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The Impact Of Antenatal Exercise In Overweight And Obese Women On Maternal And Offspring Health
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Book Synopsis The Impact of Antenatal Exercise in Overweight and Obese Women on Maternal and Offspring Health by : Sumundu Nimali Seneviratne
Download or read book The Impact of Antenatal Exercise in Overweight and Obese Women on Maternal and Offspring Health written by Sumundu Nimali Seneviratne and published by . This book was released on 2015 with total page 154 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Overweight and obesity in pregnancy is associated with adverse health outcomes in both the mother and the offspring. It is not well established whether antenatal exercise can improve these outcomes. Hypothesis We hypothesized that antenatal exercise in overweight and obese women could improve offspring and maternal health and metabolic milieu, and protect offspring from adverse programming effects. Methods/Design: A parallel two-arm randomised controlled trial was conducted in healthy non-smoking overweight and obese women (BMI≥25kg/m2) with a singleton pregnancy. Participants were randomised at 20 weeks of gestation to an intervention group (who underwent a home-based, moderate-intensity stationary cycling programme) or a control group (no exercise intervention). The primary trial outcome was birth weight and secondary outcomes included perinatal complications, neonatal body composition, maternal physical health (weight gain, fitness and body composition), quality of life, and pregnancy and delivery complications. Maternal and offspring (cord) blood metabolic markers were also measured. Primary analysis was based on intention-to-treat, using analysis of covariance regression models to evaluate differences between intervention and control groups, adjusting for pre-specified covariates. Results Seventy-five enrolled participants were randomised to intervention (n=38) or control (n=37) groups. Offspring birth weight was similar between groups (adjusted mean difference 104 grams, 95% CI -116 to 324, p=0.35). Maternal aerobic fitness improved following the intervention but there were no differences in maternal weight gain, quality of life, pregnancy outcomes, or postnatal maternal body composition between groups. Exercise compliance ranged from 0-85 % (mean 33%). Offspring neonatal adiposity and perinatal outcomes were similar. There was an increase in bone mineral content in offspring in the intervention group, and male offspring had increased adiposity compared to gender-matched controls. There were no differences in maternal metabolic markers between groups. Offspring in the intervention group had lower cord blood interleukin-6 levels, and male offspring also had reduced insulin-like growth factor binding protein-1 levels, while other markers were similar between groups. Conclusions: These study finding suggest that non-weight-bearing antenatal exercise does not appear to improve short term maternal and offspring outcomes. However, improvement in maternal fitness and differences in offspring body composition and metabolic markers indicate the potential for long-term health effects. This needs to be established by further research.
Book Synopsis Pregnancy & Exercise by : Raul Artal Mittelmark
Download or read book Pregnancy & Exercise written by Raul Artal Mittelmark and published by . This book was released on 1992 with total page 186 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Exercise in Pregnancy by : Raul Artal Mittelmark
Download or read book Exercise in Pregnancy written by Raul Artal Mittelmark and published by . This book was released on 1986 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Influence of Pregnancy Weight on Maternal and Child Health by : National Research Council
Download or read book Influence of Pregnancy Weight on Maternal and Child Health written by National Research Council and published by National Academies Press. This book was released on 2007-03-02 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt: Influence of Pregnancy Weight on Maternal and Child Health: Workshop Report summarizes a one and a half day workshop convened in May 2006 that reviewed U.S. trends in maternal weight (prior to, during, and after pregnancy) among different populations of women; examined the emerging research findings related to the complex relationship of the biological, behavioral, psychological, and social interactions that affect maternal and pregnancy weight on maternal and child health outcomes; and discussed interventions that use this complex relationship to promote appropriate weight during pregnancy and postpartum. Given the unprecedented environment in the United States in which two-thirds of the adult population meets the criteria for being overweight or obese, the implications for women in the reproductive age period are unique in the history of the country. The concerns for maternal and infant health are real. The questions and answers tackled by committee members and workshop participants were not easy. Nevertheless, having an opportunity to explore what is known, examine the gaps in knowledge, and explore what to do now and in the future build a pathway for further inquiry and action. This report summarizes the workshop proceedings and highlights key themes that deserve further attention. The participants in this workshop describe what is known about recent trends in maternal weight gain and the impact of maternal weight during pregnancy on the health of mothers and their children. The workshop provided a valuable opportunity to assess trends that have occurred since the publication of an earlier study by the Institute of Medicine (IOM), which included guidelines for recommended weight gain during pregnancy.
