Influence of maternal physical exercise on fetal and maternal heart rate responses

Roldan-Reoyo, Olga; Peláez, Mireia; May, Linda E.; Barakat, Rubén

doi:10.1007/s12662-019-00582-5

Cited by 4 publications

(8 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…All interventions lasted at least 12 weeks. The studies were conducted in the following countries: Spain [4,5,17,20,21,26,[29][30][31][32][33][34]38,[40][41][42][43], Argentina [39], Norway [6,18,19,23,24,28,37], Brazil [12,22], Iran [25], USA [27], Egypt [35], India [36].…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

“…Only one study presented sessions with a duration of between 60 and 90 min. The intensity of the intervention was measured with Borg's scale remaining between 12 and 14, or with heart rate remaining at maximum values of 60% [5,31,33] or 70% [4]. One study used heart rate with women who reported a value higher than 14 on the Borg's Scale [29].…”

Section: Characteristics Of the Interventionsmentioning

confidence: 99%

“…The fetal heart rate recovery time is associated with moderate-intensity exercise during pregnancy [31].…”

mentioning

confidence: 99%

See 2 more Smart Citations

Can Group Exercise Programs Improve Health Outcomes in Pregnant Women? An Updated Systematic Review

Castro

Antunes

Mendes

et al. 2022

IJERPH

View full text Add to dashboard Cite

Current scientific evidence supports the recommendation to initiate or continue physical exercise in healthy pregnant women. Group exercise programs have positive effects on improving health, well-being, and social support. In 2015, a systematic review was provided to evaluate the evidence on the effectiveness of group exercise programs in improving pregnant women’s and newborns’ health outcomes and to assess the content of the programs. This review aims to update this knowledge between 2015 and 2020. The exercise program designs were analyzed with the Consensus of Exercise Reporting Template (CERT) model, the compliance with the current guidelines, and effectiveness in the maternal health and fitness parameters. Three databases were used to conduct literature searches. Thirty-one randomized control trials were selected for analysis. All studies followed a supervised group exercise program including aerobic, resistance, pelvic floor training, stretching, and relaxation sections. Group interventions during pregnancy improved health and fitness outcomes for the women and newborns, although some gaps were identified in the interventions. Multidisciplinary teams of exercise and health professionals should advise pregnant women that group exercise improves a wide range of health outcomes for them and their newborns.

show abstract

Section: Characteristics Of the Studiesmentioning

confidence: 99%

Section: Characteristics Of the Interventionsmentioning

confidence: 99%

See 1 more Smart Citation

Can Group Exercise Programs Improve Health Outcomes in Pregnant Women? An Updated Systematic Review

Castro

Antunes

Mendes

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…Specifically, to obtain a minimum difference in SV of 5.08 ml with a standard deviation of 12.79 ml, a power of 80% and a confidence of 95%, 34 participants were required per group. Assuming a 30% loss to follow-up per group (51), the final target sample size was a minimum of 44 participants per group.…”

Section: Methodsmentioning

confidence: 99%

“…Maternal haemodynamic and cardiovascular measurements were initially performed throughout a five-minute period of seated rest. This resting period was used to calculate target HR zones for the subsequent exercise test of between 40% to 60% of heart rate reserve (HRR) for individuals using the Karvonen formula (51,55): Where resting HR was calculated via the arithmetic average of maternal resting HR observed every 30 seconds during the seated resting stage, max HR was calculated using the equation developed by Tanaka, et al (75) for healthy individuals, and work intensity was either 0.4 or 0.6 to calculate 40% or 60% of HRR (maxHR-restingHR) , respectively.…”

Section: Methodsmentioning

confidence: 99%

The Physical Exercise and Cardiovascular Adaptation Monitoring in Pregnancy (PE-CAMP) Randomised Controlled Trial Protocol

