Skip to main content

2023 | OriginalPaper | Buchkapitel

10. Prävention und Therapie der Adipositas und schwangerschaftsbedingter Erkrankungen durch Sport

verfasst von : Hilke Friesenborg, Katrin Röttger, Ulrike Korsten-Reck

Erschienen in: Sport in der Schwangerschaft

Verlag: Springer Berlin Heidelberg

Zusammenfassung

In der Schwangerschaft kommt es zu verschiedenen physiologischen Veränderungen. Dabei handelt es sich um kardiovaskuläre und respiratorische Veränderungen, Anpassungen des Glukosestoffwechsels, muskuloskelettale Veränderungen und psychische Faktoren. Bereits vor der Schwangerschaft kann körperliche Aktivität diese Veränderungen beeinflussen. Bewegung vor und während der Schwangerschaft wirkt sich außerdem auf den Verlauf der Schwangerschaft sowie die Entwicklung des Kindes im Mutterleib aus. Die Gesundheit des Kindes und das Risiko für spätere Erkrankungen können bereits hier beeinflusst werden. Außerdem können Komplikationen wie Gestationsdiabetes, Präeklampsie, inflammatorische Effekte und die Sectiohäufigkeit reduziert werden. Neben der körperlichen Aktivität sollte zudem die Gewichtsentwicklung bei adipösen Schwangeren während der Schwangerschaft beachtet werden. Ein aktiver Lebensstil führt zu einer besseren Körperkomposition sowie Fitness der Mutter und spiegelt sich in der kurz- und langfristigen Gesundheit der Mutter und des Kindes wider.
Literatur
Zurück zum Zitat Ahlsson F, Gustafsson J, Tuvemo T, Lundgren M (2007) Females born large for gestational age have a doubled risk of giving birth to large for gestational age infants. Acta Paediatr 96:358–362PubMedCrossRef Ahlsson F, Gustafsson J, Tuvemo T, Lundgren M (2007) Females born large for gestational age have a doubled risk of giving birth to large for gestational age infants. Acta Paediatr 96:358–362PubMedCrossRef
Zurück zum Zitat American College of Obstetricians and Gynecologists – ACOG (2002) COG committee opinion. Exercise during pregnancy and the postpartum period. Int J Gynaecol Obstet 79–81 American College of Obstetricians and Gynecologists – ACOG (2002) COG committee opinion. Exercise during pregnancy and the postpartum period. Int J Gynaecol Obstet 79–81
Zurück zum Zitat Artal R (1988) Fetal bradycardia induced by maternal exercise. Med Sci Sports Exerc 20(6):611–613PubMedCrossRef Artal R (1988) Fetal bradycardia induced by maternal exercise. Med Sci Sports Exerc 20(6):611–613PubMedCrossRef
Zurück zum Zitat Artal R (2003) Exercise: The alternative therapeutic intervention for gestational diabetes. Clin Obstet Gynecol 46:479–487PubMedCrossRef Artal R (2003) Exercise: The alternative therapeutic intervention for gestational diabetes. Clin Obstet Gynecol 46:479–487PubMedCrossRef
Zurück zum Zitat Artal R, O’Toole M (2003) Guidelines of the American College of Obstetricians and Gynecologists for exercise during pregnancy and the postpartum period. Br J Sports Med 37:6–12PubMedPubMedCentralCrossRef Artal R, O’Toole M (2003) Guidelines of the American College of Obstetricians and Gynecologists for exercise during pregnancy and the postpartum period. Br J Sports Med 37:6–12PubMedPubMedCentralCrossRef
Zurück zum Zitat Artal R (2015) The role of exercise in reducing the risks of gestational diabetes mellitus in obese women. Best Pract Res Clin Obstet Gynaecol 29:123–132PubMedCrossRef Artal R (2015) The role of exercise in reducing the risks of gestational diabetes mellitus in obese women. Best Pract Res Clin Obstet Gynaecol 29:123–132PubMedCrossRef
Zurück zum Zitat Aune D, Saugstad OD, Henriksen T, Tonstad S (2014) Physical activity and the risk of preeclampsia: A systematic review and meta-analysis. Epidemiology 25:331–343PubMedCrossRef Aune D, Saugstad OD, Henriksen T, Tonstad S (2014) Physical activity and the risk of preeclampsia: A systematic review and meta-analysis. Epidemiology 25:331–343PubMedCrossRef
