Aerobic exercise during pregnancy influences infant heart rate variability at one month of age
Abstract
Background Previously, we reported that regular maternal aerobic exercise during pregnancy was associated with lower fetal heart rate (HR) and higher heart rate variability (HRV) at 36weeks gestation. We now report the effect of maternal exercise on infant HR and HRV in subjects who remained active in the study at the one-month follow up visit.Aims We aimed to determine whether differences in fetal cardiac autonomic control related to maternal physical activity were an in utero phenomenon or would persist 1month after birth.Study design Magnetocardiograms (MCGs) of infants born to regularly exercising (≥30min of aerobic activity, 3 times per week; N=16) and non-exercising (N=27) pregnant women were recorded using a fetal biomagnetometer. Normal R-peaks were marked to derive infant HR and HRV in time and frequency domains, including the root mean square of successive differences (RMSSD), the standard deviation of normal-to-normal interbeat intervals (SDNN), and power in the low frequency (LF) and high frequency (HF) bands. Group differences were examined with Student's t-tests.Results Infants born to exercising women had significantly higher RMSSD (P=0.010), LF power (P=0.002), and HF power (P=0.004) than those born to women who did not engage in regular physical activity while pregnant.Conclusion Infants born to women who participated in regular physical activity during pregnancy continued to have higher HRV in the infant period. This suggests that the developing cardiac autonomic nervous system is sensitive to the effects of maternal physical activity and is a target for fetal programming.
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Delorme, A., & Makeig, S. (2004) · Journal of Neuroscience Methods · doi:10.1016/j.jneumeth.2003.10.009 · Cited by 24,371 · see citing works
Kleiger, R. E., Miller, J. P., Bigger, J. T., & Moss, A. J. (1987) · The American Journal of Cardiology · doi:10.1016/0002-9149(87)90795-8 · Cited by 3,995 · see citing works
WEIGHT IN INFANCY AND DEATH FROM ISCHAEMIC HEART DISEASE
Barker, D. J. P., Osmond, C., Winter, P. D., Margetts, B., & Simmonds, S. J. (1989) · The Lancet · doi:10.1016/s0140-6736(89)90710-1 · Cited by 3,574 · see citing works
Type 2 (non-insulin-dependent) diabetes mellitus: the thrifty phenotype hypothesis
Hales, C. N., & Barker, D. J. P. (1992) · Diabetologia · doi:10.1007/bf00400248 · Cited by 3,294 · see citing works
INFANT MORTALITY, CHILDHOOD NUTRITION, AND ISCHAEMIC HEART DISEASE IN ENGLAND AND WALES
BARKER, D. (1986) · The Lancet · doi:10.1016/s0140-6736(86)91340-1 · Cited by 2,892 · see citing works
Fetal nutrition and cardiovascular disease in adult life
Barker, D. J. P., Godfrey, K. M., Gluckman, P. D., Harding, J. E., Owens, J. A., & Robinson, J. S. (1993) · The Lancet · doi:10.1016/0140-6736(93)91224-a · Cited by 2,753 · see citing works
Barker, D. J. P., Hales, C. N., Fall, C. H. D., Osmond, C., Phipps, K., & Clark, P. M. S. (1993) · Diabetologia · doi:10.1007/bf00399095 · Cited by 2,468 · see citing works
Frequency domain measures of heart period variability and mortality after myocardial infarction
Bigger, J. T., Fleiss, J. L., Steinman, R. C., Rolnitzky, L. M., Kleiger, R. E., & Rottman, J. N. (1992) · Circulation · doi:10.1161/01.cir.85.1.164 · Cited by 1,712 · see citing works
Fetal nutrition and adult disease
Godfrey, K. M., & Barker, D. J. P. (2000) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/71.5.1344s · Cited by 1,329 · see citing works
McConnell, J. M. L., Shelley, P., Heales, S., John, C., Jensen, R. I., Khan, I. Y., Taylor, P. D., & Poston, L. (2005) · Cited by 1,235 · see citing works
Calvert, H., Horwich, A., Newlands, E. S., Beǵent, R. H. J., Rustin, G. J. S., Kaye, S. B., Harris, A. L., Williams, C. J., & Slevin, M. L. (1988) · The Lancet · doi:10.1016/s0140-6736(88)92709-2 · Cited by 1,183 · see citing works
Culpin, M. (1934) · The Lancet · Cited by 971 · see citing works
Waterland, R. A., & Jirtle, R. L. (2003) · Nutrition · doi:10.1016/j.nut.2003.09.011 · Cited by 783 · see citing works
Thinness at birth and insulin resistance in adult life
Phillips, D. I. W., Barker, D. J. P., Hales, C. N., Hirst, S. D., & Osmond, C. (1994) · Diabetologia · doi:10.1007/s001250050086 · Cited by 698 · see citing works
Epigenetic Mechanisms and the Mismatch Concept of the Developmental Origins of Health and Disease
Godfrey, K. M., Lillycrop, K. A., Burdge, G. C., Gluckman, P. D., & Hanson, M. A. (2007) · Pediatric Research · doi:10.1203/pdr.0b013e318045bedb · Cited by 597 · see citing works
Porges, S. W., & Furman, S. A. (2011) · Infant and Child Development · doi:10.1002/icd.688 · Cited by 548 · see citing works
From biological rhythms to social rhythms: physiological precursors of mother-infant synchrony.
