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Exercise in pregnancy: a brief clinical review

Published online by Cambridge University Press:  10 October 2008

James F Clapp III*
Affiliation:
University of Vermont College of Medicine, USA
*
James F Clapp III, Department of Obstetrics and Gynecology, University of Vermont College of Medicine, Burlington, Vermont 05405, USA.

Abstract

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Type
Research Article
Copyright
Copyright © Cambridge University Press 1990

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References

1 Clapp, JF, Dickstein, S. Endurance exercise and pregnancy outcome. Med Sci Sports Exerc 1984; 16: 5662.CrossRefGoogle ScholarPubMed
2 Clapp, JF. Pregnancy. In: Franklin, BA, Gordon, S, Timmins, GC eds, Exercise in modern medicine. Baltimore: Williams & Wilkins, 1989: 268–79.Google Scholar
3 Lotgering, FK, Gilbert, RD, Longo, LD. Maternal and fetal responses to exercise during pregnancy. Physiol Rev 1985; 65: 136.CrossRefGoogle ScholarPubMed
4 Wolfe, LA, Ohtake, PJ, Mottola, MF, McGrath, MJ. Physiological interactions between pregnancy and aerobic exercise. Exerc Sports Sci Rev 1989; 17: 295351.Google ScholarPubMed
5 Sady, SP, Carpenter, MW. Aerobic exercise during pregnancy. Sports Med 1989; 7: 357–75.CrossRefGoogle ScholarPubMed
6 Clapp, JF. Physical exercise and sport during pregnancy. Die Gynäkol 1987; 20: 144–50.Google Scholar
7 Rowell, LB. Cardiovascular aspects of human thermoregulation. Circ Res 1983; 52: 367–79.CrossRefGoogle ScholarPubMed
8 Astrand, PO, Rodal, K. Textbook of work physiology: physiological basis of exercise, third edition. New York: McGraw Hill, 1986.Google Scholar
9 Metcalfe, J, Stock, MK, Barron, DH. Maternal physiology during gestation. In: Knobil, E, Neil, J eds, The physiology of reproduction, New York: Raven Press, 1988: 19952021.Google Scholar
10 Rowell, LB. Human cardiovascular adjustments to exercise and thermal stress. Physiol Rev 1974; 54: 75159.CrossRefGoogle ScholarPubMed
11 Hytten, F, Chamberlain, G. Clinical physiology in obstetrics, third edition. Oxford: Blackwell Scientific, 1980.Google Scholar
12 Clapp, JF. Maternal physiological adaptations to early human pregnancy. Am J Obstet Gynecol 1988 159: 1456–60.CrossRefGoogle ScholarPubMed
13 Capeless, EL, Clapp, JF. Cardiovascular changes in early pregnancy. Am J Obstet Gynecol 1989; in press.CrossRefGoogle Scholar
14 Sady, SP, Carpenter, MW, Thompson, PD, Sady, MA, Haydon, B, Coustan, DR. Cardiovascular response to cycle exercise during and after pregnancy. J Appl Physiol 1989; 66: 336–41.CrossRefGoogle Scholar
15 Clapp, JF. The effects of exercise on uterine blood flow. In: Rosenfeld, CR ed, The uterine circulation, Ithaca: Perinatology Press, 1989: in press.Google Scholar
16 Pernoll, ML, Metcalfe, J, Kovach, PA, Watchel, R, Durham, MJ. Ventilation during rest and exercise in pregnancy and postpartum. Resp Physiol 1975; 25: 295310.CrossRefGoogle ScholarPubMed
17 Artal, R, Wiswell, RA, Greenspoon, J, Romen, Y. Pulmonary responses to exercise in pregnancy. In: Artal, R, Wiswell, RA eds, Exercise in pregnancy, Baltimore: Williams & Wilkins, 1986; 147.Google ScholarPubMed
