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Pregnancy exercise

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https://www.readbyqxmd.com/read/29447726/no-129-exercise-in-pregnancy-and-the-postpartum-period
#1
Gregory A L Davies, Larry A Wolfe, Michelle F Mottola, Catherine MacKinnon
OBJECTIVE: To design Canadian guidelines advising obstetric care providers of the maternal, fetal, and neonatal implications of aerobic and strength-conditioning exercises in pregnancy. OUTCOMES: Knowledge of the impact of exercise on maternal, fetal, and neonatal morbidity, and of the maternal measures of fitness. EVIDENCE: MEDLINE search from 1966 to 2002 for English language articles related to studies of maternal aerobic and strength conditioning in a previously sedentary population, maternal aerobic and strength conditioning in a previouslyactive population, impact of aerobic and strength conditioning on early and late pregnancy outcomes, and impact of aerobic and strength conditioning on neonatal outcomes, as well as for review articles and meta-analyses related to exercise in pregnancy...
February 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29447091/obesity-in-pregnancy-a-comparison-of-four-national-guidelines
#2
Dana Vitner, Kristin Harris, Cynthia Maxwell, M D Farine
BACKGROUND: Obesity in pregnancy has become one of the most important challenges in obstetrical care given its prevalence and potential adverse impact on both mother and fetus. The primary objective of this descriptive review is to identify common themes and distinctions within the current recommendations for maternal obesity in the most updated version of four published national guidelines. METHODS: We reviewed the following guidelines for obesity in pregnancy: American College of Obstetricians and Gynecologists (ACOG) 2015, Royal Australian and New Zealand College of Obstetricians and Gynecologists (RANZCOG) 2013, Royal College of Obstetrics and Gynecology (RCOG) 2010, and Society of Obstetrics and Gynecologists of Canada (SOGC) 2010...
February 15, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29443533/the-effects-of-a-yoga-exercise-and-nutritional-guidance-program-on-pregnancy-outcomes-among-healthy-pregnant-japanese-women-a-study-protocol-for-a-randomized-controlled-trial
#3
Masayo Matsuzaki, Momoko Kusaka, Takashi Sugimoto, Mie Shiraishi, Risa Kobayashi, Sachi Watanabe, Megumi Haruna
OBJECTIVES: This report provides an experimental protocol for a study designed to verify the effects of yoga exercise and a nutritional guidance program during pregnancy on several key pregnancy and birth outcomes among Japanese women. DESIGN: This is a study protocol of a randomized controlled trial. SETTING/LOCATION: This intervention will be carried out in a university hospital in Tokyo. SUBJECTS: Healthy primiparous women will be recruited at 18-23 gestational weeks in the hospital...
February 14, 2018: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/29433702/educating-nurses-to-screen-and-intervene-for-intimate-partner-violence-during-pregnancy
#4
Charlene Bermele, Pamela A Andresen, Susan Urbanski
Intimate partner violence (IPV) is a problem affecting women and families across the nation, and it has been associated with adverse pregnancy and birth outcomes. Here we describe how our team implemented an evidence-based protocol for the screening of pregnant women for IPV and case management for those experiencing violence. This protocol was implemented on an antepartum triage unit where nurses were educated on IPV, methods for screening pregnant women, and a brief intervention. Education included an online module and a live session with role-playing exercises...
February 2018: Nursing for Women's Health
https://www.readbyqxmd.com/read/29421161/therapies-for-gestational-diabetes-and-their-implications-for-maternal-and-offspring-health-evidence-from-human-and-animal-studies
#5
REVIEW
Gabriel M Brawerman, Vernon W Dolinsky
Obesity prior to and during pregnancy is associated with an increased risk of complications during pregnancy. One of the most common complications of pregnancy is gestational diabetes mellitus (GDM), a condition characterized by mild hyperglycemia and insulin resistance that is diagnosed in the third trimester of pregnancy. GDM predisposes both mothers and their children to increased obesity and cardiometabolic disorders, namely type 2 diabetes and cardiovascular disease. Current treatments include lifestyle changes and insulin injections, but oral anti-diabetic drugs such as metformin and glyburide are increasingly prescribed as they do not require injections...
