Zusammenfassung
Hintergrund
Körperliche Aktivität vor, während und nach der Schwangerschaft hat zahlreiche positive Effekte auf Mutter und Kind. Neue amerikanische Richtlinien empfehlen daher während der Schwangerschaft 20–30 Minuten Bewegung pro Tag an möglichst vielen Tagen in der Woche.
Fragestellung und Methode
Dargestellt werden die Hintergründe sowie aktuelle Empfehlungen zu körperlicher Aktivität im Kontext Schwangerschaft. Auf der Basis neuer Erkenntnisse werden praktische Tipps zur Umsetzung gegeben.
Ergebnisse
Ausreichende Bewegung pro Tag reduziert das Risiko für schwangerschaftsbedingte Komplikationen und Erkrankungen, wie beispielsweise exzessive Gewichtszunahme oder Gestationsdiabetes.
Schlussfolgerung
Schwangere ohne relevante Kontraindikationen sollten motiviert werden, weiterhin oder neu (angemessen) körperlich aktiv zu bleiben oder aktiv zu werden.
Abstract
Background
Regular physical activity before, during and after pregnancy has beneficial effects for mother and child. New American guidelines for physical activity during pregnancy recommend women to be moderately active for at least 20–30 min per day on most or all days of the week.
Objective and methods
In the present article, the new recommendations for physical activity during pregnancy are outlined. Practical tips for implementation are provided.
Results
Regular physical activity during pregnancy reduces the risk of several pregnancy-related conditions like excessive weight gain or gestational diabetes.
Conclusion
Women with uncomplicated pregnancies should be encouraged to continue or start regular physical activity.
Literatur
American College of Obstetricians and Gynecologists (2015) Committee Opinion. Physical activity and exercise during pregnancy and the postpartum period. Obstet Gynecol 26(6):e135–e142
Araki S, Yamamoto Y, Dobashi K et al (2014) Decreased plasma levels of brain-derived neurotrophic factor and its relationship with obesity and birth weight in obese Japanese children. Obes Res Clin Pract 8(1):e63–e69
Artal R, O’Toole M (2003) Guidelines of the American College of Obstetricians and Gynecologists for exercise during pregnancy and the postpartum period. Br J Sports Med 37(1):6–12
Bao W, Baecker A, Song Y et al (2015) Adipokine levels during the first or early second trimester of pregnancy and subsequent risk of gestational diabetes mellitus: A systematic review. Metabolism 64(6):756–764
Barker DJP, Winter PD, Osmond C et al (1989) Weight in Infancy and death from ischaemic heart disease. Lancet 2(8663):577–580
Christiansen M, Hedley PL, Placing S et al (2015) Maternal serum resistin is reduced in first trimester preeclampsia pregnancies and is a marker of clinical severity. Hypertens Pregnancy 34(4):422–433
Chu SY, Callaghan WM, Bish CL et al (2009) Gestational weight gain by body mass index among US women delivering live birth, 2004–2005: fueling future obesity. Am J Obstet Gynecol 200(3):271.e1–271.e7
Clapp JF, Kiess W (2000) Effects of pregnancy and exercise on concentrations of the metabolic markers tumor necrosis factor alpha and leptin. Am J Obstet Gynecol 182(2):300–306
D’Ippolito S (2012) Adipokines, an adipose tissue and placental product with biological functions during pregnancy. Biofactors 38(1):14–23
Dempsey JC, Butler CL, Sorensen TK et al (2004) A case-control study of maternal recreational physical activity and risk of gestational diabetes mellitus. Diabetes Res Clin Pract 66(2):203–215
Evenson KR, Mottola MF, Owe KM et al (2014) Summary of international guidelines for physical activity after pregnancy. Obstet Gynecol Surv 69(7):407–414
Evenson KR, Wen F (2011) Prevalence and correlates of objectively measured physical activity and sedentary behavior among US pregnant women. Prev Med 53(1–2):39–43
