LNSLNS The article is well written and comprehensively researched, but no mention was made of physical activity.

Epidemiological studies have shown that regular physical activity in early pregnancy is associated with a reduced risk of pre-eclampsia. Some studies have shown that women with a higher energy metabolism have the lowest rates of pre-eclampsia; others, however, have not shown any changes. If physical activity was undertaken regularly the biggest effects were noted (1, 2).

The health consequences for mother and baby are shaped not only by the mother-to-be’s diet but also by the extent of her physical activity during pregnancy. In Germany, 35% of women of childbearing age are overweight and 20 obese.

Although the importance of this trend for cardiovascular disorders and diabetes has been noted, detailed knowledge of the effects with regard to reproduction and pregnancy is lacking, and the doctors pass on pertinent information to affected women to an unsatisfactory degree. The risks and complications caused by overweight and obesity before, during, and after pregnancy can be reduced by means of lifestyle interventions with regular physical activity.
DOI: 10.3238/arztebl.2010.00227b

PD Dr. med. Ulrike Korsten-Reck
Medizinische Universitätsklinik Freiburg
Hugstetterstr. 55
79106 Freiburg, Germany
ulrike.korsten-reck@uniklinik-freiburg.de
1.
Rudra CB, Sorensen TK, Luthy DA, Williams MA: A prospective analysis of recreational physical activity and preeclampsia risk. Med Sci Sports Exerc 2008; 40(9): 1581–8. MEDLINE
2.
Sorensen TK, Williams MA, Lee IM, Dashow EE, Thompson ML, Luthy DA: Recreational physical activity during pregnancy and risk of preeclampsia. Hypertension 2003; 41(6): 1273–80. MEDLINE
3.
Rath W, Fischer T: The diagnosis and treatment of hypertensive disorders of pregnancy—New findings for antenatal and inpatient care [Diagnostik und Therapie hypertensiver Schwangerschaftserkrankungen – Neue Ergebnisse für Praxis und Klinik].Dtsch Arztebl Int 2009; 106(45): 733–8 VOLLTEXT
1. Rudra CB, Sorensen TK, Luthy DA, Williams MA: A prospective analysis of recreational physical activity and preeclampsia risk. Med Sci Sports Exerc 2008; 40(9): 1581–8. MEDLINE
2. Sorensen TK, Williams MA, Lee IM, Dashow EE, Thompson ML, Luthy DA: Recreational physical activity during pregnancy and risk of preeclampsia. Hypertension 2003; 41(6): 1273–80. MEDLINE
3. Rath W, Fischer T: The diagnosis and treatment of hypertensive disorders of pregnancy—New findings for antenatal and inpatient care [Diagnostik und Therapie hypertensiver Schwangerschaftserkrankungen – Neue Ergebnisse für Praxis und Klinik].Dtsch Arztebl Int 2009; 106(45): 733–8 VOLLTEXT