INDIVIDUALIZED SPORTS MANAGEMENT SCHEME FOR PREGNANT WOMEN IN CHINA

2019 ◽  
Vol 19 (08) ◽  
pp. 1940055
Author(s):  
LIN YANG ◽  
QI LUO ◽  
YANG LU ◽  
SONG ZHANG ◽  
YIMIN YANG ◽  
...  

In recent years, pregnant women in China generally face problems such as unbalanced and excessive nutrition, lack of proper exercise during pregnancy, which shows a significant increase in weight during pregnancy, leading to an increasing trend of perinatal complications. At present, there is less sports health management system for pregnant women throughout pregnancy. In view of this, based on the existing research in related fields, this study deeply explores the appropriate monitoring methods of pregnant women’s sports in China. In this study, effective and convenient testing methods and evaluation criteria were proposed for pregnant women’s sports and psychology. The research idea was a method based on the pulse wave to detect pregnant women’s cardiac reserve capacity, and grading the Diastolic/Systolic value of pregnant women as a reference for grading individualized target heart rate range of moderate intensity exercise. The effective time and energy expenditure of pregnant women were assessed by monitoring the exercise process. The purpose is to help and guide pregnant women in the whole process of pregnancy self-movement management, and thus improve the quality of maternal health care services in China.

2015 ◽  
Vol 12 (6) ◽  
pp. 770-775 ◽  
Author(s):  
Yan Wang ◽  
Lea A. Cupul-Uicab ◽  
Walter J. Rogan ◽  
Merete Eggesbo ◽  
Gregory Travlos ◽  
...  

Background:Pregnant women who are physically active have a lower risk of preeclampsia and gestational diabetes than women who are less active. One possible mechanism is a reduction in low-grade inflammation, as measured by plasma concentrations of C-reactive protein (CRP). The association between exercise and CRP in pregnant women, however, has not been adequately investigated.Methods:A total of 537 pregnant women, enrolled around the 17th week of gestation in the Norwegian Mother and Child Cohort Study in 2003 to 2004, were studied. Self-reported recreational exercise was recalled for both 3 months before pregnancy and early pregnancy. The total energy expenditure from recreational exercise (total recreational exercise, metabolic equivalent of task [MET]-hr/week) was estimated, and low-, moderate- and vigorous-intensity exercise was defined. Plasma CRP concentrations were measured during pregnancy.Results:In adjusted linear regression models, mean CRP concentration was 1.0% lower [95% CI = –1.9% to 0.2%] with each 1 MET-hr/week of total recreational exercise before pregnancy. In addition, vigorous-intensity exercise before pregnancy was more strongly related to a reduction in CRP levels than low- or moderate-intensity exercise. However, we observed no association between recreational exercise during pregnancy and plasma CRP levels.Conclusion:Recreational exercise before pregnancy, especially vigorous exercise, may reduce the risk of maternal inflammation during pregnancy.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Takaaki Komiyama ◽  
Ryoma Goya ◽  
Chisa Aoyama ◽  
Yusuke Yokota ◽  
Yasushi Naruse ◽  
...  

AbstractAcute aerobic exercise increases the brain cortical activity in alpha frequency. Eye closure also increases alpha activity. However, whether the two have an additive or a synergistic effect on alpha activity has never been explored. This study observed electroencephalography (EEG) from fifteen participants seated on the cycle ergometer before, during, and after a cycling exercise with the eyes open and with them closed. Exercise intensity was set to a target heart rate (120–130 bpm), corresponding to light-to-moderate intensity exercise. Each epoch was 6 min and the last 4 min (eyes closed in the first 2 min and eyes open in the second 2 min) were analyzed. The EEG power spectrum densities were calculated for alpha frequency band activity (8–13 Hz). At rest, alpha activity was significantly greater with the eyes closed than open. Exercise significantly increased alpha activity in both eye conditions. More importantly, in the occipital site, the alpha-increasing effect of their combination was significantly greater than the sum of the effect of each, showing a synergistic effect. We concluded that acute light-to-moderate intensity exercise with the eyes closed has a synergistic effect on alpha activity.


