Laboratory of Experimental Research on Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, São Paulo State, Brazil.
University of Taubaté, Taubaté, São Paulo State, Brazil.
Reprod Sci. 2021 Dec;28(12):3440-3447. doi: 10.1007/s43032-021-00617-z. Epub 2021 May 13.
The hypertension incidence and its complication on pregnant women are growing and can lead to adverse consequences on their fetuses. However, it is known that regular exercise practice can be healthful to hypertensive pregnant women but harmful to fetal growth. So, the objective of this study was to evaluate the effects of exercise beginning before pregnancy or during pregnancy on the maternal blood pressure and reproductive outcome and on the fetal development of spontaneously hypertensive rats (SHR). Pregnant SHR were randomly distributed into three experimental groups: (1) SHR-Control, non-exercised; (2) SHR-Ex0, rats submitted to physical exercise (swimming program) from day zero to 20 of pregnancy; (3) and SHR-ExPr, rats submitted to swimming program before and during pregnancy. At end of pregnancy (day 21), the rats were anesthetized, and reproductive parameters and fetal development were assessed. Blood pressure was reduced at the end of pregnancy in all the groups. Regardless of swimming exposure time, there was reduced maternal weight gain. The exercise decreased fetal weight at term pregnancy, with a higher percentage of small for gestational age (SGA) fetuses and lower number ossification sites, indicating intrauterine growth restriction (IUGR). In conclusion, our findings provide insight to support that swimming exercise in pregnant SHR impairs fetal development, causing IUGR and visceral malformations. Therefore, the indication of physical exercise must be defined very carefully, as it can compromise fetal development.
孕妇的高血压发病率及其并发症不断增加,可能对胎儿产生不良后果。然而,众所周知,定期运动对高血压孕妇有益,但对胎儿生长有害。因此,本研究旨在评估妊娠前或妊娠期间开始运动对自发性高血压大鼠(SHR)的母体血压、生殖结局和胎儿发育的影响。将怀孕的 SHR 随机分为三组实验:(1)SHR-Control,不运动;(2)SHR-Ex0,从妊娠第 0 天到第 20 天接受体育锻炼(游泳计划)的大鼠;(3)SHR-ExPr,在妊娠前和妊娠期间接受游泳计划的大鼠。在妊娠末期(第 21 天),对大鼠进行麻醉,评估生殖参数和胎儿发育情况。所有组的血压在妊娠末期均降低。无论游泳暴露时间如何,母体体重增加均减少。运动使足月妊娠胎儿体重降低,具有更高比例的小于胎龄儿(SGA)胎儿和较少的骨化部位,表明宫内生长受限(IUGR)。总之,我们的研究结果提供了新的认识,支持妊娠 SHR 中的游泳运动损害胎儿发育,导致 IUGR 和内脏畸形。因此,必须非常谨慎地确定体育锻炼的适应证,因为它可能会损害胎儿发育。