3 years ago

Effect of a physical activity programme in the aquatic environment on haemodynamic constants in pregnant women

Juana María Vázquez-lara, Carlos Ruiz-frutos, Luciano Rodríguez-díaz, Jesús Ramírez-rodrigo, Carmen Villaverde-gutiérrez, Gema Torres-luque

Publication date: September–October 2018

Source: Enfermería Clínica (English Edition), Volume 28, Issue 5

Author(s): Juana María Vázquez-Lara, Carlos Ruiz-Frutos, Luciano Rodríguez-Díaz, Jesús Ramírez-Rodrigo, Carmen Villaverde-Gutiérrez, Gema Torres-Luque

Abstract
Objective

To evaluate the effect of a physical activity programme in the aquatic environment with immersion up to the neck, of six weeks duration, on haemodynamic constants in pregnant women.

Methods

A six-week physical activity programme in the aquatic environment was carried out with a total of 46 pregnant women, who were distributed into an experimental group (n = 18), which participated in the programme, and a control group (n = 28), which followed routine care. In both groups different haemodynamic measurements were evaluated before and after the programme.

Results

At the beginning of the programme the mean systolic blood pressure was similar between groups, but diastolic blood pressure was slightly higher in the experimental group. When the measurements at the last session were compared, arterial pressures (systolic, diastolic and mean) were significantly higher in the control group (p < .050). Similarly, the initial plasma volume values did not differ between groups, but after the intervention, the control group women showed a higher mean (p < .010). The fraction of sodium excretion (FENa) increased significantly in the experimental group, after the programme, with a mean three times higher (p < .050). Aldosterone plasma levels did not show significant differences between the groups in the different measurements.

Conclusion

A programme of swimming and immersion exercises in pregnant women contributes to hydrosaline balance, preventing an excessive increase in usual plasma volume during pregnancy and in the activity of the renin-aldosterone axis.

Resumen
Objetivo

Evaluar el efecto de un programa de actividad física en el medio acuático con inmersión hasta el cuello, de seis semanas de duración, sobre las constantes hemodinámicas en mujeres gestantes.

Método

Se llevó a cabo un programa de actividad física en el medio acuático, de seis semanas de duración a un total de 46 mujeres embarazadas, que fueron distribuidas en grupo experimental que participó en el programa (n = 18) y grupo control (n = 28) que desarrolló los cuidados habituales. En los dos grupos se valoraron diferentes medidas hemodinámicas antes y después del programa.

Resultados

Al inicio del programa el promedio de presión arterial sistólica era similar en ambos grupos pero la presión arterial diastólica era ligeramente mayor en el grupo experimental. Cuando se contrastan las medidas en la última sesión, resultan significativamente mayores las presiones arteriales (sistólica, diastólica y media), en el grupo control (p < 0,050). De forma similar, los valores iniciales de volumen plasmático no diferían en ambos grupos, pero tras la intervención las mujeres del grupo control evidencian un mayor promedio (p < 0,010). La fracción de excreción de sodio (FENa) aumenta significativamente en el grupo experimental, tras la realización del programa, cuyo promedio se triplica (p < 0,050). Los niveles plasmáticos de aldosterona no muestran diferencias significativas entre ambos grupos en las distintas mediciones.

Conclusión

Un programa de ejercicios de natación e inmersión, en mujeres gestantes, contribuye al equilibrio hidrosalino, previniendo el aumento excesivo de volumen plasmático habitual en el embarazo, y en la actividad del eje renina-aldosterona.

You might also like
Discover & Discuss Important Research

Keeping up-to-date with research can feel impossible, with papers being published faster than you'll ever be able to read them. That's where Researcher comes in: we're simplifying discovery and making important discussions happen. With over 19,000 sources, including peer-reviewed journals, preprints, blogs, universities, podcasts and Live events across 10 research areas, you'll never miss what's important to you. It's like social media, but better. Oh, and we should mention - it's free.

  • Download from Google Play
  • Download from App Store
  • Download from AppInChina

Researcher displays publicly available abstracts and doesn’t host any full article content. If the content is open access, we will direct clicks from the abstracts to the publisher website and display the PDF copy on our platform. Clicks to view the full text will be directed to the publisher website, where only users with subscriptions or access through their institution are able to view the full article.