Feldman, R. (2006) · Developmental Psychology · doi:10.1037/0012-1649.42.1.175 · Cited by 311 · see citing works
Clapp, J. F. (1996) · The Journal of Pediatrics · doi:10.1016/s0022-3476(96)70029-x · Cited by 240 · see citing works
Neonatal morphometrics after endurance exercise during pregnancy
Clapp, J. F., & Capeless, E. L. (1990) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(90)90754-u · Cited by 212 · see citing works
The effects of maternal exercise on fetal oxygenation and feto-placental growth
Clapp, J. F. (2003) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/s0301-2115(03)00176-3 · Cited by 208 · see citing works
Physical Activity, Obesity, and Diabetes in Pregnancy
Dye, T., Knox, K. L., Artal, R., Aubry, R. H., & Wojtowycz, M. (1997) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a009223 · Cited by 198 · see citing works
The course of labor after endurance exercise during pregnancy
Clapp, J. F. (1990) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(90)90753-t · Cited by 186 · see citing works
DiPietro, J. A., Bornstein, M. H., Hahn, C., Costigan, K. A., & Achy‐Brou, A. (2007) · Child Development · doi:10.1111/j.1467-8624.2007.01099.x · Cited by 167 · see citing works
Maternal and fetal responses to exercise during pregnancy
Lotgering, F. K., Gilbert, R. D., & Longo, L. D. (1985) · Physiological Reviews · doi:10.1152/physrev.1985.65.1.1 · Cited by 146 · see citing works
ACOG Committee Opinion No. 267: Exercise During Pregnancy and the Postpartum Period
(2002) · Obstetrics and Gynecology · doi:10.1097/00006250-200201000-00030 · Cited by 142 · see citing works
May, L. E., Glaros, A., Yeh, H.-W., Clapp, J. F., & Gustafson, K. M. (2010) · Early Human Development · doi:10.1016/j.earlhumdev.2010.03.002 · Cited by 140 · see citing works
Self-citationBaroreflex Sensitivity in Obesity: Relationship With Cardiac Autonomic Nervous System Activity
Skrapari, I. C., Tentolouris, N., Perrea, D. N., Bakoyiannis, C., Papazafiropoulou, A. K., & Katsilambros, N. L. (2007) · Obesity · doi:10.1038/oby.2007.201 · Cited by 138 · see citing works
Prenatal Hypoxia and Cardiac Programming
Zhang, L. (2004) · Journal of the Society for Gynecologic Investigation · doi:10.1016/j.jsgi.2004.09.004 · Cited by 135 · see citing works
Downs, D. S., DiNallo, J. M., & Kirner, T. L. (2008) · Annals of Behavioral Medicine · doi:10.1007/s12160-008-9044-9 · Cited by 134 · see citing works
Bornstein, M. H., & Suess, P. E. (2000) · Child Development · doi:10.1111/1467-8624.00143 · Cited by 133 · see citing works
Clapp, J. F., Lopez, B., & Harcar-Sevcik, R. A. (1999) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(99)70155-9 · Cited by 125 · see citing works
Jackson, M., Gott, P. J., Lye, S. J., Ritchie, J. W. K., & Clapp, J. F. (1995) · Placenta · doi:10.1016/0143-4004(95)90007-1 · Cited by 123 · see citing works
Szymanski, L. M., & Satin, A. J. (2012) · Obstetrics and Gynecology · doi:10.1097/aog.0b013e31824760b5 · Cited by 105 · see citing works
Clapp, J. F., & Kieß, W. (2000) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(00)70215-8 · Cited by 101 · see citing works
Psychological effects of an aerobic exercise session and a rest session following pregnancy.
