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Pregnancy to postpartum fitness: Here’s how to return to exercise after childbirth

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Pregnancy to postpartum fitness: Here’s how to return to exercise after childbirth

Giving birth to a new life is considered to be one of the most cherished event for a woman but how can we forget that pregnancy and childbirth brings so many changes in a woman’s body from these three aspects – anatomical, physiological and emotional. These three parameters are the pillars for every individual’s wellbeing.

Pregnancy to postpartum fitness: Here’s how to return to exercise after childbirth (File Photo)

In an interview with HT Lifestyle, Priya Singh, Women’s Health Physiotherapist and Lactation Consultant at Cloudnine Group of Hospitals in Vashi and Navi Mumbai, highlighted that the documented changes that occur during the course of pregnancy are:

  • Changes in the hormonal secretions
  • Overall increase in body fluid
  • Laxity of joints and ligaments due to relaxin hormone
  • Changes in the curvature of the lumbar spine
  • Stretching of the abdominal muscles to accommodate the growing fetus.
  • Changes in the skin
  • The most important: weight gain

According to Priya Singh, there are many other changes that a woman’s body may go through but the above changes mentioned are the most common ones and visible ones.

Why are we discussing changes during pregnancy while we discuss ‘return to exercise after childbirth’?

Priya Singh explained, “That is for you to understand that the changes that have occurred during child birth would certainly require some time to return back to normal, as how it was! You can make your bounce back process a little easier by staying active during pregnancy as exercising would help you maintain your fitness level, the muscle strength, stamina and flexibility which in return helps you to combat the expected pregnancy discomforts and that allows you to start your post-partum fitness journey soon after you give birth.”

She elaborated, “The most common concerns that every women has after child birth are “why this belly still looks bigger after the baby is born, what can be done to have this belly go in, how much time will it take, what all activities can I do”, will wearing a belt help?. The uterus is made up of smooth muscles and it grows in size with progressing weeks of pregnancy and so the abdominal muscles also stretch to accommodate the growing fetus. After childbirth the uterus is still big in size. Which shrinks and reduces naturally on its own with time. This process is referred as Involution.”

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Now let us discuss something that also causes the abdominal muscles to bulge is Diastasis recti; the separation of the rectus abdominal muscle that is more than more than 2 cm would require your attention. There are 4 types of Diastasis recti and that are:

  1. Open Diastasis
  2. Open below Naval
  3. Open Above Naval
  4. Completely Open

As per Priya Singh, 2-3 weeks after childbirth it is recommended to get checked from a physiotherapist so that they can prescribe exercises as per the assessment and type of Diastasis recti present.

What the role of abdominal belt to play here? Let’s discuss.

The criteria for wearing a belt are–

  1. Always consult your healthcare provider before using one for yourself.
  2. If you have a loose, saggy abdominal muscle and basic daily activities are affected without support.
  3. Less strength in core muscles
  4. Twin pregnancy
  5. If you are a Multiparous women.

Priya Singh suggested, “One may require to use a belt initially for about 6-12 weeks which is enough. An abdominal belt offers you a good posture and support but avoid prolonged usage as it will lead to muscle wasting, work on the muscle consistently with core exercises as per one’s existing muscle strength. A physiotherapist can help you with wearing the belt correctly and guide you with the right core exercises to begin with.”

The fitness expert advised, “The exercises that can be started soon after giving birth are abdominal muscles contraction or activation, Deep breathing exercises along with the core activation & other muscle activation exercises can be considered.”

She added a few suggestions that mothers may follow to avoid any injury, discomfort while they are returning to exercise after giving birth –

  • Take it slow, allow your body to heal for about 4-6 weeks.
  • One can start basic mobility and muscle activation exercises soon after childbirth as it allows the joints and muscles to retain its basic function.
  • Intensity of the exercises can be increased and mild to moderate intensity exercises for upper body, back and abdomen can be started after 6 weeks.
  • Moderate strength training can be started to strengthen upper and lower body with weights of up to 3-3.5 kg for beginners along with core activation exercises. Avoid lifting heavy weights during daily chores or as a part of exercise, weight training is an important part of the exercise routine but the weights must be increased in gradual manner to avoid any injury.
  • Mild to moderate Cardio exercises like walking and brisk walking can be started after 6 weeks. Avoid HITT (high intensity interval training).

