Clinical Report: Exercise Programs for Women at Increased Risk of HDP
Overview
This scoping review maps the literature on structured exercise interventions for women at risk of or diagnosed with hypertensive disorders of pregnancy (HDP). It identifies specific gaps in current research, particularly regarding exercise prescription and safety monitoring.
Background
Hypertensive disorders of pregnancy (HDP) are significant contributors to maternal and fetal morbidity and mortality, affecting over 10% of pregnant women globally. Effective management and prevention strategies are crucial, yet optimal approaches remain inadequately defined. Exercise is increasingly recognized in guidelines for its potential role in managing blood pressure during pregnancy.
Data Highlights
Thirteen articles published between 2008 and 2025 were included in the review, focusing on various structured exercise interventions.
Key Findings
Structured exercise interventions were reported in the literature, with varying effects on blood pressure control and HDP-related events.
Interventions included aerobic exercise, resistance training, and yoga.
Most studies reported various outcomes related to pregnancy and neonatal health.
There is substantial heterogeneity in exercise prescription parameters across studies.
Insufficient operationalization of exercise intensity and inadequate reporting of safety monitoring were noted.
Clinical Implications
Healthcare providers should be aware of the limited and heterogeneous evidence regarding exercise interventions for women at risk of or diagnosed with HDP.
Conclusion
The current evidence on structured exercise interventions for HDP is limited and heterogeneous, indicating a need for more rigorous research.