Zurück zum Zitat Bain E, Crane M, Tieu J, Han S, Crowther CA, Middleton P (2015) Diet and exercise interventions for preventing gestational diabetes mellitus. Cochrane Database Syst Rev. 2015 Apr 12;(4):CD010443. https://doi.org/10.1002/14651858.CD010443.pub2. Update in: Cochrane Database Syst Rev. 2017 Nov 13;11:CD010443. PMID: 25864059 Bain E, Crane M, Tieu J, Han S, Crowther CA, Middleton P (2015) Diet and exercise interventions for preventing gestational diabetes mellitus. Cochrane Database Syst Rev. 2015 Apr 12;(4):CD010443. https://​doi.​org/​10.​1002/​14651858.​CD010443.​pub2. Update in: Cochrane Database Syst Rev. 2017 Nov 13;11:CD010443. PMID: 25864059
Zurück zum Zitat Barker DJ (1998) In utero programming of chronic disease. Clin Sci (London) 95:115–128CrossRef Barker DJ (1998) In utero programming of chronic disease. Clin Sci (London) 95:115–128CrossRef
Zurück zum Zitat Bennett CJ, Walker RE, Blumfield ML, Gwini SM, Ma J, Wang F, Wan Y, Dickinson H, Truby H (2018) Interventions designed to reduce excessive gestational weight gain can reduce the incidence of gestational diabetes mellitus: A systematic review and meta-analysis of randomised controlled trials. Diabetes Res Clin Pract. 2018 Jul; 141:69–79. https://doi.org/10.1016/j.diabres.2018.04.010. Epub 2018 Apr 24. PMID: 29698713 Bennett CJ, Walker RE, Blumfield ML, Gwini SM, Ma J, Wang F, Wan Y, Dickinson H, Truby H (2018) Interventions designed to reduce excessive gestational weight gain can reduce the incidence of gestational diabetes mellitus: A systematic review and meta-analysis of randomised controlled trials. Diabetes Res Clin Pract. 2018 Jul; 141:69–79. https://​doi.​org/​10.​1016/​j.​diabres.​2018.​04.​010. Epub 2018 Apr 24. PMID: 29698713
Zurück zum Zitat Choi J, Fukuoka Y, Lee JH (2013) The effects of physical activity and physical activity plus diet interventions on body weight in overweight or obese women who are pregnant or in postpartum: A systematic review and meta-analysis of randomized controlled trials. Prev Med 56:351–364PubMedPubMedCentralCrossRef Choi J, Fukuoka Y, Lee JH (2013) The effects of physical activity and physical activity plus diet interventions on body weight in overweight or obese women who are pregnant or in postpartum: A systematic review and meta-analysis of randomized controlled trials. Prev Med 56:351–364PubMedPubMedCentralCrossRef
Zurück zum Zitat Clapp JF (2003) The effects of maternal exercise on fetal oxygenation and feto-placental growth. Eur J Obstet Gynecol Reprod Biol 110(Suppl):S80–S85PubMedCrossRef Clapp JF (2003) The effects of maternal exercise on fetal oxygenation and feto-placental growth. Eur J Obstet Gynecol Reprod Biol 110(Suppl):S80–S85PubMedCrossRef
Zurück zum Zitat Clapp JF (1991) Exercise and fetal health. J Dev Physiol 15:9–14PubMed Clapp JF (1991) Exercise and fetal health. J Dev Physiol 15:9–14PubMed
Zurück zum Zitat Clapp JF III (1996) Morphometric and neurodevelopmental outcome at age five years of the offspring of women who continued to exercise regularly throughout pregnancy. J Pediatr 129:856–863PubMedCrossRef Clapp JF III (1996) Morphometric and neurodevelopmental outcome at age five years of the offspring of women who continued to exercise regularly throughout pregnancy. J Pediatr 129:856–863PubMedCrossRef
Zurück zum Zitat Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ (1998) Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. Hum Reprod 13:1502–1505PubMedCrossRef Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ (1998) Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. Hum Reprod 13:1502–1505PubMedCrossRef
Zurück zum Zitat Cordero Y, Mottola MF, Vargas J, Blanco M, Barakat R (2014) Exercise is associated with a reduction in gestational diabetes mellitus. Med Sci Sports Exerc 47(7):1328–1333CrossRef Cordero Y, Mottola MF, Vargas J, Blanco M, Barakat R (2014) Exercise is associated with a reduction in gestational diabetes mellitus. Med Sci Sports Exerc 47(7):1328–1333CrossRef
Zurück zum Zitat Daley AJ, Foster L, Long G, Palmer C, Robinson O, Walmsley H, Ward R (2015) The effectiveness of exercise for the prevention and treatment of antenatal depression. Systematic review with meta analysis. BJOG 122(1):57–62PubMedCrossRef Daley AJ, Foster L, Long G, Palmer C, Robinson O, Walmsley H, Ward R (2015) The effectiveness of exercise for the prevention and treatment of antenatal depression. Systematic review with meta analysis. BJOG 122(1):57–62PubMedCrossRef
