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Prävention und Therapie der Adipositas und schwangerschaftsbedingter Erkrankungen durch Sport

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Sport in der Schwangerschaft

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Zusammenfassung

Dieses Kapitel dient der Übersicht über mögliche schwangerschaftsassoziierte Erkrankungen und deren Auswirkungen auf Mutter und Kind. Dabei wird die Möglichkeit der Einflussnahme von körperlicher Aktivität auf die Risikofaktoren für schwangerschaftsassoziierte Erkrankungen bzw. innerhalb der Behandlung dieser Erkrankungen aufgezeigt. Regelmäßige körperliche Aktivität stellt eine wichtige Komponente einer gesunden Schwangerschaft dar. Frauen, die körperlich aktiv sind, zeigen eine geringere Inzidenz von Adipositas und Diabetes mellitus Typ 2 bei Mutter und Kind, eine geringere Prävalenz von Gestationsdiabetes (GDM), und sie leiden seltener an einer Präeklampsie.

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Literatur

  • Ahlsson F, Gustafsson J, Tuvemo T, Lundgren M (2007) Females born large for gestational age have a doubled risk of giving birth to large for gestational age infants. Acta Paediatr 96: 358–362

    Article  CAS  PubMed  Google Scholar 

  • American College of Obstetricians and Gynecologists – ACOG (2002) COG Committee Opinion. Exercise during pregnancy and the postpartum period. Int J Gynaecol Obstet 79–81

    Google Scholar 

  • Artal R (1988) Fetal bradycardia induced by maternal exercise. Med Sci Sports Exerc 20 (6):611–613

    Article  CAS  PubMed  Google Scholar 

  • Artal R (2003) Exercise: the alternative therapeutic intervention for gestational diabetes. Clin Obstet Gynecol 46: 479–487

    Article  PubMed  Google Scholar 

  • 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: 6–12

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Artal R (2015) The role of exercise in reducing the risks of gestational diabetes mellitus in obese women. Best Pract Res Clin Obstet Gynaecol 29: 123–132

    Article  PubMed  Google Scholar 

  • Aune D, Saugstad OD, Henriksen T, Tonstad S (2014) Physical Activity and the Risk of Preeclampsia A Systematic Review and Meta-Analysis. Epidemiology 25: 331–343

    Article  PubMed  Google Scholar 

  • Barker DJ (1998) In utero programming of chronic disease. Clin Sci (London) 95: 115–128

    Article  CAS  Google Scholar 

  • Chawla S. Anim-Nyame N (2015) Advice on exercise for pregnant women with hypertensive disorders of pregnancy. International Journal of Gynecology Obstetrics 128: 275–279

    Article  PubMed  Google Scholar 

  • Choi J, Fukuoka Y, Lee JH (2013) The effects of physical activity and physical activity plus diet interventions on body weight in overweight or obese women who are pregnant or in postpartum: A systematic review and meta-analysis of randomized controlled trials. Preventive Medicine 56: 351–364

    Article  PubMed  PubMed Central  Google Scholar 

  • Clapp JF (2000) Exercise during pregnancy. A clinical update. Clin Sports Med 19: 273–286

    Article  PubMed  Google Scholar 

  • Clapp JF (2003) The effects of maternal exercise on fetal oxygenation and feto-placental growth. Eur J Obstet Gynecol Reprod Biol 110 Suppl S80–5

    Article  Google Scholar 

  • Clapp JF (1991) Exercise and fetal health. J Dev Physiol 15: 9–14

    PubMed  Google Scholar 

  • Clapp JF, III (1996) Morphometric and neurodevelopmental outcome at age five years of the offspring of women who continued to exercise regularly throughout pregnancy. J Pediatr 129: 856–863

    Article  PubMed  Google Scholar 

  • Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ (1998) Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. Hum Reprod 13: 1502–1505

    Article  CAS  PubMed  Google Scholar 

  • Cordero Y, Mottola MF, Vargas J, Blanco M, Barakat R (2014) Exercise is associated with a reduction in gestational diabetes mellitus. Med Sci Sports Exerc 47 (7): 1328–1333

