Acute physiological responses in pregnant women during exercises in different positions

ABSTRACT

Objective: This study measured acute physiological responses in pregnant women during short duration exercise in the supine (Sup), side-lying (Side), sitting (Sit), and standing (Std) positions. Methods: In a cross-sectional study, 42 healthy pregnant women were divided into 3 groups of 14 persons each: G1, G2, and G3 (first, second, and third trimester, respectively). Baseline assessments were performed following a 30-min rest in the sitting position. Subsequent measurements were then obtained while exercising, without resistance, in the Sup, Side, Sit, and Std, respectively. Physiological parameters, including heart rate (HR), minute ventilation (${\dot{V}}_{\mathrm{E}}$), oxygen consumption ($\dot{V}{\mathrm{O}}_2$), carbon dioxide production ($\dot{V}\mathrm{C}{\mathrm{O}}_2$), and oxygen pulse ($\dot{V}{\mathrm{O}}_2$/HR), were collected using the indirect calorimetry. Results: Comparing resting values, all groups had a significantly increased (1) HR, ${\dot{V}}_{\mathrm{E}}$, and $\dot{V}\mathrm{C}{\mathrm{O}}_2$ during the Std, (2) $\dot{V}{\mathrm{O}}_2$ values during the Sit and Std, and (3) O₂ pulse values during short duration exercise in all positions except the Std, whereas only G2 and G3 had a significantly decreased HR during the Sup. Conclusion: This study points that acute physiological responses to the positional challenge similarly occur in all trimester of pregnant women. Short duration exercise in the Std positions exerts more physiologic stresses on cardiorespiratory functions than in the Sup, Side, and Sit positions.

KEYWORDS:

• Indirect calorimetry
• oxygen pulse
• pregnant women
• trimesters

Acknowledgments

The authors would like to thank Associate Professor Charintip Somprasit, MD, for her assistance with patient recruitment. We also thank Professor Mark Willems, Department of Sport and Exercise Sciences, University of Chichester, UK, for his editorial assistance on this manuscript. This study was supported by The Royal Thai College of Obstetricians and Gynaecologists, Thailand.

Declaration of Interest

There are no conflicts of interest involved in this study.