A Comparison of Walking<i>versus</i>Stretching Exercises to Reduce the Incidence of Preeclampsia: A Randomized Clinical Trial

Yeo, Seon Ae; Davidge, Sandra T.; Ronis, David L.; Antonakos, Cathy L.; Hayashi, Robert H.; O'Leary, Sharon

doi:10.1080/10641950701826778

Cited by 55 publications

(37 citation statements)

References 18 publications

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“…However, it could be observed that physical exercise did not increase the rate of PE development; the occurrence of PE was the same in both groups. Regardless of the number of exercise sessions, since the rate of women who did not have a morbid condition was 84.4%, these results corroborated the findings by Yeo et al [29] who studied pregnant women with a previous history of PE and also found no difference in PE development between those engaged in walking and those performing stretching exercises, five times a week during pregnancy. …”

Section: Discussionsupporting

confidence: 88%

“…That study demonstrated a prematurity rate of 22% among pregnant women who walked compared to 11% who only performed stretching exercises (no significant difference) [29]. An explanation for the different results obtained could be that the controls were distinct (stretching versus walking), as well as the intervention performed (no intervention versus SB).…”

Section: Discussionmentioning

confidence: 99%

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Maternal and Perinatal Outcomes of Exercise in Pregnant Women with Chronic Hypertension and/or Previous Preeclampsia: A Randomized Controlled Trial

Kasawara

Burgos

Nascimento

et al. 2013

ISRN Obstetrics and Gynecology

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Objectives. To evaluate the association between physical exercise supervised in pregnant women with chronic hypertension and/or previous preeclampsia and maternal and neonatal outcomes. Method. Randomized controlled trial, which included 116 pregnant women with chronic hypertension and/or previous preeclampsia, considered risk of preeclampsia development. They were divided into two groups: study group that performed physical exercise with a stationary bicycle once a week, for 30 minutes; the intensity was controlled (heart rate 20% above resting values), under professional supervision and a control group that was not engaged in any physical exercise. The data was retrieved from medical charts. Significance level assumed was 5%. Results. Women from study group performed 9.24 ± 7.03 of physical exercise sessions. There were no differences between groups comparing type of delivery and maternal outcomes, including maternal morbidity and hospitalization in intensive unit care, and neonatal outcomes, including birth weight, adequacy of weight to gestational age, prematurity, Apgar scale at first and fifth minutes, hospitalization in intensive unit care, and neonatal morbidity. Conclusions. Physical exercise using a stationary bicycle in pregnant women with chronic hypertension and/or previous preeclampsia, once a week, under professional supervision, did not interfere in the delivery method and did not produce maternal and neonatal risks of the occurrence of morbidity. This trial is registered with ClinicalTrials.gov NCT01395342.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Maternal and Perinatal Outcomes of Exercise in Pregnant Women with Chronic Hypertension and/or Previous Preeclampsia: A Randomized Controlled Trial

Kasawara

Burgos

Nascimento

et al. 2013

ISRN Obstetrics and Gynecology

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“…While many pregnant women experience barriers to PA in early (e.g., nausea or fatigue) and late pregnancy (e.g., increased size due to growing baby), explain that engaging in PA and meeting the PA guidelines may actually help to reduce some symptoms; also, replacing more vigorous PA (e.g., running) with moderate PA (e.g., walking, low-impact aerobics, yoga, or elliptical/cycle machines) may relieve some symptoms and be more comfortable to sustain throughout pregnancy (Yeo et al, 2008). …”

Section: Discussionmentioning

confidence: 99%

“…Since the time of the Cochrane review, there have been a small number of additional trials. For example, Yeo et al (2008) conducted an exercise RCT among 79 women with a history of preeclampsia in a prior pregnancy to evaluate the association between PA and preeclampsia. Women assigned to the exercise group ( n = 41) were instructed to walk 40 minutes per day, 5 days per week at moderate-intensity.…”

