2,106
Views
2
CrossRef citations to date
0
Altmetric
Original Article

Fetal and maternal Doppler adaptation to maternal exercise during pregnancy: a randomized controlled trial

ORCID Icon, , , ORCID Icon, , ORCID Icon, , , ORCID Icon & ORCID Icon show all
Article: 2183759 | Received 21 May 2022, Accepted 16 Feb 2023, Published online: 08 Mar 2023

References

  • Exercise during pregnancy and the postpartum period – UpToDate; 2019 [Internet] [cited 2019 Dec 16]. Available from: https://www-uptodate-com.m-htj.a17.csinet.es/contents/exercise-during-pregnancy-and-the-postpartum-period?search=Exercise%20during%20pregnancy%20and%20the%20postpartum%20period&source=search_result&selectedTitle=1∼150&usage_type=default&display_rank=1
  • Aune D, Saugstad OD, Henriksen T, et al. Physical activity and the risk of preeclampsia: a systematic review and meta-analysis. Epidemiology. 2014;25(3):331–343.
  • Haakstad LA, Bø K. Effect of regular exercise on prevention of excessive weight gain in pregnancy: a randomised controlled trial. Eur J Contracept Reprod Health Care. 2011;16(2):116–125.
  • Amezcua-Prieto C, Lardelli-Claret P, Olmedo-Requena R, et al. Compliance with leisure-time physical activity recommendations in pregnant women. Acta Obstet Gynecol Scand. 2011;90(3):245–252.
  • ACOG Committee opinion no. 650: physical activity and exercise during pregnancy and the postpartum period. Obstet Gynecol. 2015;126(6):e135–e142.
  • Olson CM, Strawderman MS. Modifiable behavioral factors in a biopsychosocial model predict inadequate and excessive gestational weight gain. J Am Diet Assoc. 2003;103(1):48–54.
  • Clapp JF. Morphometric and neurodevelopmental outcome at age five years of the offspring of women who continued to exercise regularly throughout pregnancy. J Pediatr. 1996;129(6):856–863.
  • Ruchat SM, Mottola MF. The important role of physical activity in the prevention and management of gestational diabetes mellitus. Diabetes Metab Res Rev. 2013;29(5):334–346.
  • Flamm SD, Taki J, Moore R, et al. Redistribution of regional and organ blood volume and effect on cardiac function in relation to upright exercise intensity in healthy human subjects. Circulation. 1990;81(5):1550–1559.
  • Froelich JW, Strauss HW, Moore RH, et al. Redistribution of visceral blood volume in upright exercise in healthy volunteers. J Nucl Med. 1988;29(10):1714–1718.
  • Carpenter MW, Sady SP, Hoegsberg B, et al. Fetal heart rate response to maternal exertion. JAMA. 1988;259(20):3006–3009.
  • Artal R, Paul R, Romem Y, et al. Fetal bradycardia induced by maternal exercise. Lancet. 1984;2(8397):258–260.
  • Szymanski LM, Satin AJ. Strenuous exercise during pregnancy: is there a limit? Am J Obstet Gynecol. 2012;207(3):179.e1–179.e6.
  • Salvesen KÅ, Hem E, Sundgot-Borgen J. Fetal wellbeing may be compromised during strenuous exercise among pregnant elite athletes. Br J Sports Med. 2012;46(4):279–283.
  • Morrow RJ, Ritchie JW, Bull SB. Fetal and maternal hemodynamic responses to exercise in pregnancy assessed by Doppler ultrasonography. Am J Obstet Gynecol. 1989;160(1):138–140.
  • Callaway LK, Prins JB, Chang AM, et al. The prevalence and impact of overweight and obesity in an Australian obstetric population. Med J Aust. 2006;184(2):56–59.
  • Dietz P, Watson ED, Sattler MC, et al. The influence of physical activity during pregnancy on maternal, fetal or infant heart rate variability: a systematic review. BMC Pregnancy Childbirth. 2016;16(1):326.
  • Monga M. Fetal heart rate response to maternal exercise. Clin Obstet Gynecol. 2016;59(3):568–575.
  • Szymanski LM, Kogutt BK. Uterine artery Doppler velocimetry during individually prescribed exercise in pregnancy. Obstet Gynecol. 2018;132(4):1026–1032.
  • Crispi F, Figueras F, Cruz-Lemini M, et al. Cardiovascular programming in children born small for gestational age and relationship with prenatal signs of severity. Am J Obstet Gynecol. 2012;207(2):121.e1–121.e9.
  • Crispi F, Hernandez-Andrade E, Pelsers MM, et al. Cardiac dysfunction and cell damage across clinical stages of severity in growth-restricted fetuses. Am J Obstet Gynecol. 2008;199(3):254.e1–254.e8.
