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Pregnancy And Exercise

Serdar Kesikburun, Ümüt Güzelküçük, Ulaş Fidan, Yasin Demir, Ali Ergün, Arif Kenan Tan
Background: Pregnancy-induced hormonal and physiologic changes increase the risk of musculoskeletal problems in pregnancy. The purpose of this report is to provide a comprehensive look at the musculoskeletal pain and symptoms experienced during pregnancy. Methods: A total of 184 women (mean age 30.9 ± 5.0 years) who gave birth in the obstetrics clinic of a tertiary hospital were included in the study. The participants who had given birth at 37-42 weeks of pregnancy (term pregnancy) and aged over 18 years were selected for participation...
December 2018: Therapeutic Advances in Musculoskeletal Disease
Ingrid Guerra Azevedo, Saionara Maria Aires da Câmara, Catherine McLean Pirkle, Álvaro Campos Cavalcanti Maciel, Elizabel de Souza Ramalho Viana
OBJECTIVE: Previous studies show that multiparity and a number of chronic conditions are correlated among women. Also, low respiratory muscle strength has been associated to adverse health outcomes such as chronic lung disease and early mortality. This study aimed to investigate associations between the number of lifetime pregnancies and maximal inspiratory/expiratory pressures. METHODS: In a cross-sectional study, 204 women ages 41-80 years-old, from the rural community of Santa Cruz, Brazil, provided data regarding demographics, socioeconomic characteristics, health behaviors, and number of lifetime pregnancies (≤3, 4-6 or ≥7)...
2018: PloS One
Dimitra Savvaki, Eleftheria Taousani, Dimitrios G Goulis, Efrosini Tsirou, Evangelia Voziki, Helen Douda, Nikolaos Nikolettos, Savvas P Tokmakidis
OBJECTIVE: Τo summarize and present the main guidelines for exercise during normal pregnancy and pregnancy complicated by gestational diabetes mellitus (GDM). METHODS: Relevant guidelines were retrieved through the electronic databases PubMed (MEDLINE), CENTRAL (Cochrane), and Embase; reference sections of the retrieved publications; proceedings of the main congresses in the field; and websites of relevant organizations published during the years 2000-2018. RESULTS: All guidelines recommend aerobic training from 60 to 150 min/week, with an upper limit of 30 min/day...
December 3, 2018: Hormones: International Journal of Endocrinology and Metabolism
S A Durward-Akhurst, N E Schultz, E M Norton, A K Rendahl, H Besselink, P A Behnisch, A Brouwer, R J Geor, J R Mickelson, M E McCue
Equine Metabolic Syndrome (EMS) is characterized by abnormalities in insulin regulation, increased adiposity and laminitis, and has several similarities to human metabolic syndrome. A large amount of environmental variability in the EMS phenotype is not explained by commonly measured factors (diet, exercise, and season), suggesting that other environmental factors play a role in EMS development. Endocrine disrupting chemicals (EDCs) are associated with metabolic syndrome and other endocrine abnormalities in humans...
November 26, 2018: Chemosphere
Jeanette L Kaiser, Rachel M Fong, Davidson H Hamer, Godfrey Biemba, Thandiwe Ngoma, Brittany Tusing, Nancy A Scott
To reduce maternal mortality, countries must continue to seek ways to increase access to skilled care during pregnancy and delivery. In Zambia, while antenatal attendance is high, many barriers exist that prevent women from delivering with a skilled health provider. This study explores how the individuals closest to a pregnant woman in rural Zambia can influence a woman's decision to seek and her ability to access timely maternity care. At four rural health centers, a free listing (n = 167) exercise was conducted with mothers, fathers, and community elders...
November 9, 2018: Social Science & Medicine
Angelyn Chen Yin Lua, Choon How How, Thomas F J King
Polycystic ovary syndrome (PCOS) presents with a spectrum of conditions resulting from androgen excess, anovulation and metabolic syndrome. Patients with PCOS may see their primary care physicians for various presentations, including hirsutism, acne, menstrual irregularities, infertility, obesity, and psychiatric disorders such as anxiety and depression. Management of these patients should include screening for Type 2 diabetes mellitus, dyslipidaemia and hypertension. Treatment should be targeted to each patient's phenotype and personal expectations such as desire for pregnancy...