18 Clapp, JF, Wesley, M. Sleamaker, RH. Thermoregulatory and metabolic responses to jogging prior to and during pregnancy. Med Sci Sports Exerc 1987; 19: 124–30.CrossRefGoogle ScholarPubMed
19 Abrams, RM, Caton, D, Clapp, JF and Barron, DH. Thermal and metabolic features of life in utero. Clin Obstet Gynecol 1970; 13: 549–64.CrossRefGoogle ScholarPubMed
20 Nadel, ER, Pandolf, KB, Roberts, MF, Stolwijk, JAJ. Mechanisms of thermal acclimation to exercise and heat. J Appl Physiol 1974; 37: 515–20.CrossRefGoogle ScholarPubMed
21 Fawer, R, Dettling, A, Weihs, D, Eelti, H, Schelling, JL. Effect of the menstrual cycle, oral contraception and pregnancy on forearm blood flow, venous distensibility and clotting factors. Eur J Clin Pharmacol 1978; 13: 251–57.CrossRefGoogle ScholarPubMed
22 Ahlborg, G, Felig, P, Hagenfeldt, L, Hendler, R, Wahren, J. Substrate turnover during prolonged exercise in man. J Clin Invest 1974; 53: 1080–90.CrossRefGoogle ScholarPubMed
23 Gollinck, PD. Metabolism of substrates: energy substrate metabolism during exercise and as modified by training. Fed Proc 1985; 44: 353–57.Google Scholar
24 Highet, R. Athletic amenorrhoea: an update on aetiology, complications and management. Sports Med 1989; 7: 82108.CrossRefGoogle ScholarPubMed
25 Hodgen, GD, Itskovitz, J. Recognition and maintenance of pregnancy. In: Knobil, E, Neil, J eds, The physiology of reproduction. New York: Raven Press, 1988: 19952021.Google Scholar
25a Dale, E, Mullinax, KM, Bryan, DH. Exercise during pregnancy: effects on the fetus. Canad J Appl Sports Sci 1982; 7: 98102.Google ScholarPubMed
26 Collings, CA, Curet, LB, Mullin, JP. Maternal and fetal responses to a maternal aerobic exercise program. Am J Obstet Gynecol 1983; 145: 702–07.CrossRefGoogle ScholarPubMed
27 Clapp, JF, Wesley, M. Selective aspects of pregnancy outcome in recreational runners. Proc Soc Gynecol Invest 1987; Abst #129.Google Scholar
28 Clapp, JF. The effects of maternal exercise on early pregnancy outcome. Am J Obstet Gynecol 1989; 161: 1453–57.CrossRefGoogle ScholarPubMed
29 Sibley, L, Ruhling, RO, Cameron-Foster, J, Christensen, C, Bolen, T. Swimming and physical fitness during pregnancy. J Nurse Midwif 1981; 26: 312.CrossRefGoogle ScholarPubMed
30 Morris, N, Osborn, SB, Wright, HP, Hart, A. Effective uterine blood flow during exercise in normal and pre-eclamptic pregnancies. Lancet 1956; ii: 481–84.CrossRefGoogle Scholar
31 Rauramo, I, Forss, M. Effect of exercise on maternal hemodynamics and placental blood flow in healthy women. Acta Obstet Gynecol Scand 1988; 67: 2125.CrossRefGoogle ScholarPubMed
32 Steegers, EAP, Buunk, G, Binkhorst, RA, Jongsma, HW, Wijn, PFF, Hein, PR. The influence of maternal exercise on the uteroplacental vascular bed resistance and the fetal heart rate during normal pregnancy. Eur J Obstet Gynecol Reprod Biol 1988; 27: 2127.CrossRefGoogle ScholarPubMed
33 Morrow, RJ, Ritchie, JWK, Bull, SB. Fetal and maternal hemodynamic responses to exercise in pregnancy assessed by doppler ultrasonography. Am J Obstet Gynecol 1969; 160: 138–40.CrossRefGoogle Scholar
34 Hauth, JC, Gilstrap, LC, Widner, K. Fetal heart rate reactivity before and after maternal jogging during the third trimester. Am J Obstet Gynecol 1982; 142: 545–47.CrossRefGoogle ScholarPubMed
