Kobe Hitoshi, Nakai Akihito, Koshino Tatsuo, Araki Tsutomu
Department of Obstetrics and Gynecology, Nippon Medical School, Tama-shi, Tokyo, Japan.
J Nippon Med Sch. 2002 Dec;69(6):542-8. doi: 10.1272/jnms.69.542.
This study was designed to investigate the influence of maternal aerobic exercise on lipid peroxidation levels and antioxidant enzymatic activities before and after delivery. Predelivery and 1- and 24-hour post partum blood samples were collected from 18 nulliparous healthy pregnant women who exercised regularly throughout the whole period of pregnancy and from 22 matched controls. The plasma concentration of malondialdehyde (MDA) was measured as an indicator of lipid peroxidation. Erythrocyte enzymes, superoxide dismutase (SOD), glutathione peroxidase (GSHPx) and catalase (CAT), were measured as intracellular antioxidant markers. In the control group, MDA increased slightly from predelivery to 1 hour post partum and then increased significantly at 24 hours post partum, with significant increase in SOD and CAT activities. On the other hand, MDA of the exercise group remained unaltered at 1 and 24 hours after delivery. At 1 hour post partum, the SOD and CAT levels of the exercise group increased markedly and then decreased to predelivery levels. The present results indicate that uncontrolled lipid peroxidation occurs during labor and suggest that continuing regular maternal exercise may reduce labor-induced lipid peroxidation by improving the defense capabilities against free radical generation.
本研究旨在调查孕期有氧运动对孕妇分娩前后脂质过氧化水平及抗氧化酶活性的影响。采集了18名在整个孕期定期锻炼的未生育健康孕妇以及22名匹配对照者分娩前、产后1小时和产后24小时的血样。测量血浆丙二醛(MDA)浓度作为脂质过氧化的指标。测量红细胞酶超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GSHPx)和过氧化氢酶(CAT)作为细胞内抗氧化标记物。在对照组中,MDA从分娩前到产后1小时略有增加,然后在产后24小时显著增加,同时SOD和CAT活性显著增加。另一方面,运动组的MDA在分娩后1小时和24小时保持不变。产后1小时,运动组的SOD和CAT水平显著升高,然后降至分娩前水平。目前的结果表明,分娩过程中会发生不受控制的脂质过氧化,并提示持续进行规律的孕期运动可能通过提高对自由基生成的防御能力来减少分娩引起的脂质过氧化。