November 2018: Singapore Medical Journal
Britt Stuge
BACKGROUND: Pregnancy-related low back pain (LBP) and pelvic girdle pain (PGP) have been associated with an alteration in the strategy for lumbopelvic stabilization. Different core stabilization approaches exist, the evidence is however controversial. METHODS: This paper discusses how to improve the evidence of exercises for women suffering from LBP and PGP during and after pregnancy. Exercises should be understood in a context, where the bio-psycho-social perspective directs the prescription of exercises, targeting both psychological and physical factors...
November 17, 2018: Brazilian Journal of Physical Therapy
Ruben Barakat, Ignacio Refoyo, Javier Coteron, Evelia Franco
BACKGROUND: Excessive gestational weight gain is associated with several adverse events and pathologies during pregnancy. OBJECTIVE: The purpose of this study was to examine the effects of an exercise program throughout pregnancy on maternal weight gain and prevalence of gestational diabetes. METHOD: A randomized controlled trial was designed that included an exercise intervention group (EG) and standard care control group (CG). The exercise intervention included moderate aerobic exercise performed three days per week (50-55minutes per session) for 8-10 weeks to 38-39 weeks gestation...
November 17, 2018: Brazilian Journal of Physical Therapy
Nolwenn Lagadec, Magali Steinecker, Amar Kapassi, Anne Marie Magnier, Julie Chastang, Sarah Robert, Nadia Gaouaou, Gladys Ibanez
BACKGROUND: Pregnancy is a period of transition with important physical and emotional changes. Even in uncomplicated pregnancies, these changes can affect the quality of life (QOL) of pregnant women, affecting both maternal and infant health. The objectives of this study were to describe the quality of life during uncomplicated pregnancy and to assess its associated socio-demographic, physical and psychological factors in developed countries. METHODS: A systematic review was performed according to the PRISMA guidelines...
November 23, 2018: BMC Pregnancy and Childbirth
Elpida Vounzoulaki, Konstantina Dipla, Evangelia Kintiraki, Areti Triantafyllou, Iris Grigoriadou, Nikolaos Koletsos, Andreas Zafeiridis, Dimitrios G Goulis, Stella Douma
OBJECTIVE: This pilot, prospective, observational, cohort study aimed to examine, for the first time, the in vivo alterations in the oxygenation of the forearm skeletal muscles and the prefrontal lobes during intermittent exercise in women diagnosed with gestational diabetes mellitus (GDM), during and after pregnancy. STUDY DESIGN: Nine pregnant women, diagnosed with GDM, performed a 3-min intermittent handgrip exercise protocol (at 35% of Maximal Voluntary Contraction) during pregnancy (mean 27th gestational week) and following labor (mean 71 weeks)...
November 14, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Erin Clark, Christy Isler, Diana Strickland, Amy Gross McMillan, Xiangming Fang, Devon Kuehn, Srikanth Ravisankar, Cody Strom, Linda E May
BACKGROUND: Maternal BMI, lipid levels (cholesterol, triglyceride, LDL, HDL), and exercise amount are interrelated and each influence offspring body size. This study proposed to determine the influence of exercise on maternal lipid levels and infant body size. METHODS: We had 36 participants complete these measures. Participants in the aerobic exercise intervention (n = 14) completed three 50-min sessions weekly from 16 weeks gestation to delivery and were compared with a non-exercise control group (n = 22)...
November 21, 2018: International Journal of Obesity: Journal of the International Association for the Study of Obesity
Ismat Ghanem, Maroun Rizkallah
PURPOSE OF REVIEW: Provide primary care physicians with the best available evidence to support answers to frequently asked questions by caregivers of patients with adolescent idiopathic scoliosis (AIS). RECENT FINDINGS: A review of best available evidence shows that schoolbag design and weight are not associated with higher odds of developing AIS. However, patients with AIS are more prone to balance problems with asymmetric backpack carrying and with rising weights...
November 15, 2018: Current Opinion in Pediatrics
Christos A Venetis
In this issue of the journal a remote federated individual level meta-analysis evaluates the association between maternal exercise during pregnancy and infant birth weight (BJOG xxxx). The findings are interesting since the authors conclude that physical activity in late, but not early, pregnancy is consistently associated with modestly lower risk of large-for-gestational-age (LGA) and macrosomia, but not small-for-gestational-age (SGA). As with any study though, it is important to understand that the generalizability of the results is determined by the type of population analysed...