Zurück zum Zitat Dempsey JC, Butler CL, Sorensen TK, Lee IM, Thompson ML, Miller RS et al (2004) A case-control study of maternal recreational physical activity and risk of gestational diabetes mellitus. Diabetes Res Clin Pract 66:203–215PubMedCrossRef Dempsey JC, Butler CL, Sorensen TK, Lee IM, Thompson ML, Miller RS et al (2004) A case-control study of maternal recreational physical activity and risk of gestational diabetes mellitus. Diabetes Res Clin Pract 66:203–215PubMedCrossRef
Zurück zum Zitat Dempsey JC, Butler CL, Williams MA (2005) No need for a pregnant pause: Physical activity may reduce the occurrence of gestational diabetes mellitus and preeclampsia. Exerc Sport Sci Rev 33:141–149PubMedCrossRef Dempsey JC, Butler CL, Williams MA (2005) No need for a pregnant pause: Physical activity may reduce the occurrence of gestational diabetes mellitus and preeclampsia. Exerc Sport Sci Rev 33:141–149PubMedCrossRef
Zurück zum Zitat Dipietro L, Evenson KR, Bloodgood B, Sprow K, Troiano RP, Piercy KL, Vaux-Bjerke A, Powell KE (2019) 2018 PHYSICAL ACTIVITY GUIDELINES ADVISORY COMMITTEE*. Benefits of physical activity during pregnancy and postpartum: An umbrella review. Med Sci Sports Exerc 51(6):1292–1302.: https://doi.org/10.1249/MSS.0000000000001941. PMID: 31095086; PMCID: PMC6527310. Dipietro L, Evenson KR, Bloodgood B, Sprow K, Troiano RP, Piercy KL, Vaux-Bjerke A, Powell KE (2019) 2018 PHYSICAL ACTIVITY GUIDELINES ADVISORY COMMITTEE*. Benefits of physical activity during pregnancy and postpartum: An umbrella review. Med Sci Sports Exerc 51(6):1292–1302.: https://​doi.​org/​10.​1249/​MSS.​0000000000001941​. PMID: 31095086; PMCID: PMC6527310.
Zurück zum Zitat Domenjoz I, Kayser B, Boulvain M (2014) Effect of physical activity during pregnancy on mode of delivery. Am J Obstet Gynecol 211:401–411CrossRef Domenjoz I, Kayser B, Boulvain M (2014) Effect of physical activity during pregnancy on mode of delivery. Am J Obstet Gynecol 211:401–411CrossRef
Zurück zum Zitat Ensenauer R, Brandlhuber L, Burgmann M, Sobotzki C, Zwafink C, Anzill S, Holdt L, Teupser D, Hasbargen U, Netz H, Roscher AA, von Kries R (2015) Obese nondiabetic pregnancies and high maternal glycated hemoglobin at delivery as an indicator of offspring and maternal postpartum risks: The prospective PEACHES mother–child cohort. Clin Chem 61(11):1381–1390. https://doi.org/10.1373/clinchem.2015.242206CrossRefPubMed Ensenauer R, Brandlhuber L, Burgmann M, Sobotzki C, Zwafink C, Anzill S, Holdt L, Teupser D, Hasbargen U, Netz H, Roscher AA, von Kries R (2015) Obese nondiabetic pregnancies and high maternal glycated hemoglobin at delivery as an indicator of offspring and maternal postpartum risks: The prospective PEACHES mother–child cohort. Clin Chem 61(11):1381–1390. https://​doi.​org/​10.​1373/​clinchem.​2015.​242206CrossRefPubMed
Zurück zum Zitat Fleten C, Stigum H, Magnus P, Nystad W (2010) Exercise during pregnancy, maternal prepregnancy body mass index, and birth weight. Obstet Gynecol 115:331–337PubMedCrossRef Fleten C, Stigum H, Magnus P, Nystad W (2010) Exercise during pregnancy, maternal prepregnancy body mass index, and birth weight. Obstet Gynecol 115:331–337PubMedCrossRef
Zurück zum Zitat Goldhammer E, Tanchilevitch A, Maor I, Beniamini Y, Rosenschein U, Sagiv M (2005) Exercise training modulates cytokines activity in coronary heart disease patients. Int J Cardiol 100:93–99PubMedCrossRef Goldhammer E, Tanchilevitch A, Maor I, Beniamini Y, Rosenschein U, Sagiv M (2005) Exercise training modulates cytokines activity in coronary heart disease patients. Int J Cardiol 100:93–99PubMedCrossRef
Zurück zum Zitat Halse RE, Wallman KE, Newnham JP, Guelfi KJ (2014) Home-based exercise training improves capillary glucose profile in women with gestational diabetes. Med Sci Sports Exerc 46:1702–1709PubMedCrossRef Halse RE, Wallman KE, Newnham JP, Guelfi KJ (2014) Home-based exercise training improves capillary glucose profile in women with gestational diabetes. Med Sci Sports Exerc 46:1702–1709PubMedCrossRef
