Impact of heavy resistance training on pregnancy and postpartum health outcomes.

Autor: Prevett C; Institute of Clinical Excellence, Concord, NC, USA., Kimber ML; Program for Pregnancy and Postpartum Health, Physical Activity and Diabetes Laboratory, Faculty of Kinesiology, Sport and Recreation, Women and Children's Health Research Institute, Alberta Diabetes Institute, University of Alberta, Edmonton, Alberta, Canada., Forner L; The University of Queensland, Brisbane, Australia., de Vivo M; Active Pregnancy Foundation, Canterbury Christ Church University, Canterbury, UK., Davenport MH; Program for Pregnancy and Postpartum Health, Physical Activity and Diabetes Laboratory, Faculty of Kinesiology, Sport and Recreation, Women and Children's Health Research Institute, Alberta Diabetes Institute, University of Alberta, Edmonton, Alberta, Canada. mdavenpo@ualberta.ca.
Jazyk: angličtina
Zdroj: International urogynecology journal [Int Urogynecol J] 2023 Feb; Vol. 34 (2), pp. 405-411. Date of Electronic Publication: 2022 Nov 04.
DOI: 10.1007/s00192-022-05393-1
Abstrakt: Introduction and Hypothesis: Participation in Olympic weightlifting, the Valsalva maneuver, and acute or prolonged supine weightlifting during pregnancy are cautioned against; however, these recommendations are based on expert opinions as opposed to empirical evidence. The aim of this study was to examine the training and health outcomes of individuals who engaged in heavy resistance training during pregnancy.
Methods: A total of 679 individuals who lifted at least 80% one-repetition maximum during pregnancy participated in an online survey.
Results: Participants were primarily recreational athletes (88%, 332 out of 675) engaged in CrossFit™ (61%, 410 out of 675) and/or weightlifting (49%, 332 out of 675) during pregnancy. Most participants reported no complications during pregnancy or delivery (66%, 388 out of 589), whereas 57% (241 out of 426) reported urinary incontinence following pregnancy. Participants who maintained pre-pregnancy training levels until delivery reported significantly less reproductive complications than those who ceased training levels prior to delivery (p = 0.006). Most respondents engaged in Olympic lifting (72%, 311 out of 432) and lifting in a supine position (71%, 306 out of 437), whereas fewer reported use of the Valsalva maneuver during pregnancy (34%, 142 out of 412). Most returned to weightlifting following delivery (89%, 400 out of 447, average: 3.2 ± 3.0 months), including Olympic lifting (81%, 300 out of 372, average: 4.0 ± 3.4 months) and Valsalva (62%, 213 out of 341, average: 4.5 ± 3.6 months).
Conclusions: Individuals who engaged in heavy prenatal resistance training had typical perinatal and pelvic floor health outcomes that were not altered whether they engaged in, or avoided Olympic lifting, Valsalva or supine weightlifting.
(© 2022. The International Urogynecological Association.)
Databáze: MEDLINE