Author(s):  
Brittany Rose Allman ◽  
Beverly J. Spray ◽  
Renny S. Lan ◽  
Aline Andres ◽  
Elisabet Børsheim

The purpose of this study was to determine the effect of exercise during pregnancy in sedentary women with obesity on longitudinal changes in long-chain acylcarnitine (LC-AC) concentrations. We hypothesized that exercise training would significantly decrease circulating LC-ACs throughout gestation compared to a non-exercise control group. Pregnant women with obesity considered otherwise healthy [n=80, mean ± SD; body mass index (BMI): 36.9±5.7 kg/m2] were randomized into an exercise (n=40, aerobic/resistance 3x/week, ~13th gestation week until birth) or a non-exercise control (n=40) group. At gestation week 12.2 ± 0.5 and 36.0 ± 0.4, a submaximal exercise test was conducted, and indirect calorimetry was used to measure relative resting energy expenditure (REE), as well as respiratory exchange ratio (RER) at rest. Fasting blood samples were collected and analyzed for LC-AC concentrations. Fitness improved with prenatal exercise training; however, exercise training did not affect circulating LC-AC. When groups were collapsed, LC-ACs decreased during gestation (combined groups, P < 0.001), whereas REE (kcal·kg-1·d-1, P = 0.008) increased. However, average REE relative to FFM (kcal·kgFFM-1·d-1) and RER did not change. There was an inverse relationship between the change in RER and all LC-ACs (except C18:2) throughout gestation (C14: r = -0.26, P = 0.04; C16: r = -0.27, P = 0.03; C18:1: r = -0.28, P = 0.02). In summary, a moderate intensity exercise intervention during pregnancy in women with obesity did not alter LC-ACs concentrations versus control, indicating that the balance between LCFA availability and oxidation neither improved nor worsened with an exercise intervention.


2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Victor B. F. P. Untu ◽  
Diana S. Purwanto ◽  
Youla A. Assa

Abstract: Sweat losses during exercise that is not balanced by adequate fluid intake can lead to increased concentrations of electrolytes, including sodium in the extracellular fluid. Excessive sweating can also cause loss of electrolytes, particularly sodium and chloride. Excessive sodium loss in sweat may cause a decrease in the concentration of sodium in the extracellular fluid. This study aimed to determine the differences of serum sodium levels before and after moderate intensity exercise in the students of the Faculty of Medicine, Sam Ratulangi University. This study was a pre-experimental with one group pre-post test design. Thirty respondents did brisk walking on the treadmill to maintain target heart rate 64-76% of maximum heart rate (200-age) for 30 minutes. The results showed that the average of serum sodium levels before moderate intensity exercise was 142,37±1,771 mEq/L, while after moderate intensity exercise was 143,07±1,639. Wilcoxon test significance value ​​in this study was p=0.033. The conclusion of this study is there are significant differences between serum sodium levels before and after moderate intensity exercise in the students of Faculty of Medicine, Sam Ratulangi University. Keywords: serum sodium, moderate intensity exercise, students    Abstrak: Pengeluaran keringat saat latihan fisik yang tidak diimbangi dengan konsumsi cairan yang cukup dapat menyebabkan terjadinya peningkatan konsentrasi natrium di dalam cairan ekstrasel. Keringat yang berlebihan dapat juga menyebabkan kehilangan elektrolit, terutama natrium dan klorida. Kehilangan natrium yang berlebihan pada keringat dapat menyebabkan penurunan konsentrasi natrium di dalam cairan ekstrasel. Penelitian ini bertujuan untuk mengetahui bagaimana perbedaan kadar natrium serum sebelum dan sesudah latihan fisik intensitas sedang pada mahasiswa Fakultas Kedokteran Universitas Sam Ratulangi. Jenis penelitian ini ialah pre-eksperimental dengan rancangan penelitian one group pre-post test. Latihan fisik yang dilakukan yaitu berjalan cepat di atas treadmill selama 30 menit dengan mempertahankan target heart rate 64-76% dari heart rate maksimal (200-umur) yang diikuti oleh 30 orang responden. Hasil yang diperoleh menunjukkan bahwa rata-rata kadar natrium serum sebelum latihan fisik intensitas sedang ialah 142,37±1,771 mEq/L, sedangkan rata-rata kadar natrium serum sesudah latihan fisik intensitas sedang ialah 143,07±1,639 mEq/L. Nilai signifikansi uji Wilcoxon pada penelitian ini ialah p=0,033. Kesimpulan penelitian ini ialah terdapat perbedaan yang signifikan antara kadar natrium serum sebelum dan sesudah latihan fisik intensitas sedang pada mahasiswa Fakultas Kedokteran Universitas Sam Ratulangi. Kata kunci: natrium serum, latihan fisik intensitas sedang, mahasiswa


Author(s):  
Brittany Rose Allman ◽  
Beverly J. Spray ◽  
Kelly E. Mercer ◽  
Aline Andres ◽  
Elisabet Børsheim

