IMEMR
66.92
Volume 1, Issue 1 (2020)                   J Clinic Care Skill 2020, 1(1): 17-21 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Amini A, Afrasiabifar A, Taghavi S. Breast feeding Optimality and Neonate's Growth after Mother Aerobic Exercise; A Randomized Controlled Clinical Trial. J Clinic Care Skill 2020; 1 (1) :17-21
URL: http://jccs.yums.ac.ir/article-1-34-en.html
1- Nursing Department, Nursing & Midwifery Faculty, Isfahan University of Medical Sciences, Isfahan, Iran
2- Nursing Department, Nursing and Midwifery School, Yasuj University of Medical Sciences, Yasuj, ‎Iran
3- Reproductive Biology Department, Medicine Faculty, Yasuj University of Medical Sciences, Yasuj, Iran , vahab.taghavi@gmail.com
Abstract:   (2145 Views)
Aims: Evidence has suggested that there might be negative consequences and benefits associated with maternal exercise while breastfeeding. The aim of the present study was to determine the effect of the exercise on lactation in breastfeeding women regarding whether mothers can exercise and breastfeed without detriment to the growth of their infants.
Materials & Methods: In this randomized controlled clinical trial, 38 lactating mothers with inclusion criteria referring to breastfeeding clinic, Isfahan, Iran in 2015 to 2016 were randomly divided into the intervention and control groups. The intervention group was required to do aerobic exercises for 6 weeks (3 days in week for 30 minutes in day).Training of aerobic exercise under the supervision of an expert was, then, performed. An educational pamphlet of the exercises along with the CD was given to them. Control group only received the routine care. After the intervention, mother and neonate outcomes such as mother's breastfeeding interval and neonate weight were measured by the breastfeeding questionnaire. Data analysis was performed by t-test, X2 and Mann–Whitney U test.
Findings: A significant difference was observed between 2 groups concerning the interval of breastfeeding (3.55±0.51 VS 2.05± 0.41) and neonate's weight (6775.00±468.34 VS 5836.11± 401.39; p<0.001). In the group that received aerobic exercises, the number of breastfeeding in 24 hours and neonate's weight were more than control group.
Conclusion: Aerobic exercise has positive on the breastfeeding frequency and body weight of neonate. Thus, these exercises are recommended to be incorporated in postpartum care.
 
Full-Text [PDF 410 kb]   (703 Downloads)    
Article Type: Original Research | Subject: Special
Received: 2017/11/25 | Accepted: 2018/01/20 | Published: 2020/08/26
* Corresponding Author Address: Gynecology & Obstetrics Department, Medicine Faculty, Yasuj University of Medical Sciences, Yasuj, Iran

