El efecto de una intervención de ejercicio sobre variables hemodinámicas en mujeres embarazadas

Autores/as

DOI:

https://doi.org/10.18041/1900-3803/entramado.2.6697

Palabras clave:

Embarazo, ejercicio, presión sanguínea, ritmo cardiaco, intervención, salud gestacional

Resumen

Objetivo: Se evaluó el efecto del ejercicio sobre la frecuencia cardíaca (FC), la presión sistólica (PAS) y diastólica (PAD) durante diferentes edades gestacionales. Métodos: Se utilizaron los grupos de intervención y control de ejercicio de un ensayo clínico previo. Las mujeres embarazadas (n=92) fueron analizadas [controles: n=48; grupo de ejercicio: n=44]. Las variables resultado fueron el cambio porcentual en PAS, PAD y FC durante los intervalos de seguimiento (16–20, 20–24, 24–28 y 28–32 semanas). Resultados: la FC en reposo mostró un aumento menor en el grupo de ejercicio que en el grupo control durante el intervalo de semanas de gestación 16-20 (p = 0.011) [Rango intercuartil mediano: grupo control 8.8 (0 a 27.9); 2.2 (-6.9 a 8.1) grupo de ejercicio]. Durante este intervalo, la PAS disminuyó tanto en el grupo control como en el ejercicio, con mayor disminución los controles(P <0.05) [Rango intercuartil mediano: -4.29 (-11.1 a 1.9) grupo control; -0,89 (-4,76 a 6,36)]. Conclusión: El ejercicio aeróbico atenuó significativamente el aumento de la frecuencia cardíaca en reposo al comienzo del segundo trimestre del embarazo.

Descargas

Referencias

AGARWAL, Shashi K. Cardiovascular benefits of exercise. In: Int J Gen Med. Jun 2012. no. 5. p. 541-545. https://doi.org/10.2147/IJGM.S30113

BAHADORAN, Parvin; POUYA, Fateme; ZOLAKTAF, Vahid; TAEBI, Mahboubeh. The effect of stretching exercise and walking on changes of blood pressure in nulliparous women. In: Iran J Nurs Midwifery Res.Mar-Apr 2015. Vol. 20 no. 2. p. 205-210. https://www.NCBI.nlm.nih.gov/pmc/articles/PMC4387644/

BILLMAN, George E.; CAGNOLI, Kristen L.; CSEPE, Thomas; LI, Ning; WRIGHT, Peter; MOHLER, Peter J; Fedorov, Vadim V. Exercise training-induced bradycardia: evidence for enhanced parasympathetic regulation without changes in intrinsic sinoatrial node function. In: J Appl Physiol. Jun, 2015. Vol.118,no.11. p. 1344- 1355. https://doi.org/10.1152/japplphysiol.01111.2014

BORON, Walter F.; BOULPAEP, Emile L. Medical Physiology New Heaven: Elsvier Saunders. 2017 https://trove.nla.gov.au/work/12168683

BRAUN, Lynne T. Exercise physiology and cardiovascular fitness. In: The Nursing Clinics of North America.1991.vol. 26 no.1. p. 135-147. https://pubmed.ncbi.nlm.nih.gov/2000315/

CARPENTER, Rhiannon E.; EMERY, Simon J., UZUN, Orhan; D’SILVA, lindsay A.; LEWIS, MICHAEL J. Influence of antenatal physical exercise on haemodynamics in pregnant women: a flexible randomisation approach. In: BMC Pregnancy Childbirth. August 2015. Vol.15, no.186. https://doi.org/10.1186/s12884-015-0620-2

DULEY, Lelia. Maternal mortality associated with hypertensive disorders of pregnancy in Africa, Asia, Latin America and the Caribbean. In: Br J Obstet Gynaecol, July 1992. Vol. 99, no.7. p. 547-553. https://doi.org/10.1111/j.1471-0528.1992.tb13818.x

DURNIN, John Valentine George Andrew; WOMERSLEY, Jhon R. Body fat assesed from total body density and its estimation from skinfold thickness:measurements on 481 men and women aged from 16 to 72 years. In: Br J Nutrition. 1974. Vol. 32, no.1.p. 77-97. https://doi.org/10.1079/bjn19740060

QI Fu; LEVINE Benjamin D. Autonomic circulatory control during pregnancy in humans. In: Semin Reproduction Medicine. 2009. vol. 27 no.4. p. 330-337. https://doi.org/10.1055/s-0029-1225261

GREENWOOD, John P.; SCOTT, Eleanor M.; STOKER, John B; WALKER, James J.; MARY, David A. Sympathetic neural mechanisms in normal and hypertensive pregnancy in humans. In: Circulation. 2001. vol 104, no.18. p. 2200-2204. https://doi.org/10.1161/hc4301.098253

GRINDHEIM, Guro; ESTENSEN, Mette E.; LANGESAETER, Eldrid; ROSSELAND, Leiv A.; TOSKA, K. Changes in blood pressure during healthy pregnancy: a longitudinal cohort study. In: J. Hypertension. 2012. vol. 30, no. 2. p. 342-350. https://doi.org/10.1097/HJH.0b013e32834f0b1c

HAAKSTAD, Lene A.; EDVARDSEN, Elisabeth; BO, Kary. Effect of regular exercise on blood pressure in normotensive pregnant women. A randomized controlled trial. In: Hypertension Pregnancy. 2016. Vol. 35, no. 2. p. 170-180. https://doi.org/10.3109/10641955.2015.1122036

HUTCHEON, Jennifer A.; LISONKOVA, Sarka; JOSEPH, K. S. Epidemiology of preeclampsia and the other hypertensive disorders of pregnancy. In: Best Pract Res Clin Obstet Gynaecology. 2011.vol. 25, no.4. p. 391-403. https://doi.org/10.1016/j.bpobgyn.2011.01.006

MCARDLE, William D.; KATCH, Frank I.; KATCH, Victor L. Essentials of exercise Physiology. Lippincott Williams & Wilkins.2006. 753 p.