Zurück zum Zitat Hartmann S, Bung P (1999) Physical exercise during pregnancy–physiological considerations and recommendations. J Perinat Med 27:204–215PubMedCrossRef Hartmann S, Bung P (1999) Physical exercise during pregnancy–physiological considerations and recommendations. J Perinat Med 27:204–215PubMedCrossRef
Zurück zum Zitat Hegaard HK, Pedersen BK, Nielsen BB, Damm P (2007) 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 Rev 86:1290–1296CrossRef Hegaard HK, Pedersen BK, Nielsen BB, Damm P (2007) 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 Rev 86:1290–1296CrossRef
Zurück zum Zitat Hopkins SA, Baldi JC, Cutfield WS, McCowan L, Hofman PL (2010) Exercise training in pregnancy reduces offspring size without changes in maternal insulin sensitivity. J Clin Endocrinol Metab 95:2080–2088PubMedCrossRef Hopkins SA, Baldi JC, Cutfield WS, McCowan L, Hofman PL (2010) Exercise training in pregnancy reduces offspring size without changes in maternal insulin sensitivity. J Clin Endocrinol Metab 95:2080–2088PubMedCrossRef
Zurück zum Zitat Institute of Medicine (2009) Weight gain during pregnancy: reexamining the guidelines. Committee to Reexamine IOM Pregnancy Weight Guidelines. National Research Council of the National Academies W, DC Institute of Medicine (2009) Weight gain during pregnancy: reexamining the guidelines. Committee to Reexamine IOM Pregnancy Weight Guidelines. National Research Council of the National Academies W, DC
Zurück zum Zitat Jensen DM, Damm P, Sørensen B, Mølsted-Pedersen L, Westergaard JG, Ovesen P, Beck-Nielsen H (2003) Pregnancy outcome and prepregnancy body mass index in 2459 glucose-tolerant Danish women. Am J Obstet Gynecol. 2003 Jul; 189(1):239–244. https://doi.org/10.1067/mob.2003.441. PMID: 12861169 Jensen DM, Damm P, Sørensen B, Mølsted-Pedersen L, Westergaard JG, Ovesen P, Beck-Nielsen H (2003) Pregnancy outcome and prepregnancy body mass index in 2459 glucose-tolerant Danish women. Am J Obstet Gynecol. 2003 Jul; 189(1):239–244. https://​doi.​org/​10.​1067/​mob.​2003.​441. PMID: 12861169
Zurück zum Zitat Juhl M, Olsen J, Andersen PK, Nohr EA, Andersen AM (2010) Physical exercise during pregnancy and fetal growth measures: A study within the Danish National Birth Cohort. Am J Obstet Gynecol 202:63–68CrossRef Juhl M, Olsen J, Andersen PK, Nohr EA, Andersen AM (2010) Physical exercise during pregnancy and fetal growth measures: A study within the Danish National Birth Cohort. Am J Obstet Gynecol 202:63–68CrossRef
Zurück zum Zitat Katan MB, Ludwig DS (2010) Extra calories cause weight gain – But how much? JAMA 303:65–66PubMedCrossRef Katan MB, Ludwig DS (2010) Extra calories cause weight gain – But how much? JAMA 303:65–66PubMedCrossRef
Zurück zum Zitat Kemkes-Matthes B (2001) Changes in the blood coagulation system in pregnancy. Z Kardiol 90:45–48PubMed Kemkes-Matthes B (2001) Changes in the blood coagulation system in pregnancy. Z Kardiol 90:45–48PubMed
Zurück zum Zitat KVBW: Kassenärztliche Vereinigung Baden-Württemberg (2009) Versorgungsbericht 2009 der Kassenärztlichen Vereinigung Baden-Württemberg (KVBW). KVBW: Kassenärztliche Vereinigung Baden-Württemberg (2009) Versorgungsbericht 2009 der Kassenärztlichen Vereinigung Baden-Württemberg (KVBW).
Zurück zum Zitat Lakka TA, Lakka HM, Rankinen T, Leon AS, Rao DC, Skinner JS et al (2005) Effect of exercise training on plasma levels of C-reactive protein in healthy adults: The HERITAGE Family Study. Eur Heart J 26:2018–2025PubMedCrossRef Lakka TA, Lakka HM, Rankinen T, Leon AS, Rao DC, Skinner JS et al (2005) Effect of exercise training on plasma levels of C-reactive protein in healthy adults: The HERITAGE Family Study. Eur Heart J 26:2018–2025PubMedCrossRef
Zurück zum Zitat Legro RS (2017) Effects of obesity treatment on female reproduction: Results do not match expectations. Fertil Steril 107(4):860–867PubMedCrossRef Legro RS (2017) Effects of obesity treatment on female reproduction: Results do not match expectations. Fertil Steril 107(4):860–867PubMedCrossRef
