Network Magazine autumn 2015 | Page 63

REVIEW: STRONG MUM – HEALTHY BUB? A new study looks at the potential benefits – or otherwise – for expectant mothers of participating in ‘realistic’ resistance exercise programs. WORDS: ASSOCIATE PROFESSOR MIKE CLIMSTEIN & JOE WALSH Title: Resistance Training During Pregnancy and Perinatal Outcomes Author: Dr’s White et al. (Dept of Health, Exercise and Rehabilitation, Winona State University, USA) Source: Journal of Physical Activity and Health (Volume 11 (6), pgs 1141-1148, 2014) Introduction: It is only appropriate that this issue’s Research Review be on pregnancy and exercise as two of Mike’s higher degree PhD students and their wives have just had babies (congratulations to Ben and Kim who just welcomed Billy to their family, and to James and Katrina who were recently joined by baby Jack.) OK, with the niceties out of the way let’s talk research! Dr White and her colleagues have recently published a paper on resistance training during pregnancy and perinatal (time period from just before the birth to seven days post birth) outcomes. We have known for quite some time that the benefits of regular (low-moderate intensity) exercise for the expectant mother include a reduction of backaches, bloating, swelling, improved sleep and weight control (which helps reduce the likelihood of gestational diabetes). Despite these benefits, Dr White reports that only two-thirds of pregnant women engage in any leisure-time physical activity. Of those who do exercise, walking is reported to be the most common (83 per cent), however resistance training is the third most popular form of exercise performed, but by only 10 per cent of the pregnant women who reported engaging in any physical activity. It is not surprising that such a small percentage of pregnant women participate in resistance training given the potential risks. These include hyperthermia and a redistribution of blood flow away from the foetus. Dr White and her colleagues point out that a recently published randomised control study reported no association of light-moderate intensity exercises with gestational age at delivery or offspring body size, both of which are favourable findings. However, it should be noted that the participants in that study only used resistance bands or light barbells (i.e. <3kg). Dr White recognised that there was a need to investigate other, more realistic training regimes and hence conducted this comprehensive study. Method: This study invited women aged 18 years of age or older who had given birth in the previous five years to participate in the study. Participants completed an online survey which investigated their birth outcomes (birth weight, gestational age at delivery, preterm labour, mode of delivery and infant height). The researchers also queried if the mother developed gestational diabetes, hypertensive disorders and birth weight. The survey also queried the type of exercise completed while pregnant (specific to first, second and third trimesters). Respondents were divided into three groups depending upon the mode(s) of exercise they completed; resistance training and aerobic exercise (RTAE), aerobic exercise only (AE) and no exercise (NE). Results: A total of 284 women participated in the study. Women who completed resistance NETWORK AUTUMN 2015 | 63