  • Abeysekera JB, Gyenes DL, Atallah J, et al. Fetal umbilical arterial pulsatility correlates with 2-year growth and neurodevelopmental outcomes in congenital heart disease. Can J Cardiol. 2020;37(3):425–432.
  • Paules C, Youssef L, Rovira C, et al. Distinctive patterns of placental lesions in pre-eclampsia vs small-for-gestational age and their association with fetoplacental Doppler. Ultrasound Obstet Gynecol. 2019;54(5):609–616.
  • Nicolaides KH, Soothill PW, Rodeck CH, et al. Ultrasound-guided sampling of umbilical cord and placental blood to assess fetal wellbeing. Lancet. 1986;1(8489):1065–1067.
  • Soothill PW, Nicolaides KH, Campbell S. Prenatal asphyxia, hyperlacticaemia, hypoglycaemia, and erythroblastosis in growth retarded fetuses. Br Med J. 1987;294(6579):1051–1053.
  • Nicolaides KH, Bilardo CM, Soothill PW, et al. Absence of end diastolic frequencies in umbilical artery: a sign of fetal hypoxia and acidosis. BMJ. 1988;297(6655):1026–1027.
  • Vyas S, Nicolaides KH, Bower S, et al. Middle cerebral artery flow velocity waveforms in fetal hypoxaemia. Br J Obstet Gynaecol. 1990;97(9):797–803.
  • Khalil AA, Morales-Rosello J, Morlando M, et al. Is fetal cerebroplacental ratio an independent predictor of intrapartum fetal compromise and neonatal unit admission? Am J Obstet Gynecol. 2015;213(1):54.e1–54.e10.
  • Khalil AA, Morales-Rosello J, Elsaddig M, et al. The association between fetal Doppler and admission to neonatal unit at term. Am J Obstet Gynecol. 2015;213(1):57.e1–57.e7.
  • Khalil A, Morales-Rosello J, Khan N, et al. Is cerebroplacental ratio a marker of impaired fetal growth velocity and adverse pregnancy outcome? Am J Obstet Gynecol. 2017;216(6):606.e1–606.e10.
  • Khalil A, Morales-Roselló J, Townsend R, et al. Value of third-trimester cerebroplacental ratio and uterine artery Doppler indices as predictors of stillbirth and perinatal loss. Ultrasound Obstet Gynecol. 2016;47(1):74–80.
  • Michalek IM, Comte C, Desseauve D. Impact of maternal physical activity during an uncomplicated pregnancy on fetal and neonatal well-being parameters: a systematic review of the literature. Eur J Obstet Gynecol Reprod Biol. 2020;252:265–272.
  • Brik M, Fernández-Buhigas I, Martin-Arias A, et al. Does exercise during pregnancy impact on maternal weight gain and fetal cardiac function? A randomized controlled trial. Ultrasound Obstet Gynecol. 2019;53(5):583–589.
  • Godfrey KM, Sheppard A, Gluckman PD, et al. Epigenetic gene promoter methylation at birth is associated with child’s later adiposity. Diabetes. 2011;60(5):1528–1534.
  • Van Mieghem T, Gucciardo L, Doné E, et al. Left ventricular cardiac function in fetuses with congenital diaphragmatic hernia and the effect of fetal endoscopic tracheal occlusion. Ultrasound Obstet Gynecol. 2009;34(4):424–429.
  • Fernández-Buhigas I, Brik M, Martin-Arias A, et al. Maternal physiological changes at rest induced by exercise during pregnancy: a randomized controlled trial. Physiol Behav. 2020;220:112863.
  • Perales M, Refoyo I, Coteron J, et al. Exercise during pregnancy attenuates prenatal depression: a randomized controlled trial. Eval Health Prof. 2015;38(1):59–72.
  • Barakat R, Pelaez M, Montejo R, et al. Exercise during pregnancy improves maternal health perception: a randomized controlled trial. Am J Obstet Gynecol. 2011;204(5):402.e1–402.e7.
  • Barakat R, Pelaez M, Cordero Y, et al. Exercise during pregnancy protects against hypertension and macrosomia: randomized clinical trial. Am J Obstet Gynecol. 2016;214(5):649.e1–649.e8.
  • Barakat R. An exercise program throughout pregnancy: Barakat model. Birth Defects Res. 2021;113(3):218–226.
  • O'Neill ME, Cooper KA, Mills CM, et al. Accuracy of Borg’s ratings of perceived exertion in the prediction of heart rates during pregnancy. Br J Sports Med. 1992;26(2):121–124.
  • Nicolaides KH, Wright D, Syngelaki A, et al. Fetal Medicine Foundation fetal and neonatal population weight charts. Ultrasound Obstet Gynecol. 2018;52(1):44–51.
