, but the relationship between PA, placental mitochondrial dynamics, and lipid metabolism remains unexplored. Additionally, PA influences the placenta\u2010immune microenvironment, angiogenesis, and may confer positive effects on neurodevelopment and mental health through placental changes, vascularization, and modulation of brain\u2010derived neurotrophic factor. Ongoing exploration is crucial for unraveling the multifaceted impact of PA on the intricate placental environment.<\/jats:p>","DOI":"10.14814\/phy2.16104","type":"journal-article","created":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T03:29:23Z","timestamp":1718335763000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Physically active pregnancies: Insights from the placenta"],"prefix":"10.14814","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7925-1889","authenticated-orcid":false,"given":"Kristi B.","family":"Adamo","sequence":"first","affiliation":[{"name":"School of Human Kinetics, Faculty of Health Sciences University of Ottawa  Ottawa Ontario Canada"},{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine University of Ottawa  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6944-7589","authenticated-orcid":false,"given":"Alexandra D.","family":"Goudreau","sequence":"additional","affiliation":[{"name":"Department of Experimental Medicine, Faculty of Medicine and Health Sciences McGill University  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6789-0005","authenticated-orcid":false,"given":"Abbey E.","family":"Corson","sequence":"additional","affiliation":[{"name":"School of Human Kinetics, Faculty of Health Sciences University of Ottawa  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6907-3724","authenticated-orcid":false,"given":"Meaghan L.","family":"MacDonald","sequence":"additional","affiliation":[{"name":"School of Human Kinetics, Faculty of Health Sciences University of Ottawa  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1571-8894","authenticated-orcid":false,"given":"Nicholas","family":"O'Rourke","sequence":"additional","affiliation":[{"name":"School of Human Kinetics, Faculty of Health Sciences University of Ottawa  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Velislava","family":"Tzaneva","sequence":"additional","affiliation":[{"name":"School of Human Kinetics, Faculty of Health Sciences University of Ottawa  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,14]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1139\/apnm-2022-0288"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/sms.13547"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm8111862"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph9041263"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuroscience.2007.10.051"},{"issue":"2","key":"e_1_2_12_7_1","first-page":"165","article-title":"Predictive factors for intrauterine growth restriction","volume":"7","author":"Albu A. 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