Hypopressive abdominal physical activity and its influence on postpartum weight recovery: a Randomized Clinical Trial.

Authors

  • Juan Carlos Sánchez-García BsC. Grupo de Investigación CTS 367. Plan Andaluz de Investigación. Junta de Andalucía. España. Departamento de Enfermería. Universidad de Granada.
  • Raquel Rodríguez-Blanque BsC. Grupo de Investigación CTS 367. Plan Andaluz de Investigación. Junta de Andalucía. España. Departamento de Enfermería. Universidad de Granada.
  • Antonio Manuel Sánchez-López BsC. Grupo de Investigación CTS 367. Plan Andaluz de Investigación. Junta de Andalucía. España. Departamento de Enfermería. Universidad de Granada.
  • Norma Mur-Villar PhD. Grupo de Investigación CTS 367. Plan Andaluz de Investigación. Junta de Andalucía (España). Facultad de Ciencias Médicas de Cienfuegos.
  • Tania Rivero-Blanco BsC. Facultad de Ciencias Médicas de Cienfuegos.
  • Manuela Expósito-Ruiz Fundación para la Investigación Biosanitaria de Andalucía Oriental-Alejandro Otero (FIBAO). Complejo Hospitalario Universitario de Granada
  • María José Aguilar-Cordero PhD. Departamento de Enfermería. Facultad de Ciencias de la Salud. Universidad de Granada. Complejo Hospitalario Universitario de Granada. Grupo de Investigación CTS 367. Plan Andaluz de Investigación. Junta de Andalucía.

DOI:

https://doi.org/10.19230/jonnpr.1595

Keywords:

Postpartum period, exercise, physical activity, Low Pressure Fitness, quality of life

Abstract

Introduction. The woman presents during pregnancy a weight gain that, in most cases, does not carry risks associated with weight gain, but that if that gain is not lost adequately in the postpartum, it can be harmful to their health. Promoting physical exercise programs during the postpartum period can be an effective tool in the recovery of women's pregestational weight, in addition, it can also be associated with an improvement in the healthy habits of both the woman and her family.

Aim. To analyze the results of a program of hipopressive abdominal physical activity in a sample of women, starting four months after birth, and its influence on the recovery of pregestational weight. 

Material and methods. A randomized clinical trial was performed of observational and longitudinal cut. The study included a behavioral intervention, starting at 16 weeks postpartum and ended 12 weeks later. A moderate-intensity exercise program was followed, according to the Low Pressure Fitness methodology. The evolution of weight gained during pregnancy was known through the personal interview between the weeks 14-16 postpartum. Weight retention was assessed during the postpartum period, and measured again at week 28 postpartum.

Results. At the beginning of the intervention, the women did not present statistically significant gestational weight gains between the two groups, being recommended by the American College of Obstetrics and Gynecology (ACOG), which ranged from 8.05 kg to 11.63 kg. The total drop out rate for the trial was 7.8%. No statistically significant differences were found between the two groups in the evolution of the woman's weight from the beginning to the end of the intervention. Neither when comparing the weights at the beginning and at the end of the intervention of each group. The value of p was 0.751 for CG and 0.691 for EG. No statistically significant differences were found in the characteristics of the sample.

Conclusion. Statistically, no differences were found in weight loss gained during pregnancy among sedentary women and those who followed the LPF method during the postpartum period.

 

Downloads

Download data is not yet available.

References

ACOG. Physical activity and exercise during pregnancy and the postpartum period. Committee Opinion No. 650. Obstet Gynecol. 2015;126:e135–42.

Pescatello LS, American College of Sports Medicine, editors. ACSM’s guidelines for exercise testing and prescription. 9th ed. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins Health; 2014. 456 p.

ACOG Committee Opinion No. 650: Physical Activity and Exercise During Pregnancy and the Postpartum Period. Obstet Gynecol. 2015 Dec;126(6):e135–42.