Zurück zum Zitat Liat S, Cabero L, Hod M, Yogev Y (2015) Obesity in obstetrics. Best Pract Res Clin Obstet Gynaecol 29:79–90PubMedCrossRef Liat S, Cabero L, Hod M, Yogev Y (2015) Obesity in obstetrics. Best Pract Res Clin Obstet Gynaecol 29:79–90PubMedCrossRef
Zurück zum Zitat Lomauro A, Aliverti A (2015) Respiratory physiology of pregnancy: Physiology masterclass. Breathe (Sheff) 11:297–301PubMedCrossRef Lomauro A, Aliverti A (2015) Respiratory physiology of pregnancy: Physiology masterclass. Breathe (Sheff) 11:297–301PubMedCrossRef
Zurück zum Zitat Longo LD (1983) Maternal blood volume and cardiac output during pregnancy: A hypothesis of endocrinologic control. Am J Physiol 245:720–729 Longo LD (1983) Maternal blood volume and cardiac output during pregnancy: A hypothesis of endocrinologic control. Am J Physiol 245:720–729
Zurück zum Zitat Lück et al. Entwicklung und Umsetzung der GeMuKi-Lebensstilintervention (2020) Mit Kurzinterventionen werdende und junge Eltern motivieren. ErnährungsUmschau 67(11):S77–S83 Lück et al. Entwicklung und Umsetzung der GeMuKi-Lebensstilintervention (2020) Mit Kurzinterventionen werdende und junge Eltern motivieren. ErnährungsUmschau 67(11):S77–S83
Zurück zum Zitat Magro-Malosso ER, Saccone G, Di Mascio D, Di Tommaso M, Berghella V (2017) Exercise during pregnancy and risk of preterm birth in overweight and obese women: a systematic review and meta-analysis of randomized controlled trials. Acta Obstet Gynecol Scand. 2017 Mar; 96(3):263–273. https://doi.org/10.1111/aogs.13087. PMID: 28029178 Magro-Malosso ER, Saccone G, Di Mascio D, Di Tommaso M, Berghella V (2017) Exercise during pregnancy and risk of preterm birth in overweight and obese women: a systematic review and meta-analysis of randomized controlled trials. Acta Obstet Gynecol Scand. 2017 Mar; 96(3):263–273. https://​doi.​org/​10.​1111/​aogs.​13087. PMID: 28029178
Zurück zum Zitat McDonald SM, Liu J, Wilcox S, Lau EY, Archer E (2015) Does dose matter in reducing gestational weight gain in exercise interventions? A systematic review of literature. J Sci Med Sport 19(4):323–335PubMedPubMedCentralCrossRef McDonald SM, Liu J, Wilcox S, Lau EY, Archer E (2015) Does dose matter in reducing gestational weight gain in exercise interventions? A systematic review of literature. J Sci Med Sport 19(4):323–335PubMedPubMedCentralCrossRef
Zurück zum Zitat Molyneaux E, Poston L, Khondoker M, Howard LM (2016) Obesity, antenatal depression, diet and gestational weight gain in a population cohort study. Arch Womens Ment Health 19:899–990PubMedPubMedCentralCrossRef Molyneaux E, Poston L, Khondoker M, Howard LM (2016) Obesity, antenatal depression, diet and gestational weight gain in a population cohort study. Arch Womens Ment Health 19:899–990PubMedPubMedCentralCrossRef
Zurück zum Zitat Morley LC, Tang T, Yasmin E, Norman RJ, Balen AH (2017) Insulin-sensitising drugs (metformin, rosiglitazone, pioglitazone, D-chiro-inositol) for women with polycystic ovary syndrome, oligo amenorrhoea and subfertility. Cochrane Database Syst Rev 11:CD003053 Morley LC, Tang T, Yasmin E, Norman RJ, Balen AH (2017) Insulin-sensitising drugs (metformin, rosiglitazone, pioglitazone, D-chiro-inositol) for women with polycystic ovary syndrome, oligo amenorrhoea and subfertility. Cochrane Database Syst Rev 11:CD003053
Zurück zum Zitat Mottola MF (2009) Exercise prescription for overweight and obese women: Pregnancy and postpartum. Obstet Gynecol Clin North Am 36:301–316, viii Mottola MF (2009) Exercise prescription for overweight and obese women: Pregnancy and postpartum. Obstet Gynecol Clin North Am 36:301–316, viii
Zurück zum Zitat Nascimento SL, Pudwell J, Surita FG, Adamo KB, Smith GN (2014) The effect of physical exercise strategies on weight loss in postpartum women: A systematic review and meta-analysis. Int J Obes (London) 38:626–635CrossRef Nascimento SL, Pudwell J, Surita FG, Adamo KB, Smith GN (2014) The effect of physical exercise strategies on weight loss in postpartum women: A systematic review and meta-analysis. Int J Obes (London) 38:626–635CrossRef