Book Synopsis Weight Gain During Pregnancy by : National Research Council
Download or read book Weight Gain During Pregnancy written by National Research Council and published by National Academies Press. This book was released on 2010-01-14 with total page 868 pages. Available in PDF, EPUB and Kindle. Book excerpt: As women of childbearing age have become heavier, the trade-off between maternal and child health created by variation in gestational weight gain has become more difficult to reconcile. Weight Gain During Pregnancy responds to the need for a reexamination of the 1990 Institute of Medicine guidelines for weight gain during pregnancy. It builds on the conceptual framework that underscored the 1990 weight gain guidelines and addresses the need to update them through a comprehensive review of the literature and independent analyses of existing databases. The book explores relationships between weight gain during pregnancy and a variety of factors (e.g., the mother's weight and height before pregnancy) and places this in the context of the health of the infant and the mother, presenting specific, updated target ranges for weight gain during pregnancy and guidelines for proper measurement. New features of this book include a specific range of recommended gain for obese women. Weight Gain During Pregnancy is intended to assist practitioners who care for women of childbearing age, policy makers, educators, researchers, and the pregnant women themselves to understand the role of gestational weight gain and to provide them with the tools needed to promote optimal pregnancy outcomes.
Book Synopsis Obesity During Pregnancy in Clinical Practice by : Wanda Nicholson
Download or read book Obesity During Pregnancy in Clinical Practice written by Wanda Nicholson and published by Springer Science & Business Media. This book was released on 2013-11-26 with total page 362 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book summarizes the effects of overweight/obesity in the childbearing years that can be effectively communicated to patients by their providers in a busy practice setting, and provides concise and understandable summaries of the evidence-based, theory-driven lifestyle interventions that have been shown to be effective for weight loss and modifying the risk of developing diabetes and obesity.
Book Synopsis Pregnancy in the Obese Woman by : Deborah Conway
Download or read book Pregnancy in the Obese Woman written by Deborah Conway and published by John Wiley & Sons. This book was released on 2011-01-19 with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt: Obesity presents many challenges to mothers and their unborn babies How can a severely overweight woman prepare for pregnancy? What if she is already pregnant? How do you guide her through an inherently high-risk pregnancy and labor to a successful birth? Pregnancy in the Obese Woman takes the best available evidence on pregnancy and obesity to provide an insightful, practical guide to management in one volume. After a review of the epidemiology and special considerations of prenatal care in obese women of childbearing age, the authors cover: Bariatric surgery Nutrition, exercise, and weight gain in pregnancy Co-morbid conditions Abnormal fetal growth and obstetric complications Operative techniques in obese patients Breastfeeding, contraception, and further pregnancies With obesity on the rise, increasing numbers of pregnancies are being seen in overweight and obese women, which presents a significant challenge to obstetric and other health care providers. Pregnancy in the Obese Woman provides you with the critical information you need to ease your mind and help your patients become contented mothers. Titles of Related Interest Protocols for High-Risk Pregnancies, 5e Queenan, Hobbins and Spong (eds); ISBN 978-1-4051-9650-5 Obstetic Clinical Algorithms: Management and Evidence Norwitz, Belfort, Saade, Miller; ISBN 978-14051-8111-2 Preterm Birth: Prevention and Management Berghella (ed); 978-1-4051-9290-3
Book Synopsis Maternal Obesity and Pregnancy by : Per Glud Ovesen
Download or read book Maternal Obesity and Pregnancy written by Per Glud Ovesen and published by Springer Science & Business Media. This book was released on 2012-03-16 with total page 325 pages. Available in PDF, EPUB and Kindle. Book excerpt: A dramatic and worldwide increase is occurring in the prevalence of overweight and obesity in women of childbearing age. Obese women carry a significant excess risk of a variety of serious complications during pregnancy, and in addition, maternal obesity predisposes to obesity in the offspring. This book provides a timely update on the latest knowledge on maternal obesity and pregnancy. A very wide range of issues are covered, including macrosomia and associated shoulder dystocia; the risk of miscarriage, malformations, and complications of pregnancy; the impact of hyperglycemia; clinical management; consequences for anesthesia and ultrasound; impacts on breastfeeding, fertility, and childhood obesity; and pregnancy following gastric surgery. All of the authors are recognized experts in their fields, and the book has been designed to meet the practical needs of obstetricians, gynecologists, internists, and general practitioners.