    Article  Google Scholar 

  • Dempsey JC, Butler CL, Sorensen TK, Lee IM, Thompson ML, Miller RS et al (2004) A case-control study of maternal recreational physical activity and risk of gestational diabetes mellitus. Diabetes Res Clin Pract 66: 203–215

    Article  PubMed  Google Scholar 

  • Dempsey JC, Butler CL, Williams MA (2005) No need for a pregnant pause: physical activity may reduce the occurrence of gestational diabetes mellitus and preeclampsia. Exerc Sport Sci Rev 33: 141–149

    Article  PubMed  Google Scholar 

  • Domenjoz I, Kayser B, Boulvain M (2014) Effect of physical activity during pregnancy on mode of delivery. Am J Obstet Gynecol 211: 401–411

    Article  PubMed  Google Scholar 

  • Fleten C, Stigum H, Magnus P, Nystad W (2010) Exercise during pregnancy, maternal prepregnancy body mass index, and birth weight. Obstet Gynecol 115: 331–337

    Article  PubMed  Google Scholar 

  • Goldhammer E, Tanchilevitch A, Maor I, Beniamini Y, Rosenschein U, Sagiv M (2005) Exercise training modulates cytokines activity in coronary heart disease patients. Int J Cardiol 100: 93–99

    Article  PubMed  Google Scholar 

  • Halse RE, Wallman KE, Newnham JP, Guelfi KJ (2014) Home-Based Exercise Training Improves Capillary Glucose Profile in Women with Gestational Diabetes. Med Sci Sports Exerc 46: 1702–1709

    Article  CAS  PubMed  Google Scholar 

  • Hartmann S. Bung P (1999) Physical exercise during pregnancy–physiological considerations and recommendations. J Perinat Med 27: 204–215

    Article  CAS  PubMed  Google Scholar 

  • Hauner H (2010) Ernährung in Schwangerschaft und Stillperiode bei mütterlichem Übergewicht. In Plagemann A, Dudenhausen J (Hrsg) Adipositas als Risiko in der Perinatalmedizi., Springer. Berlin Heidelberg New York

    Google Scholar 

  • Hegaard HK, Pedersen BK, Nielsen BB, Damm P (2007) Leisure time physical activity during pregnancy and impact on gestational diabetes mellitus, pre-eclampsia, preterm delivery and birth weight: a review. Acta Obstet Gynecol Scand Rev 86: 1290–6

    Article  Google Scholar 

  • Hopkins SA, Baldi JC, Cutfield WS, McCowan L, Hofman PL (2010) Exercise training in pregnancy reduces offspring size without changes in maternal insulin sensitivity. J Clin Endocrinol Metab 95: 2080–2088

    Article  CAS  PubMed  Google Scholar 

  • Jovanovic L (2001) What is so bad about a big baby? Diabetes Care 24: 1317–1318

    Article  CAS  PubMed  Google Scholar 

  • Juhl M, Olsen J, Andersen PK, Nohr EA, Andersen AM (2010) Physical exercise during pregnancy and fetal growth measures: a study within the Danish National Birth Cohort. Am J Obstet Gynecol 202: 63–68

    Article  PubMed  Google Scholar 

  • Kagan K.O. Kuhn U (2004) [Sports and pregnancy]. Herz 29: 426–434

    Article  PubMed  Google Scholar 

  • Katan MB, Ludwig DS (2010) Extra calories cause weight gain – but how much? JAMA 303: 65–66

    Article  CAS  PubMed  Google Scholar 

  • Kemkes-Matthes B (2001) Changes in the blood coagulation system in pregnancy. Z Kardiol 90: 45–48

    Article  PubMed  Google Scholar 

  • Lakka TA, Lakka HM, Rankinen T, Leon AS, Rao DC, Skinner JS. et al (2005) Effect of exercise training on plasma levels of C-reactive protein in healthy adults: the HERITAGE Family Study. Eur Heart J 26: 2018–2025

    Article  CAS  PubMed  Google Scholar 

  • Lewis E (2014) Exercise in pregnancy. Aust Family Physician 43: 42–43

    Google Scholar 

  • Liat S, Cabero L, Hod M, Yogev Y (2015) Obesity in obstetrics. Best Pract Res Clin Obstet Gynaecol 29: 79–90