Despite the role of branched-chain amino acids (BCAAs) in physiological processes such as nutrient signaling and protein synthesis, there is ongoing debate about the link between circulating BCAAs and insulin resistance (IR) in various populations. In healthy women, IR mildly increases during pregnancy, while both BCAAs and markers of BCAA catabolism decrease, indicating that fetal growth is being prioritized. Exercise reduces IR in non-pregnant adults, but less is known about the effect of exercise during pregnancy in women with obesity on IR and BCAA breakdown. The aim of this study was to determine the effect of a moderate intensity exercise intervention during pregnancy on maternal circulating BCAAs and markers of BCAA catabolism (short-chain acylcarnitines (ACs)), and their associations with IR. Healthy obese (n=80, mean±SD; BMI: 36.9±5.7 kg/m2) pregnant women were randomized into an exercise (n=40, aerobic/resistance 3x/week, ~13 weeks until birth) or a non-exercise control (n=40) group. Blood was collected at 12.2±0.5 and 36.0±0.4 gestation weeks and analyzed for BCAA-derived acylcarnitine concentrations as markers of BCAA breakdown toward oxidative pathways, and glucose and insulin concentrations [updated homeostatic model assessment of IR (HOMA2-IR)]. After adjusting for HOMA2-IR, there were no interaction effects of group by time. In addition, there was a main positive effect of time on HOMA2-IR (12 weeks: 2.3±0.2, 36 weeks: 3.0±0.2, P=0.003). A moderate intensity exercise intervention during pregnancy in women with obesity was not associated with changes in BCAA-derived ACs vs. standard of care. The decrease in BCAA-derived ACs throughout gestation could not be explained by IR.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Shuhiba Mohammad ◽  
Kelly Ann Hutchinson ◽  
Danilo Fernandes da Silva ◽  
Jayonta Bhattacharjee ◽  
Kurt McInnis ◽  
...  

AbstractThe physiological and molecular mechanisms linking prenatal physical activity and improvements in maternal–fetal health are unknown. It is hypothesized that small extracellular vesicles (EVs, ~ 10–120 nm) are involved in tissue cross-talk during exercise. We aimed to characterize the circulating small EV profile of pregnant versus non-pregnant women after an acute bout of moderate-intensity exercise. Pregnant (N = 10) and non-pregnant control (N = 9) women performed a single session of moderate-intensity treadmill walking for 30 min. Plasma was collected immediately pre- and post-exercise, and small EVs were isolated by differential ultracentrifugation. EV presence was confirmed by western blotting for the small EV proteins TSG-101 and flottilin-1. Small EVs were quantified by size and concentration using nanoparticle tracking analysis and transmission electron microscopy. All EV fractions were positive for TSG-101 and flotillin-1, and negative for calnexin. Mean vesicle size at baseline and percent change in size post-exercise were not different between groups. At baseline, pregnant women had higher levels of small EVs compared to controls (1.83E+10 ± 1.25E+10 particles/mL vs. 8.11E+09 ± 4.04E+09 particles/mL, respectively; p = 0.032). Post-exercise, small EVs increased significantly in the circulation of pregnant compared to non-pregnant women after correcting for baseline values (64.7 ± 24.6% vs. − 23.3 ± 26.1%, respectively; F = 5.305, p = 0.035). Further research is needed to assess the functional roles of exercise-induced small EVs in pregnancy.


2020 ◽  
Vol 23 (17) ◽  
Author(s):  
Aswathi Murali ◽  
Amritashish Bagchi

Author(s):  
Bradley S. Lander ◽  
Dermot M. Phelan ◽  
Matthew W. Martinez ◽  
Elizabeth H. Dineen

Abstract Purpose of review This review will summarize the distinction between hypertrophic cardiomyopathy (HCM) and exercise-induced cardiac remodeling (EICR), describe treatments of particular relevance to athletes with HCM, and highlight the evolution of recommendations for exercise and competitive sport participation relevant to individuals with HCM. Recent findings Whereas prior guidelines have excluded individuals with HCM from more than mild-intensity exercise, recent data show that moderate-intensity exercise improves functional capacity and indices of cardiac function and continuation of competitive sports may not be associated with worse outcomes. Moreover, recent studies of athletes with implantable cardioverter defibrillators (ICDs) demonstrated a safer profile than previously understood. In this context, the updated American Heart Association/American College of Cardiology (AHA/ACC) and European Society of Cardiology (ESC) HCM guidelines have increased focus on shared decision-making and liberalized restrictions on exercise and sport participation among individuals with HCM. Summary New data demonstrating the safety of exercise in individuals with HCM and in athletes with ICDs, in addition to a focus on shared decision-making, have led to the most updated guidelines easing restrictions on exercise and competitive athletics in this population. Further athlete-specific studies of HCM, especially in the context of emerging therapies such as mavacamten, are important to inform accurate risk stratification and eligibility recommendations.


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