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A pregnant woman sparked debate on Chinese social media by documenting her workouts online, but a new Canadian study shows vigorous exercise to have benefits for mothers-to-be and their unborn babies. Photo: Baidu

Can I do HIIT while pregnant without harming my baby? Absolutely, new study finds – unborn babies and mothers actually benefit from it

  • Vigorous exercise has long been considered dangerous for pregnant women and their unborn babies, but new research has debunked this unfounded belief
  • High-intensity interval training (HIIT) was found to improve umbilical blood flow, promote sleep in pregnant women and more, without any adverse effects
Wellness

Many people worry that vigorous exercise is harmful to unborn babies – despite a lack of evidence to justify this.

Now a study has shown that performing a high-intensity interval training (HIIT) session during pregnancy does not harm mother or baby.

Researchers recorded maternal and fetal cardiovascular responses in pregnant women immediately before and after an HIIT workout and compared it with a moderate-intensity cycling session.

The study concluded that an acute bout of HIIT exercise, as well as 30 minutes of moderate exercise, is well tolerated by both mother and fetus. Neither form of exercise negatively affected fetal heart rate or umbilical blood flow.

A pregnant woman exercises with weights. Photo: Shutterstock

“The really important thing is that this is a first step where we’re identifying the potential safety and even potential benefits of HIIT exercise in pregnancy,” says lead researcher Dr Margie Davenport, director of the Program for Pregnancy and Postpartum Health at the University of Alberta, in Canada.

“Absolutely we need more studies, we need larger studies and we need chronic studies looking at continuing HIIT throughout pregnancy. But I do think that this begins to reduce the fear around engaging in HIIT exercise, because we know that pregnant women are still doing it.”

Dr Margie Davenport, director of the Program for Pregnancy and Postpartum Health at the University of Alberta, in Canada. Photo: Margie Davenport

The study, which involved 15 women who were at least 20 weeks pregnant, included an HIIT session of 10 one-minute intervals interspersed with a one-minute rest, which saw the heart rate rise to 96 per cent of its maximum.

The second workout was a 30-minute cycling session at around 70 per cent of heart rate maximum.

Current physical activity and exercise guidelines for pregnancy around the world strongly caution against engaging in vigorous exercise exceeding 80 to 90 per cent of one’s maximal heart rate, but this is owing to the paucity of information on fetal well-being.

We didn’t see any slowing of the fetal heart rate. We actually saw improvements in the blood flow to the baby
Dr Margie Davenport, on the results of her study of pregnant women doing HIIT

At the time, Dr Amy Wang, a Hong Kong-based family doctor, repeated the recommendation that women should not engage in high-intensity activities and should stick to 30 minutes a day of moderate exercise.

This recommendation is based on extensive research which shows the safety and benefits of moderate-intensity exercise during pregnancy – which has been shown to help reduce pre-eclampsia, a serious blood-pressure condition that can develop during pregnancy, by 41 per cent, gestational diabetes by 39 per cent and depression by 67 per cent.

But much less is known about vigorous exercise. The Canadian researchers were keen to explore this because this type of exercise takes up far less time.

The second-biggest barrier to exercise is time constraints, and currently only 15 per cent of pregnant women meet physical activity recommendations of 150 minutes of moderate exercise per week.

HIIT requires 40 per cent less time than moderate exercise and achieves similar health benefits in non-pregnant people.
When a 33-year-old woman expecting twins documented her intense exercise routine online, some Chinese social media users said her babies would “be born with muscles”. Photo: Baidu

The researchers were also keen to explore HIIT as a time-saving alternative to moderate exercise while also addressing lack of knowledge or misinformation about maternal and fetal safety.

“We know that HIIT exercises have been a top three fitness trend for the past decade, and individuals who have been engaging in HIIT before they become pregnant want to continue when they do become pregnant,” says Davenport.

Despite the lack of scientific evidence to support the safety of vigorous exercise during pregnancy, an abundance of prenatal HIIT workouts and advice columns are being created and shared online.

“Our research was an opportunity to potentially identify a new form of training that can be continued safely during pregnancy. Now, the important thing to understand is the individuals in the study were relatively active,” says Davenport.

“Most had continued to do HIIT exercise during their pregnancy, so they were already going against guidelines, and none of them had contraindications to exercise in pregnancy. They had healthy pregnancies.”

The research, published in the journal Sports Medicine, found that even though the HIIT session pushed women to beyond 96 per cent of their maximum heart rate – which is categorised as vigorous intensity exercise – it had no adverse effects.

A range of measures was recorded in the 15 participants, who were all at least 20 weeks pregnant. The study measured maternal heart rate, blood pressure, respiration, fetal heart rate and blood flow in the umbilical cord.

Concerns that too much blood flow could be redirected to the working muscle when pregnant women engage in vigorous exercises were shown to be unfounded.

“We didn’t see any slowing of the fetal heart rate. We actually saw some improvements in the blood flow to the baby, which is great,” says Davenport.

The study also found that women slept better after an HIIT session and had lower rates of hypoglycaemia, in which blood sugar levels drop too low.
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