Book Synopsis Obesity Prevention and Public Health by : David Crawford
Download or read book Obesity Prevention and Public Health written by David Crawford and published by Oxford University Press. This book was released on 2005 with total page 338 pages. Available in PDF, EPUB and Kindle. Book excerpt: Providing health researchers, practitioners and policy makers with an overview of the current global obesity epidemic and the case for prevention, this text reviews the existing evidence regarding the effectiveness of strategies to promote health eating and physical activity in order to prevent obesity.
Book Synopsis Pregnancy and Obesity by : Cynthia Maxwell
Download or read book Pregnancy and Obesity written by Cynthia Maxwell and published by Walter de Gruyter GmbH & Co KG. This book was released on 2017-10-23 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: Obesity epidemic is a global problem of the 21th century for women in reproductive age and also the obstetricians and pediatricians. There are influences of mother's prepragnancy and antepartal obesity, at delivery, for fetal programming and for maternal and fetal lifelong metabolism. The epidemiological results are important, but for the health care providers the skills for prevention of mother's obesity with all consequences are essential. Evaluated programms in nutrition and physical activity will be discussed.
Book Synopsis Clinical Maternal-Fetal Medicine by : Hung N. Winn
Download or read book Clinical Maternal-Fetal Medicine written by Hung N. Winn and published by CRC Press. This book was released on 2000-06-15 with total page 980 pages. Available in PDF, EPUB and Kindle. Book excerpt: Maternal-fetal medicine has evolved over the last three decades to become a well-established discipline. The current understanding of maternal physiology and pathophysiology has allowed us to obtain more accurate diagnoses and to provide more effective treatments of medical, surgical, and obstetrical maternal complications. More importantly, the fetus has become a distinct individual whose in utero environment has become much more accessible to study, diagnose, and treatment. Clinical Maternal-Fetal Medicine addresses the pathophysiology, diagnosis, and treatment of common medical and obstetrical maternal complications and fetal complications. It provides a concise and timely review of clinically relevant topics in this discipline. The textbook is a comprehensive reference covering the wide range of disciplines that make up maternal-fetal medicine.
Book Synopsis Fetal Cardiac Function by : E. Gratacós
Download or read book Fetal Cardiac Function written by E. Gratacós and published by S. Karger AG (Switzerland). This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fetal echocardiography was initially used to detect structural anomalies, but has more recently also been proposed to assess fetal cardiac function. Functional echocardiography has been demonstrated to select high-risk populations and has been seen to have an effect on the outcome of several fetal conditions. Because of the small size and high heart rate and the restricted access away from the transducer, cardiovascular parameters should be validated but used with caution in the fetus. This special issue on fetal cardiac function is a collection of review and original articles showing several potential clinical and research applications of functional echocardiography in intrauterine growth restriction, twin-to-twin transfusion syndrome, congenital heart disease and aneuploides. The insights provided show that fetal cardiac function assessment is a promising tool that may soon be incorporated into clinical practice to diagnose, monitor or predict outcome in some fetal conditions. Therefore, this special issue on 'fetal cardiac function' provides valuable reading for clinicians and researchers in fetal medicine and cardiology who are interested in the fetal heart.