Zurück zum Zitat Nobles C, Marcus BH, Stanek EJ III, Braun B, Whitcomb BW, Solomon CG et al (2015) Effect of an exercise intervention on gestational diabetes mellitus: A randomized controlled trial. Obstet Gynecol 125:1195–1204PubMedPubMedCentralCrossRef Nobles C, Marcus BH, Stanek EJ III, Braun B, Whitcomb BW, Solomon CG et al (2015) Effect of an exercise intervention on gestational diabetes mellitus: A randomized controlled trial. Obstet Gynecol 125:1195–1204PubMedPubMedCentralCrossRef
Zurück zum Zitat Perkins CC, Pivanik JM, Paneth N, Stein AD (2007) Physical activity and fetal growth during pregnancy. Obstet Gynecol 109(1):81–87PubMedCrossRef Perkins CC, Pivanik JM, Paneth N, Stein AD (2007) Physical activity and fetal growth during pregnancy. Obstet Gynecol 109(1):81–87PubMedCrossRef
Zurück zum Zitat Pischon T, Hankinson SE, Hotamisligil GS, Rifai N, Rimm EB (2003) Leisure-time physical activity and reduced plasma levels of obesity-related inflammatory markers. Obes Res 11:1055–1064PubMedCrossRef Pischon T, Hankinson SE, Hotamisligil GS, Rifai N, Rimm EB (2003) Leisure-time physical activity and reduced plasma levels of obesity-related inflammatory markers. Obes Res 11:1055–1064PubMedCrossRef
Zurück zum Zitat Plagemann A (2005) Perinatal programming and functional teratogenesis: Impact on body weight regulation and obesity. Physiol Behav 86:661–668PubMedCrossRef Plagemann A (2005) Perinatal programming and functional teratogenesis: Impact on body weight regulation and obesity. Physiol Behav 86:661–668PubMedCrossRef
Zurück zum Zitat Plagemann A, Davidowa H, Harder T, Dudenhausen JW (2006) Developmental programming of the hypothalamus: A matter of insulin. A comment on: Horvath TL, Bruning JC.: Developmental programming of the hypothalamus: A matter of fat. Nat Med 12:52–53 Plagemann A, Davidowa H, Harder T, Dudenhausen JW (2006) Developmental programming of the hypothalamus: A matter of insulin. A comment on: Horvath TL, Bruning JC.: Developmental programming of the hypothalamus: A matter of fat. Nat Med 12:52–53
Zurück zum Zitat Plagemann A, Harder T, Dudenhausen JW (2008a) The diabetic pregnancy, macrosomia, and perinatal nutritional programming. Nestle Nutr Workshop Ser Pediatr Program 61:91–102PubMedCrossRef Plagemann A, Harder T, Dudenhausen JW (2008a) The diabetic pregnancy, macrosomia, and perinatal nutritional programming. Nestle Nutr Workshop Ser Pediatr Program 61:91–102PubMedCrossRef
Zurück zum Zitat Plagemann A, Harder T, Schellong K, Rodekamp E, Dudenhausen JW (2008b) Fetal programming by disturbed intrauterine environment – Fundamental mechanisms exemplified by the regulation of body weight and metabolism. Gynakol Geburtsh Rundsch 48:215–224CrossRef Plagemann A, Harder T, Schellong K, Rodekamp E, Dudenhausen JW (2008b) Fetal programming by disturbed intrauterine environment – Fundamental mechanisms exemplified by the regulation of body weight and metabolism. Gynakol Geburtsh Rundsch 48:215–224CrossRef
Zurück zum Zitat Roberts JM, Lain KY (2002) Recent Insights into the pathogenesis of pre-eclampsia. Placenta 23:359–372PubMedCrossRef Roberts JM, Lain KY (2002) Recent Insights into the pathogenesis of pre-eclampsia. Placenta 23:359–372PubMedCrossRef
Zurück zum Zitat Rooney BL, Schauberger CW (2002) Excess pregnancy weight gain and long-term obesity: One decade later. Obstet Gynecol 100:245–252PubMed Rooney BL, Schauberger CW (2002) Excess pregnancy weight gain and long-term obesity: One decade later. Obstet Gynecol 100:245–252PubMed
Zurück zum Zitat Rudra CB, Sorensen TK, Luthy DA, Williams MA (2008) A prospective analysis of recreational physical activity and preeclampsia risk. Med Sci Sports Exerc 40:1581–1588PubMedCrossRef Rudra CB, Sorensen TK, Luthy DA, Williams MA (2008) A prospective analysis of recreational physical activity and preeclampsia risk. Med Sci Sports Exerc 40:1581–1588PubMedCrossRef
