{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:20:37Z","timestamp":1787840437190,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 2","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Exercise during pregnancy is widely recognized for its benefits to both the mother and fetus, including improved cardiovascular health, reduced risk of gestational diabetes, and enhanced mental well-being. However, the type and supervision of exercise\u2014whether supervised or unsupervised\u2014can impact its effectiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This literature review examines and compares the outcomes of supervised versus unsupervised exercise during pregnancy from a physiotherapist\u2019s perspective, exploring the evidence on their benefits and potential risks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A review of recent studies evaluating supervised and unsupervised prenatal exercise programs was conducted. Emphasis was placed on maternal weight gain, birth outcomes, and the incidence of complications such as macrosomia, gestational diabetes, hypertension, and preterm birth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Studies indicate that women following structured exercise programs gained weight within recommended guidelines, leading to improved birth outcomes and lower risks of complications like macrosomia and caesarean delivery. Research also highlights that prenatal physical activity reduces the risk of macrosomia without increasing the likelihood of smaller newborns, debunking concerns about reduced energy reserves for fetal growth in active pregnancies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Supervised exercise, with personalized guidance, ensures optimal intensity and technique, reducing risks such as gestational diabetes, hypertension, and preterm birth, making it essential for pregnant women, especially those with complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_43_25","type":"journal-article","created":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T01:02:13Z","timestamp":1750208533000},"page":"S1490-S1492","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of Supervised versus Unsupervised Exercise in Pregnancy \u2013 A Physiotherapist\u2019s Perspective"],"prefix":"10.4103","volume":"17","author":[{"given":"Smita E.","family":"Joseph","sequence":"first","affiliation":[{"name":"Department of Physiotherapy, Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jagatheesan","family":"Alagesan","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, School of Paramedical Allied and Health Care Sciences, Mohan Babu University, Tirupathi, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prathap","family":"Suganthirababu","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annamma","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, St Johns Medical College and Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kumaresan","family":"Abathsagayam","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, St Johns Medical College and Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudheera","family":"Kunduru","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Padmashree Institute of Physiotherapy, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,6,18]]},"reference":[{"key":"R1-20250618","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1186\/s12889-023-17525-3","article-title":"The effect 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effects of unsupervised home-based exercise training during pregnancy:A systematic review","volume":"21","author":"Weng","year":"2024","journal-title":"Worldviews Evid Based Nurs"},{"key":"R8-20250618","doi-asserted-by":"crossref","first-page":"1698","DOI":"10.1249\/MSS.0000000000000587","article-title":"Home-based exercise improves fitness and exercise attitude and intention in GDM women","volume":"47","author":"Halse","year":"2014","journal-title":"Med Sci Sports Exer"},{"key":"R9-20250618","doi-asserted-by":"crossref","first-page":"2065","DOI":"10.2337\/dc16-1728","article-title":"Physical activity\/exercise and diabetes:A position statement of the American Diabetes Association","volume":"39","author":"Colberg","year":"2016","journal-title":"Diabetes Care"},{"key":"R10-20250618","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1038\/s43856-024-00491-1","article-title":"Effective interventions in preventing gestational diabetes mellitus:A systematic review and meta-analysis","volume":"4","author":"Takele","year":"2024","journal-title":"Commun Med"}],"container-title":["Journal of Pharmacy and Bioallied Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_43_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:22:47Z","timestamp":1787836967000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_43_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":10,"journal-issue":{"issue":"Suppl 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