  • Ciobanu A, Wright A, Syngelaki A, et al. Fetal Medicine Foundation reference ranges for umbilical artery and middle cerebral artery pulsatility index and cerebroplacental ratio. Ultrasound Obstet Gynecol. 2019;53(4):465–472.
  • The Fetal Medicine Foundation; 2020 [Internet] [cited 2020 Feb 26]. Available from: https://fetalmedicine.org/research/doppler
  • Prentice RL, Zhao LP. Estimating equations for parameters in means and covariances of multivariate discrete and continuous responses. Biometrics. 1991;47(3):825–839.
  • Core Team. R: a language and environment for statistical computing; 2020. Available from: https://www.R-project.org/
  • Højsgaard S, Halekoh U, Yan J. The R package geepack for generalized estimating. Eq J Stat Softw. 2006;15(2):1–11.
  • R: the R project for statistical computing; 2020 [Internet] [cited 2020 Nov 6]. Available from: https://www.r-project.org/
  • Khalil A, Nicolaides KH. How to record uterine artery Doppler in the first trimester. Ultrasound Obstet Gynecol. 2013;42(4):478–479.
  • Papageorghiou AT, Yu CKH, Cicero S, et al. Second-trimester uterine artery Doppler screening in unselected populations: a review. J Matern Fetal Neonatal Med. 2002;12(2):78–88.
  • Rizzo G, Mappa I, Bitsadze V, et al. Role of Doppler ultrasound at time of diagnosis of late-onset fetal growth restriction in predicting adverse perinatal outcome: prospective cohort study. Ultrasound Obstet Gynecol. 2020;55(6):793–798.
  • Akolekar R, Ciobanu A, Zingler E, et al. Routine assessment of cerebroplacental ratio at 35–37 weeks’ gestation in the prediction of adverse perinatal outcome. Am J Obstet Gynecol. 2019;221(1):65.e1–65.e18.
  • Szymanski LM, Satin AJ. Exercise during pregnancy: fetal responses to current public health guidelines. Obstet Gynecol. 2012;119(3):603–610.
  • Nguyen NC, Evenson KR, Savitz DA, et al. Physical activity and maternal–fetal circulation measured by Doppler ultrasound. J Perinatol. 2013;33(2):87–93.
  • Pijpers L, Wladimiroff JW, McGhie J. Effect of short-term maternal exercise on maternal and fetal cardiovascular dynamics. Br J Obstet Gynaecol. 1984;91(11):1081–1086.
  • de Oliveria Melo AS, Silva JLP, Tavares JS, et al. Effect of a physical exercise program during pregnancy on uteroplacental and fetal blood flow and fetal growth: a randomized controlled trial. Obstet Gynecol. 2012;120(2 Pt 1):302–310.
  • Okido MM, Valeri FL, Martins WP, et al. Assessment of foetal wellbeing in pregnant women subjected to pelvic floor muscle training: a controlled randomised study. Int Urogynecol J. 2015;26(10):1475–1481.
  • Barakat R, Ruiz JR, Rodríguez-Romo G, et al. 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):762–764.
  • Brenner I, Wolfe L, Monga M, et al. Physical conditioning effects on fetal heart rate responses to graded maternal exercise. Med Sci Sports Exerc. 1999;31(6):792–799.
  • Liddle SD, Pennick V. Interventions for preventing and treating low‐back and pelvic pain during pregnancy. Cochrane Database Syst Rev. 2015;2015(9):CD001139.
  • Owe KM, Bjelland EK, Stuge B, et al. Exercise level before pregnancy and engaging in high-impact sports reduce the risk of pelvic girdle pain: a population-based cohort study of 39 184 women. Br J Sports Med. 2016;50(13):817–822.
  • Piercy KL, Troiano RP, Ballard RM, et al. The physical activity guidelines for Americans. JAMA. 2018;320(19):2020–2028.
  • Schuch FB, Vancampfort D, Firth J, et al. Physical activity and incident depression: a meta-analysis of prospective cohort studies. Am J Psychiatry. 2018;175(7):631–648.
  • Vargas-Terrones M, Barakat R, Santacruz B, et al. Physical exercise programme during pregnancy decreases perinatal depression risk: a randomised controlled trial. Br J Sports Med. 2018;53(6):348–353.
  • Field T. Prenatal depression effects on early development: a review. Infant Behav Dev. 2011;34(1):1–14.
  • Diego MA, Field T, Hernandez-Reif M, et al. Prenatal depression restricts fetal growth. Early Hum Dev. 2009;85(1):65–70.
  • Ertel KA, Koenen KC, Rich-Edwards JW, et al. Antenatal and postpartum depressive symptoms are differentially associated with early childhood weight and adiposity. Paediatr Perinat Epidemiol. 2010;24(2):179–189.