The effect of aerobic exercise on oxygen consumption in healthy first-pregnancy females: a randomized clinical trial

Authors

  • Robinson Ramírez-Vélez
  • Ana Aguilar de Plata
  • Mildrey Mosquera-Escudero
  • José G. Ortega
  • Blanca Salazar
  • Isabella Echeverri
  • Wilmar Saldarriaga-Gil

DOI:

https://doi.org/10.18597/rcog.227

Keywords:

pregnancy, aerobic exercise, oxygen consumption

Abstract

Objective: evaluating the effect of aerobic exercise on oxygen consumption by healthy first-pregnancy females.

Materials and methods: a randomized clinical trial was carried out on 64 healthy first-pregnancy females (16 to 20 weeks pregnant). Intervention group: aerobic exercise involving 50% to 65% maximum heart rate for 45 min, 3 times a week over a 16-week period. Control group: habitual physical activity. Measurements used: maximum oxygen consumption capacity test (VO2max) involving 6-minute walking test and anthropometric weight, height and relative weight gain indicators.

Results: no differences were found in initial measurements between groups regarding any of the variables. By the end of the 16-week intervention, participants engaging in regular exercise presented greater physical capacity as measured by the distance covered in the walking (p=0.043) and VO2max (p=0.023) tests. No significant differences were found between groups regarding the anthropometric variables.

Conclusion: engaging in regular controlled aerobic exercise improved physical capacity in pregnant females. Interventions like this could thus represent an early effective alternative for strengthening the prevention of physical inactivity pathologies during pregnancy.

Author Biographies

Robinson Ramírez-Vélez

Fisioterapeuta, Candidato a Doctor en Ciencias Biomédicas, Énfasis en Bioquímica, Universidad del Valle. Cali (Colombia). Profesor Cátedra, Programa de Medicina, Universidad ICESI. Cali (Colombia).

Ana Aguilar de Plata

Bióloga, Magíster en Nutrición y Bioquímica. Profesora Titular, Departamento de Ciencias Fisiológicas, Universidad del Valle. Cali (Colombia).

Mildrey Mosquera-Escudero

Bacterióloga, Magíster en Bioquímica. Profesora, Departamento de Ciencias Fisiológicas, Universidad del Valle. Cali (Colombia).

José G. Ortega

Bacteriólogo, Doctorando en Ciencias Biomédicas, Énfasis en Bioquímica. Profesor, Departamento de Ciencias Fisiológicas, Universidad del Valle. Cali (Colombia).

Blanca Salazar

Médico, Magíster en Fisiología. Profesora, Departamento de Ciencias Fisiológicas, Universidad del Valle. Cali (Colombia).

Isabella Echeverri

Médico, Magíster en Bioquímica y Nutrición. Doctorando en Ciencias Biomédicas, Énfasis en Bioquímica, Universidad del Valle. Cali (Colombia).

Wilmar Saldarriaga-Gil

Médico Gineco-obstetra. Ciencias Básicas Médicas, Énfasis en Embriología y Genética. Profesor en los Departamentos de Morfología, Ginecología y Obstetricia, Facultad de Ciencias de la Salud, Universidad del Valle. Cali (Colombia). Ginecólogo, Hospital Universitario del Valle. Cali (Colombia).

References

López-Jaramillo P, Terán E, Moncada S. Calcium supplementation prevents pregnancy-induced hypertension by increasing the production of vascular nitric oxide. Med Hypotheses 1995;45:68-72.

López-Jaramillo P, Narváez M, Calle A, Rivera J, Jácome P, Ruano C, et al. Cyclic guanosine 3', 5' monophosphate concentrations in preeclampsia: effects of hydralazine. Br J Obstet Gynaecol 1996;103:33-8.

López-Jaramillo P, Arenas WD, García RG, Rincón My, López M. The role of the L-arginine-nitric oxide pathway in preeclampsia. Ther Adv Cardiovasc Dis 2008;2:261-75.

