Effectiveness of a Virtual Exercise Program During COVID-19 Confinement on Blood Pressure Control in Healthy Pregnant Women

Silva-José, Cristina; Sánchez-Polán, Miguel; Díaz-Blanco, Ángeles; Coterón, Javier; Barakat, Rubén; Refoyo, Ignacio

doi:10.3389/fphys.2021.645136

Cited by 11 publications

(23 citation statements)

References 46 publications

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“…COVID-19 is highly contagious and causes fatal damage to elderly people with underlying conditions [ 1 ]. Pregnant women are classified as another high-risk group and are predicted to be exposed to great danger during the COVID-19 pandemic [ 2 , 3 ]. This can be attributed to the high incidences of miscarriage, premature birth, immature fetal growth, kidney failure, and vascular disease during the 2003 SARS outbreak.…”

Section: Introductionmentioning

confidence: 99%

Effect of Home-Based Tele-Pilates Intervention on Pregnant Women: A Pilot Study

2022

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Pilates is effective for training the core muscles and stabilizing the hip joints, which provides relief from pelvic pain and low back pain during pregnancy. However, there are no specific guidelines on appropriate physical exercises for pregnant women due to the current pandemic. We aimed to apply the exercise standard proposed by the American College of Obstetricians and Gynecologists to home-based tele-Pilates exercise (HTPE), to determine its effect on the physical and mental health of pregnant women. We randomly divided the subjects into the following two groups who completed 8 weeks of HTPE (50 min/day, 2 days/week): (a) Pilates exercise (PE, n = 7) and (B) non-Pilates exercise (CON, n = 7). HTPE was performed by adjusting the program every 3 weeks, based on pain and physical fitness levels. We measured body composition, muscles of the hip joint, pelvic tilt, Oswestry Disability Index (ODI), and Pittsburgh Sleep Quality Index (PSQI), before and after HTPE. Following HTPE, while the percentage of body fat and body mass index had significantly decreased, the body fat mass did not change in the PE group (p < 0.05). The PE group showed an increase in strength of the left and right hip flexion and hip abduction, compared to the CON group (p < 0.01). The ODI and PSQI were significantly decreased in the PE group (p < 0.05). Therefore, the 8-week HTPE program is an effective exercise for pregnant woman that reduces body fat metabolism and strengthens muscles of the hip joint, thus alleviating pregnancy-induced low back pain and insomnia.

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Section: Introductionmentioning

confidence: 99%

Effect of Home-Based Tele-Pilates Intervention on Pregnant Women: A Pilot Study

2022

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“…Similar to the present study, a recent article examined the effect of a supervised, virtual-based training intervention on blood pressure in pregnant women. 27 They reported no differences in first, second, or third-trimester blood pressure between virtual exercisers and non-exercising controls but did see a reduced SBP at delivery in the exercising group. 27 Similarly, our exercise groups have lower BP relative to controls 15 , however, we additionally demonstrated supervised, in-person exercise intervention may be more effective than virtual, at-home exercise intervention.…”

Section: Maternal Outcomesmentioning

confidence: 93%

“…27 They reported no differences in first, second, or third-trimester blood pressure between virtual exercisers and non-exercising controls but did see a reduced SBP at delivery in the exercising group. 27 Similarly, our exercise groups have lower BP relative to controls 15 , however, we additionally demonstrated supervised, in-person exercise intervention may be more effective than virtual, at-home exercise intervention. A possible reason for the discrepancy between this research and the present study could potentially be due to the type of exercise prescribed.…”

Section: Maternal Outcomesmentioning

confidence: 93%

“…A possible reason for the discrepancy between this research and the present study could potentially be due to the type of exercise prescribed. Silva-Jose et al utilized a combination style intervention combining aerobic and strength training for each exercise session 27 ; whereas, due to sample size limitations, we pooled all of our exercising groups (aerobic, resistance, and combination) together for analysis. Future research is needed to examine whether there is an effect between in-person or at-home exercise during pregnancy on blood pressure between different exercise modalities.…”

Section: Maternal Outcomesmentioning

confidence: 99%

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Maternal Cardiovascular and Birth Outcome Responses to At-Home vs. In-person Prenatal Exercise during COVID-19 Pandemic