February 5, 2018: Pharmacological Research: the Official Journal of the Italian Pharmacological Society
https://www.readbyqxmd.com/read/29410188/blunted-cerebral-oxygenation-during-exercise-in-women-with-gestational-diabetes-mellitus-associations-with-macrovascular-function-and-cardiovascular-risk-factors
#6
Evangelia Kintiraki, Konstantina Dipla, Areti Triantafyllou, Nikolaos Koletsos, Iris Grigoriadou, Pavlos Poulakos, Vasileios Sachpekidis, Ioannis S Vrabas, Andreas Zafeiridis, Eleni Bili, Stella Douma, Dimitrios G Goulis
AIM / HYPOTHESIS: This cross-sectional, observational, controlled study examined cerebral oxygenation during exercise, an index of cerebrovascular function and cortical activation, in pregnancies complicated by gestational diabetes mellitus (GDM) and unaffected pregnancies. The association of cerebral oxygenation with macrovascular and cardiovascular function indices was also evaluated. MATERIAL AND METHODS: Vascular function and structure [aortic pulse-wave-velocity (PWV), augmentation index (AI), carotid intima-media thickness], as well as 24-h ambulatory blood pressure (BP) were assessed in women with GDM (n = 21) and uncomplicated pregnancies (n = 16), at 26-32 gestational weeks...
February 1, 2018: Metabolism: Clinical and Experimental
https://www.readbyqxmd.com/read/29409025/effects-of-a-lifestyle-intervention-during-pregnancy-and-first-postpartum-year-findings-from-the-radiel-study
#7
Emilia Huvinen, Saila B Koivusalo, Jelena Meinilä, Anita Valkama, Aila Tiitinen, Kristiina RöNö, Beata Stach-Lempinen, Johan G Eriksson
Context: Women with a history of gestational diabetes (GDM) have a seven-fold risk of developing type 2 diabetes. Objective: To assess the effects of a lifestyle intervention during pregnancy and first postpartum year on glucose regulation, weight retention, and metabolic characteristics among women at high GDM risk. Design: In the Finnish Gestational Diabetes Prevention study trained study nurses provided lifestyle counselling in each trimester and 6 weeks, 6 and 12 months postpartum...
February 1, 2018: Journal of Clinical Endocrinology and Metabolism
https://www.readbyqxmd.com/read/29403592/management-of-retinal-diseases-in-pregnant-patients
#8
REVIEW
Julie M Rosenthal, Mark W Johnson
Pregnancy leads to significant changes in the body, which potentially affect the retina. Pregnancy can induce disease, such as that seen in hypertensive retinopathy and choroidopathy. It can cause exudative retinal detachments in the HELLP syndrome (hemolysis, elevated liver enzymes and low platelets), disseminated intravascular coagulation (DIC), and thrombotic thrombocytopenic purpura (TTP), and provoke arterial and venous retinal occlusive disease. Pregnancy may also exacerbate pre-existing retinal disease, such as idiopathic central serous chorioretinopathy (ICSC) and diabetic retinopathy...
January 2018: Journal of Ophthalmic & Vision Research
https://www.readbyqxmd.com/read/29394188/effects-of-resistance-training-on-fatigue-related-domains-of-quality-of-life-and-mood-during-pregnancy-a-randomized-trial-in-pregnant-women-with-back-pain
#9
Patrick J O'Connor, Mèlanie S Poudevigne, Kristen E Johnson, Juliana Brito de Araujo, Christie L Ward-Ritacco
OBJECTIVE: To test if the adoption of twice weekly, low-to-moderate intensity resistance training during weeks 22-34 of pregnancy can improve quality of life and mood. METHODS: A parallel group trial was conducted. Second trimester women (n=134) were randomly assigned to 12-weeks of wait list, bi-monthly pregnancy education classes, or twice weekly low-to-moderate intensity resistance training. Resistance training involved one abdominal exercise with no external load and five exercises (leg extension, leg press, arm lat pull, leg curl, and lumbar extension) with an external load that gradually progressed and the total active exercise time during each exercise session was ~17 minutes...
February 1, 2018: Psychosomatic Medicine
https://www.readbyqxmd.com/read/29380310/pregnancy-and-lactation-a-window-of-opportunity-to-improve-individual-health
#10
Guadalupe L Rodríguez-González, Diana C Castro-Rodríguez, Elena Zambrano
Human and animal studies indicate that obesity during pregnancy adversely impacts both maternal health and offspring phenotype predisposing them to chronic diseases later in life including obesity, dyslipidemia, type 2 diabetes mellitus, and hypertension. Effective interventions during human pregnancy and/or lactation are needed to improve both maternal and offspring health. This review addresses the relationship between adverse perinatal insults and its negative impact on offspring development and presents some maternal intervention studies such as diet modification, probiotic consumption, or maternal exercise, to prevent or alleviate the negative outcomes in both the mother and her child...