THE AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS. Exercise during pregnancy and the postpartum period. In: ACOG technical bulletin number 189. February 1994. Vol. 45, no.1. p. 65-70. https://doi.org/10.1016/0020-7292(94)90773-0

PETROV FIERIL, Karolina.; GLANTZ, Anna; FAGEVIK OLSEN, Monika. Hemodynamic responses to single sessions of aerobic exercise and resitance exercise in pregnancy. In: Acta Obstetric Gynecology Scandinavie. April 2016. Vol 95, no. 9. p. 1042-1047. https://doi.org/10.1111/aogs.12899

PICKERING, Thomas G. (1996). Recommendations for the use of home (self) and ambulatory blood pressure monitoring. In: American Journal of Hypertension. January 1996. vol. 9, no. 1. p. 1-11. https://doi.org/10.1016/0895-7061(95)00341-X

RAMIREZ-VELEZ, Robinson; ROMERO, Miryam; ECHEVERRI, Elisabeth; ORTEGA, Jose G.; MOSQUERA, Mildrey, et al. A factorial randomized controlled trial to evaluate the effect of micronutrients supplementation and regular aerobic exercise on maternal endothelium-dependent vasodilatation and oxidative stress of the newborn. In: Trials. 2011. Vol. 12, no. 60. https://doi.org/10.1186/1745-6215-12-60

REBELO, Fernanda; FARIAS, Dayana R.; MENDES, Roberta H.; Schlussel, Michael M.; KAC, Gilberto. Blood Pressure Variation Throughout Pregnancy According to Early Gestational BMI: A Brazilian Cohort. In: Arq Bras Cardiol. 2015. vol. 104, no.4. p. 284-291. https://doi.org/10.5935/abc.20150007

SANGHAVI, Monika; RUTHERFORD, John D. Cardiovascular physiology of pregnancy. In Circulation. 2014. Vol. 130, no.12. p. 1003-1008. https://doi.org/10.1161/circulationaha.114.009029

SCHOBEL, Hans P.; FISCHER, Thorsten; HEUSZER, Karnsten; GEIGER, Helmut; SCHMIEDER, Roland E. Preeclampsia, a state of sympathetic overactivity. In: New Engl Journal of Medicine. 1996. Vol. 335, no. 20. p. 1480-1485. https://doi.org/10.1056/nejm199611143352002

SIBAI, Baha; DEKKER, Gus; KUPFERMINC, Michael. Pre-eclampsia. Lancet. 2005. Vol. 365, no.9461. p. 785-799. https://doi.org/10.1016/s0140-6736(05)17987-2

SIRI, Willian E. Body composition from fluid spaces and density: analysis of methods. Lawrence Berkeley National Laboratory.1956. LBNL Report #: UCRL- 3349 https://escholarship.org/uc/item/6mh9f4nf

TROIANO, Nan H. Physiologic and Hemodynamic Changes During Pregnancy. AACN Adv Crit Care. 2018. vol 29, no.3. p. 273-283. https://doi.org/10.4037/aacnacc2018911

WEN, Hongwei; WANG, Lijuan. Reducing effect of aerobic exercise on blood ressure of essential hypertensive patients: A meta-analysis. Medicine. 2017. Vol. 96, no.11. p. 6150. https://doi.org/10.1097/md.0000000000006150

WHELTON, Seamus P.; CHIN, Ashley; XUE, Xin; HE, Jiang. Effect of aerobic Exercise on blood pressure: a meta-analysis of randomized, controlled trials. Ann International Medicine. 2002. vol.136, no.7. p. 493-503. https://doi.org/10.7326/0003-4819-136-7-200204020-00006

YEO, Seonae; STEELE, Nancy M.; CHANG, Ming Cheng; LECLAIRE, S. M.; RONIS, David L.; HAYASHI, Ryohei. Effect of exercise on blood pressure in pregnant women with a high risk of gestational hypertensive disorders. Journal Reproduction Medicine. 2000. Vol. 45, no.4. p. 293-298.

YEOMANS, Eduard R.; GILSTRAP, Larry C.; Physiologic changes in pregnancy and their impact on critical care. In: Crit Care Med.October 2005. Vol. 33, no.10. p. S256- 258. https://doi.org/10.1097/01.CCM.0000183540.69405.90

Publicado

2020-06-15

Número

Sección

Artículos

Cómo citar

Salazar-Contreras, B. C. (2020). El efecto de una intervención de ejercicio sobre variables hemodinámicas en mujeres embarazadas. Entramado, 16(2), 264-274. https://doi.org/10.18041/1900-3803/entramado.2.6697

Artículos similares

1-10 de 25

También puede Iniciar una búsqueda de similitud avanzada para este artículo.