Larsson Linnea, Lindqvist Pelle G
Department of Obstetrics and Gynecology, Malmö University Hospital, MAS, Malmö, Sweden.
Acta Obstet Gynecol Scand. 2005 Jan;84(1):34-8. doi: 10.1111/j.0001-6349.2005.00696.x.
Exercise is an important part of many women's lives. Women are often advised to refrain from physical exercise during pregnancy. The reason given is mainly safety, i.e. fear of maternal hyperthermia, which is known to be related to neural tube defects. However, exercise during pregnancy has not been shown to be related to hyperthermia.
To study temperature and oxygen saturation responses to low-impact exercise in healthy pregnant women.
Forty pregnant women and 11 controls participating in low-impact aerobic exercise were monitored before exercise, at maximum-exercise level, and after exercise with regard to core temperature, heart rate, and oxygen saturation level.
The core temperature among the pregnant women did not increase significantly at maximum exercise or after exercise (36.5 versus 36.7 or 36.5 degrees C, P = 0.1, P = 0.5). None of the pregnant women were even close to approaching a dangerous body temperature at an intensity level of 69% of their maximum heart rate. As compared with pre-exercise values, oxygen saturation among pregnant women was significantly reduced at both maximum-exercise and postexercise measurements, but no measurement was below 95% in oxygen saturation.
Low-impact aerobics at about 70% of one's maximum heart rate appears to be safe in terms of risk of maternal hyperthermia.
运动是许多女性生活中的重要组成部分。通常建议女性在怀孕期间避免体育锻炼。给出的理由主要是安全问题,即担心母体体温过高,因为已知这与神经管缺陷有关。然而,尚未表明孕期运动与体温过高有关。
研究健康孕妇进行低强度运动时的体温和血氧饱和度反应。
对40名参与低强度有氧运动的孕妇和11名对照者在运动前、运动最高强度时以及运动后监测其核心体温、心率和血氧饱和度水平。
孕妇在运动最高强度时或运动后核心体温没有显著升高(分别为36.5℃、36.7℃和36.5℃,P = 0.1,P = 0.5)。在心率达到最大心率69%的强度水平时,没有一名孕妇接近危险体温。与运动前的值相比,孕妇在运动最高强度时和运动后的血氧饱和度测量值均显著降低,但血氧饱和度没有一次测量值低于95%。
就母体体温过高风险而言,以约最大心率70%的强度进行低强度有氧运动似乎是安全的。