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Title:Klinične smernice namenjene vadbi zdravih nosečnic
Authors:Tavčar, Zoja (Author)
Omejec, Gregor (Mentor) More about this co-author... New window
Language:Slovenian
Work type:Bachelor thesis/paper
Tipology:2.11 - Undergraduate Thesis
Organization:FIZIOTERAPEVTIKA - PHYSIOTHERAPEUTICA
Abstract:Telesna dejavnost je izjemnega pomena za zdravo nosečnost. Pozitivni učinki se kažejo med nosečnostjo, porodom in po porodu. V diplomski nalogi smo raziskovali, ali obstajajo klinične smernice, namenjene vadbi zdravih nosečnic in ali natančno določajo tako intenzivnost kot trajanje različnih telesnih dejavnosti. Raziskave so pokazale, da je večina žensk v nosečnosti manj fizično dejavnih kakor pred zanositvijo, in sicer zaradi slabega počutja in slabosti v prvih tednih nosečnosti, kasneje pa slabše motivacije, pomanjkanja časa, nezadostnega spodbujanja strokovnih delavcev in znanja o vadbi ter posledičnega strahu, da bi z vadbo škodili plodu. Dejstvo pa je, da je nedejaven in sedeč življenjski slog med nosečnostjo povezan z bolečinami, debelostjo, nosečniškimi težavami, zapleti med porodom in dalj časa trajajočo vrnitvijo v stanje pred porodom. Ugotovili smo, da je večina priporočil namenjenih zmerno intenzivni aerobni in ne toliko visoko intenzivni vadbi ter posameznim telesnim dejavnostim. Po pregledu literature smo smernice strnili in jih razvrstili na aerobno, anaerobno in nevro-motorično vadbo, ki vključuje jogo in pilates, vadbo, namenjeno mišicam medeničnega dna, raztezanje ter visoko intenzivno vadbo. Ugotovili smo, da je fizična dejavnost priporočljiva tako za prej dejavne kot nedejavne zdrave nosečnice, pomembno je izvajanje aerobne in anaerobne vadbe ter raztezanje. Najbolj varne telesne dejavnosti, ki se jih največkrat priporoča v smernicah, so hoja, sobno kolesarjenje, plavanje in vadba v vodi, prilagojena nosečnici, ter vaje za moč in nevro-motorična vadba (aerobika/pilates/joga). Pomembno je poznati omejitve, prilagoditve, kontraindikacije in znake za prenehanje vadbe ter se gibati vsaj 150 minut na teden oziroma najmanj trikrat tedensko 30 minut. Kliničnih smernic na področju visoko intenzivne vadbe in bolj podrobnih priporočil za posamezne telesne aktivnosti primanjkuje, zato so v prihodnosti potrebne dodatne raziskave na teh področjih.
Keywords:Nosečnost, telesna dejavnost, priporočila.
Year of publishing:2024
COBISS_ID:190752259 Link is opened in a new window
VisID:4040
Views:153
Downloads:25
Files:.pdf 1992$$z_tavcar_diplomska_naloga_klinicne_smernice_namenjene_vadbi_zdravih_nosecnic.pdf (736,25 KB)
 
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Secondary language

Language:English
Title:Clinical guidelines for physical activity in healthy pregnancy
Abstract:Physical activity is extremely important for a healthy pregnancy. Its positive effects are shown during pregnancy, childbirth and after childbirth. In our diploma thesis, we researched whether there are clinical guidelines for the exercise of healthy pregnant women and whether they precisely determine both the intensity and duration of various physical activities. Research has shown that the majority of women are less physically active during pregnancy than before conception due to feeling unwell and sick in the first weeks of pregnancy, and later on due to poorer motivation, lack of time, insufficient encouragement from professionals and knowledge about exercise, and, consequently, the fear that they would harm the fetus by exercising. The fact is that an inactive and sedentary lifestyle during pregnancy is associated with pain, obesity, complications during pregnancy and childbirth, and a prolonged return to the state before childbirth. We established that most of the recommendations are aimed at moderate-intensity aerobic exercise rather than high-intensity exercise or individual physical activities. After reviewing the literature, we summarized the guidelines and classified them into aerobic, anaerobic, and neuromotor exercise including yoga and pilates, pelvic floor muscle exercise, stretching, and high-intensity exercise. We discovered that physical activity is recommended for both previously active and inactive healthy pregnant women, and that aerobic and anaerobic exercise and stretching are important. The safest physical activities that are most often recommended in the guidelines are walking, stationary cycling, swimming and water exercise adapted to pregnant women, as well as strength training and neuro-motorPhysical activity is extremely important for a healthy pregnancy. Its positive effects are shown during pregnancy, childbirth and after childbirth. In our diploma thesis, we researched whether there are clinical guidelines for the exercise of healthy pregnant women and whether they precisely determine both the intensity and duration of various physical activities.Research has shown that the majority of women are less physically active during pregnancy than before conception due to feeling unwell and sick in the first weeks of pregnancy, and later on due to poorer motivation, lack of time, insufficient encouragement from professionals and knowledge about exercise, and, consequently, the fear that they would harm the fetus by exercising. The fact is that an inactive and sedentary lifestyle during pregnancy is associated with pain, obesity, complications during pregnancy and childbirth, and a prolonged return to the state before childbirth. We established that most of the recommendations are aimed at moderate-intensity aerobic exercise rather than high-intensity exercise or individual physical activities. After reviewing the literature, we summarized the guidelines and classified them into aerobic, anaerobic, and neuromotor exercise including yoga and pilates, pelvic floor muscle exercise, stretching, and high-intensity exercise. We discovered that physical activity is recommended for both previously active and inactive healthy pregnant women, and that aerobic and anaerobic exercise and stretching are important. The safest physical activities that are most often recommended in the guidelines are walking, stationary cycling, swimming and water exercise adapted to pregnant women, as well as strength training and neuro-motor training (aerobics/pilates/yoga). It is important to know the limitations, adaptations, contraindications, and signs for stopping exercise and to exercise at least 150 minutes a week or at least three times a week for 30 minutes. There is a lack of clinical guidelines for high-intensity exercise and more detailed recommendations for specific physical activities, therefore additional research in these areas is needed in the future. training (aerobics/pilates/yoga). It is important to know the limitations, adaptations, contraindications, and signs for stopping exercise and to exercise at least 150 minutes a week or at least three times a week for 30 minutes. There is a lack of clinical guidelines for high-intensity exercise and more detailed recommendations for specific physical activities, therefore additional research in these areas is needed in the future.
Keywords:Pregnancy, physical activity, recommendations/ guidelines.


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