Section: Empirical Evidence For Association Between Physical Activitymentioning

confidence: 99%

Physical Activity and Pregnancy: Past and Present Evidence and Future Recommendations

Downs¹,

Chasan‐Taber²,

Evenson³

et al. 2012

Res Quart Exerc Sport

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Purpose This review provides researchers and practitioners with an overview of the physical activity and pregnancy literature to promote prenatal physical activity, improve measurement, further elucidate the role of activity in reducing maternal health complications, and inform future research. Methods We examined past and present physical activity and pregnancy studies and highlight key papers with a particular focus on maternal health outcomes to best inform physical activity promotion efforts. Results This review discusses: (a) historical overview of prenatal physical activity with a specific focus on the physical activity guidelines, how they have changed over time, and how evidence of the effect of prenatal activity on maternal/fetal health outcomes has impacted clinical recommendations; (b) existing tools and challenges associated with measuring prenatal physical activity; (c) empirical evidence on the multi-level determinants of prenatal activity to help guide future intervention work; (d) empirical evidence of prenatal activity on adverse maternal outcomes (gestational diabetes mellitus, preeclampsia, excessive gestational weight gain) from observational and intervention studies; and (e) summary/recommendations for future research and practice. Conclusions The physical activity and pregnancy literature has evolved over the past 50 years and there is currently sufficient empirical evidence to support the promotion of moderate to vigorous prenatal physical activity for maternal health benefits. Future studies and interventions should be carefully-designed, theoretically driven, and include validated and reliable measures of activity. Researchers and practitioners should also consider the multifaceted determinants and outcomes of prenatal physical activity and intervening to promote physical activity before, during, and after pregnancy.

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“…Eleven articles were eligible for inclusion in the review (Figure 2). Two sets of papers, Luoto et al 2010 and 2011 and Yeo et al 2008 and 2009, reported on the same dataset and were combined in the abstraction process 26–29 . For simplicity, subsequent references to these interventions include only the most recent paper.…”

Section: Methodsmentioning

confidence: 99%

Strategies to Promote Physical Activity During Pregnancy

Pearce

Evenson

Downs

et al. 2012

American Journal of Lifestyle Medicine

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Physical activity during pregnancy has been associated with significant health benefits, however most women in the United States do not meet current guidelines. This systematic review evaluates evidence for interventions to improve physical activity during pregnancy in order to identify best practices and inform future research. Electronic databases (PubMed, CINAHL, SportDISCUS, Embase, ERIC, Psych Info and ISI Web of Science) were searched in July 2011 for peer-reviewed journal articles. Studies were included if they were English-language randomized control trials that measured the efficacy of an intervention targeted to pregnant women and designed to change physical activity as a primary or secondary outcome. Out of 777 studies identified through the systematic search, nine interventions were identified for inclusion by multiple reviewers. Data was abstracted using an abstraction form modeled after the “Guide to Community Preventive Services.” Of the nine interventions included in the review, three reported statistically significant positive results for physical activity. While interventions included a variety of strategies and techniques, none were uniquely associated with positive outcomes. Overall this review suggests that little is known about the efficacy of interventions for physical activity during pregnancy. We provide several recommendations for future research and intervention design.

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A Comparison of WalkingversusStretching Exercises to Reduce the Incidence of Preeclampsia: A Randomized Clinical Trial

Abstract: Regular stretching exercises may promote endogenous antioxidants among women at risk for preeclampsia.

Cited by 55 publications

References 18 publications

Maternal and Perinatal Outcomes of Exercise in Pregnant Women with Chronic Hypertension and/or Previous Preeclampsia: A Randomized Controlled Trial

Maternal and Perinatal Outcomes of Exercise in Pregnant Women with Chronic Hypertension and/or Previous Preeclampsia: A Randomized Controlled Trial

Physical Activity and Pregnancy: Past and Present Evidence and Future Recommendations

Strategies to Promote Physical Activity During Pregnancy

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