Exercising for Two: Stay Active to Boost Your Gut Health in Pregnancy

Pregnant woman exercising, doing yoga and looking to the side

Summary

  • Moderate exercise can increase beneficial gut bacteria and microbiome diversity, which supports both mom’s and baby’s health by strengthening the gut barrier, reducing inflammation, and promoting better digestion.
  • A diverse gut microbiome may lower risks of pregnancy complications like gestational diabetes, preeclampsia, and maternal obesity while supporting metabolic health for the baby.
  • Regular physical activity may help ease common pregnancy discomforts, strengthen muscles for labor, improve postpartum recovery, and support mental wellness.
  • The mother’s gut bacteria influence the baby’s early immune development, impacting their risk for immune-related conditions like allergies and asthma.
  • Pregnant women should aim for 150 minutes of moderate exercise per week, with gentle, low-risk activities like walking, swimming, and prenatal yoga
Take charge of your pregnancy health with an optimal microbiome. Learn more
Take charge of your pregnancy health with an optimal microbiome. Learn more

Pregnancy brings incredible changes, and nurturing your body with exercise is one of the best ways to support a smooth and healthy journey. Regular exercise doesn’t just prepare your body for labor or help with common aches and pains. It also supports your gut microbiome, an often-overlooked yet essential part of your health. A balanced gut supports digestion, immunity, and mental well-being—all essential for a healthy pregnancy. 

Research shows that moderate activity can boost your gut diversity and beneficial bacteria [1]. This creates a healthier environment for both you and your baby. Whether it’s a brisk walk or a gentle yoga session, regular movement helps to keep both you and your gut healthy. From boosting gut health to improving pregnancy outcomes, let’s explore how each workout contributes to your family’s wellness.

How exercise boosts gut health: the science

Your gut microbiome is a diverse community of bacteria, fungi, and other microbes living in your intestines. Exercise has a profound effect on gut health, boosting diversity and beneficial bacteria. This is good for your overall health and wellness, too. Let's explore the science of this interesting connection.

Research shows that 30 to 90 minutes of activity, at least three times a week, can increase the number of beneficial bacteria like Faecalibacterium prausnitzii and Akkermansia muciniphila [2]. These bacteria help reduce inflammation and strengthen the gut barrier.

Exercise also boosts short-chain fatty acids (SCFAs) like butyrate. These gut heroes have many important functions for your health [3]–[5]:

  • Nourishing your gut cells
  • Reducing inflammation
  • Strengthening the gut barrier
  • Digesting food
  • Regulating energy
  • Protecting against chronic conditions like inflammatory bowel disease (IBD) and colon cancer. 

However, results can vary based on factors like body mass index (BMI) and diet. For example, lean individuals may experience a greater benefit compared to those with higher BMIs [6],[7]. Still, regular physical activity may be one of the most effective ways to support your gut health.

The gut microbiome: your silent partner in pregnancy

When you’re expecting, your gut health plays a crucial role in your pregnancy and your baby’s health. Changes in gut bacteria can influence immune function, nutrient absorption, and metabolism [8],[9], all of which support fetal development. Studies link a healthy, diverse gut to lower risks of gestational diabetes mellitus (GDM), preeclampsia, and maternal obesity, as well as improved metabolic outcomes for the baby [9]–[11].

By supporting your gut health, you can help your body regulate gut inflammation and metabolic activity. This may lower your risk of complications and set the stage for a healthier pregnancy and postpartum outcome.

Mom’s gut microbiome also shapes a baby’s early gut environment. Research shows that a mother passes bacteria from her microbiome to her baby during delivery and breastfeeding. These bacteria help the baby's immune system develop [8], and they affect a child's potential to develop immune-related conditions like allergies and asthma [12]. 

Supporting a healthy maternal gut through diet, lifestyle, and exercise gives babies a strong start. A Pregnancy Gut Health Test can help you identify imbalances and course-correct with personalized recommendations. Now, let’s dive into how exercise supports the body beyond the gut.

The full-body benefits of exercise during pregnancy

Staying active during pregnancy offers a wide range of benefits for both mother and baby, well beyond gut health. Regular exercise can help prepare the body for labor and support faster postpartum recovery.

Exercise strengthens muscles and builds endurance. This is important as your body changes in pregnancy, as it can improve balance and help relieve common discomforts like back pain [13]. Better strength can also mean shorter labor and lower chances of c-section [13],[14]. Staying active also helps you manage pregnancy weight, reducing long-term health risks [13]. 

Exercise plays a crucial role in postpartum recovery. Women who stay active during pregnancy tend to have better postpartum outcomes:

  • Recovering faster from pregnancy
  • Retaining more of their pre-pregnancy fitness
  • Regaining strength and mobility after delivery

Exercise also supports your mental health. Studies show it can reduce the risk of prenatal and postpartum depression. How? By improving mood, reducing anxiety, and enhancing overall well-being [15].

With these benefits in mind, exercise during pregnancy is about much more than gut health. It’s a powerful way to care for your whole body and prepare for what’s to come. Now let’s explore some practical tips to help you get started on your pregnancy fitness journey.

Getting started: Safe exercise routines for pregnancy

Staying active during pregnancy offers major benefits for both you and your baby. According to the American College of Obstetricians and Gynecologists (ACOG), these benefits include:

  • Reducing back pain
  • Easing constipation
  • Lowering the risk of gestational diabetes and preeclampsia
  • Supporting healthy weight gain [13]. 

Aim for at least 150 minutes of moderate-intensity aerobic activity each week. That’s 30 minutes on most days, or smaller sessions throughout the day [13]. 

