Respiratory Parameters and Exercise Functional Capacity in Preeclampsia

Silva, Evelise Guimarães da; Godoy, Irma; Antunes, Letícia Cláudia de Oliveira; Silva, Elaine Gomes da; Peraçoli, José Carlos

doi:10.3109/10641950902779271

Cited by 16 publications

(17 citation statements)

References 26 publications

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“…A total of 116 reports were excluded for reasons including no measure of any HDP or CRF, no normotensive comparison group, CRF not reported in relation to HDP, duplicate study population, or inappropriate study design ( Figure 1 ). Ten studies were included in the review [ 17 , 18 , 19 , 22 , 23 , 24 , 25 , 26 , 27 , 28 ] and five in the meta-analysis [ 17 , 19 , 22 , 23 , 28 ]. Manual citation searching of included articles and relevant systematic reviews yielded 65 additional references, of which 3 were included in our systematic review [ 29 , 30 , 31 ] (2 in the meta-analysis [ 29 , 31 ]).…”

Section: Resultsmentioning

confidence: 99%

“…Eight cohort studies [ 18 , 22 , 25 , 26 , 27 , 28 , 31 , 32 ], four RCTs [ 19 , 23 , 29 , 30 ], one cross-sectional study [ 24 ], and one non-randomized intervention study [ 17 ] were included ( Table 1 ). The number of included participants in each study ranged from 26 to 768, while the number of participants with GH/PE ranged from 3 to 139.…”

Section: Resultsmentioning

confidence: 99%

“…Estimated VO 2 max was measured in four studies [ 18 , 19 , 28 , 29 ], VO 2 peak in three studies [ 17 , 22 , 32 ] and VO 2 AT in one study [ 30 ]. Of those that did not measure VO 2 , two studies used a Balke treadmill test [ 26 , 28 ], one used a cycle ergometer test (pulse-rate-controlled submaximal 6 min exercise test with target heart rate ≥ 140 bpm) [ 31 ], and three used a walk or run test (6 min walk test, 4-m walk test, 2-mile walk or run test) [ 23 , 24 , 25 ]. CRF was examined before [ 18 , 27 ], during [ 19 , 23 , 24 , 28 , 29 , 30 , 31 ], and after [ 17 , 22 , 23 , 25 , 26 , 32 ] pregnancy in two, seven, and six studies, respectively (one study examined CRF both during pregnancy and postpartum [ 23 ]).…”

Section: Resultsmentioning

confidence: 99%

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Association between Cardiorespiratory Fitness and Hypertensive Disorders of Pregnancy: A Systematic Review and Meta-Analysis

Al-Huda

Shapiro

Davenport

et al. 2022

JCM

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Hypertensive disorders of pregnancy (HDP) are associated with future cardiovascular disease (CVD), which may be mediated by diminished cardiorespiratory fitness (CRF). In this systematic review and meta-analysis, we summarize evidence linking CRF with HDP before, during, and after pregnancy. We searched relevant databases to identify observational or randomized studies that measured CRF (VO2 max or peak, VO2 at anaerobic threshold, or work rate at peak VO2) in women with and without HDP. We pooled results using random effects models. Fourteen studies (n = 2406 women) reporting on CRF before, during, and after pregnancy were included. Before pregnancy, women who developed HDP had lower CRF (e.g., VO2max < 37 vs. ≥37 mL O2/min) than those without HDP (two studies, 811 women). VO2max at 14–18 weeks of pregnancy was marginally lower among women who developed preeclampsia vs. normotensive women (three studies, 275 women; mean difference 0.43 mL/kg/min [95% CI 0.97, 0.10]). Postpartum, there was a trend towards lower VO2peak in women with previous preeclampsia (three studies, 208 women; 0.26 mL/kg/min [−0.54, 0.02]). While exploratory, our findings raise the possibility that CRF can identify women at risk for HDP, and furthermore, that HDP confers a hit to a woman’s cardiorespiratory reserve.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Association between Cardiorespiratory Fitness and Hypertensive Disorders of Pregnancy: A Systematic Review and Meta-Analysis