Priya Singh concluded, “I would recommend mothers to take professional advice on which exercise to begin with. Evaluation of muscles strength plays a vital role in forming an exercise program of an individual. The result of not having a good core strength is having multiple discomforts out of which the most common is backache. A Physiotherapist can help you with having a safe exercise routine post childbirth by keeping all the exercise guidelines in mind. The aim of your exercise program shall focus on building a strong system instead of weight loss. Weight loss is the byproduct of life style that we have, eating habits, consistency and patience.”

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Study finds 5 more minutes of exercise could reduce your risk of death by 10%

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Study finds 5 more minutes of exercise could reduce your risk of death by 10%

The universal quest for immortality continues, and new research has hinted at a small lifestyle change that could reduce overall death rates in countries if we start taking our movement more seriously. 

Conducted by a global research team, the study named ‘Deaths potentially averted by small changes in physical activity and sedentary time: an individual participant data meta-analysis of prospective cohort studies’ was published in The Lancet and suggested that adding five more minutes of physical exercise a day to your life could reduce death rates by 6 per cent. 

Conducted on cohorts wearing on-person devices from Norway, Sweden and the USA, scientists analysed activity and sedentary levels to deduce what was causing higher death rates and found that a little change could go a long way.

With the help of the study’s author and additional experts from the field, we delved into the details and uncovered exactly what we need to do to make sure we are maximising our health before it’s too late. 

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A little change makes all the difference 

We already know that we should all be getting out and exercising to ensure everything in our bodies is running smoothly, but just how important is that daily movement and could it be contributing to national mortality rates? 

Professor Ulf Ekelund works in the Physical Activity and Health department at the Norwegian School of Sport Sciences and was one of the authors of the study. He broke down the data for HELLO!

The professor explained: “We estimated the number of deaths potentially prevented by five and ten-minute increases in moderate intensity physical activity if all individuals in the population adhered to this increase. 

“We analysed the data using two different approaches: 

  1. ‘High-risk approach’ comprising the least active 20 per cent of the population 
  2. ‘Population approach’ comprising 80 per cent of the population (excluding the most active 20 per cent).

He continued: “We found that six per cent and ten per cent of all deaths might be prevented in the two different scenarios, respectively, if all individuals made these changes. 

“If an individual is completely inactive, every little move counts. For example, the least active 20 per cent in our study sample were only active for an average of about two minutes per day of moderate intensity. If all these individuals increased their activity by five minutes per day, it might reduce the number of deaths by six per cent annually.”

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Dr Darren Player, a professor in Musculoskeletal Bioengineering at University College London, who was not involved in the study, shared his interpretation of the data with us and added: “The key finding was that an increase in Moderate-to-Vigorous Physical Activity (MVPA) by only five minutes per day for the least active individuals prevented 6 per cent of all deaths. This effect could extend to as much as 10 per cent in all individuals, except for those who are already very active.” 

© Getty Images
Adding five minutes of exercise on to your day could have massive results

Exercise versus moderate intensity 

In terms of how to achieve the correct level of activity and movement, we have to understand the difference between physical activity and moderately intense movement. They are different and will yield different results. 

Professor Ulf explained: “There is a clear distinction between moderate intensity activity and exercise. Brisk walking is an excellent type of moderate intensity, whereas exercise is defined as something people do with the purpose to enhance fitness and/or health. It is structured and repetitive. Exercise is only a small proportion of all the physical activity people do. 

“Physical activity [PA] is any bodily movement that increases energy expenditure above resting levels. It can be conducted with different intensities from very low to very strenuous. Exercise is a subset of PA which is planned, structured and done with a specific purpose.” 

Woman and her dog running towards the sunset on a country road© Getty Images
It matters what kind of exercise you do, so we need to understand the difference between physical exercise and intense movement

Could any of this add years onto our lives? 

