Maternal cardiac adaptations to a physical exercise program during pregnancy

Medicine and Science in Sports and Exercise

Volumn 48, Issue 5, 2016, Pages 896-906

  Perales, María ^a,b   Santos Lozano, Alejandro ^a,c   Sanchis Gomar, Fabian ^a   Luaces, María ^d   Pareja Galeano, Helios ^a,e   Garatachea, Nuria ^a,f   Barakat, Rubén ^b   Lucia, Alejandro ^a,e  

^a Research Institute Hospital 12 de Octubre ^*  (Spain)

^b UNIVERSIDAD POLITÉCNICA DE MADRID   (Spain)

^c EUROPEAN UNIVERSITY MIGUEL DE CERVANTES   (Spain)

^d HOSPITAL CLÍNICO SAN CARLOS   (Spain)

^e UNIVERSIDAD EUROPEA DE MADRID   (Spain)

^f UNIVERSITY OF ZARAGOZA   (Spain)

Author keywords

ANTENATAL DEPRESSION; ECHOCARDIOGRAPHY; GESTATION; GESTATIONAL DIABETES MELLITUS; HYPERTENSION; PHYSICAL ACTIVITY

Indexed keywords

ADULT; CARDIOVASCULAR DISEASES; CARDIOVASCULAR FUNCTION; CONTROLLED STUDY; DEPRESSION; ECHOCARDIOGRAPHY; EXERCISE; FEMALE; HEART ATRIUM REMODELING; HEART LEFT VENTRICLE FUNCTION; HEART VENTRICLE REMODELING; HEMODYNAMICS; HUMAN; PHYSIOLOGY; PREGNANCY; PREGNANCY OUTCOME; RANDOMIZED CONTROLLED TRIAL; RISK FACTOR; WEIGHT GAIN;

ADULT; ATRIAL REMODELING; CARDIOVASCULAR DISEASES; CARDIOVASCULAR PHYSIOLOGICAL PHENOMENA; DEPRESSION; ECHOCARDIOGRAPHY; EXERCISE; FEMALE; HEMODYNAMICS; HUMANS; PREGNANCY; PREGNANCY OUTCOME; RISK FACTORS; VENTRICULAR FUNCTION, LEFT; VENTRICULAR REMODELING; WEIGHT GAIN;

EID: 84951310626     PISSN: 01959131     EISSN: 15300315     Source Type: Journal    
DOI: 10.1249/MSS.0000000000000837     Document Type: Article

References (38)

