Effect of Stretching Exercise on Preeclampsia; Quasi Experimental Study

Authors

  • Nida Ijaz
  • Fahad Tanveer
  • Danish Ali Khan

Abstract

ABSTRACT
INTRODUCTION: Preeclampsia is a pregnancy induced hypertensive disorder mostly appear in second trimester onwards. Pregnancy results in increase in volume of blood, cardiac output and increase in stroke volume as well. Role of physical activity has been tested previously with no definite results. Focusing on specific methods such as stretching is under debate in order to find out active ingredient of physical activity that stabilizes blood pressure.
OBJECTIVE: To determine effect of stretching on preeclampsia in pregnancy.
MATERIAL AND METHODS: This was quasi experimental study conducted on pregnant women with symptoms of preeclampsia dividing into two groups on stretching exercise program and routine care, without randomization on basis of convenient. The outcome measures were systolic and diastolic pressure, heart rate. Demographics included age, body mass index, gestational age, number of pregnancies and daily routine. Data was analyzed in SPSS 20.0. Frequency/ percentage, mean standard deviation was calculated for demographics. Active variables were tested with independent samples t test and paired samples t test.
RESULTS: The results of comparison of systolic/ diastolic blood pressure and heart rate means after treatment showed difference of 4.160/ 4.440 and 2.240, respectively, with p value 0.000 showing significant difference all variables. Within group difference was significant for stretching group for all variables while routine care group showed a non-significant difference for diastolic blood pressure and heart with p values 0.634 and 0.791, respectively.
CONCLUSION: The findings of this study concluded that stretching exercises can prevent and reduce preeclampsia as compared to routine care in pregnant women.
KEYWORDS: Preeclampsia, Physical Activity, Stretching, Physical Therapy, Hypertensive Disorder

References

Breslow NE, Day NE. Statistical methods in cancer research. Vol. 1. The analysis of case-control studies: Distributed for IARC by WHO, Geneva, Switzerland; 1980.

De Certeau M, Mayol P. The Practice of Everyday Life: Living and cooking. Volume 2: U of Minnesota Press; 1998.

von Helmolt R, Wecker J, Holzapfel B, Schultz L, Samwer K. Giant negative magnetoresistance in perovskitelike La 2/3 Ba 1/3 MnO x ferromagnetic films. Physical Review Letters. 1993;71(14):2331.

Boss M, Elsinger H, Summer M, Thurner 4 S. Network topology of the interbank market. Quantitative finance. 2004;4(6):677-84.

Spek A, Van Der Sluis P. Structure of 1, 2, 5, 6-tetramethyltricyclo [3.1. 0.02, 6] hexane-3, 4-dione. Acta Crystallographica Section C: Crystal Structure Communications. 1990;46(7):1357-8.

Slee EA, Harte MT, Kluck RM, Wolf BB, Casiano CA, Newmeyer DD, et al. Ordering the cytochrome c–initiated caspase cascade: hierarchical activation of caspases-2,-3,-6,-7,-8, and-10 in a caspase-9–dependent manner. The Journal of cell biology. 1999;144(2):281-92.

Yeo S. Adherence to walking or stretching, and risk of preeclampsia in sedentary pregnant women. Research in nursing & health. 2009;32(4):379-90.

Scholl M, Ding S, Lee CW, Grubbs RH. Synthesis and activity of a new generation of ruthenium-based olefin metathesis catalysts coordinated with 1, 3-dimesityl-4, 5-dihydroimidazol-2-ylidene ligands. Organic Letters. 1999;1(6):953-6.

Kasawara KT, Surita FG, Pinto e Silva JL. Translational studies for exercise in high-risk pregnancy: pre-eclampsia model. Hypertension in pregnancy. 2016;35(3):265-79.

Gavrilets S. Fitness landscapes and the origin of species (MPB-41): Princeton University Press; 2004.

Stein EM. Harmonic Analysis (PMS-43), Volume 43: Real-Variable Methods, Orthogonality, and Oscillatory Integrals.(PMS-43): Princeton University Press; 2016.

Chasan-Taber L, Marcus BH, Stanek III E, Ciccolo JT, Marquez DX, Solomon CG, et al. A randomized controlled trial of prenatal physical activity to prevent gestational diabetes: design and methods. Journal of women’s health. 2009;18(6):851-9.

Woods K, Bishop P, Jones E. Warm-up and stretching in the prevention of muscular injury. Sports Medicine. 2007;37(12):1089-99.

Pickering TG, Hall JE, Appel LJ, Falkner BE, Graves J, Hill MN, et al. Recommendations for blood pressure measurement in humans and experimental animals: part 1: blood pressure measurement in humans: a statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. Circulation. 2005;111(5):697-716.

Cunningham F. leveno KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY. Abortion. Williams Obstetrics. New York: McGraw Hill; 2010.

Ahmadi P. Relationship between physical activity during the first 20 weeks of gestation and hypertension in pregnancy. Journal of Shahrekord Uuniversity of Medical Sciences. 2007;9.

Fortner RT, Pekow PS, Whitcomb BW, Sievert LL, Markenson G, Chasan-Taber L. Physical activity and hypertensive disorders of pregnancy among Hispanic women. Medicine and science in sports and exercise. 2011;43(4):639-46.

Hegaard HK, Ottesen B, Hedegaard M, Petersson K, Henriksen TB, Damm P, et al. The association between leisure time physical activity in the year before pregnancy and pre-eclampsia. Journal of Obstetrics and Gynaecology. 2010;30(1):21-4.

Rudra CB, Williams MA, Lee I-m, Miller RS, Sorensen TK. Perceived exertion during prepregnancy physical activity and preeclampsia risk. Medicine and science in sports and exercise. 2005;37(11):1836-41.

Sorensen TK, Williams MA, Lee I-M, Dashow EE, Thompson ML, Luthy DA. Recreational physical activity during pregnancy and risk of preeclampsia. Hypertension. 2003;41(6):1273-80.

Vollebregt KC, Wolf H, Boer K, van der Wal MF, Vrijkotte TG, Bonsel GJ. Does physical activity in leisure time early in pregnancy reduce the incidence of preeclampsia or gestational hypertension? Acta obstetricia et gynecologica Scandinavica. 2010;89(2):261-7.

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Published

11/19/2020