Hebamme 2016; 29(1): 55-60
DOI: 10.1055/s-0042-100850
SCHWERPUNKT
Sport und Bewegung
Hippokrates Verlag in Georg Thieme Verlag KG Stuttgart

Sport und Bewegung in der Schwangerschaft: Prävention und Gesundheitsförderung

Ulrike Korsten-Reck
1   Freiburg
› Author Affiliations
Further Information

Publication History

Publication Date:
29 February 2016 (online)

Obwohl der Nutzen körperlicher Aktivität in vielen Studien nachgewiesen wurde, besteht sowohl bei werdenden Müttern als auch bei Betreuungspersonen wie Hebammen nach wie vor Unsicherheit, in welchem Umfang und mit welcher Intensität Sport betrieben werden darf. Bisher werden oftmals zu vorsichtig formulierte Bewegungsempfehlungen gegeben, die zu übertriebener Schonung bei den Frauen führen.

 
  • Literatur

  • 1 Clapp JF. III. Long-term outcome after exercising throughout pregnancy: fitness and cardiovascular risk. Am J Obstet Gynecol 11/2008; 199 (5): 489-496
  • 2 Hartmann S, Bung P. Physical exercise during pregnancy–physiological considerations and recommendations. J Perinat Med 1999; 27 (3): 204-215
  • 3 Hegaard HK, Pedersen BK, Nielsen BB, Damm P. Leisure time physical activity during pregnancy and impact on gestational diabetes mellitus, pre-eclampsia, preterm delivery and birth weight: a review. Acta Obstet Gynecol Scand Epub 07.09.2007; Review 2007; 86 (11): 1290-1296
  • 4 Kagan KO, Kuhn U. [Sports and pregnancy]. Herz 06/2004; 29 (4): 426-434
  • 5 Plagemann A, Harder T, Schellong K, Rodekamp E, Dudenhausen JW. Fetal programming by disturbed intrauterine environment – fundamental mechanisms exemplified by the regulation of body weight and metabolism. Gynakol Geburtshilfliche Rundsch 2008; 48 (4): 215-224
  • 6 Mensink GB M, Schienkiewitz A, Haftenberger M, Lampert T, Ziese T, Scheidt-Nave C. Übergewicht und Adipositas in Deutschland, Ergebnisse der Studie zur Gesundheit Erwachsener in Deutschland (DEGS1). 56 ed. Bundesgesundheitsbl; 3 A.D. p. 786–794
  • 7 Roberts JM, Lain KY. Recent Insights into the pathogenesis of pre-eclampsia. Placenta 05/2002; 23 (5): 359-372
  • 8 Weissgerber TL, Wolfe LA, Davies GA. The role of regular physical activity in preeclampsia prevention. Med Sci Sports Exerc 12/2004; 36 (12): 2024-2031
  • 9 Nascimento SL, Fernanda GS, Cecatti JG. Physical exercise during pregnancy: a systematic reviev. Curr Opin Obstet Gynecol 2014; 24: 387-394
  • 10 Lakka TA, Bouchard C. Physical activity, obesity and cardiovascular diseases. Handb Exp Pharmacol 2005; 170: 137-163
  • 11 Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ. Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatmen. Hum Reprod 06/1998; 13 (6): 1502-1505
  • 12 Korsten-Reck U. Schwangerschaft und Sport, Teil 2: Praktische Empfehlungen für sporttreibende Frauen in Schwangerschaft und Wochenbett. Gynäkologe ed. Springer Verlag; 2011: 929-936
  • 13 Korsten-Reck U. Schwangerschaft und Sport, Teil 1: Folgen für Mutter und Kind. Gynäkologe ed. Springer Verlag; 2012: 847-853
  • 14 Cedergren MI. Maternal morbid obesity and the risk of adverse pregnancy outcome. Obstet Gynecol 02/2004; 103 (2): 219-224
  • 15 Cedergren MI. Optimal gestational weight gain for body mass index categories. Obstet Gynecol 10/2007; 110 (4): 759-764
  • 16 Weissgerber TL, Wolfe LA, Davies GA. The role of regular physical activity in preeclampsia prevention. Med Sci Sports Exerc 12/2004; 36 (12): 2024-2031
  • 17 Weissgerber TL, Wolfe LA, Davies GA, Mottola MF. Exercise in the prevention and treatment of maternal-fetal disease: a review of the literature. Appl Physiol Nutr Metab 12/2006; 31 (6): 661-674
  • 18 Rooney BL, Schauberger CW. Excess pregnancy weight gain and long-term obesity: one decade later. Obstet Gynecol 08/2002; 100 (2): 245-252
  • 19 Jovanovic L. What is so bad about a big baby?. Diabetes Care 08/2001; 24 (8): 1317-1318
  • 20 Plagemann A, Harder T, Schellong K, Rodekamp E, Dudenhausen JW. Fetal programming by disturbed intrauterine environment – fundamental mechanisms exemplified by the regulation of body weight and metabolism. Gynakol Geburtshilfliche Rundsch 2008; 48 (4): 215-224