Ferrari N, Mallmann P, Brockmeier K et al (2014) Secular trends in pregnancy weight gain in german women and their influence on foetal outcome: a hospital-based study. BMC Pregnancy Childbirth 14:228
Katagiri H, Yamada T, Oka Y (2007) Adiposity and cardiovascular disorders: disturbance of the regulatory system. Consisting of humoral and neuronal signals. Circ Res 101:27–39
Kirwan JP, Hauguel-De Mouzon S, Lepercq J (2002) TNF-alpha is a Predictor of insulin resistance in human pregnancy. Diabetes 51:2207–2213
Lowe LP, Metzger BE, Lowe WL Jr et al (2010) Inflammatory mediators and glucose in pregnancy: results from a subset of the Hyperglycemia and Adverse Pregnancy Outcome (HAPO) Study. J Clin Endocrinol Metab 95(12):5427–5434
Martin SS, Qasin A, Reilly MP (2008) Leptin Resistance. A possible interface of inflammation and metabolism in obesity-related cardiovascular diseases. J Am Coll Cardiol 52:1201–1210
Mensink GBM, Schienkiewitz A, Haftenberger M et al (2013) Overweight and obesity in Germany. Results oft he German Health Interview and Examination Survey for Adults (DEGS1). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 56:786–794
Morgan AR, Thompson JMD, Murphy R et al (2010) Obesity and diabetes genes are associated with being born small for gestational age: Results from the Auckland Birthweight Collaborative study. BMC Med Genet 11:125
Nawaz H, Adams ML, Katz DL (2000) Physician-patient interaction regarding diet, exercise, and smoking. Prev Med 31(6):652–657
Plagemann A, Harder T, Schellong K et al (2008) Fetale Programmierung bei intrauteriner Millieustörung – grundlegende Mechanismen am Beispiel der Körpergewichts- und Stoffwechselregulation. Gynakol Geburtshilfliche Rundsch 48:215–224
Poudevigne M, O’Connor PJA (2006) Review of physical activity patterns in pregnant women and their relationship to psychological health. Sports Med 36(1):19–38
Rodekamp E, Harder T, Plagemann A (2011) Übergewicht: Wie die Mutter, so das Kind? Dtsch Hebammenz 1:18–22
Royal College of Obstetricians and Gynaecologists (2006) Setting standards to improve women’s health. Statement No. 4
Thangaratinam S (2012) Effects of interventions in pregnancy on maternal weight and obstetric outcomes: meta-analysis of randomised evidence. BMJ 344:e2088
Tsai PJ, Yu CH, Hsu SP et al (2005) Maternal plasma adiponectin concentrations at 24 to 31 weeks of gestation: negative association with gestational diabetes mellitus. Nutrition 21(11–12):1095–1099
Tozuka Y, Kumon M, Wada E et al (2010) Maternal obesity impairs hippocampal BDNF production and spatial learning performance in young mouse offspring. Neurochem Int 57:235
Vitoratos N, Deliveliotou A, Dimitrakaki A (2011) Maternal serum resistin concentrations in gestational diabetes mellitus and normal pregnancies. J Obstet Gynaecol Res 37(2):112–118
Williams CB, Mackenzie KC, Gahagan S (2014) The effect of maternal obesity on the offspring. Clin Obstet Gynecol 57(3):508–515
Warrington NM, Wu YY, Pennell CE et al (2013) Modelling BMI trajectories in children for genetic association studies. PLoS ONE 8:e53897
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Interessenkonflikt
N. Ferrari und C. Graf geben an, dass kein Interessenkonflikt besteht.
Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.
Additional information
Redaktion
A. Schwenkhagen
K. Schaudig
Rights and permissions
About this article
Cite this article
Ferrari, N., Graf, C. Körperliche Aktivität in der Schwangerschaft. Gynäkologe 49, 232–235 (2016). https://doi.org/10.1007/s00129-016-3851-z
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00129-016-3851-z