Benefits of exercise in the prenatal and postnatal period

Česká verze

Authors: D. Líška ¹; J. Záhumenský ²
Authors place of work: Univerzita Mateja Bela, Filozofická Fakulta telesnej výchovy a športu, Banská Bystrica ¹; II. Gynekologicko pôrodnícka klinika LF UK a UNB, Nemocnica Ružinov ²
Published in the journal: Ceska Gynekol 2020; 85(4): 288-292
Category: Přehledový článek

Summary

Aim: The main aim of the article is find benefits of exercise during and after pregnancy.

Study type: Review article.

Methods: Search for meta-analyzes and system reports in PubMed, JCR, Medline, Scopus databases.

Result: Regular exercise is associated with a lower risk of macrosomy and caesarean section during childbirth. Depression is a common complication in the prenatal and postnatal period due to increased stress and insufficient social support. Exercise is a potential non-pharmacological therapy. Regular exercise is also associated with lowering blood glucose and improving insulin sensitivity. To optimize weight and overweight, exercise is one of the main parts of treatment. Another therapeutic possibility of using the exercise is to influence the pain in the lumbosacral area and also the pain in the pelvic area. Another variant of exercises are exercises to strengthen the pelvic floor. Exercise of the pelvic floor muscles in the perinatal period is an effective method for preventing postpartum urinary incontinence.

Conclusion: Exercise is an important part of therapy in the prenatal and postnatal period.

Keywords:

exercise – cardiovascular system – urinary incontinence – depression – gestational diabetes mellitus

Zdroje

1. Babbar, S., Porter, BW., Williams, KB. The Impact of Prenatal Yoga on Exercise Attitudes and Behavior: Teachable moments from a Randomized Controlled Trial. Int J Yoga Therap, 2017, 27(1), p. 37–48. doi:10.17761/1531-2054-27.1.37.

2. Bartáková, V., Ťápalová, V., Wágnerová, K., et al. Pacientky s obezitou, hypertenzí a nutností aplikace inzulinu při diagnóze gestační diabetes mellitus vyžadují zvýšenou porodnickou péči. Čes Gynek, 2017, 82, 1 s. 16–23.

3. Davies, GAL., Wolfe, LA., Mottola, MF., MacKinnon, C. No. 129-exercise in pregnancy and the postpartum period. J Obstet Gynaecol Canada, 2018, 40(2), e58–e65. doi:10.1016/j.jogc.2017.11.00.1.

4. Davenport, MH., Yoo, C., Mottola, MF., et al. Effects of prenatal exercise on incidence of congenital anomalies and hyperthermia: a systematic review and meta-analysis. Br J Sports Med, 2019, 53(2), p. 116–123. doi:10.1136/bjsports-2018-099653.

5. Davenport, MH., Meah, VL., Ruchat, SM., et al. Impact of prenatal exercise on neonatal and childhood outcomes: a systematic review and meta-analysis. Br J Sports Med, 2018, 52(21), p. 1386– 1396. doi:10.1136/bjsports-2018-099836.

6. Davenport, MH., Marchand, AA., Mottola, MF., et al. Exercise for the prevention and treatment of low back, pelvic girdle and lumbopelvic pain during pregnancy: a systematic review and meta-analysis. Br J Sports Med, 2019, 53(2), p. 90–98. doi:10.1136/ bjsports.2018-099400.

7. Davenport, MH., McCurdy, AP., Mottola, MF., et al. Impact of prenatal exercise on both prenatal and postnatal anxiety and depressive symptoms: a systematic review and meta-analysis. Br J Sports Med, 2018, 52(21), p. 1376-1385. doi:10.1136/bjsports-2018-099697.

8. Davenport, MH., Mottola, MF., et al. Effects of prenatal exercise on fetal heart rate, umbilical and uterine blood flow: a systematic review and meta-analysis. Br J Sports Med, 2019, 53(2), p. 124–133. doi:10.1136/bjsports-2018-099822

9. Davenport, MH., Sobierajski, F., Mottola, MF., et al. Glucose responses to acute and chronic exercise during pregnancy: a systematic review and meta-analysis. Br J Sports Med, 2018, 52(21), p. 1357-1366. doi:10.1136/bjsports-2018-099829.

10. Du, MC., Ouyang, YQ., Nie, XF., et al. Effects of physical exercise during pregnancy on maternal and infant outcomes in overweight and obese pregnant women: A meta-analysis. Birth, 2019, 46(2), p. 211-221. doi:10.1111/birt.12396.

11. Cai, C., Ruchat, SM., Sivak, A., Davenport, MH. Prenatal exercise and cardiorespiratory health and fitness: A meta-analysis [published online ahead of print, 2020 Jan 17]. Med Sci Sports Exerc, 2020, 10.1249/MSS.0000000000002279. doi:10.1249/ MSS.0000000000002279.

12. Corrigan, L., Eustace-Cook, J., Moran, P., Daly, D. The effectiveness and characteristics of pregnancy yoga interventions: a systematic review protocol. HRB Open Res, 2020, 2, p. 33. doi:10.12688/hrbopenres.12967.2.

13. Gong, H., Ni, C., Shen, X., et al. Yoga for prenatal depression: a systematic review and meta-analysis. BMC Psychiatry. 2015, 15, p. 14. doi:10.1186/s12888-015-0393-1.