While this study was specifically about reducing death rates through exercise and movement, it made us wonder how it would affect the number of years we could all expect to live. Would incorporating an extra five minutes of movement add any time to the general life expectancy? 

Dr Darren referred to data from the UK Biobank to share his estimations. He said: “This is quite a difficult question to answer, but there is some evidence. The following paper suggests that there could be an increase in life expectancy of 0.9 years for inactive women and up to 1.4 years for inactive men. 

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“The increases are dependent on the nature of physical activity, with higher intensity and greater volume (total amount of exercise) being the key factors. This is a large UK Biobank study, which does have some strengths for the analyses.” 

He continued: “However, the factors that contribute to life expectancy and mortality are complex and varied, with further studies required to understand the picture fully. Particularly, the effect of resistance training combined with other forms of physical activity is likely to have a greater effect than one type of activity alone. Further research is required in this area to provide suitable evidence.” 

What type of exercises can I do during my five extra minutes a day? 

According to the NHS, there are a variety of movements that you can incorporate into your routine to make sure you are hitting the target of five extra minutes of exercise per day to increase your longevity. 

These range from simple activities like making a cup of tea to pushing a lawnmower and dancing around your living room for fitness, depending on the intensity you are able for. While the study suggested five minutes of moderate intensity exercise, the health service broke down its recommendations into sections based on vigour:

Light activity: 

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  • Getting up to make a cup of tea
  • Moving around your home
  • Walking at a slow pace
  • Cleaning and dusting
  • Vacuuming

Moderate activity:

  • Walking for health
  • Water aerobics
  • Riding a bike
  • Dance for fitness
  • Pushing a lawnmower
  • Hiking

Intense activity: 

  • Running
  • Swimming
  • Football
  • Hiking uphill
  • Martial arts

It also suggested some easy-to-do strength exercises that involve using a kitchen chair or filled bottles of water as props:

  • Sit-to-stand 
  • Mini squats 
  • Calf raises 
  • Standing sideways leg lift 
  • Standing leg extension 
  • Wall press-up 
  • Bicep curls 
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Fitness Class Volume Tied to Exercise Intensity Perception

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Fitness Class Volume Tied to Exercise Intensity Perception

About The Study: In this comparative effectiveness study, reducing music volume in group fitness classes did not lead to meaningful reductions in perceived exertion and may reduce the risk of noise-induced hearing loss. These findings support implementing safer sound practices in fitness environments and underscore the need for increased awareness and education on hearing protection.

/Public Release. This material from the originating organization/author(s) might be of the point-in-time nature, and edited for clarity, style and length. Mirage.News does not take institutional positions or sides, and all views, positions, and conclusions expressed herein are solely those of the author(s).View in full here.

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Reward yourself by exercising regularly at One to One Fitness | CWRU Newsroom | Case Western Reserve University

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Reward yourself by exercising regularly at One to One Fitness | CWRU Newsroom | Case Western Reserve University

Now is the time to recommit to your health in time to feel your best for all your summer activities! One to One Fitness Center offers several ways to save in March.

Members of the Case Western Reserve University community can take advantage of sign-up specials designed to reward themselves for creating healthy habits.

Individuals can get 50% off the initiation fee (regularly $50 plus tax) and earn back what they do pay by exercising eight or more days in both April and May. Learn more online about this deal on initiation fees.

Students also can get additional savings:

  • Graduate students who are enrolled for the spring semester receive summer membership free.
  • With Spartan Shape Up memberships, affiliate students pay just $40 per month for membership from now through May, and no initiation fee or security deposit is required.
  • Students also can pay $44 plus tax per month with a month-to-month, ongoing plan. No initiation fee or security deposit required.

One to One Fitness Center, owned and operated by CWRU, is known for offering personal, professional, friendly and clean services. Memberships include full access to the 28,000-square-foot fitness center, group exercise classes, validated parking in Lot 53, towel and locker service, and member discounts on programs and services.

Members also can add their spouse or partner to their account for $30 plus tax per month. The center also offers personal training, Pilates Reformer, massage therapy and sound bath therapy, swim lessons, and more.

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Visit the One to One Fitness Center website, email onetoone@case.edu or call 216.368.1121 for more information.

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