Book Synopsis Exercise and Sporting Activity During Pregnancy by : Rita Santos-Rocha
Download or read book Exercise and Sporting Activity During Pregnancy written by Rita Santos-Rocha and published by Springer. This book was released on 2018-12-13 with total page 345 pages. Available in PDF, EPUB and Kindle. Book excerpt: This clinically and practice oriented, multidisciplinary book is intended to fill the gap between evidence-based knowledge on the benefits of physical activity and exercise during pregnancy and the implementation of exercise programmes and related health promotion measures in pregnant women. It will provide medical, sports, and fitness professionals both with the knowledge needed to allay undue fears regarding the consequences of exercising during pregnancy and with the practical expertise to offer optimal guidance on exercising to pregnant exercisers and athletes. Readers will find up-to-date evidence on the psychological, social, physiological, body composition, musculoskeletal, and biomechanical changes that occur during pregnancy and their implications for physical activity and exercise. Detailed descriptions are provided of the components of exercise testing and prescription for pregnant women, the current evidence-based and practice-oriented guidelines, and exercise selection and adaptation during pregnancy. Exercises specifically targeting musculoskeletal health are discussed separately, and a concluding chapter explains the nutritional requirements in pregnant women who exercise.
Author :Committee on the Impact of Pregnancy Weight on Maternal and Child Health Publisher : ISBN 13 :9780309384483 Total Pages :116 pages Book Rating :4.3/5 (844 download)
Book Synopsis Influence of Pregnancy Weight on Maternal and Child Health by : Committee on the Impact of Pregnancy Weight on Maternal and Child Health
Download or read book Influence of Pregnancy Weight on Maternal and Child Health written by Committee on the Impact of Pregnancy Weight on Maternal and Child Health and published by . This book was released on 2007-01-30 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt: Influence of Pregnancy Weight on Maternal and Child Health: Workshop Report summarizes a one and a half day workshop convened in May 2006 that reviewed U.S. trends in maternal weight (prior to, during, and after pregnancy) among different populations of women; examined the emerging research findings related to the complex relationship of the biological, behavioral, psychological, and social interactions that affect maternal and pregnancy weight on maternal and child health outcomes; and discussed interventions that use this complex relationship to promote appropriate weight during pregnancy and postpartum. Given the unprecedented environment in the United States in which two-thirds of the adult population meets the criteria for being overweight or obese, the implications for women in the reproductive age period are unique in the history of the country. The concerns for maternal and infant health are real. The questions and answers tackled by committee members and workshop participants were not easy. Nevertheless, having an opportunity to explore what is known, examine the gaps in knowledge, and explore what to do now and in the future build a pathway for further inquiry and action. This report summarizes the workshop proceedings and highlights key themes that deserve further attention. The participants in this workshop describe what is known about recent trends in maternal weight gain and the impact of maternal weight during pregnancy on the health of mothers and their children. The workshop provided a valuable opportunity to assess trends that have occurred since the publication of an earlier study by the Institute of Medicine (IOM), which included guidelines for recommended weight gain during pregnancy.