American College of Obstetricians and Gynecologists. El Ejercicio después del embarazo SP131 [Internet]. 2015 [cited 2017 Mar 21]. Available from: http://www.acog.org/Patients/Search-Patient-Education- Pamphlets-Spanish/Files/El-ejercicio-despues-del-embarazo

Sachs ML. Psychological well-being and vigorous physical activity. Psychol Found Sport. 1984;435–44.

Weng MH. Stress and management of a multipara woman during her pregnancy. J Med Sci. 2000;30:266–70.

Stark MA. Relationship of psychosocial tasks of pregnancy and attentional functioning in the third trimester. Res Nurs Health. 2001 Jun;24(3):194–202.

WMA Declaration of Helsinki - Ethical Principles for Medical Research Involving Human Subjects [Internet]. 2013 [cited 2017 Jan 17]. Available from: http://www.wma.net/es/30publications/10policies/b3/

Sánchez-García JC, Rodríguez-Blanque R, López AMS, Baena-García L, Suárez-Manzano S, Aguilar-Cordero MJ. Efectos de la actividad física durante el embarazo y en la recuperación posparto: protocolo de estudio. Nutr Hosp. 2016;33(Supl 5):29–32.

CONSORT Checklist [Internet]. 2017 [cited 2017 Feb 1]. Available from: http://www.consortstatement.org/checklists/view/32-consorte/66- title

Rial T, Pinsach P. Técnicas Hipopresivas [Internet]. 7th ed. Vigo, España: Ediciones Cardeñoso; 2014. 152 p. Available from: http://edicionescardenoso.blogspot.com/2014/07/tecnicas-hipopresivas- de-tamara-rial-y.html

Barakat R, Pelaez M, Montejo R, Luaces M, Zakynthinaki M. Exercise during pregnancy improves maternal health perception: a randomized controlled trial. Am J Obstet Gynecol. 2011 May 1;204(5):402.e1–402.e7.

Nascimento SL, Surita FG, Parpinelli MÂ, Siani S, Pinto e Silva JL. The effect of an antenatal physical exercise programme on maternal/perinatal outcomes and quality of life in overweight and obese pregnant women: a randomised clinical trial. BJOG Int J Obstet Gynaecol. 2011 Nov;118(12):1455–63.

Poston L, Briley AL, Barr S, Bell R, Croker H, Coxon K, et al. Developing a complex intervention for diet and activity behaviour change in obese pregnant women (the UPBEAT trial); assessment of behavioural change and process evaluation in a pilot randomised controlled trial. BMC Pregnancy Childbirth. 2013;13(1):148.

Seneviratne SN, Jiang Y, Derraik J, McCowan L, Parry GK, Biggs JB, et al. Effects of antenatal exercise in overweight and obese pregnant women on maternal and perinatal outcomes: a randomised controlled trial. BJOG Int J Obstet Gynaecol. 2016 Mar;123(4):588–97.

Kahyaoglu Sut H, Balkanli Kaplan P. Effect of pelvic floor muscle exercise on pelvic floor muscle activity and voiding functions during pregnancy and the postpartum period. Neurourol Urodyn. 2016 Mar;35(3):417–22.

Dodd JM, Cramp C, Sui Z, Yelland LN, Deussen AR, Grivell RM, et al. The effects of antenatal dietary and lifestyle advice for women who are overweight or obese on maternal diet and physical activity: the LIMIT randomised trial. BMC Med. 2014;12:161.

Petrov Fieril K, Glantz A, Fagevik Olsen M. The efficacy of moderate- to-vigorous resistance exercise during pregnancy: a randomized controlled trial. Acta Obstet Gynecol Scand. 2015 Jan;94(1):35–42.

Gustafsson MK, Stafne SN, Romundstad PR, Mørkved S, Salvesen K, Helvik A-S. The effects of an exercise programme during pregnancy on health-related quality of life in pregnant women: a Norwegian randomised controlled trial. BJOG Int J Obstet Gynaecol. 2016 Jun;123(7):1152–60.

Published

2017-08-11