The results of a study involving more than 85,000
pregnant women surprised researchers as it was thought exercise would have a
beneficial effect.
Pregnant women are recommended to take 30 minutes of moderate intensity
exercise per day and the latest data suggest that exceeding that by even a
small amount was linked to pre-eclampsia.
The condition affects one in 14 women to some extent but in around one in
100 pregnancies it develops into serious complications and the baby must be
delivered as quickly as possible. Pre-eclampsia causes the deaths of up to
ten mothers a year in the UK and around 1,000 babies.
Danish and Norwegian researchers looked at medical data of thousands of
women in Denmark who were pregnant between 1996 and 2002.
Jogging for more than one hour and 15 minutes a week more than doubled the
risk of pre-eclampsia and this meant seven per cent of women who did this
much exercise developed the condition.
Women with high levels of physical activity, 4.5 hours a week to seven hours
a week, were 65 per cent more likely to have severe pre-eclampsia.
This means 18 per cent of women who do this much exercise will develop the
condition.
Women who did more than seven hours a week of exercise were 78 per cent more
likely to have the condition, meaning 29 per cent of women who do this much
exercise will develop severe pre-eclampsia.
Senior author, Dr Sjurdur Olsen, from the Statens Serum
Institut in Copenhagen, Denmark and Adjunct Professor of Nutrition at the
Harvard School of Public Health in Boston, USA said: "Recommendations have
been issued in several countries that pregnant women should exercise at
least 30 minutes each day. An important underlying contention is that this
can reduce risk of pre-eclampsia. In our study, we were unable to
substantiate that physical activity in early pregnancy has a protective
effect against pre-eclampsia.
"Another unexpected finding was that leisure time exercise, in amounts that
were only slightly higher than the recommended amount, seemed even to be
associated with an increased risk of severe types of pre-eclampsia.
"Further research is needed in other large prospective cohort databases
which are now emerging in several countries. Until that has happened,
recommendations in the field should remain unchanged."
It is thought that excessive exercise in pregnancy may increase stress on
the body leading to raised blood pressure.
The findings are published in the British Journal of Obstetrics and
Gynaecology.
Professor Philip Steer, editor-in-chief of 'BJOG: An International Journal
of Obstetrics and Gynaecology', said: "Clinical guidelines in the UK stress
that selective and moderate exercise during pregnancy can be beneficial.
These include aerobic and strength-conditioning exercises. While general
fitness is a good thing in many respects, these data suggest that it may be
unwise to exercise to peak fitness levels.
"This new research is useful as it provides us with an indication of how
much exercise pregnant women should take. As with everything in life, too
much of a good thing can be bad for you, and moderation in all things
remains a good policy."