Milk supply and qualityStrong evidence
In a trial of 33 breastfeeding women, 45 minutes of aerobic exercise 5 days a week for 12 weeks, starting 6 to 8 weeks after the birth, didn't change milk volume or composition, the babies' weight gain or the milk hormone prolactin, and raised fitness by 25%. In a smaller study, 8 women who exercised hard made milk with the same energy, fat, protein and lactose as 8 inactive women, and ate more.
A 2025 review of 46 studies found milk quality and quantity, babies' growth and development, and injuries no different with exercise. ACOG and the 2025 Canadian guideline say the same.
Sources 1, 19, 2, 4, 20
Babies' growthEmerging evidence
Across 4 small trials with 170 women, mothers' exercise made no difference to breastfed babies' weight gain, though the authors call the evidence limited. In 587 mothers followed for a year in Perth, Australia, exercise wasn't linked with stopping breastfeeding or with the babies' growth.
Sources 21, 22
Lactic acid after all-out effortsEmerging evidence
Lactic acid in milk rose after maximal exercise, and after hard exercise at about 15 out of 20 for effort, but not after moderate exercise. In 26 women, mothers rated their babies as less keen on milk expressed 10 to 30 minutes after a maximal exercise test.
In a later study of 24 women, milk expressed an hour after a maximal test or 30 minutes of moderate exercise was given by bottle, and neither the mothers nor 3 lactation consultants who didn't know which milk was which saw any difference in how the babies took it.
Sources 23, 6, 24, 25
Antibodies in milkEmerging evidence
An antibody in milk, immunoglobulin A (IgA), fell for 10 to 30 minutes after an exhausting treadmill test in 17 women and was back to normal within an hour. In 53 women, this antibody and other immune factors didn't differ with fitness, and 30 minutes of moderate exercise didn't change them.
Sources 26, 27
Other compounds in milkMixed evidence
A study in women and mice linked exercise with more of a milk sugar called 3'-sialyllactose, but a 2025 trial in 20 women found no clear change after one moderate or hard session. In another trial of 20 women, hard intervals briefly raised a compound called adiponectin. What these changes mean for babies, if anything, isn't known.
Sources 28, 29, 30
Losing weight without affecting your babyEmerging evidence
In 40 overweight women who were exclusively breastfeeding, eating 500 kcal a day less and exercising for 45 minutes 4 days a week from 4 weeks after the birth took off 4.8 kg in 10 weeks, against 0.8 kg, with no difference in the babies' weight gain or length. In 67 women, an 11-day cut of 35% in energy, by diet or by diet plus exercise, didn't change milk volume or composition, and with exercise the weight lost was nearly all fat.
Across 12 trials after childbirth, diet plus exercise took off about 1.9 kg more than usual care, while exercise alone made little difference to weight. The trials were small and of mixed quality.
Sources 13, 31, 32
Breastfeeding on its own isn't a reliable way to lose weightMixed evidence
In a review of 45 studies, 63% found little or no link between breastfeeding and weight change, though 4 of the 5 best-quality studies found one. Across 14 cohorts, mothers who breastfed kept on 0.38 kg less on average.
Sources 33, 34
Exercise and bone while breastfeedingEmerging evidence
In 20 women randomised 4 weeks after the birth, weight-bearing aerobic exercise 3 days a week plus strength training 3 days a week for 16 weeks cut bone loss at the spine to 4.8%, against 7.0%. In 27 women, eating 500 kcal a day less plus strength training brought more weight loss with no difference in bone loss. Two trials combined, with 55 women, found the difference at the spine still there a year after the birth. Pooled, exercise saved about 1.6% of bone density at the spine, but the certainty is low.
Sources 17, 35, 36, 37
Drinking extra waterEmerging evidence
A Cochrane review found no good randomised trials of drinking extra to make more milk; in the one old study of 210 women, advice to drink more didn't raise milk production. La Leche League GB says supply isn't linked to how much water you drink.
Sources 12, 11
Loose joints and hormonesMixed evidence
Joints do loosen in pregnancy: in one study, 19 of 35 women had more laxity at the wrist by the third trimester, and in another, laxity rose in 5 of 7 joints through pregnancy and after the birth. But neither study found that the laxity tracked relaxin or other hormone levels, and the UK running guideline says the injury theory hasn't been proven.
Sources 38, 39, 5
Sports brasMixed evidence
We found no study of sports bras in breastfeeding women. In 20 women with large breasts who weren't breastfeeding, a bra that lifted and compressed the breasts reduced discomfort during exercise, while the UK running guideline suggests support rather than compression. The Academy of Breastfeeding Medicine advises a well-fitting, supportive bra, based on lower-level evidence.
Sources 40, 41, 5