14. Hoffmann, J., Günther, J., Geyer, K., et al. Associations between prenatal physical activity and neonatal and obstetric outcomes – a secondary analysis of the cluster-randomized gelis trial. J Clin Med, 2019, 8(10), p. 1735. doi:10.3390/jcm810173514.

15. Holaňová, R., Hegedüsová, K., Gärtner, M., Krhut, J. Srovnání efektu individuální a skupinové fyzioterapie u pacientek s močovou inkontinencí. Rehabil fyz Lék, 22, 2015(1), s. 22–25.

16. Juráková, M., Huser, M., Szabová, O., et al. Chirurgická léčba stresové inkontinence moči u žen – od jehel až k (mini)pásce Čes Gynek, 2017, 82(1), s. 65–67.

17. Kehler, AK., Heinrich, KM. A selective review of prenatal exercise guidelines since the 1950s until present: Written for women, health care professionals, and female athletes. Women Birth, 2015, 28(4), p. e93-e98. doi:10.1016/j.wombi.2015.07.004.

18. Krejčí, H., Andělová, K., Anderlová, K., et al. Gestační diabetes mellitus. Mezioborová spolupráce. Čes Gynek, 2018, 83, 5 s. 397–406.

19. Liddle, SD., Pennick, V. Interventions for preventing and treating low-back and pelvic pain during pregnancy. Cochrane Database Syst Rev. 2015, 2015(9):CD001139. doi:10.1002/14651858. CD001139.pub4.

20. Martan, A., Mašata, J., Švabík K. Management recidivující stresové inkontinence moči po selhání efektu antiinkontinentních operací. Čes Gynek, 2017, 82(1), s. 59–64.

21. McMillan, AG., May, LE., Gaines, GG., et al. effects of aerobic exercise during pregnancy on 1-month infant neuromotor skills. Med Sci Sports Exerc, 2019, 51(8), p. 1671–1676. doi:10.1249/ MSS.0000000000001958.

22. Mottola, MF. Components of exercise prescription and pregnancy. Clin Obstet Gynecol, 2016, 59(3), p. 552-558. doi:10.1097/ GRF.0000000000000207.

23. Mottola, MF, Nagpal, TS, Bgeginski, R., et al. Is supine exercise associated with adverse maternal and fetal outcomes? A systematic review. Br J Sports Med, 2019, 53(2), p. 82-89. doi:10.1136/ bjsports-2018-099919.

24. Mrosková, S., Schlosserová, A, Žultáková, S. Úzkosť tehotných žien – význam, rizikové faktory, dôsledky. Prakt Lék, 2020, 100(2), p. 55–58.

25. Němec, M., Horčička, L., Krofta, L., et al. Anatomie a biomechanika musculus levator ani. Čes Gynek, 2019, 84(5), s. 393–397.

26. Poděbradská, R., Šarmírová, M., Janura, M., et al. Vliv fyzioterapeutických postupů na zatížení plosky a bolesti zad v těhotenství. Čes Gynek, 2019, 84(6), s. 450–457.

27. Rong, L., Dai, LJ., Ouyang, YQ. The effectiveness of prenatal yoga on delivery outcomes: A meta-analysis. Complement Ther Clin Pract, 2020, 39, p. 101157. doi:10.1016/j.ctcp.2020.101157

28. Russo, LM., Nobles, C., Ertel, KA., et al. Physical activity interventions in pregnancy and risk of gestational diabetes mellitus: a systematic review and meta-analysis. Obstet Gynecol, 2015, 125(3), p. 576-582. doi:10.1097/AOG.0000000000000691.

29. Sánchez-García, JC., Aguilar Cordero, MJ., MenorRodríguez, MJ., et al. Influencia del ejercicio físico en la evolución del peso gestacional y posparto. Ensayo clínico aleatorizado [Influence of exercise on weight gain during pregnancy. Randomized clinical trial]. Nutr Hosp, 2019, 36(4), p. 931-938. doi:10.20960/nh.02456.

30. Szumilewicz, A., Kuchta, A., Kranich, M., et al. Prenatal high- -low impact exercise program supported by pelvic floor muscle education and training decreases the life impact of postnatal urinary incontinence: A quasiexperimental trial. Medicine (Baltimore). 2020, 99(6), p. e18874. doi:10.1097/MD.0000000000018874.

31. Šebela, A., Hanka, J., Mohr, P. Diagnostika a moderní trendy v terapii poporodní deprese. Čes Gynek, 2019, 84(1), s. 68–72.

32. Šorfová, M., Tlapáková, E., Matějková, A. Funkce svalu pánevního dna ve vztahu k poloze těla. Rehabilitácia, 2017, 54, 1.

33. Vašek, P., Gärtner, M., Szabová, O., Juráková, M. Močová inkontinence v těhotenství. Čes Gynek, 2019, 84(1), s. 73–76.

34. Wiebe, HW., Boulé, NG., Chari, R., Davenport, MH. The effect of supervised prenatal exercise on fetal growth: a meta-analysis. Obstet Gynecol. 2015, 125(5), p. 1185-1194. doi:10.1097/ AOG.0000000000000801.