Perioperative Exercise Testing in Pregnant and Non-Pregnant Women of Reproductive Age: A Systematic Review
Background: Women have classically been excluded from the development of normal data and reference ranges, with pregnant women experiencing further neglect. The incidence of Caesarean section in pregnant women, and of general operative management in young women (both pregnant and non-pregnant), nece...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-01-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/13/2/416 |
| _version_ | 1797339680533905408 |
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| author | Madeleine G. Spicer Alicia T. Dennis |
| author_facet | Madeleine G. Spicer Alicia T. Dennis |
| author_sort | Madeleine G. Spicer |
| collection | DOAJ |
| description | Background: Women have classically been excluded from the development of normal data and reference ranges, with pregnant women experiencing further neglect. The incidence of Caesarean section in pregnant women, and of general operative management in young women (both pregnant and non-pregnant), necessitates the formal development of healthy baseline data in these cohorts to optimise their perioperative management. This systematic review assesses the representation of young women in existing reference ranges for several functional exercise tests in common use to facilitate functional assessment in this cohort. Methods: Existing reference range data for the exercise tests the Six Minute Walk Test (6MWT), the Incremental Shuttle Walk Test (ISWT) and Cardiopulmonary Exercise Testing (CPET) in young women of reproductive age were assessed using the MEDLINE (Ovid) database, last searched December 2023. Results were comparatively tabulated but not statistically analysed given underlying variances in data. Results: The role of exercise testing in the perioperative period as an assessment tool, as well as its safety during pregnancy, was evaluated using 65 studies which met inclusion criteria. Conclusion: There is a significant lack of baseline data regarding these tests in this population, especially amongst the pregnant cohort, which limits the application of exercise testing clinically. |
| first_indexed | 2024-03-08T09:51:53Z |
| format | Article |
| id | doaj.art-5f69112a4435449bacfa7924cadff59c |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-08T09:51:53Z |
| publishDate | 2024-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-5f69112a4435449bacfa7924cadff59c2024-01-29T14:01:34ZengMDPI AGJournal of Clinical Medicine2077-03832024-01-0113241610.3390/jcm13020416Perioperative Exercise Testing in Pregnant and Non-Pregnant Women of Reproductive Age: A Systematic ReviewMadeleine G. Spicer0Alicia T. Dennis1Department of Obstetrics and Gynaecology, Alice Springs Hospital, Alice Springs, NT 0870, AustraliaDepartment of Anaesthesia, Pain and Perioperative Medicine, Joan Kirner Women’s and Children’s Hospital, Western Health, St Albans, VIC 3021, AustraliaBackground: Women have classically been excluded from the development of normal data and reference ranges, with pregnant women experiencing further neglect. The incidence of Caesarean section in pregnant women, and of general operative management in young women (both pregnant and non-pregnant), necessitates the formal development of healthy baseline data in these cohorts to optimise their perioperative management. This systematic review assesses the representation of young women in existing reference ranges for several functional exercise tests in common use to facilitate functional assessment in this cohort. Methods: Existing reference range data for the exercise tests the Six Minute Walk Test (6MWT), the Incremental Shuttle Walk Test (ISWT) and Cardiopulmonary Exercise Testing (CPET) in young women of reproductive age were assessed using the MEDLINE (Ovid) database, last searched December 2023. Results were comparatively tabulated but not statistically analysed given underlying variances in data. Results: The role of exercise testing in the perioperative period as an assessment tool, as well as its safety during pregnancy, was evaluated using 65 studies which met inclusion criteria. Conclusion: There is a significant lack of baseline data regarding these tests in this population, especially amongst the pregnant cohort, which limits the application of exercise testing clinically.https://www.mdpi.com/2077-0383/13/2/416functional capacityfunctional exercise testingperioperative assessmenthealthy femalesphysiology |
| spellingShingle | Madeleine G. Spicer Alicia T. Dennis Perioperative Exercise Testing in Pregnant and Non-Pregnant Women of Reproductive Age: A Systematic Review Journal of Clinical Medicine functional capacity functional exercise testing perioperative assessment healthy females physiology |
| title | Perioperative Exercise Testing in Pregnant and Non-Pregnant Women of Reproductive Age: A Systematic Review |
| title_full | Perioperative Exercise Testing in Pregnant and Non-Pregnant Women of Reproductive Age: A Systematic Review |
| title_fullStr | Perioperative Exercise Testing in Pregnant and Non-Pregnant Women of Reproductive Age: A Systematic Review |
| title_full_unstemmed | Perioperative Exercise Testing in Pregnant and Non-Pregnant Women of Reproductive Age: A Systematic Review |
| title_short | Perioperative Exercise Testing in Pregnant and Non-Pregnant Women of Reproductive Age: A Systematic Review |
| title_sort | perioperative exercise testing in pregnant and non pregnant women of reproductive age a systematic review |
| topic | functional capacity functional exercise testing perioperative assessment healthy females physiology |
| url | https://www.mdpi.com/2077-0383/13/2/416 |
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