Fogelholm M. Physical activity, fitness and fatness: relations to mortality, morbidity and disease risk factors. A systematic review. Obes Rev 2010;11:202-21.

Krämer V, Acevedo M, Orellana L, Chamorro G, Corbalán R, Bustamante MJ, et al. Association between cardiorespiratory fitness and cardiovascular risk factors in healthy individuals Rev Med Chil 2009;137:737-45.

Barakat, R. Ejercicio físico durante el embarazo, programas de actividad física en gestantes; 2002. Disponible en: http://viref.udea.edu.co/contenido/publicaciones/memorias_expo/act_fis_salud/ejercicio.pdf

López JL, López LM. Fisiología clínica del ejercicio. Madrid: Panamericana; 2006.

Impact of physical activity during pregnancy and postpartum on chronic disease risk. Med Sci Sports Exerc 2006;38:989-1006.

Symons Downs D, Hausenblas HA. Women's exercise beliefs and behaviors during their pregnancy and postpartum. J Midwifer y Womens Health 2004;49:138-44.

Fell DB, Joseph KS, Armson BA, Dodds L. The impact of pregnancy on physical activity level. Matern Child Health J 2009;3:597-603.

Black MA, Cable NT, Thijssen DH, Green DJ. Impact of age, sex, and exercise on brachial artery flowmediated dilatation. Am J Physiol Heart Circ Physiol 2009;297:H1109-16.

Impact of physical activity during pregnancy and postpartum on chronic disease risk. Med Sci Sports Exerc 2006;38:989-1006.

Pivarnik JM, Ayres NA, Mauer MB, Cotton DB, Kirshon B, Dildy GA. Effects of maternal aerobic fitness on cardiorespiratory responses to exercise. Med Sci Sports Exerc 1993;25:993-8.

ACOG Committee Opinion No. 267. Exercise during pregnancy and the postpartum period American College of Obstetricians and Gynecologists. Obstetrics and Gynecology 2002;99:171-3.

American College of Sports Medicine (ACSM). Guidelines for Exercise Testing and Prescription. 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2000. p. 180-3.

Pickering TG. Recommendations for the use of home (self) and ambulatory blood pressure monitoring. American Society of Hypertension Ad Hoc Panel. Am J Hypertens 1996;9:1-11.

Ben Saad H, Prefaut C, Tabka Z, Mtir AH, Chemit M, Hassaoune R, et al. 6-minute walk distance in healthy North Africans older than 40 years: influence of parity. Respir Med 2009;103:74-84.

Borg GA. Psychophysical bases of perceived exertion. Med Sci Sports Exerc 1982;14:377-81.

Sánchez JA, Pena PE, Solano R, et al. Riesgo de déficit nutricional antropométrico en el primer trimestre del embarazo. An Venez Nutr 2002;15:25-30.

Takito My, Benício MH, Neri Lde C. Physical activity by pregnantwomenandoutcomesfornewborns:asystematic review. Rev Saude Publica 2009;43:1059-69.

Krämer V, Acevedo M, Orellana L, Chamorro G, Corbalán R, Bustamante MJ, et al. Association between cardiorespiratory fitness and cardiovascular risk factors in healthy individuals. Rev Med Chil 2009;137:737-45.

Di Francescomarino S, Sciartilli A, Di Valerio V, Di Baldassarre A, Gallina S. The effect of physical exercise on endothelial function. Sports Med 2009;39:797-812.

Fernández JM, Fuentes-Jiménez F, López-Miranda J. Función endotelial y ejercicio físico. Rev Andal Med Deporte 2009;2:1-9.

Ramírez-Vélez R, Aguilar AC, Mosquera M, García RG, Reyes LM, López-Jaramillo P. Clinical trial to assess the effect of physical exercise on endothelial function and insulin resistance in pregnant women. Trials 2009;10:104.

Dwarkanath P, Muthayya S, Vaz M, Thomas T, Mhaskar A, Mhaskar R, et al. The relationship between maternal physical activity during pregnancy and birth weight. Asia Pac J Clin Nutr 2007;16:704-10.