Koltyn, K. F., & Schultes, S. (1997) · PubMed · Cited by 98 · see citing works
Effects of Diet and Exercise on Insulin Resistance during Pregnancy
Clapp, J. F. (2006) · Metabolic Syndrome and Related Disorders · doi:10.1089/met.2006.4.84 · Cited by 93 · see citing works
Artal, R., Platt, L. D., Sperling, M. A., Kammula, R. K., Jilek, J., & Nakamura, R. M. (1981) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(81)90098-3 · Cited by 89 · see citing works
Effect of recreational exercise on midtrimester placental growth
Clapp, J. F., & Rizk, K. H. (1992) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(92)91730-x · Cited by 80 · see citing works
Heart rate variability and cardiac reflexes in small for gestational age infants
Galland, B. C., Taylor, B. J., Bolton, D., & Sayers, R. (2005) · Journal of Applied Physiology · doi:10.1152/japplphysiol.01275.2005 · Cited by 80 · see citing works
Regular Maternal Exercise Dose and Fetal Heart Outcome
May, L. E., Suminski, R. R., Jr., Langaker, M. D., et al. (2012) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e318247b324 · Cited by 72 · see citing works
Self-citationProstaglandins, Leukotrienes and Essential Fatty Acids
Sdol, E. (2009) · Cited by 66 · see citing works
Physical conditioning effects on fetal heart rate responses to graded maternal exercise
Brenner, I., Wolfe, L. A., Monga, M., et al. (1999) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199906000-00006 · Cited by 64 · see citing works
The effect of regular maternal exercise on erythropoietin in cord blood and amniotic fluid
Clapp, J. F., Little, K. D., Appleby-Wineberg, S. K., & Widness, J. A. (1995) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(95)90476-x · Cited by 60 · see citing works
Gustafson, K. M., Carlson, S. E., Colombo, J. A., Yeh, H., Shaddy, D. J., Li, S., & Kerling, E. H. (2013) · Prostaglandins Leukotrienes and Essential Fatty Acids · doi:10.1016/j.plefa.2013.01.009 · Cited by 58 · see citing works
Self-citationFetal heart rate response to maternal exercise
Collings, C. A., & Curet, L. B. (1985) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(85)90277-7 · Cited by 55 · see citing works
Fetal heart rate and uterine contractility during maternal exercise at term
Spinnewijn, W. E., Lotgering, F. K., Struijk, P. C., et al. (1996) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(96)70371-x · Cited by 50 · see citing works
Gustafson, K. M., May, L. E., Yeh, H., Million, S. K., & Allen, J. J. B. (2012) · Early Human Development · doi:10.1016/j.earlhumdev.2011.12.017 · Cited by 50 · see citing works
Self-citationFakhrzadeh, H., Yaminisharif, A., Sharifi, F., Tajalizadekhoob, Y., Mirarefin, M., Mohammadzadeh, M., Sadeghian, S., Badamchizadeh, Z., & Larijani, B. A. (2012) · ISRN Endocrinology · doi:10.5402/2012/168264 · Cited by 48 · see citing works
Gestational diabetes and exercise: A survey
Bung, P., & Artal, R. (1996) · Seminars in Perinatology · doi:10.1016/s0146-0005(96)80025-5 · Cited by 46 · see citing works
Stress hormones and placental steroids in physical exercise during pregnancy
Rauramo, I., ANDERSSON, B., Laatikainen, T. K., et al. (1982) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.1982.tb05058.x · Cited by 41 · see citing works
Kennelly, M., Geary, M. P., McCaffrey, N., et al. (2002) · American Journal of Obstetrics and Gynecology · doi:10.1067/mob.2002.125741 · Cited by 41 · see citing works
Maule, S. V., Rabbia, F., Perni, V., Tosello, F., BISBOCCI, D., Mulatero, P., & Veglio, F. (2008) · Hypertension Research · doi:10.1291/hypres.31.2003 · Cited by 40 · see citing works
EXERCISE AND THE NUTRITIONAL MANAGEMENT OF DIABETES DURING PREGNANCY
Jovanovic‐Peterson, L., & Peterson, C. M. (1996) · Obstetrics and Gynecology Clinics of North America · doi:10.1016/s0889-8545(05)70245-x · Cited by 35 · see citing works