    Article  PubMed  Google Scholar 

  • Longo LD (1983) Maternal blood volume and cardiac output during pregnancy: a hypothesis of endocrinologic control. Am J Physiol 245: 720–9

    Google Scholar 

  • McDonald SM, Liu J, Wilcox S, Lau EY, Archer E (2015) Does dose matter in reducing gestational weight gain in exercise interventions? A systematic review of literature. J Sci Med Sport 19 (4): 323–335

    Article  PubMed  Google Scholar 

  • Mensink GBM, Schienkiewitz A, Haftenberger M, Lampert T, Ziese T, Scheidt-Nave C (27–5-2013). Übergewicht und Adipositas in Deutschland, Ergebnisse der Studie zur Gesundheit Erwachsener in Deutschland (DEGS1). Bundesgesundheitsblatt 56: 786–794

    Article  CAS  Google Scholar 

  • Mottola MF (2009) Exercise prescription for overweight and obese women: pregnancy and postpartum. Obstet Gynecol Clin North Am 36: 301–16, viii

    Article  PubMed  Google Scholar 

  • Nascimento SL, Pudwell J, Surita FG, Adamo KB, Smith GN (2014) The effect of physical exercise strategies on weight loss in postpartum women: a systematic review and meta-analysis. Int J Obes (London) 38: 626–635

    Article  CAS  Google Scholar 

  • Nobles C, Marcus BH, Stanek EJ, III, Braun B, Whitcomb BW, Solomon CG. et al (2015) Effect of an exercise intervention on gestational diabetes mellitus: a randomized controlled trial. Obstet Gynecol 125: 1195–1204

    Article  PubMed  PubMed Central  Google Scholar 

  • Oken E. Gillman MW (2003) Fetal origins of obesity. Obes Res 11: 496–506

    Article  PubMed  Google Scholar 

  • Okosun IS, Chandra KM, Boev A, Boltri JM, Choi ST, Parish DC. et al (2004) Abdominal adiposity in U.S. adults: prevalence and trends, 1960–2000, Prev Med 39: 197–206

    Article  PubMed  Google Scholar 

  • Perkins CC, Pivanik JM, Paneth N, Stein AD (2007) Physical activity and fetal growth during pregnancy. Obstet Gynecol 109 (1):81–87

    Article  PubMed  Google Scholar 

  • Pischon T, Hankinson SE, Hotamisligil GS, Rifai N, Rimm EB (2003) Leisure-time physical activity and reduced plasma levels of obesity-related inflammatory markers. Obes Res 11: 1055–1064

    Article  CAS  PubMed  Google Scholar 

  • Plagemann A (2005) Perinatal programming and functional teratogenesis: impact on body weight regulation and obesity. Physiol Behav 86: 661–668

    Article  CAS  PubMed  Google Scholar 

  • Plagemann A, Davidowa H, Harder T, Dudenhausen JW (2006) Developmental programming of the hypothalamus: a matter of insulin. A comment on: Horvath TL, Bruning JC.: Developmental programming of the hypothalamus: a matter of fat. Nat Med (2006) 12: 52–53 12: 53

    Google Scholar 

  • Plagemann A, Harder T, Dudenhausen JW (2008a) The diabetic pregnancy, macrosomia, and perinatal nutritional programming. Nestle Nutr Workshop Ser Pediatr Program 61: 91–102

    Article  CAS  PubMed  Google Scholar 

  • Plagemann A, Harder T, Schellong K, Rodekamp E, Dudenhausen JW (2008b) Fetal programming by disturbed intrauterine environment - fundamental mechanisms exemplified by the regulation of body weight and metabolism. Gynakol Geburtsh Rundsch 48: 215–224

    Article  Google Scholar 

  • Roberts JM. Lain KY (2002) Recent Insights into the pathogenesis of pre-eclampsia. Placenta 23: 359–372