Book Synopsis Maternal obesity, duration of labor and the role of leptin by : Sara Carlhäll
Download or read book Maternal obesity, duration of labor and the role of leptin written by Sara Carlhäll and published by Linköping University Electronic Press. This book was released on 2018-05-03 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: The prevalence of obesity substantially increases in pregnant women. Maternal obesity is associated with adverse maternal and neonatal outcomes. The increased risk for cesarean section present in obese women has been related to potential impaired uterine contractility. The mechanism that underlies this theory is not clear. In vitro studies have shown that leptin, produced by adipose tissue and the placenta, exerts an inhibitory effect on myometrial contractility. The aim of this thesis was to evaluate the labor process in relation to maternal body mass index (BMI) and the clinical role of leptin in this process. Material and Methods: Studies I-IV are cohort studies. The first two studies analyze the association between labor duration and maternal BMI based on data from the Perinatal Revision South register and the Swedish Pregnancy Register. Study I included 63,829 nulliparous women with a spontaneous onset of labor between 1995 and 2009. Study II included 15,259 nulliparous women with induced labor between 2014 and 2017. In study III, the maternal leptin levels during and after pregnancy were analyzed in 343 obese women with respect to their obesity class (I-III) and degree of gestational weight gain (GWG). In study IV, the association between the maternal leptin levels measured in active labor and duration of the active phase of labor was analyzed in 914 women. Results: The duration of spontaneous labor significantly increased with an increasing maternal BMI; however, the duration of the pushing phase was inversely related to BMI. Time in induced labor increased with maternal BMI; however, the differences between the BMI categories were more pronounced in the latent phase than the active phase. Leptin levels were higher in women with obesity class III than women with class I during and after pregnancy. The degree of GWG in obese women was not associated with maternal leptin. No significant association between maternal leptin and the duration of the active phase of labor was identified in the adjusted analyses. Conclusions: Nulliparous obese women have a higher risk for a prolonged duration of spontaneous and induced labor. This is important to consider prior to diagnosing labor arrest that results in a cesarean delivery. As maternal leptin levels are increased with the degree of obesity during pregnancy, future research on the association of high maternal leptin levels and the duration of labor is warranted.
Book Synopsis Weight Gain During Pregnancy by : National Research Council
Download or read book Weight Gain During Pregnancy written by National Research Council and published by National Academies Press. This book was released on 2009-12-14 with total page 868 pages. Available in PDF, EPUB and Kindle. Book excerpt: As women of childbearing age have become heavier, the trade-off between maternal and child health created by variation in gestational weight gain has become more difficult to reconcile. Weight Gain During Pregnancy responds to the need for a reexamination of the 1990 Institute of Medicine guidelines for weight gain during pregnancy. It builds on the conceptual framework that underscored the 1990 weight gain guidelines and addresses the need to update them through a comprehensive review of the literature and independent analyses of existing databases. The book explores relationships between weight gain during pregnancy and a variety of factors (e.g., the mother's weight and height before pregnancy) and places this in the context of the health of the infant and the mother, presenting specific, updated target ranges for weight gain during pregnancy and guidelines for proper measurement. New features of this book include a specific range of recommended gain for obese women. Weight Gain During Pregnancy is intended to assist practitioners who care for women of childbearing age, policy makers, educators, researchers, and the pregnant women themselves to understand the role of gestational weight gain and to provide them with the tools needed to promote optimal pregnancy outcomes.
Author :David James Purslove Barker Publisher :Karger Medical and Scientific Publishers ISBN 13 :3805583877 Total Pages :283 pages Book Rating :4.8/5 (55 download)
Book Synopsis The Window of Opportunity by : David James Purslove Barker
Download or read book The Window of Opportunity written by David James Purslove Barker and published by Karger Medical and Scientific Publishers. This book was released on 2008-01-01 with total page 283 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is no longer any doubt that the inherited genetic constitution of the individual has a large influence on the entire life cycle, from human fetal development and pre- and postnatal growth to subsequent health status. However, growing evidence suggests that this predisposition is not rigid, but that early genetic imprinting, caused by exposure to a diverse spectrum of nutrients, macromolecules, microbial agents and other cellular or soluble components present in the external environment, is also of importance. According to this concept of the developmental origins of adult diseases, intrauterine and early life events play an important role in the etiology of human diseases: there seems to exist a critical 'window of opportunity' in the human infant before and during pregnancy, and up to 24 months of age. Altered exposure to different environmental agents during this critical period may determine the nature of responses in the perinatal period, and the expression of specific disease states in later life. The papers presented in this publication thus focus on the impact of perinatal growth, nutrition, environmental microflora, and host immune responses on the outcome of health and disease in later life.