Roldan-Reoyo

Mackintosh

McNarry

et al. 2022

Preprint

Self Cite

View full text Add to dashboard Cite

Background Exercise can be beneficial to cardiovascular system function, but its influence during pregnancy is less well understood. Heterogeneity in research studies has led to a lack of consensus on whether physical exercise during pregnancy can elicit cardiovascular adaptations during a period in which the cardiovascular system is already being challenged. Furthermore, little research has been conducted regarding the influence of physical exercise on foetal heart rate (FHR). This paper presents the protocol for a randomised controlled trial which will evaluate the influence of supervised antenatal physical exercise on cardiovascular adaptations during and after pregnancy, as well as the FHR response to acute and chronic maternal exercise. Methods: The PE-CAMP Study (Physical Exercise and Cardiovascular Adaptation Monitoring in Pregnancy) is a randomised controlled trial (RCT) in which pregnant women will be randomised into an intervention group (INT), which attended supervised physical exercise programme up to three days per week, or a comparison group (COMP) which followed standard health care. All participants were assessed at three time-points i) 18-22 weeks pregnant, time-point 1; ii) 33-37 weeks pregnant, time-point 2; and iii) 12-16 weeks postnatal, time-point 3. A standardised experimental protocol was used for data collection, including body composition assessment, upper-body flexibility and strength assessment, physical activity assessment via questionnaires and acceletometry, and haemodynamic and cardiovascular evaluation before, during and after an acute 10-minute exercise bout. Foetal heart rate will be assessed at the time-point 2 before, during and after acute exercise. Discussion: Although it is necessary and informative to continue investigating the effects of exercise on maternal cardiac and haemodynamic responses using specific laboratory-based tests, it is also critical to evaluate these influences during activities that are more achievable and realistic for pregnant women. The PE-CAMP study will provide data on the cardiac and haemodynamic responses to a typical acute bout of exercise, which could help inform future decisions and policies on maternal exercise prescription made by maternity healthcare providers and exercise professionals.

show abstract

Comparative effect of different types of physical exercise and intensity levels on low birth weight: A systematic review and network meta-analysis

Díaz-Goñi,

Cavero-Redondo,

Bizzozero-Peroni

et al. 2024

Womens Health (Lond Engl)

View full text Add to dashboard Cite

Background: Low birth weight (LBW) has been established as a major determinant of neonatal mortality and morbidity. However, there is no evidence of the effectiveness of different types of physical exercise (PE) at different intensities during pregnancy to prevent LBW. Objectives: To compare the effectiveness of different types of PE at different levels of intensity in pregnant women to prevent LBW. Design: A systematic review and network meta-analysis was performed according to the guidelines of the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols for Network Meta-Analysis extension statement. Data Sources and Methods: We searched the PubMed, Cochrane Central Register of Controlled Trials, Scopus, and Web of Science databases from inception to November 2023. We included randomized controlled trials (RCTs). A random effects method was used to calculate the pooled mean difference (MD). The effect of each intervention was calculated using a network meta-analysis with a frequentist perspective. Results: Forty-three RCTs were included in the systematic review, and 38 RCTs were included in the network meta-analysis. In the general population, although no significant results, the MDs for light-moderate strength, moderate-vigorous strength, and moderate-vigorous Pilates exercises were favorable for preventing LBW. Furthermore, moderate-vigorous strength exercise was effective to prevent LBW, reporting significant MD compared to control groups in the healthy population (310.00, 95% confidence interval: 78.40, 541.60; I2 = 81.3%). Conclusion: Strength exercises at a moderate-vigorous intensity could be a potential strategy for the prevention of LBW in the healthy population. However, our findings should be interpreted with caution because the overall risk of bias was between “some concerns” and “high,” and the overall certainty of the evidence was low. Registration: PROSPERO CRD42023401770.

show abstract

Influence of maternal physical exercise on fetal and maternal heart rate responses

Cited by 4 publications

References 33 publications

Can Group Exercise Programs Improve Health Outcomes in Pregnant Women? An Updated Systematic Review

Can Group Exercise Programs Improve Health Outcomes in Pregnant Women? An Updated Systematic Review

The Physical Exercise and Cardiovascular Adaptation Monitoring in Pregnancy (PE-CAMP) Randomised Controlled Trial Protocol

Comparative effect of different types of physical exercise and intensity levels on low birth weight: A systematic review and network meta-analysis

Contact Info

Product

Resources

About