35 Collings, CA, Curet, LB. Fetal heart rate response to maternal exercise. Am J Obstet Gynecol 1985; 151: 498501.CrossRefGoogle ScholarPubMed
36 Clapp, JF. Fetal heart rate response to running in midpregnancy and late pregnancy. Am J Obstet Gynecol 1985; 153: 251–52.CrossRefGoogle ScholarPubMed
37 Artal, R, Rutherford, S, Romen, T, Kammula, RK, Dorey, FJ, Wiswell, RA. Fetal heart rate responses to maternal exercise. Am J Obstet Gynecol 1986; 155: 729–33.CrossRefGoogle ScholarPubMed
38 Vielle, JC, Hohimner, AR, Burry, K, Speroff, L. The effect of exercise on uterine activity in the last eight weeks of pregnancy. Am J Obstet Gynecol 1985; 151: 727–30.CrossRefGoogle Scholar
39 Jones, RL, Botti, JJ, Anderson, WM, Bennett, NL. Thermoregulation during aerobic exercise in pregnancy. Obstet Gynecol 1985; 65: 340–45.Google ScholarPubMed
40 Carpenter, MW, Sady, SP, Hoegsberg, B et al. Fetal heart rate response to maternal exertion. JAMA 1988; 259: 30063009.CrossRefGoogle ScholarPubMed
41 Sorensen, KE, Borlum, KG. Fetal heart function in response to short-term maternal exercise Br J Obstet Gynaecol 1986; 93: 310–13.Google ScholarPubMed
42 Maršal, K, Lofgren, O, Gennser, G. Fetal breathing movements and maternal exercise. Acta Obstet Gynecol Scand 1979; 58: 197201.CrossRefGoogle ScholarPubMed
43 Pipers, L, Wladimiroff, JW, McGhie, J. Effect of short-term maternal exercise on maternal and fetal cardiovascular dynamics. Br J Obstet Gynaecol 1984; 91: 1081–86.CrossRefGoogle Scholar
44 Sovia, K, Salmi, A, Gronroos, M, Peltonen, T. Physical work capacity during pregnancy and effect of physical work tests on foetal heart rate. Ann Chir Gynaecol Fenniae 1964; 53: 187–96.Google Scholar
45 Katz, V, McMurray, R, Berry, MJ, Cefalo, RC. Fetal and uterine responses to immersion and exercise. Obstet Gynecol 1988; 72: 225–30.Google ScholarPubMed
46 Artal, R, Romem, Y, Paul, RH, Wiswell, R. Fetal bradycardia induced by maternal exercise. Lancet 1984; ii: 258–60.CrossRefGoogle Scholar
47 Jovanovic, L, Kessler, A, Peterson, CM. Human maternal and fetal responses to graded exercise. J Appl Physiol 1985; 58: 1719–22.CrossRefGoogle ScholarPubMed
48 Palone, AM, Shangold, M, Paul, D, Minnitti, J, Weiner, S. Fetal heart rate measurement during maternal exercise – avoidance of artifact. Med Sci Sports Exerc 1987; 19: 605–09.Google Scholar
49 Clapp, JF. unpublished data.Google Scholar
50 Pomerance, JJ, Gluck, L, Lynch, VA. Maternal exercise as a screening test for uteroplacental insufficiency. Obstet Gynecol 1979; 44: 383–87.Google Scholar
51 Clapp, JF. Oxygen consumption during treadmill exercise before, during and after pregnancy. Am J Obstet Gynecol 1989; in press.CrossRefGoogle Scholar
52 Rauramo, I. Maternal and fetal haemodynamic and hormonal responses to exercise in uncomplicated pregnancies. University of Helsinki, Department of Obstetrics and Gynaecology, 1987. Unpublished Thesis.Google Scholar
53 Botti, JJ, Jones, RL. Aerobic conditioning, nutrition and pregnancy. Clin Nutr 1985; 4: 1417.Google Scholar
54 Artal, R, Platt, LD, Sperling, M, Kammula, RK, Jilek, J, Nakamura, R. Exercise in pregnancy I: maternal caradiovascular and metabolic responses in normal pregnancy. Am J Obstet Gynecol 1981; 140: 123–27.CrossRefGoogle Scholar