  • 21 Plagemann A, Harder T, Dudenhausen JW. The diabetic pregnancy, macrosomia, and perinatal nutritional programming. Nestle Nutr Workshop Ser Pediatr Program 2008; 61: 91-102
  • 22 Dempsey JC, Butler CL, Sorensen TK, Lee IM, Thompson ML, Miller RS et al. A case-control study of maternal recreational physical activity and risk of gestational diabetes mellitus. Diabetes Res Clin Pract 11/2004; 66 (2): 203-215
  • 23 Dempsey JC, Butler CL, Williams MA. No need for a pregnant pause: physical activity may reduce the occurrence of gestational diabetes mellitus and preeclampsia. Exerc Sport Sci Rev 07/2005; 33 (3): 141-149
  • 24 Mottola MF. The role of exercise in the prevention and treatment of gestational diabetes mellitus. Curr Sports Med Rep 12/2007; 6 (6): 381-386
  • 25 Mottola MF. Exercise prescription for overweight and obese women: pregnancy and postpartum. Obstet Gynecol Clin North Am 06/2009; 36 (2): 301-316, viii
  • 26 American College of Obstetricians and Gynecologists. COG Committee Opinion. Exercise during pregnancy and the postpartum period Int J Gynaecol Obstet 2002; 77: 79-81
  • 27 Weissgerber TL, Wolfe LA, Davies GA. The role of regular physical activity in preeclampsia prevention. Med Sci Sports Exerc 12/2004; 36 (12): 2024-2031
  • 28 Rudra CB, Sorensen TK, Luthy DA, Williams MA. A prospective analysis of recreational physical activity and preeclampsia risk. Med Sci Sports Exerc 09/2008; 40 (9): 1581-1588
  • 29 Sorensen TK, Williams MA, Lee IM, Dashow EE, Thompson ML, Luthy DA. Recreational physical activity during pregnancy and risk of preeclampsia. Hypertension 06/2003; 41 (6): 1273-1280
  • 30 Roberts JM, Lain KY. Recent Insights into the pathogenesis of pre-eclampsia20. Placenta 05/2002; 23 (5): 359-372
  • 31 Clapp JF. The effects of maternal exercise on fetal oxygenation and feto-placental growth. Eur J Obstet Gynecol Reprod Biol 2003; 110 (1): 80-85
  • 32 Goldhammer E, Tanchilevitch A, Maor I, Beniamini Y, Rosenschein U, Sagiv M. Exercise training modulates cytokines activity in coronary heart disease patients. Int J Cardiol 08.04.2005; 100 (1): 93-99
  • 33 Pischon T, Hankinson SE, Hotamisligil GS, Rifai N, Rimm EB. Leisure-time physical activity and reduced plasma levels of obesity-related inflammatory markers. Obes Res 09/2003; 11 (9): 1055-1064
  • 34 Lakka TA, Lakka HM, Rankinen T, Leon AS, Rao DC, Skinner JS et al. Effect of exercise training on plasma levels of C-reactive protein in healthy adults: the HERITAGE Family Study. Eur Heart J 10/2005; 26 (19): 2018-2025
  • 35 Zavorsky GS, Longo LD. Exercise guide-lines in pregnancy: new perspectives. Sports Med 01.05.2011; 41 (5): 345-360
  • 36 Barker DJ. In utero programming of chronic disease. Clin Sci (Lond) 08/1998; 95 (2): 115-128
  • 37 Ahlsson F, Gustafsson J, Tuvemo T, Lundgren M. Females born large for gestational age have a doubled risk of giving birth to large for gestational age infants. Acta Paediatr 03/2007; 96 (3): 358-362
  • 38 Clapp JF. III. Morphometric and neurodevelopmental outcome at age five years of the offspring of women who continued to exercise regularly throughout pregnancy. J Pediatr 12/1996; 129 (6): 856-863
  • 39 Oken E, Gillman MW. Fetal origins of obesity. Obes Res 2003 Apr 04/2003; 11 (4): 496-506
  • 40 Hopkins SA, Baldi JC, Cutfield WS, McCowan L, Hofman PL. Exercise training in pregnancy reduces offspring size without changes in maternal insulin sensitivity. J Clin Endocrinol Metab 05/2010; 95 (5): 2080-2088
  • 41 Korsten-Reck U, Marquardt K, Wurster KG. Schwangerschaft und Sport (Pregnancy and Sports). Deutsche Zeitung für Sportmed 2009; 60 (5): 117-121
  • 42 Sternfeld B. Physical activity and preg-nancy outcome. Review and recommendations. Sports Med 1997; 23 (1): 33-47
  • 43 American College of Obsttricians and Gynecologists. COG Committee Opinion. Exercise during pregnancy and the postpartum period Int J Gynaecol Obstet 2002; 77: 79-81
  • 44 Artal R, O’Toole M. Guidelines of the American College of Obstetricians and Gynecologists for exercise during pregnancy and the postpartum period. Br J Sports Med 2003; 37 (1): 6-12