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一次性最大体力消耗和为期8周的高强度间歇训练后孕期疼痛感知的变化。

Changes in pain perception during pregnancy after one-time maximal physical exertion and an 8-week high-intensity interval training.

作者信息

Leźnicka Katarzyna, Gasiorowska Agata, Pawlak Maciej, Jażdżewska Aleksandra, Maciejewska-Skrendo Agnieszka, Chudecka Monika, Szumilewicz Anna

机构信息

Faculty of Physical Culture, Gdansk University of Physical Education and Sport, Gdansk, Poland.

Faculty of Psychology in Wroclaw, SWPS University of Social Sciences and Humanities, Wroclaw, Poland.

出版信息

Front Physiol. 2023 Dec 12;14:1304534. doi: 10.3389/fphys.2023.1304534. eCollection 2023.

Abstract

Pain, a subjective sensation, poses a great challenge to the human body as a stressor. There is empirical evidence that moderate to intense physical activity increases pain tolerance and this may be critical during pregnancy for optimal pregnancy, fetal development, and delivery. To the best of our knowledge, it is the first study examining the changes in pain perception in pregnant women after a maximal progressive exercise test and after 8 weeks of high-intensity interval training (HIIT). Thirty-five women with uncomplicated singleton pregnancies between 13 and 28 weeks of gestation participated in the study. The HIIT intervention was developed in accordance with the recommendations and available data on HIIT during pregnancy. The maximal progressive cardiopulmonary exercise test was performed on a cycle ergometer with an electronically controlled load. Pressure pain threshold and pressure pain tolerance were measured with an algometer. We found significant effects of the maximal exercise test and high-intensity interval training, such that the pregnant women had higher pain tolerance after the maximal exercise test than before and after the high-intensity interval training than the baseline. Our results suggest that post-exercise analgesia may be important in pregnant women and that high-intensity interval training appears to be beneficial for pregnant women to improve their pain tolerance while being obstetrically safe. Increased pain tolerance before labor could lead to better management of pain during labor and in the postpartum and lactation periods. Increasing pregnant women's awareness of this issue can improve their wellbeing and provide more comfort during labor.

摘要

疼痛作为一种主观感觉,作为一种应激源对人体构成了巨大挑战。有经验证据表明,中度至剧烈的体育活动可提高疼痛耐受性,这在孕期对于实现最佳妊娠、胎儿发育和分娩可能至关重要。据我们所知,这是第一项研究孕妇在进行最大递增运动试验后以及经过8周高强度间歇训练(HIIT)后疼痛感知变化的研究。35名妊娠13至28周的单胎妊娠无并发症的女性参与了该研究。HIIT干预是根据孕期HIIT的建议和现有数据制定的。最大递增心肺运动试验在配备电子控制负荷的自行车测力计上进行。使用压力痛觉计测量压力痛阈和压力耐受。我们发现最大运动试验和高强度间歇训练有显著效果,即孕妇在最大运动试验后比试验前以及在高强度间歇训练后比基线时具有更高的疼痛耐受性。我们的结果表明,运动后镇痛对孕妇可能很重要,并且高强度间歇训练似乎有利于孕妇在产科安全的情况下提高其疼痛耐受性。分娩前疼痛耐受性的提高可导致分娩期间以及产后和哺乳期更好地控制疼痛。提高孕妇对这个问题的认识可以改善她们的幸福感,并在分娩期间提供更多舒适感。

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