Franklin Ashley, Mishtal Joanna, Johnson Teresa, Simms-Cendan Judith
Alaska Family Medicine Residency.
Department of Anthropology, University of Central Florida.
Cureus. 2017 Aug 1;9(8):e1534. doi: 10.7759/cureus.1534.
Background The American College of Obstetrics and Gynecology notes that pregnant athletes require more supervision due to their involvement in strenuous training schedules throughout pregnancy. Currently, rowing is not mentioned in the guidelines despite its increasing popularity, high cardiovascular demands, and risk for abdominal trauma. Methods This study aimed to elicit information from competitive female rowers regarding exercise, training, and competition during pregnancy. We administered a survey consisting of 122 items to female Masters rowers in the United States, aged 21 to 49 years, from June to December 2013. Results A total of 224 recreational and elite rowers met the inclusion criteria. Pregnant rowers self-reported high levels of exercise engagement: 85.2% (n/N = 98/115) exercised during any past pregnancy; exercise adherence decreased throughout pregnancy with 51.3%, 42.4%, and 15.7% meeting and/or exceeding national guidelines during the first, second, and third trimesters, respectively. Rowers were significantly (p < 0.001) more likely to state that an activity at a specified intensity and trimester was unsafe if they were younger, had less rowing experience, or were nulliparous. Decreased perceived rowing safety was associated with on-water training, higher intensity exercise, competition, and increasing gestational age. Primary safety concerns were the risk of oar-induced abdominal trauma and physiological effects due to high intensities required by the sport. Novel barriers to exercise in pregnancy included guilt towards the team and a mental barrier due to decreased performance. Healthcare providers are the number one information source for rowers regarding exercise during pregnancy. Conclusion Pregnant rowers are a relevant obstetrics population and have barriers and sport-specific safety concerns not previously identified in the literature. Rowers consider exercising in pregnancy to be important and struggle to meet exercise guidelines like the general population, indicating the need for healthcare providers to provide prenatal and antenatal education and interventions to support exercise during pregnancy even amongst athletes.
美国妇产科医师学会指出，由于孕期从事高强度训练计划，怀孕的运动员需要更多监督。目前，尽管赛艇运动越来越受欢迎、对心血管要求高且有腹部创伤风险，但相关指南中并未提及。
本研究旨在从有竞争力的女性赛艇运动员中获取有关孕期运动、训练和比赛的信息。2013年6月至12月，我们对美国年龄在21至49岁的女子大师级赛艇运动员进行了一项包含122个项目的调查。
共有224名休闲和精英赛艇运动员符合纳入标准。怀孕的赛艇运动员自我报告的运动参与度较高：85.2%（n/N = 98/115）在既往任何一次怀孕时都进行了运动；整个孕期运动依从性下降，在孕早期、孕中期和孕晚期分别有51.3%、42.4%和15.7%的人达到和/或超过国家指南。如果年龄较小、赛艇经验较少或未生育，赛艇运动员更有可能（p < 0.001）表示在特定强度和孕期的某项活动不安全。感知到的赛艇安全性降低与水上训练、更高强度的运动、比赛以及孕周增加有关。主要的安全担忧是桨引起腹部创伤的风险以及该运动所需高强度带来的生理影响。孕期运动的新障碍包括对团队的愧疚感以及因表现下降产生的心理障碍。医疗保健提供者是赛艇运动员孕期运动信息的首要来源。
怀孕的赛艇运动员是一个相关的产科人群，存在文献中先前未发现的障碍和特定于该运动的安全担忧。赛艇运动员认为孕期运动很重要，但像普通人群一样难以达到运动指南要求，这表明医疗保健提供者需要提供产前和孕期教育及干预措施，以支持即使是运动员在孕期的运动。