2018: Methods in Molecular Biology
https://www.readbyqxmd.com/read/29378980/the-prevalence-of-osteoporosis-among-antenatal-clinic-attendees-in-a-rural-mission-hospital-in-south-east-nigeria
#11
P O Ezeonu, U M Agwu, L O Ajah, I B O Dimejesi, L U Ogbonnaya, O U J Umeora, R C Onoh
INTRODUCTION: Osteoporosis is a global public health problem characterized by reduction of bone mineral density (BMD). This study aimed to assess the prevalence of osteoporosis among antenatal clinic attendees in a rural Southeastern hospital. MATERIAL AND METHODS: This was a cross-sectional study of booking Antenatal Clinic Attendees at Mile 4 Catholic Hospital, Abakaliki, between October 2014 and February 2015. The study participants were selected through systematic random sampling...
December 2017: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29378041/better-diet-quality-during-pregnancy-is-associated-with-a-reduced-likelihood-of-an-infant-born-small-for-gestational-age-an-analysis-of-the-prospective-new-hampshire-birth-cohort-study
#12
Jennifer A Emond, Margaret R Karagas, Emily R Baker, Diane Gilbert-Diamond
Background: Birth weight has a U-shaped relation with chronic disease. Diet quality during pregnancy may impact fetal growth and infant birth weight, yet findings are inconclusive. Objective: We examined the relation between maternal diet quality during pregnancy and infant birth size among women enrolled in a prospective birth cohort. Methods: Women 18-45 y old with a singleton pregnancy were recruited at 24-28 wk of gestation from prenatal clinics in New Hampshire...
January 1, 2018: Journal of Nutrition
https://www.readbyqxmd.com/read/29377552/cardiorespiratory-fitness-exercise-hemodynamics-and-birth-outcomes-the-coronary-artery-risk-development-in-young-adults-cardia-study
#13
Abbi D Lane-Cordova, Mercedes R Carnethon, Janet M Catov, Samantha Montag, Cora E Lewis, Pamela J Schreiner, Annie Dude, Barbara Sternfeld, Sylvia E Badon, Philip Greenland, Erica P Gunderson
OBJECTIVE: Determine associations of cardiorespiratory fitness, exercise systolic blood pressure (SBP), and heart rate recovery (HRR) following a maximal exercise test performed years preceding pregnancy with odds of preterm birth (PTB; <37 weeks gestation) and small for gestational age (SGA; birthweight <10th percentile) delivery. DESIGN: Prospective, longitudinal. SETTING: Multi-site, observational cohort study initially consisting of 2,787 Black and White women aged 18-30 at baseline (1985-86) and followed for 25 years (Y25; 2010-11)...
January 29, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29374871/-should-every-woman-after-labor-be-offered-pelvic-floor-physiotherapy
#14
REVIEW
Vered Eisenberg, Rachel Kafri
Pelvic floor damage can occur during pregnancy, during childbirth or post-partum, and may be expressed by symptoms such as urinary incontinence, fecal and gas incontinence, sexual dysfunction, pelvic organ prolapse and chronic pelvic pain. Some of the symptoms, which manifest later in a woman's life, will go unrecognized in the immediate postpartum period. Most women do not mention their general health, unless specifically asked. Physiotherapists, who are adept with the anatomy of the musculoskeletal system and the ability to diagnose unique differences, can aid in the diagnosis and treatment of postpartum pelvic floor problems...
January 2018: Harefuah
https://www.readbyqxmd.com/read/29370795/preparing-for-a-trial-to-test-a-postpartum-weight-retention-intervention-among-low-income-women-feasibility-of-a-protocol-in-a-community-based-organization
#15
Charmaine Wright, Marjie Mogul, Glamarys Acevedo, Jaya Aysola, Florence Momplaisir, Sandy Schwartz, Judy Shea
BACKGROUND: Postpartum weight retention (PPWR) causes intergenerational harm, negatively affecting a mother's cardiovascular health and ability to have future healthy pregnancies. Low-income minority women are at highest risk for PPWR with little guidance concerning timeline or strategy to lose weight after delivery. An academic-community partnership conducted observational and focus group work to develop an intervention for PPWR among low-income mothers. This study's objective is to determine the feasibility of implementing a PPWR intervention trial in partnership with a community-based organization (CBO) serving low-income families with social service support...