Heenan AP, Wolfe LA, Davies GA. Maximal exercise testing in late gestation: maternal responses. Obstet Gynecol 2001;97:127-34.

Wolfe LA, Heenan AP, Bonen A. Aerobic conditioning effects on substrate responses during graded cycling in pregnancy. Can J Physiol Pharmacol 2003;81:696-703.

Wasserman K, Hansen JE, Sue Dy, Stringer WW, Whipp BJ. Physiology of exercise. En: Principles of exercise testing and interpretation: including pathophysiology and clinical applications. Philadelphia: Lippincott Williams & Wilkins; 2005. p. 10-65.

Amorim MF, dos Santos JA, Hirabara SM, Nascimento E, de Souza SL, de Castro RM, et al. Can physical exercise during gestation attenuate the effects of a maternal perinatal low-protein diet on oxygen consumption in rats? Exp Physiol 2009;94:906-13.

Avery ND, Stocking KD, Tranmer JE, Davies GA, Wolfe LA. Fetal responses to maternal strength conditioning exercises in late gestation. Can J Appl Physiol 1999;24:362-76.

Spätling L, Fallenstein F, Huch A, Huch R, Rooth G. The variability of cardiopulmonary adaptation to pregnancy at rest and during exercise. Br J Obstet Gynaecol 1992;99 Suppl 8:1-40.

Lotgering FK, van Doorn MB, Struijk PC, Pool J, Wallenburg HC. Maximal aerobic exercise in pregnant women: heart rate, O2 consumption, CO2 production, and ventilation. J Appl Physiol 1991;70:1016-23.

Weissgerber TL, Wolfe LA. Physiological adaptation in early human pregnancy: adaptation to balance maternal-fetal demands. Appl Physiol Nutr Metab 2006;31:1-11.

Fu Q, Levine BD. Autonomic circulatory control during pregnancy in humans. Semin Reprod Med 2009;27:330-7.

Ramírez-Vélez R. Calidad de vida relacionada con la salud como medida de resultados en salud: revisión sistemática de la literatura. Rev Colomb Cardiol 2007;14:207-22.

Mata F, Chulvi I, Roig J, Heredia JR, Isidro F, Benítez Sillero JD, et al. Prescripción del ejercicio físico durante el embarazo. Rev Andal Med Deporte 2010;3:68-79.

Clapp JF. Influence of endurance exercise and diet on human placental development and fetal growth. Placenta 2006;27:527-34.

Echeverry I, Ramírez-Vélez R, Ortega J, Mosquera M, Mateus JC, Aguilar AC, et al. Efecto potencial del ejercicio físico y del consumo de micronutrientes durante la gestación en factores maternos y placentarios asociados a Enfermedades Crónicas No transmisibles (ECNT) del adulto. Colomb Med 2009:4:448-59.

Kelly A, Kevanya J, de Onisb M, Shah PM, Special article. A WHO collaborative study of maternal anthropometry and pregnancy outcomes. Int J Gynaecol Obstet 1996;53:219-33.

Clapp JF 3rd. Does exercise training during pregnancy affect gestational age? Clin J Sport Med 2009;19:241-3.

Clapp JF 3rd, Lopez B, Harcar-Sevcik R. Neonatal behavioral profile of the offspring of women who continued to exercise regularly throughout pregnancy. Am J Obstet Gynecol 1999;180:91-4.

How to Cite

1.
Ramírez-Vélez R, Aguilar de Plata A, Mosquera-Escudero M, Ortega JG, Salazar B, Echeverri I, et al. The effect of aerobic exercise on oxygen consumption in healthy first-pregnancy females: a randomized clinical trial. Rev. colomb. obstet. ginecol. [Internet]. 2011 Mar. 30 [cited 2024 May 10];62(1):15-23. Available from: https://revista.fecolsog.org/index.php/rcog/article/view/227

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Published

2011-03-30

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Original Research
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