If you're just starting out, begin slowly. Start with 5-10 minutes of activity a day, and gradually increase as you build endurance. Listen to your body—if you can’t comfortably talk while exercising, you may need to lower the intensity. Stay hydrated and avoid exercising in hot or humid conditions to prevent overheating.

Gentle, low-risk activities are key. Try a brisk walk, swimming, or stationary cycling. These are all great choices as they’re easy on your joints and carry a low risk of injury. Prenatal yoga and Pilates are great for flexibility and stress relief without straining your body.

For safety, avoid contact sports and activities with a high fall risk like skiing or horseback riding. After your first trimester, you should also avoid exercises that involve lying flat on your back for extended periods [13]. 

Before beginning any new exercise routine, talk with your OB-GYN to ensure it’s safe for your pregnancy. 

Exercise while pregnant has lasting health benefits

Staying active during pregnancy is a powerful way to nurture both your own well-being and your baby’s health. From supporting a balanced gut to preparing your body for labor, the benefits of exercise last well beyond pregnancy. A healthy gut promotes a robust immune foundation for your baby. Physical activity also helps prevent complications, ease discomfort, and even boost mood during your transition to motherhood.

It’s important to incorporate safe, regular exercise into your routine during pregnancy. Remember, exercise during pregnancy doesn’t have to be strenuous or time-consuming. Whether a brisk walk, a swim, or prenatal yoga session, choose activities that feel good for your body. Consult with your healthcare provider, listen to your body, and focus on consistency over intensity. 

As you embark on this journey, think of exercise as an investment in your family’s health. With each step, stretch, and breath, you’re building a strong foundation for the exciting road ahead. 

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References

[1] L. J. Mailing, J. M. Allen, T. W. Buford, C. J. Fields, and J. A. Woods, “Exercise and the Gut Microbiome: A Review of the Evidence, Potential Mechanisms, and Implications for Human Health,” Exerc Sport Sci Rev, vol. 47, no. 2, pp. 75–85, Apr. 2019, doi: 10.1249/JES.0000000000000183.

[2] C. Bressa et al., “Differences in gut microbiota profile between women with active lifestyle and sedentary women,” PLoS One, vol. 12, no. 2, p. e0171352, 2017, doi: 10.1371/journal.pone.0171352.

[3] S. F. Clarke et al., “Exercise and associated dietary extremes impact on gut microbial diversity,” Gut, vol. 63, no. 12, pp. 1913–1920, Dec. 2014, doi: 10.1136/gutjnl-2013-306541.

[4] W. Barton et al., “The microbiome of professional athletes differs from that of more sedentary subjects in composition and particularly at the functional metabolic level,” Gut, vol. 67, no. 4, pp. 625–633, Apr. 2018, doi: 10.1136/gutjnl-2016-313627.

[5] P. Louis and H. J. Flint, “Diversity, metabolism and microbial ecology of butyrate-producing bacteria from the human large intestine,” FEMS Microbiology Letters, vol. 294, no. 1, pp. 1–8, May 2009, doi: 10.1111/j.1574-6968.2009.01514.x.

[6] M. C. Dao et al., “Akkermansia muciniphila and improved metabolic health during a dietary intervention in obesity: relationship with gut microbiome richness and ecology,” Gut, vol. 65, no. 3, pp. 426–436, Mar. 2016, doi: 10.1136/gutjnl-2014-308778.

[7] S. Santarossa, A. R. Sitarik, A. E. Cassidy-Bushrow, and S. S. Comstock, “Prenatal physical activity and the gut microbiota of pregnant women: results from a preliminary investigation,” Phys Act Nutr, vol. 27, no. 2, pp. 1–7, Jun. 2023, doi: 10.20463/pan.2023.0011.

[8] Y. Gao et al., “Maternal gut microbiota during pregnancy and the composition of immune cells in infancy,” Front Immunol, vol. 13, p. 986340, 2022, doi: 10.3389/fimmu.2022.986340.

[9] A. Husso et al., “Impacts of maternal microbiota and microbial metabolites on fetal intestine, brain, and placenta,” BMC Biology, vol. 21, no. 1, p. 207, Oct. 2023, doi: 10.1186/s12915-023-01709-9.

[10] M. K. W. Crusell et al., “Gestational diabetes is associated with change in the gut microbiota composition in third trimester of pregnancy and postpartum,” Microbiome, vol. 6, no. 1, p. 89, May 2018, doi: 10.1186/s40168-018-0472-x.

[11] M. F. Zacarías et al., “Pregestational overweight and obesity are associated with differences in gut microbiota composition and systemic inflammation in the third trimester,” PLOS ONE, vol. 13, no. 7, p. e0200305, Jul. 2018, doi: 10.1371/journal.pone.0200305.

[12] Y. Gao et al., “The maternal gut microbiome during pregnancy and offspring allergy and asthma,” J Allergy Clin Immunol, vol. 148, no. 3, pp. 669–678, Sep. 2021, doi: 10.1016/j.jaci.2021.07.011.

[13] “ACOG Committee Opinion No. 804: Physical Activity and Exercise During Pregnancy and the Postpartum Period: Correction,” Obstetrics & Gynecology, vol. 138, no. 4, p. 683, Oct. 2021, doi: 10.1097/AOG.0000000000004558.

[14] V. Y. Watkins et al., “The impact of physical activity during pregnancy on labor and delivery,” Am J Obstet Gynecol, vol. 225, no. 4, p. 437.e1-437.e8, Oct. 2021, doi: 10.1016/j.ajog.2021.05.036.

[15] L. He et al., “The impact of physical activity intervention on perinatal depression: A systematic review and meta-analysis,” J Affect Disord, vol. 321, pp. 304–319, Jan. 2023, doi: 10.1016/j.jad.2022.10.026.