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Adipositas - Ursachen, Folgeerkrankungen, Therapie 2023; 17(01): 26-33
DOI: 10.1055/a-1973-8808
Review

Adipositas und Schwangerschaft – Rolle der körperlichen Aktivität

Obesity and Pregnancy – Role of Physical Activity
Nina Ferrari
1   Kölner Zentrum für Prävention im Kindes- und Jugendalter am Herzzentrum der Universitätsklinik Köln, Köln, Deutschland
2   Institut für Bewegungs- und Neurowissenschaft, Abt. Bewegungs- und Gesundheitsförderung, Deutsche Sporthochschule Köln, Köln, Deutschland
,
Christine Joisten
1   Kölner Zentrum für Prävention im Kindes- und Jugendalter am Herzzentrum der Universitätsklinik Köln, Köln, Deutschland
2   Institut für Bewegungs- und Neurowissenschaft, Abt. Bewegungs- und Gesundheitsförderung, Deutsche Sporthochschule Köln, Köln, Deutschland
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Zusammenfassung

Körperlicher Aktivität vor als auch während der Schwangerschaft hat zahlreiche positive Effekte auf Mutter und Kind. Allerdings erreichen in Deutschland weniger als die Hälfte der Frauen im Erwachsenenalter die Aktivitätsempfehlungen der Weltgesundheitsorganisation, sich mindestens 150 Minuten in moderater Ausdaueraktivität zu betätigen. In der Schwangerschaft wird die Aktivitätszeit noch weiter reduziert. Kombiniert mit Übergewicht oder Adipositas in der Schwangerschaft hat dies Auswirkungen auf die mütterliche als auch auf die kindliche Gesundheit. Auf Basis der aktuellen Literatur sollen daher beispielhaft die Effekte von Bewegung während der Schwangerschaft auf Mutter und Kind im Kontext Adipositas zusammengestellt sowie die aktuellen Empfehlungen zu Bewegung in dieser Zielgruppe beschrieben werden. Darüber hinaus wird auf die potentiellen zugrundeliegenden Mechanismen eingegangen.

Summary

Physical activity before and during pregnancy has numerous positive effects on both mother and child. However, in Germany, less than half of women in adulthood achieve the World Health Organization’s activity recommendations of at least 150 minutes of moderate endurance activity. During pregnancy, activity time is reduced even further. Combined with overweight or obesity in pregnancy, this has implications for both maternal and fetal health. Therefore, based on the current literature, the effects of exercise during pregnancy on mother and child in the context of obesity will be summarized as an example, and the current recommendations for exercise during pregnancy in this target group will be described. In addition, the potential underlying mechanisms will be addressed.

Schlüsselwörter

Body-Mass-Index - Schwangerschaft - Aktivitätsempfehlung - Exerkine - Myokine

Key words

body-mass-index - pregnancy - activity recommendation - exercine - myokine


Publication History

Article published online:
03 March 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG
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