Effects of human contact and vagal regulation on pain reactivity and visual attention in newborns
Arditi‐Babchuk, H., Feldman, R., & Eidelman, A. I. (2006) · Developmental Psychobiology · doi:10.1002/dev.20150 · Cited by 33 · see citing works
Magnetographic assessment of fetal hiccups and their effect on fetal heart rhythm
Popescu, E.-A., Popescu, M., Bennett, T. L., et al. (2007) · Physiological Measurement · doi:10.1088/0967-3334/28/6/005 · Cited by 27 · see citing works
Catecholamine physiology in the ovine fetus
Palmer, S. M., Oakes, G. K., Champion, J. A., et al. (1984) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(84)90158-3 · Cited by 26 · see citing works
Platt, L. D., Artal, R., Semel, J., et al. (1983) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(83)90003-0 · Cited by 25 · see citing works
Non-nutritive sucking recordedin uterovia fetal magnetography
Popescu, E.-A., Popescu, M., Wang, J., et al. (2008) · Physiological Measurement · doi:10.1088/0967-3334/29/1/009 · Cited by 23 · see citing works
Fetal Heart Race and Maternal Cardiovascular and Catecholamine Responses to Dynamic Exercise
Cooper, K. A., Hunyor, S. N., Boyce, E. S., et al. (1987) · Australian and New Zealand Journal of Obstetrics and Gynaecology · doi:10.1111/j.1479-828x.1987.tb00991.x · Cited by 23 · see citing works
Effect of maternal exercise and fetoplacental growth rate on serum erythropoietin concentrations
Clapp, J. F., Little, K. D., & Widness, J. A. (2003) · American Journal of Obstetrics and Gynecology · doi:10.1067/mob.2003.232 · Cited by 20 · see citing works
Maternal and fetal cardiovascular response to exercise during pregnancy
Veille, J. (1996) · Seminars in Perinatology · doi:10.1016/s0146-0005(96)80018-8 · Cited by 19 · see citing works
Relationship between plasma glucose levels in glucose-intolerant women and newborn macrosomia
Verma, A., Mitchell, B. F., Demianczuk, N. N., Flowerdew, G. J., & Okun, N. B. (1997) · The Journal of Maternal-Fetal Medicine · doi:10.1002/(sici)1520-6661(199705/06)6:3 · Cited by 17 · see citing works
Catecholamine physiology in the ovine fetus
Palmer, S. M., Oakes, G. K., Lam, R., et al. (1984) · American Journal of Obstetrics and Gynecology · doi:10.5555/uri:pii:0002937884901571 · Cited by 14 · see citing works
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The transition to parenthood in obstetrics: enhancing prenatal care for 2-generation impact
Monk, C., Dimidjian, S., Galinsky, E., Gregory, K. D., Hoffman, M. C., Howell, E. A., Miller, E. S., Osborne, C., Rogers, C. E., Saxbe, D. E., et al. (2022) · American Journal of Obstetrics & Gynecology MFM · doi:10.1016/j.ajogmf.2022.100678 · Cited by 19 · see citing works
- Authors
- May, L. E., Scholtz, S. A., Suminski, R., & Gustafson, K. M.
- Affiliations
- East Carolina University (US)
- University of Kansas Medical Center (US)
- Corresponding author
- Gustafson, Kathleen M.
- Venue
- Early Human Development
- Publisher
- Elsevier BV
- Published
- 2014-01
- Volume
- 90
- Issue
- 1
- Pages
- 33-38
- ISSN
- 0378-3782 (ISSN-L)
- OpenAlex
- W2078813265
- Cited by
- 82
- References
- 63
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 3 · 2023: 10 · 2022: 9 · 2021: 4 · 2020: 11 · 2019: 1 · 2018: 5 · 2017: 7 · 2016: 10 · 2015: 7 · 2014: 5
- FWCI
- 4.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Early Human Development (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- pregnancy, cardiac autonomic nervous system, fetal programming, magnetocardiography, maternal physical activity
- MeSH terms
- Adult, Female, Heart Rate, Humans, Infant, Newborn, Longitudinal Studies, Male, Pregnancy, Prospective Studies, Exercise, Case-Control Studies
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