Preconception Physical Exercise Is Associated with Phenotype-Specific Cardiovascular Alterations in Women at Risk for Gestational Hypertensive Disorders.

Bibliographic Details
Title:	Preconception Physical Exercise Is Associated with Phenotype-Specific Cardiovascular Alterations in Women at Risk for Gestational Hypertensive Disorders.
Authors:	Dreesen, Pauline, Volders, Pauline, Lanssens, Dorien, Nouwen, Sandy, Vrancken, Birgit, Janssen, Febe, Eijnde, Bert O., Hansen, Dominique, Ceulemans, Michael, Soubry, Adelheid, Gyselaers, Wilfried
Source:	Journal of Clinical Medicine; Jul2024, Vol. 13 Issue 14, p4164, 13p
Subject Terms:	DIASTOLIC blood pressure, CARDIOVASCULAR system, CARDIAC output, DOPPLER ultrasonography, PRECONCEPTION care
Abstract:	Background/Objectives: Gestational hypertensive disorders (GHD) pose significant maternal and fetal health risks during pregnancy. Preconception physical exercise has been associated with a lower incidence of GHD, but insights into the cardiovascular mechanisms remain limited. This study aimed to evaluate the effect of preconception physical exercise on the complete cardiovascular functions of women at risk for GHD in a subsequent pregnancy. Methods: A non-invasive hemodynamics assessment of arteries, veins, and the heart was performed on 40 non-pregnant women at risk for developing GHD in a subsequent pregnancy. Measurements of an electrocardiogram Doppler ultrasound, impedance cardiography and bio-impedance spectrum analysis were taken before and after they engaged in physical exercise (30–50 min, 3×/week, 4–6 months). Results: After a mean physical exercise period of 29.80 weeks, the total peripheral resistance (TPR), diastolic blood pressure and mean arterial pressure decreased in the total study population, without changing cardiac output (CO). However, in 42% (9/21) of women categorized with high or low baseline CO (>P75 or
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Database:	Complementary Index

More Details
ISSN:	20770383
DOI:	10.3390/jcm13144164
Published in:	Journal of Clinical Medicine
Language:	English