January 25, 2018: BMC Women's Health
https://www.readbyqxmd.com/read/29349433/popliteal-artery-entrapment-syndrome-presenting-as-acute-limb-ischemia-in-pregnancy
#16
William Sellers, Melissa Obmann, Shivprasad Nikam, Boyoung Song, David Mariner
Popliteal artery entrapment syndrome typically causes calf claudication in young active adults. Acute limb ischemia from popliteal artery thrombosis, embolization, or aneurysmal degeneration is less common. Chronic compression, histologic changes, and predisposing factors, such as vigorous exercise or hypercoagulability, play a role in these cases. We present the case of a 32-year-old pregnant woman with acute limb ischemia found to have popliteal artery thrombosis as a result of popliteal artery entrapment syndrome...
December 2017: Journal of Vascular Surgery Cases and Innovative Techniques
https://www.readbyqxmd.com/read/29346474/examining-non-participation-to-the-maternal-follow-up-within-the-danish-national-birth-cohort
#17
Mette Bliddal, Zeyan Liew, Anton Pottegård, Helene Kirkegaard, Jørn Olsen, Ellen A Nohr
A follow-up questionnaire on maternal health has been distributed within the Danish National Birth Cohort (established 1996-2002) 14 years after the index birth. Answers were obtained for 41,466 of 78,010 (53.2%) eligible mothers. To ensure the appropriate use of these data, the possibility of selection bias due to non-participation must be evaluated. We estimated four selected exposure-outcome associations (pre-pregnancy weight - depression; exercise - degenerative musculoskeletal conditions; smoking - heart disease; and alcohol consumption - breast cancer)...
January 16, 2018: American Journal of Epidemiology
https://www.readbyqxmd.com/read/29344750/physical-activity-and-consumption-patterns-of-reproductive-aged-women-by-bmi-category
#18
Jennifer K Bello, Debra B Stulberg, Ying Zhou, Chi Wang
Objectives Obesity before and during pregnancy is associated with adverse effects for mother and child, but little is known about physical activity and consumption patterns among reproductive-aged women. The goal of this study is to identify behaviors of nonpregnant reproductive-aged women associated with normal weight, overweight, and obesity. Methods Data from the nationally representative National Eating Trends survey (2003-2011) were analyzed, comparing number of days of exercise in a 1-week period and consumption of fruits/vegetables, sugar sweetened beverages (SSB), and concentrated sweets by BMI...
January 17, 2018: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/29344657/effects-of-hereditary-moderate-high-fat-diet-on-metabolic-performance-and-physical-endurance-capacity-in-c57bl-6-offspring
#19
Fang Liu, Guirong Zhang, Xue Sheng, Shang Liu, Meng Cui, Heyun Guo, Jianbin Xue, Lingyun Zhang
Obesity in pregnant women presents a risk to fetal health, leading to numerous metabolic syndromes and chronic inflammation risks. Previously, physical exercise was considered to be one of the primary treatments for obesity. However, the effect of fat consumption throughout the life cycle on physical endurance capacity remains unknown. A total of two groups of female mice (age, 6 weeks; C57BL/6J) were fed with a normal chow diet and a moderate high fat diet (MHFD), during pregnancy and lactation (8 weeks), with the offspring receiving the same diet as the mother...
January 16, 2018: Molecular Medicine Reports
https://www.readbyqxmd.com/read/29310803/smoothelins-and-the-control-of-muscle-contractility
#20
Megha Murali, Justin A MacDonald
Smooth muscle cells display distinctive expression and organization of contractile filament proteins, which reflect a unique method of contractile regulation. As the focus of this review, the smoothelin and smoothelin-like family members represent a family of poorly understood muscle proteins that appear to act as structural components of the contractile apparatus. The protein family is characterized by the presence a single C-terminal type-2 calponin homology (CH) domain. Often used as the preferred marker of differentiated contractile smooth muscle cells, smoothelin A and B (SMTN-A and SMTN-B) may influence the contractile potential of smooth muscle cells...
2018: Advances in Pharmacology
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