    Article  CAS  PubMed  Google Scholar 

  • Rooney BL. Schauberger CW (2002) Excess pregnancy weight gain and long-term obesity: one decade later. Obstet Gynecol 100: 245–252

    PubMed  Google Scholar 

  • Rudra CB, Sorensen TK, Luthy DA, Williams MA (2008) A prospective analysis of recreational physical activity and preeclampsia risk. Med Sci Sports Exerc 40: 1581–1588

    Article  PubMed  Google Scholar 

  • Russo LM, Nobles C, Ertel KA, Chasan-Taber L, Whitcomb BW (2015) Physical activity interventions in pregnancy and risk of gestational diabetes mellitus: a systematic review and meta-analysis. Obstet Gynecol 125: 576–582

    Article  PubMed  Google Scholar 

  • Schaefer-Graf UM. Kleinwechter H (2006) Diagnosis and new approaches in the therapy of gestational diabetes mellitus. Curr Diabetes Rev 2: 343–52

    Article  CAS  PubMed  Google Scholar 

  • Sorensen TK, Williams MA, Lee IM, Dashow EE, Thompson ML, Luthy DA (2003) Recreational physical activity during pregnancy and risk of preeclampsia. Hypertension 41: 1273–1280

    Article  CAS  PubMed  Google Scholar 

  • Szymanski LM. Satin AJ (2012a). Exercise during pregnancy: fetal responses to current public health guidelines. Obstet Gynecol 119: 603–610

    Article  PubMed  PubMed Central  Google Scholar 

  • Szymanski LM. Satin AJ (2012b) Strenuous exercise during pregnancy: is there a limit? Am J Obstet Gynecol 207 (3): 179.e1-6

    Article  Google Scholar 

  • Weissgerber TL, Wolfe LA, Davies GA (2004) The role of regular physical activity in preeclampsia prevention. Med Sci Sports Exerc 36: 2024–2031

    Article  PubMed  Google Scholar 

  • Weissgerber TL, Wolfe LA, Davies GA, Mottola MF (2006) Exercise in the prevention and treatment of maternal-fetal disease: a review of the literature. Appl Physiol Nutr Metab 31: 661–674

    Article  PubMed  Google Scholar 

  • Wolfe LA Davies GA (2003) Canadian guidelines for exercise in pregnancy. Clin Obstet Gynecol 46: 488–495

    Article  PubMed  Google Scholar 

  • Wurster KG (1998) Sport in der Schwangerschaft und Stillzeit. In: Die Besonderheiten des Sports bei Mädchen und Frauen. Sportärtzeschaft Württemberg

    Google Scholar 

  • Yin YN, Li XL, Tao TJ, Luo BR, Liao SJ (2014) Physical activity during pregnancy and the risk of gestational diabetes mellitus: a systematic review and meta-analysis of randomised controlled trials. Br J Sports Med 48 (4): 290–295

    Article  PubMed  Google Scholar 

  • Zavorsky GS, Longo LD (2011) Exercise guidelines in pregnancy: new perspectives. Sports Med 41: 345–360

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Institut für Bewegungs- und Arbeitsmedizin, Universitätsklinikum Freiburg, Hugstetter Straße 55, 79106, Freiburg, Deutschland

    U. Korsten-Reck

  2. Institut für Sport und Sportwissenschaft, Albert-Ludwigs-Universität Freiburg, Schwarzwaldstr. 175, 79117, Freiburg, Deutschland

    K. Röttger

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  1. U. Korsten-Reck
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  2. K. Röttger
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Correspondence to U. Korsten-Reck .

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Editors and Affiliations

  1. Psychologisches Institut, Deutsche Sporthochschule Köln, Köln, Germany

    Marion Sulprizio

  2. Psychologisches Institut, Deutsche Sporthochschule Köln, Köln, Germany

    Jens Kleinert

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Korsten-Reck, U., Röttger, K. (2016). Prävention und Therapie der Adipositas und schwangerschaftsbedingter Erkrankungen durch Sport. In: Sulprizio, M., Kleinert, J. (eds) Sport in der Schwangerschaft. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48760-0_9

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  • DOI: https://doi.org/10.1007/978-3-662-48760-0_9

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