Metrika članka

  • citati u SCindeksu: 0
  • citati u CrossRef-u:0
  • citati u Google Scholaru:[=>]
  • posete u prethodnih 30 dana:3
  • preuzimanja u prethodnih 30 dana:2
članak: 3 od 57  
Back povratak na rezultate
Vojnosanitetski pregled
2017, vol. 74, br. 7, str. 687-692
jezik rada: engleski
vrsta rada: prikaz slučaja
doi:10.2298/VSP151013253B

Creative Commons License 4.0
Fizičko vežbanje aerobnog tipa tokom trećeg trimestra kod trudnice sa Hašimotovim sindromom
aUniversity of Belgrade, Faculty of Sport and Physical Education, Belgrade + University of Defence, Military Academy, Belgrade
bUniverzitet u Beogradu, Fakultet sporta i fizičkog vaspitanja

e-adresa: xenrun@gmail.com

Projekat

Project of the Serbian Research Council (grant #175037)

Sažetak

Uvod. Fizičko vežbanje i rad štitaste žljezde utiču na tok i ishod trudnoće, kao što i trudnoća utiče na vežbanje i lučenje tiroidnih hormona. Trudnicama bez medicinskih ili akušerskih komplikacija preporučuje se fizičko vežbanje. Pravilnim vežbanjem i odgovarajućom hormonskom terapijom smanjuje se mogućnost negativnog toka i ishoda trudnoće. Prikaz bolesnika. Prikazana je 33-godišnja maratonka sa dijagnostikovanim Hašimoto tireoiditisom koja je nastavila sa trčanjem do porođaja. Od parametara praćeni su: telesna masa, obim i intenzitet trčanja, a u trećem trimestru: krvni pritisak, puls, nivoi glukoze, prolaktina, kortizola i tiroidnih hormona [tiroksina (T4) i tiroidnog stimulišućeg hormona (TSH)] u krvi. Na redovnim endokrinološkim i ginekološkim pregledima praćen je rast i razvoj fetusa, kao i zdravstveno stanje trudnice. Tokom trudnoće došlo je do očekivanog povećanja telesne mase koji je uticalo na smanjenje obima i intenziteta trčanja. Nivoi TSH, kortizola i prolaktina u krvi bili su povećani. Utvrđena je statistički značajna korelacija između TSH i intenziteta trčanja (r = 0,864; p = 0,027). Kardiotahografijom (KTG) zabeležena je srednja vrednost pulsa (118 udara u minuti) koja se kretala u granicama donje referentne vrednosti. U predviđenom terminu indukovan je porođaj. Tok i ishod trudnoće protekli su bez komplikacija. Zaključak. Fizičko vežbanje aerobnog tipa, umerenog do lakog intenziteta, nije imalo negativnog uticaja na tok i ishod trudnoće kod trudnice sa Hašimoto tireoiditisom.

Ključne reči

Reference

Adler, J., Brown, K., Craig, M., Price, D. J., Wardlaw, J. M. (1981) Thyroid function and physical activity. A preliminary communication. British Journal of Sports Medicine, 15(4): 261-264
American College of Obstetricians and Gynecologists (2013) Committee Opinion No. 548. Obstetrics & Gynecology, 121(1): 210-212
Artal, R., Toole, O.M. (2003) Guidelines of the American College of Obstetricians and Gynecologists for exercise during pregnancy and the postpartum period. British journal of sports medicine, 37(1): 6-12; discussion 12
Bessinger, R.C., McMurray, R.G., Hackney, A.C. (2002) Substrate utilization and hormonal responses to moderate intensity exercise during pregnancy and after delivery. American Journal of Obstetrics and Gynecology, 186(4): 757-764
Bićanin, M., Varjačić, M. (2011) Thyroid gland and pregnancy. Medicinski časopis, vol. 45, br. 3, str. 32-37
Ciloglu, F., Peker, I., Pehlivan, A., Karacabey, K., Ilhan, N., Saygin, O., i dr. (2005) Exercise intensity and its effects on thyroid hormones. Neuro Endocrinol Lett, 26(6); 830-4
Clapp, J.F., Kim, H., Burciu, B., Schmidt, S., Petry, K., Lopez, B. (2002) Continuing regular exercise during pregnancy: Effect of exercise volume on fetoplacental growth. American Journal of Obstetrics and Gynecology, 186(1): 142-147
Glinoer, D. (2003) Management of hypo- and hyperthyroidism during pregnancy. Growth Hormone & IGF Research, 13: S45-S54
Gudović, A., Spremović-Radjenović, S., Lazović, G., Marinković, J., Glišić, A., Milićević, S. (2010) Maternal autoimmune thyroid disease and pregnancy complication. Vojnosanitetski pregled, vol. 67, br. 8, str. 617-621
Horns, P.N., Ratcliffe, L.P., Leggett, J.C., Swanson, M.S. (1996) Pregnancy Outcomes Among Active and Sedentary Primiparous Women. Journal of Obstetric, Gynecologic & Neonatal Nursing, 25(1): 49-54
May, L.E., Suminski, R.R., Langaker, M.D., Yeh, H., Gustafson, K.M. (2012) Regular Maternal Exercise Dose and Fetal Heart Outcome. Medicine & Science in Sports & Exercise, 44(7): 1252-1258
Montoya, A.A.V., Orozco, B.L., Aguilar, de P.A.C., Mosquera, E.M., Ramírez-Vélez, R. (2010) Aerobic exercise during pregnancy improves health-related quality of life: a randomised trial. Journal of Physiotherapy, 56(4): 253-258
Negro, R., Formoso, G., Mangieri, T., Pezzarossa, A., Dazzi, D., Hassan, H. (2006) Levothyroxine Treatment in Euthyroid Pregnant Women with Autoimmune Thyroid Disease: Effects on Obstetrical Complications. Journal of Clinical Endocrinology & Metabolism, 91(7): 2587-2591
Rafla, N.M., Cook, J.R. (1999) The effect of maternal exercise on fetal heart rate. Journal of Obstetrics and Gynaecology, 19(4): 381-384
Sokol, R.J., Kazzi, G.M., Kalhan, S.C., Pillay, S.K. (1982) Identifying the pregnancy at risk for intrauterine growth retardation: Possible usefulness of the intravenous glucose tolerance test. American Journal of Obstetrics and Gynecology, 143(2): 220-223
Sport Medicine Australia (2002) SMA statement the benefits and risks of exercise during pregnancy. Journal of Science and Medicine in Sport, 5(1): 11-19
Spremović-Rađenović, S. (2010) Specific characteristics of thyroid dysfunction during pregnancy and postpartum period. Med Glas, 15(37); 16-23 (Serbian)
Szymanski, L.M., Satin, A.J. (2012) Strenuous exercise during pregnancy: is there a limit?. American Journal of Obstetrics and Gynecology, 207(3): 179.e1-179.e6