Zurück zum Zitat Russo LM, Nobles C, Ertel KA, Chasan-Taber L, Whitcomb BW (2015) Physical activity interventions in pregnancy and risk of gestational diabetes mellitus: A systematic review and meta-analysis. Obstet Gynecol 125:576–582PubMedCrossRef Russo LM, Nobles C, Ertel KA, Chasan-Taber L, Whitcomb BW (2015) Physical activity interventions in pregnancy and risk of gestational diabetes mellitus: A systematic review and meta-analysis. Obstet Gynecol 125:576–582PubMedCrossRef
Zurück zum Zitat Schaefer-Graf UM, Kleinwechter H (2006) Diagnosis and new approaches in the therapy of gestational diabetes mellitus. Curr Diabetes Rev 2:343–352PubMedCrossRef Schaefer-Graf UM, Kleinwechter H (2006) Diagnosis and new approaches in the therapy of gestational diabetes mellitus. Curr Diabetes Rev 2:343–352PubMedCrossRef
Zurück zum Zitat Sorensen TK, Williams MA, Lee IM, Dashow EE, Thompson ML, Luthy DA (2003) Recreational physical activity during pregnancy and risk of preeclampsia. Hypertension 41:1273–1280PubMedCrossRef Sorensen TK, Williams MA, Lee IM, Dashow EE, Thompson ML, Luthy DA (2003) Recreational physical activity during pregnancy and risk of preeclampsia. Hypertension 41:1273–1280PubMedCrossRef
Zurück zum Zitat Szymanski LM, Satin AJ (2012b) Strenuous exercise during pregnancy: Is there a limit? Am J Obstet Gynecol 207(3):179.e1–6PubMedCrossRef Szymanski LM, Satin AJ (2012b) Strenuous exercise during pregnancy: Is there a limit? Am J Obstet Gynecol 207(3):179.e1–6PubMedCrossRef
Zurück zum Zitat Weissgerber TL, Wolfe LA, Davies GA (2004) The role of regular physical activity in preeclampsia prevention. Med Sci Sports Exerc 36:2024–2031PubMedCrossRef Weissgerber TL, Wolfe LA, Davies GA (2004) The role of regular physical activity in preeclampsia prevention. Med Sci Sports Exerc 36:2024–2031PubMedCrossRef
Zurück zum Zitat Weissgerber TL, Wolfe LA, Davies GA, Mottola MF (2006) Exercise in the prevention and treatment of maternal-fetal disease: A review of the literature. Appl Physiol Nutr Metab 31:661–674PubMedCrossRef Weissgerber TL, Wolfe LA, Davies GA, Mottola MF (2006) Exercise in the prevention and treatment of maternal-fetal disease: A review of the literature. Appl Physiol Nutr Metab 31:661–674PubMedCrossRef
Zurück zum Zitat Wolfe LA, Davies GA (2003) Canadian guidelines for exercise in pregnancy. Clin Obstet Gynecol 46:488–495PubMedCrossRef Wolfe LA, Davies GA (2003) Canadian guidelines for exercise in pregnancy. Clin Obstet Gynecol 46:488–495PubMedCrossRef
Zurück zum Zitat Wurster KG (1998) Sport in der Schwangerschaft und Stillzeit. In: Die Besonderheiten des Sports bei Mädchen und Frauen. Sportärtzeschaft Württemberg Wurster KG (1998) Sport in der Schwangerschaft und Stillzeit. In: Die Besonderheiten des Sports bei Mädchen und Frauen. Sportärtzeschaft Württemberg
Zurück zum Zitat Yee LM, Caughey AB, Cheng YW (2017) Association between gestational weight gain and perinatal outcomes in women with chronic hypertension. Am J Obstet Gynecol 217(3):348 Yee LM, Caughey AB, Cheng YW (2017) Association between gestational weight gain and perinatal outcomes in women with chronic hypertension. Am J Obstet Gynecol 217(3):348
Zurück zum Zitat Yin YN, Li XL, Tao TJ, Luo BR, Liao SJ (2014) Physical activity during pregnancy and the risk of gestational diabetes mellitus: A systematic review and meta-analysis of randomised controlled trials. Br J Sports Med 48(4):290–295PubMedCrossRef Yin YN, Li XL, Tao TJ, Luo BR, Liao SJ (2014) Physical activity during pregnancy and the risk of gestational diabetes mellitus: A systematic review and meta-analysis of randomised controlled trials. Br J Sports Med 48(4):290–295PubMedCrossRef
Zurück zum Zitat Zavorsky GS, Longo LD (2011) Exercise guidelines in pregnancy: New perspectives. Sports Med 41:345–360PubMedCrossRef Zavorsky GS, Longo LD (2011) Exercise guidelines in pregnancy: New perspectives. Sports Med 41:345–360PubMedCrossRef
Metadaten
Titel
Prävention und Therapie der Adipositas und schwangerschaftsbedingter Erkrankungen durch Sport
verfasst von
Hilke Friesenborg
Katrin Röttger
Ulrike Korsten-Reck
Copyright-Jahr
2023
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-662-67952-4_10