55 Artal, R, Wiswell, R, Romem, Y. Hormonal responses to exercise in diabetic and nondiabetic pregnant patients. Diabetes 1985; 34 (suppl 2): 7880.CrossRefGoogle ScholarPubMed
56 Rauramo, I, Andersson, B, Laatikainen, T, Pettersson, J. Stress hormones and placental steroids in physical exercise during pregnancy. Br J Obstet Gynaecol 1982; 89: 921–25.CrossRefGoogle ScholarPubMed
57 Rauramo, I, Salminen, K, Laatikainen, T. Release of β-endorphin in response to physical exercise in non-pregnant and pregnant women. Acta Obstet Gynecol Scand 1986; 65: 609–12.CrossRefGoogle ScholarPubMed
58 Erkkola, R. The physical work capacity of the expectant mother and its effect on pregnancy, labor, and the newborn. Int J Gynaecol Obstet 1976; 14: 153–59.CrossRefGoogle ScholarPubMed
59 Kulpa, PJ, White, BM, Visscher, R. Aerobic exercise in pregnancy. Am J Obstet Gynecol 1987; 156: 13951403.CrossRefGoogle ScholarPubMed
60 Hall, DC, Kaufmann, DA. Effect of aerobic and strength conditioning on pregnancy outcomes. Am J Obstet Gynecol 1987; 157: 11991203.CrossRefGoogle ScholarPubMed
61 Balfour, M. The effect of occupation on pregnancy and neonatal mortality. Publ Health J Soc Med Offic Health. 1938; 51: 106–11.Google Scholar
62 Naeye, RL, Peters, ED. Working during pregnancy: effects on the fetus. Pediatrics 1982; 69: 724–27.CrossRefGoogle ScholarPubMed
63 Tafari, N, Naeye, RL, Gobezie, A. Effects of maternal undernutrition and heavy physical work during pregnancy on birth weight. Br J Obstet Gynaecol 1980; 87: 222–26.CrossRefGoogle ScholarPubMed
64 Berkowitz, GS, Kelsey, JI, Holford, TR, Berkowitz, RL. Physical activity and the risk of spontaneous preterm delivery. Reprod Med 1983; 28: 581–88.Google ScholarPubMed
65 Papiernick, E, Kaminski, M. Multifactorial study of the risk of prematurity at 32 weeks gestation: I. A study of the frequency of 30 predictive characteristics. J Perinat Med 1976; 2: 3038.CrossRefGoogle Scholar
66 Jarrett, JC, Spellacy, WN. Jogging during pregnancy: an improved outcome? Obstet Gynecol 1983; 61: 705–09.Google ScholarPubMed
67 American College of Obstetricians and Gynecologists. Exercise during pregnancy and the postnatal period. In: ACOG home exercise programs. Washington: American College of Obstetricians and Gynecologists, 1985; 15.Google Scholar
68 Artal, R, Wiswell, RA. Exercise prescription in pregnancy. In: Artal, R, Wiswell, RA eds, Exercise in pregnancy, Baltimore: Williams & Wilkins, 1986; 225–28.Google ScholarPubMed
69 Goodlin, RC, Buckley, KK. Maternal exercise. Clin Sports Med 1984; 3: 1984.CrossRefGoogle Scholar
70 Morton, MJ, Paul, MS, Metcalfe, J. Exercise during pregnancy. Med Clin N Am 1985; 69: 97108.CrossRefGoogle ScholarPubMed
71 Shangold, M, Mirkin, G. The complete sports medicine book for women. New York: Simon & Schuster, 1985.Google Scholar
72 Mullinax, KM, Dale, E. Some considerations of exercise during pregnancy. Clin Sports Med 1986; 5: 559–70.CrossRefGoogle ScholarPubMed
73 Bruser, M. Sporting activities during pregnancy. Obstet Gynecol 1968; 32: 721–25.Google ScholarPubMed
74 Newhall, JF. Scuba diving during pregnancy: a brief review. Am J Obstet Gynecol 1981; 140: 893–94.CrossRefGoogle ScholarPubMed