Wisseman

Jones

Golembe

et al. 2021

MRAJ

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Background. The COVID-19 pandemic led to decreased physical activity, as well as increased stress, especially for pregnant women. Exercise is effective for decreasing stress and improving overall maternal and infant health. To date, research has not determined whether an at-home exercise program during pregnancy elicits similar results to in-person exercise. Objective. To examine the effect of in-person vs at-home moderate-intensity exercise training during pregnancy on maternal cardiovascular and birth outcomes during the COVID-19 pandemic. Methods. Pregnant women were recruited between 13-16 weeks’ gestation and randomized to either an exercise or control group. No control subjects were included in this analysis; exercisers were asked to complete at least 50-minutes of moderate-intensity activity 3 times each week either in-person (n=20) or at-home (n-17). Both groups were provided individualized exercise prescriptions including a 5-minute warm-up, 50-minutes of exercise related to group allocation, and a cool-down period. Maternal resting heart rate and blood pressure (BP) were recorded at 16- and 36-weeks' gestation. Gestational weight gain and birth outcomes were obtained via electronic health record at delivery. Results. From enrollment to late pregnancy, at-home exercisers have significant increases in systolic and diastolic BP (SBP and DBP, p<0.001 and 0.0003, respectively) whereas the in-person group did not (p=0.30 and 0.78, respectively). In-person exercisers had lower SBP and DBP in late pregnancy (p=0.04 and 0.01, respectively) relative to at-home exercisers. At-home exercise was correlated with higher late pregnancy SBP (r=-0.34, p=0.04), DBP (r=-0.42,p=0.01), and SBP change (r=-0.496, p=0.002). Group allocation was a predictor for late pregnancy DBP (p=0.007) and SBP change (0.036). There were no differences in infant birth outcomes. Conclusion. Supervised in-person exercise training with the proper precautions has similar birth outcomes and may be more beneficial for maternal cardiovascular health relative to at-home training.

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“…This study was developed with the collaboration between Hospital Universitario Severo Ochoa (Madrid), Hospital Universitario Puerta de Hierro (Madrid), Clínica Zuatzu (San Sebastián), and Universidad Politécnica de Madrid (UPM). A randomized clinical trial (registered in “ ”, registration number: NCT04563065) was performed, and the study protocol was approved by the Ethical Committee at UPM; this is a secondary analysis (two articles were previously published with the same registration number but different aims) [ 8 , 9 ]. Pregnant individuals were randomly assigned to an intervention (IG) or control group (CG).…”

Section: Methodsmentioning

confidence: 99%

Exercise throughout Pregnancy Prevents Excessive Maternal Weight Gain during the COVID-19 Pandemic: A Randomized Clinical Trial

Silva-José

Sánchez-Polán

Barakat

et al. 2022

JCM

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The purpose of this study was to examine the effects of a virtual exercise program throughout pregnancy during the COVID-19 pandemic on maternal weight gain. A randomized clinical trial (NCT NCT04563065) was performed. In total, 300 pregnant individuals were assessed for eligibility, and a total of 157 were randomized, of which 79 were in the control group (CG), and 78 were in the intervention group (IG). Those in the intervention group participated in a virtual supervised exercise program throughout pregnancy, 3 days per week. Fewer pregnant participants exceeded the weight gain recommendations in the IG group than in the CG (n = 4/5.9% vs. n = 31/43.1%, p = 0.001). Weight gain during pregnancy was lower in the IG than in the CG (9.96 ± 3.27 kg. vs. 12.48 ± 4.87 kg. p = 0.001). Analysis of subgroups based on pre-pregnancy body mass index, showed significant differences in excessive maternal weight gain between study groups in normal-weight (IG, n = 0/0% vs. CG, n = 10/25%, p = 0.001) and those with overweight (IG, n = 2/18% vs. CG, n = 12/60%, p = 0.025). A virtual supervised exercise program throughout pregnancy could be a clinical tool to manage maternal weight gain during the COVID-19 pandemic by controlling excessive gain.

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Effectiveness of a Virtual Exercise Program During COVID-19 Confinement on Blood Pressure Control in Healthy Pregnant Women

Cited by 11 publications

References 46 publications

Effect of Home-Based Tele-Pilates Intervention on Pregnant Women: A Pilot Study

Effect of Home-Based Tele-Pilates Intervention on Pregnant Women: A Pilot Study

Maternal Cardiovascular and Birth Outcome Responses to At-Home vs. In-person Prenatal Exercise during COVID-19 Pandemic

Exercise throughout Pregnancy Prevents Excessive Maternal Weight Gain during the COVID-19 Pandemic: A Randomized Clinical Trial

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