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It’s time to treat exercise in pregnancy as therapy
  1. Gregory Davies1,
  2. Raul Artal2
  1. 1 Department of Obstetrics and Gynecology, Queen’s University, Kingston, Ontario, Canada
  2. 2 Department of Obstetrics/Gynecology, St Louis University, St Louis, Missouri, USA
  1. Correspondence to Dr Gregory Davies, Ontario K7L 2V7, Canada; Gregory.Davies{at}

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In the November 2018 ( (issue 52.21) and January 2019 (link to issue 53:2 please) issues of the British Journal of Sports Medicine (BJSM), Dr Davenport and colleagues have published a series of 12 systematic reviews on outcomes related to exercise throughout pregnancy. In this most substantive evaluation of this literature to date, the authors appraised over 27 000 manuscripts and abstracts. The results of their systematic review form the basis of the 2019 Canadian Guideline for Physical Activity throughout Pregnancy.

Rigorous and inclusive process

We commend the author team for being the first to use the Appraisal of Guidelines, Research and Evaluation II methodology, a rigorous and transparent process for guideline development and dissemination.1 The Guideline Consensus Panel represented the fields of exercise physiology, medicine, midwifery, public health, library science, statistics and methodology.

Importantly, the authors were committed to including exercising pregnant women. …

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  • Patient consent for publication Not required.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.