1. ACOG Committee Obstetric Practice. ACOG Committee opinion. Number 267, January 2002: exercise during pregnancy and the postpartum period. Obstet Gynecol. 2002; 99: 171-3.
2. Amezcua-Prieto C, Olmedo-Requena R, Jiménez-Mejías E, Mozas-Moreno J, Lardelli-Claret P, Jiménez-Moleón JJ,. Factors associated with changes in leisure time physical activity during early pregnancy. Int J Gynaecol Obstet. 2013; 121 (2): 127-31.
3. Ballo P, Mondillo S, Guerrini F, Barbati R, Picchi A, Focardi M,. Midwall mechanics in physiologic and hypertensive concentric hypertrophy. J Am Soc Echocardiogr. 2004; 17 (5): 418-27.
4. Bamfo JE, Kametas NA, Nicolaides KH, Chambers JB,. Reference ranges for tissue Doppler measures of maternal systolic and diastolic left ventricular function. Ultrasound Obstet Gynecol. 2007; 29 (4): 414-20.
5. Barakat R, Pelaez M, Lopez C, Lucia A, Ruiz JR,. Exercise during pregnancy and gestational diabetes-related adverse effects: a randomised controlled trial. Br J Sports Med. 2013; 47 (10): 630-6.
6. Barakat R, Ruiz JR, Rodríguez-Romo G, Montejo-Rodríguez R, Lucia A,. Does exercise training during pregnancy influence fetal cardiovascular responses to an exercise stimulus? Insights from a randomised, controlled trial. Br J Sports Med. 2010; 44 (10): 762-4.
7. Carney RM, Freedland KE,. Depression, mortality, and medical morbidity in patients with coronary heart disease. Biol Psychiatry. 2003; 54 (3): 241-7.
8. Christian LM,. Physiological reactivity to psychological stress in human pregnancy: current knowledge and future directions. Prog Neurobiol. 2012; 99 (2): 106-16.
9. Claesson IM, Sydsjö G, Brynhildsen J, Weight gain restriction for obese pregnant women: a case-control intervention study. BJOG. 2008; 115 (1): 44-50.
10. European Society of Gynecology (ESG); Association for European Paediatric Cardiology (AEPC); German Society for Gender Medicine (DGesGM). ESC Guidelines on the management of cardiovascular diseases during pregnancy: the Task Force on the Management of Cardiovascular Diseases during Pregnancy of the European Society of Cardiology (ESC). Eur Heart J. 2011; 32 (24): 3147-97.
11. Fok WY, Chan LY, Wong JT, Yu CM, Lau TK,. Left ventricular diastolic function during normal pregnancy: assessment by spectral tissue Doppler imaging. Ultrasound Obstet Gynecol. 2006; 28 (6): 789-93.
12. Goldberg L, Elliot DL, Kuehl KS,. Assessment of exercise intensity formulas by use of ventilatory threshold. Chest. 1988; 94 (1): 95-8.
13. Hopkins SA, Cutfield WS,. Exercise in pregnancy: weighing up the long-term impact on the next generation. Exerc Sport Sci Rev. 2011; 39 (3): 120-7.
14. Institute of Medicine (IOM). Weight Gain during Pregnancy: Reexamining the Guidelines. Washington (DC): The National Academic Press; 2009.
15. Kurki T, Hiilesmaa V, Raitasalo R, Mattila H, Ylikorkala O,. Depression and anxiety in early pregnancy and risk for preeclampsia. Obstet Gynecol. 2000; 95 (4): 487-90.
16. Lang RM, Bierig M, Devereux RB, Recommendations for chamber quantification: a report from the American Society of Echocardiography's Guidelines and Standards Committee and the Chamber Quantification Writing Group, developed in conjunction with the European Association of Echocardiography, a branch of the European Society of Cardiology. J Am Soc Echocardiogr. 2005; 18 (12): 1440-63.
17. Lee AM, Lam SK, Sze Mun Lau SM, Chong CS, Chui HW, Fong DY,. Prevalence, course, and risk factors for antenatal anxiety and depression. Obstet Gynecol. 2007; 110 (5): 1102-12.
18. Melchiorre K, Sharma R, Thilaganathan B,. Cardiac structure and function in normal pregnancy. Curr Opin Obstet Gynecol. 2012; 24 (6): 413-21.
19. Melzer K, Schutz Y, Boulvain M, Kayser B,. Physical activity and pregnancy: cardiovascular adaptations, recommendations and pregnancy outcomes. Sports Med. 2010; 40 (6): 493-507.
20. Mesa A, Jessurun C, Hernandez A, Left ventricular diastolic function in normal human pregnancy. Circulation. 1999; 99 (4): 511-7.
21. Novelli GP, Valensise H, Vasapollo B, Left ventricular concentric geometry as a risk factor in gestational hypertension. Hypertension. 2003; 41 (3): 469-75.
22. Novelli GP, Valensise H, Vasapollo B, Are gestational and essential hypertension similar? Left ventricular geometry and diastolic function. Hypertens Pregnancy. 2003; 22 (3): 225-37.
23. Pivarnik J, Chambliss H, Clapp J, Impact of physical activity during pregnancy and postpartum on chronic disease risk. Med Sci Sports Exerc. 2006; 38 (5): 989-1006.
24. Pluim BM, Zwinderman AH, Van der Laarse A, Van der Wall EE,. The athlete's heart. A meta-analysis of cardiac structure and function. Circulation. 2000; 101 (3): 336-44.
25. Reading AE, Cox DN, Sledmere CM, Campbell S,. Psychological changes over the course of pregnancy: a study of attitudes toward the fetus/neonate. Health Psychol. 1984; 3 (3): 211-21.
26. Rodie VA, Freeman DJ, Sattar N, Greer IA,. Pre-eclampsia and cardiovascular disease: metabolic syndrome of pregnancy? Atherosclerosis. 2004; 175 (2): 189-202.
27. Ruiz JR, Perales M, Pelaez M, Lopez C, Lucia A, Barakat R,. Supervised exercise-based intervention to prevent excessive gestational weight gain: a randomized controlled trial. Mayo Clin Proc. 2013; 88 (12): 1388-97.
28. Sahn DJ, DeMaria A, Kisslo J, Weyman A,. Recommendations regarding quantitation in M-mode echocardiography: results of a survey of echocardiographic measurements. Circulation. 1978; 58 (6): 1072-83.
29. Savu O, Jurcut R, GiuşcǍ S, Morphological and functional adaptation of the maternal heart during pregnancy. Circ Cardiovasc Imaging. 2012; 5 (3): 289-97.
30. Sullivan SD, Umans JG, Ratner R,. Gestational diabetes: implications for cardiovascular health. Curr Diab Rep. 2012; 12 (1): 43-52.
31. Teixeira C, Figueiredo B, Conde A, Pacheco A, Costa R,. Anxiety and depression during pregnancy in women and men. J Affect Disord. 2009; 119 (1-3): 142-8.
32. Valensise H, Novelli GP, Vasapollo B, Maternal cardiac systolic and diastolic function: relationship with uteroplacental resistances. A Doppler and echocardiographic longitudinal study. Ultrasound Obstet Gynecol. 2000; 15: 487-97.
33. Veille JC, Kitzman DW, Millsaps PD, Kilgo PD,. Left ventricular diastolic filling response to stationary bicycle exercise during pregnancy and the postpartum period. Am J Obstet Gynecol. 2001; 185 (4): 822-7.
34. Wells VE, Klerman GL, Deykin EY,. The prevalence of depressive symptoms in college students. Soc Psychiatry. 1987; 22: 20-8.
35. Wolfe LA, Brenner IK, Mottola MF,. Maternal exercise, fetal well-being and pregnancy outcome. Exerc Sport Sci Rev. 1994; 22: 145-94.
36. Wolfe LA, Preston RJ, Burggraf GW, McGrath MJ,. Effects of pregnancy and chronic exercise on maternal cardiac structure and function. Can J Physiol Pharmacol. 1999; 77 (11): 909-17.
37. Zentner D, du Plessis M, Brennecke S, Wong J, Grigg L, Harrap SB,. Deterioration in cardiac systolic and diastolic function late in normal human pregnancy. Clin Sci (Lond). 2009; 116 (7): 599-606.
38. Zentner D, du Plessis M, Brenneckem S, Wonga J, Grigg L, Harrap S,. Cardiac function at term in human pregnancy. Pregnancy Hypertens. 2012; 2: 132-8.