Al-Huda

Shapiro

Davenport

et al. 2022

JCM

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“…Já foi evidenciado que os valores encontrados na avaliação da força muscular respiratória máxima em gestantes, quando comparadas com as não gestantes encontram-se diminuídos 7 . Entretanto, alguns estudos nos mostram que as pressões respiratórias não se alteram significativamente durante as gestações 12 . As justificativas para essas diferenças podem ocorrer pela diferença de um equipamento para o outro, pelo calibre do aparelho, o fato da gestante realizar alguma atividade física, e colaboração da participante com o teste.…”

Section: Discussionunclassified

Avaliação Da Força Muscular Respiratória E Sintomas De Dispneia Em Gestantes No Segundo Trimestre Gestacional

et al. 2020

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The purpose of the study was to evaluate respiratory muscle strength and dyspnea symptoms in healthy pregnant women in the second trimester of pregnancy. This is a descriptive study, in which seven pregnant women were forwarded to the university extension project of physical therapy in pregnant womenattended on SUS. An initial evaluation form was applied to collect personal and specific data related to gestation; the Borg scale based on some daily situations of the pregnant woman’s life for the subjective perception of effort and the manovacuometry test. The research showed that inspiratory and expiratory muscle forces were decreased in the second gestational trimester, also the situation of greater subjective perception of effort was to clean the house. We concluded that there wasa decrease in respiratory muscle strength and that it may be associated with dyspnea symptoms presented.

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“…Of the 10 tests on track, 6 articles performed the 6-minute walk test protocol [115][116][117][118][119][120], and…”

Section: Tests Usedmentioning

confidence: 99%

Assessing physical fitness during pregnancy: validity and reliability of fitness tests, and relationship with maternal and neonatal health-related outcomes. A systematic review

Romero‐Gallardo

Roldan-Reoyo

Castro‐Piñero

et al. 2021

Preprint

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Background: Physical fitness (PF) is a powerful marker of health throughout the lifespan. In pregnant women, higher PF is associated with better maternal and fetal health, better delivery outcomes and earlier postpartum recovery. The assessment of PF during pregnancy requires special considerations to preserve fetal and maternal health; thus, providing a compilation of the most frequently used fitness tests, and assessing their validity, reliability, and association with maternal and neonatal health-related outcomes is of scientific and clinical interest. Objectives: To systematically review studies evaluating one or more components of PF in pregnant women, to answer two research questions: 1) What fitness tests have been previously employed in pregnant women? and 2) What is the validity and reliability of these tests and their relationship with health-related outcomes? Data Sources: PubMed and Web of Science. Methods: Two independent reviewers systematically examined the articles in each database. The information from the included articles was summarized by a single researcher. Results: A total of 149 articles containing a sum of 191 fitness tests were included. Among the 191 fitness tests, 99 (i.e.,52%) assessed cardiorespiratory fitness through 75 different protocols, 28 (15%) assessed muscular fitness through 16 different protocols, 14 (7%) assessed flexibility through 13 different protocols, 45 (24%) assessed balance through 40 different protocols, 2 assessed speed with the same protocol and 3 were multidimensional tests using one protocol. A total of 19 articles with 23 tests (13%) assessed either validity (n=4), reliability (n=6), or the relationship of PF with health-related outcomes (n=16). Conclusion: PF during pregnancy has been assessed through a wide variety of protocols, mostly lacking validity and reliability data.

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Respiratory Parameters and Exercise Functional Capacity in Preeclampsia

Abstract: Preeclampsia showed significant alterations in the respiratory system and was associated with lower exercise tolerance; however, it did not affect respiratory muscle functions.

Cited by 16 publications

References 26 publications

Association between Cardiorespiratory Fitness and Hypertensive Disorders of Pregnancy: A Systematic Review and Meta-Analysis

Association between Cardiorespiratory Fitness and Hypertensive Disorders of Pregnancy: A Systematic Review and Meta-Analysis

Avaliação Da Força Muscular Respiratória E Sintomas De Dispneia Em Gestantes No Segundo Trimestre Gestacional

Assessing physical fitness during pregnancy: validity and reliability of fitness tests, and relationship with maternal and neonatal health-related outcomes. A systematic review

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