References
1. Stevens EE, Patrick TE, Pickler R, Pickler R. A history of infant feeding. J Perinat Educ. 2009;18(2):32-9. [Link] [DOI:10.1624/105812409X426314] [PMID] [PMCID]
2. Victora CG, Bahl R, Barros AJ, Franca GV, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. Lancet. 2016;387(10017):475-90. [Link] [DOI:10.1016/S0140-6736(15)01024-7]
3. Sakkaky M, Danesh Kojuri M, Khairkhah M, Hosseini AF. The effect of home visit after cesarean delivery on exclusive breastfeeding in neonatal period. Iran J Nur. 2010;23(64):72-80. [Persian] [Link]
4. Netshandama VO. Breastfeeding practices of working women. Curationis. 2002;25(1):21-7. [Link] [DOI:10.4102/curationis.v25i1.698]
5. Zolfaghari M, Nuqaby A. Maternal and child health nursing. Tehran: Boshra Publication; 2010. p. 181. [Link]
6. Larson-Meyer DE. Effect of postpartum exercise on mothers and their offspring: A review of the literature. Obes Res. 2002;10(8):841-53. [Link] [DOI:10.1038/oby.2002.114] [PMID]
7. Ministry of Health and Medical Education. The national program for breastfeeding promotion in the Islamic Republic of Iran: Past, present and future. Tehran: Fujian Graphic; 2013. pp. 1-49. [Persian] [Link]
8. Sedaghati P, Khalaji H, Kouzehchian H, Arjmand A. Dose a regular walking have any effect on the general, trait and state anxiety of pregnant women?. Olympics. 2008;16(42):19-28. [Link]
9. Clapp JF 3rd, Little KD. The interaction between regular exercise and selected aspects of women's health. Am J Obstet Gynecol. 1995;173(1):2-9. [Link] [DOI:10.1016/0002-9378(95)90160-4]
10. Rich M, Currie J, McMahon C. Physical exercise and the lactating woman: A qualitative pilot study of mothers' perceptions and experiences. Breastfeed Rev. 2004;12(2):11-7. [Link] [PMID]
11. Wallace JP, Inbar G, Ernsthausen K. Infant acceptance of postexercise breast milk. Pediatrics. 1992;89(6 Pt 2):1245-7. [Link] [PMID]
12. Quinn TJ, Carey GB. Does exercise intensity or diet influence lactic acid accumulation in breast milk?. Med Sci Sports Exerc. 1999;31(1):105-10. [Link] [DOI:10.1097/00005768-199901000-00017] [PMID]
13. Carey GB, Quinn Tj, Goodwin SE. Breast milk composition after exercise of different intensities. J Hum Lact. 1997;13(2):115-20. [Link] [DOI:10.1177/089033449701300211] [PMID]
14. Shangold MM, Gatz ML, Thysen B. Acute effects of exercise on plasma concentrations of prolactin and testosterone in recreational women runners. Fertil Steril. 1981;35(6):699-702. [Link] [DOI:10.1016/S0015-0282(16)45568-8]
15. Hale RW, Kosasa T, Krieger J, Pepper S. A marathon: The immediate effect on female runners' luteinizing hormone, follicle-stimulating hormone, prolactin, testosterone, and cortisol levels. Am J Obstet Gynecol. 1983;146(5):550-6. [Link] [DOI:10.1016/0002-9378(83)90801-3]
16. Dewey KG1, McCrory MA. Effects of dieting and physical activity on pregnancy and lactation. Am J Clin Nutr. 1994;59(Suppl 2):446S-52. [Link] [DOI:10.1093/ajcn/59.2.446S] [PMID]
17. Breastfeeding and the use of human milk. American Academy of Pediatrics. Work Group on Breastfeeding. Pediatrics. 1997;100(6):1035-9. [Link] [DOI:10.1542/peds.100.6.1035] [PMID]
18. Department of Health. At least five a week: Evidence on the impact of physical activity and its relationship to health. Department of Health; 2004. [Link]
19. Dewey KG1, Lovelady CA, Nommsen-Rivers LA, McCrory MA, Lönnerdal B. A randomized study of the effects of aerobic exercise by lactating women on breast-milk volume and composition. N Engl J Med. 1994;330(7):449-53. [Link] [DOI:10.1056/NEJM199402173300701] [PMID]
20. Su D, Zhao Y, Binns C, Scott J, Oddy W. Breast-feeding mothers can exercise: Results of a cohort study. Public Health Nutr. 2007;10(10):1089-93. Epub 2007. [Link] [DOI:10.1017/S1368980007699534] [PMID]
21. Lovelady CA, Bopp MJ, Colleran HL, Mackie HK, Wideman L. Effect of exercise training on loss of bone mineral density during lactation. Med Sci Sports Exerc. 2009;41(10):1902-7. [Link] [DOI:10.1249/MSS.0b013e3181a5a68b] [PMID]
22. National Health and Medical Research Council. Infant feeding guidelines for health workers. Australia: National Health and Medical Research Council; 1968. [Link]
23. Fly AD, Uhlin KL, Wallace JP. Major mineral concentrations in human milk do not change after maximal exercise testing. Am J Clin Nutr. 1998;68(2):345-9. [Link] [DOI:10.1093/ajcn/68.2.345] [PMID]
24. Wright KS, Quinn TJ, Carey GB. Infant acceptance of breast milk after maternal exercise. Pediatrics. 2002;109(4):585-9. [Link] [DOI:10.1542/peds.109.4.585]
25. Tartibian B, Heydarlou F. The effect of selected aerobic exercise on IgA concentration in mother's milk. Harkat. 2005;(24)151-70. [Persian] [Link]
26. Wildan M, Kiswati, Jamhariyah, Primasari F.Benefits of Yoga in Increasing Lactating Mother's Breast Milk Production. IOSR J Nurse and health Sci. 2015;4(4):14-18. [Link]
27. McCrory MA, Nommsen-Rivers LA, Molé PA, Lönnerdal B, Dewey KG.. Randomized trial of the short-term effects of dieting compared with dieting plus aerobic exercise on lactation performance. Am J Clin Nutr. 1999;69(5):959-67. [Link] [DOI:10.1093/ajcn/69.5.959] [PMID]
28. Bagheri Hamzian Olya J, Khadem Ansari MH, Yaghmaei P. The effect of endurance running activaites on prolactin, testosterone and dhea-s levels. Urmia Med J. 2011;21(5):391-7. [Link]
29. Dohi K, Kraemer WJ, Mastro AM. Exercise increases prolactin-receptor expression on human lymphocytes. J Appl Physiol (1985). 2003;94(2):518-24. Epub 2002. [Link]
30. Lima NR, Pereira W, Reis AM, Coimbra CC, Marubayashi U. Prolactin release during exercise in normal and adrenodemedullated untrained rats submitted to central cholinergic blockade with atropine. Horm Behav. 2001;40(4):526-32. [Link] [DOI:10.1006/hbeh.2001.1727] [PMID]
31. Daly W, Seegers CA, Rubin DA, Dobridge JD, Hackney AC. Relationship between stress hormones and testosterone with prolonged endurance exercise. Eur J Appl Physiol. 2005;93(4):375-80. [Link] [DOI:10.1007/s00421-004-1223-1] [PMID]

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.