Nodal-negativ nach neoadjuvanter Chemo: Axilladissektion verzichtbar?

03.05.2024 Mammakarzinom Nachrichten

Wenn bei Mammakarzinomen durch eine neoadjuvante Chemotherapie ein Downstaging von nodal-positiv zu nodal-negativ gelingt, scheint es auch ohne Axilladissektion nur selten zu axillären Rezidiven zu kommen.

Rezidivierender Peritonsillarabszess nach Oralsex

02.05.2024 Peritonsillarabszess Kasuistik

Die erotischen Dimensionen von Peritonsillarabszessen scheinen eng begrenzt zu sein. Das heißt aber nicht, solche Abszesse und Erotik hätten nichts miteinander gemein, wie ein Fallbericht verdeutlicht.

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärzte und Psychotherapeuten.

Ambulantisierung: Erste Erfahrungen mit dem Hybrid-DRG

02.05.2024 DCK 2024 Kongressbericht

Die Hybrid-DRG-Verordnung soll dazu führen, dass mehr chirurgische Eingriffe ambulant durchgeführt werden, wie es in anderen Ländern schon länger üblich ist. Die gleiche Vergütung im ambulanten und stationären Sektor hatten Niedergelassene schon lange gefordert. Aber die Umsetzung bereitet ihnen doch Kopfzerbrechen.

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.