November 20, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
Charles J Glueck, Naila Goldenberg
Polycystic ovary syndrome (PCOS) has multiple etiologies including ovarian and adrenal hyperandrogenism, neuro-endocrine and hypothalamic-pituitary dysfunction, and disorders of peripheral insulin resistance. Obesity is neither necessary nor sufficient for the PCOS phenotype, and the association of PCOS with obesity is not universal, with national, cultural, and ethnic differences. Obesity, particularly visceral adiposity which is common in obese and non-obese women with PCOS, amplifies and worsens all metabolic and reproductive outcomes in PCOS...
November 13, 2018: Metabolism: Clinical and Experimental
Cátia Liliana Martins Ferreira, Cláudia Maria Lopes Guerra, Ana Isabel Teixeira Jesus Silva, Helena Rafaela Vieira do Rosário, Maria Beatriz Ferreira Leite de Oliveira Pereira
OBJECTIVE:  To access the benefits or harms of an exercise program, based on the current American College of Obstetricians and Gynecologists guidelines, on the mode of delivery, duration and onset of labor. METHODS:  A study performed at the Hospital Senhora da Oliveira between October 2015 and February 2017. This was a quasi-experimental study involving 255 women divided into two groups: an intervention group engaged in a controlled and supervised exercise program during pregnancy ( n  = 99), and a control group that did not participate in the exercise program ( n  = 156)...
November 14, 2018: Revista Brasileira de Ginecologia e Obstetrícia
Michael S Wilkes, Patricia A Conrad, Jenna N Winer
Physicians and veterinarians are increasingly expected to collaborate across disciplines; however, in most cases their education and training remain isolated within their respective professions. Medical and veterinary students are rarely provided with opportunities for inter-professional learning during their coursework and clinical training. One Health serves as an ideal framework for developing problem-focused curricula that promote inter-professional teamwork. One Health issues (e.g., zoonotic diseases, water pollution, toxic waste, impact of climate change, food safety and security) not only engage students across disciplines, but require faculty and senior leadership across various health-related fields to share knowledge and balance perspectives throughout curriculum development and implementation...
November 12, 2018: Journal of Veterinary Medical Education
Lucas D McGee, Carly A Cignetti, Amelia Sutton, Lorie Harper, Candice Dubose, Sara Gould
Purpose Obesity and excessive weight gain during pregnancy is a growing problem, conferring severe health risks for both mother and fetus. Exercise can help combat this epidemic. However, many pregnant women are not meeting the American Congress of Obstetricians and Gynecologists' (ACOG's) 2015 guidelines for exercise during pregnancy. The objective of this study was to evaluate obstetricians' beliefs and recommendations regarding exercise during pregnancy compared to ACOG's 2015 recommendations. Method Obstetricians were recruited via three different forums to complete a twenty-question survey: at a regional conference for Alabama and Mississippi ACOG members, at the University of Alabama at Birmingham's Obstetrics and Gynecology Department's Grand Rounds, and via telephone...
August 25, 2018: Curēus
Nigar Celik, Senay Unsal Atan
OBJECTIVE: To examine weight retention and affecting factors among 12-18 months postpartum women.. METHODS: The descriptive cross-sectional study was conducted from January 1 to June 30, 2012 at Gazikent 3rd Primary Health Care Centre, Izmir, Turkey, and comprised pregnant women registered with the centre in their 12-18 months postpartum phase. Data was collected using Mother Introduction Form and International Physical Activity Questionnaire-Short Form. SPSS 15 was used for data analysis...
November 2018: JPMA. the Journal of the Pakistan Medical Association
Palee Myrex, Lorie Harper, Sara Gould
It is well established that exercise has numerous health benefits, especially in regard to weight management for the obese and overweight population. However, there is limited data to support the safety or effects of exercise in the obese and overweight pregnant population despite the fact that exercise and weight management in this demographic is particularly important. In an effort to establish the safety profile of exercise during pregnancy in this population, we tested the hypothesis that exercise would not result in adverse birth outcomes...
November 3, 2018: Sports
Barnabas Gellen, Laurent A Messonnier, Frédéric Galactéros, Etienne Audureau, Angèle N Merlet, Thomas Rupp, Sandrine Peyrot, Cyril Martin, Léonard Féasson, Pablo Bartolucci
BACKGROUND: Exercise could be a triggering factor for vaso-occlusive crises in patients with sickle-cell disease. We aimed to investigate whether a patient-adapted training programme of moderate endurance exercise could be safe and beneficial for patients with sickle-cell disease. METHODS: We did a multicentre, prospective, open-label, randomised controlled trial at four university hospitals in France. Eligible patients were older than 18 years, with an HbSS or S/β0 -thalassaemia genotype, and with no severe chronic complications...
November 2018: Lancet Haematology
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