Structured exercise interventions for women at high risk of or diagnosed with hypertensive disorders of pregnancy: a scoping review - Scorecard - MDSpire

Exercise Programs for Women at Increased Risk of or Diagnosed with Hypertensive Disorders of Pregnancy: A Scoping Review

  • By

  • Ruizhe Jiang

  • Li Shu

  • Fan Yang

  • Simin Huang

  • Xiangwu Li

  • Xinxin Ye

  • Qixi Liu

  • July 21, 2026

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Clinical Scorecard: Exercise Programs for Women at Increased Risk of or Diagnosed with Hypertensive Disorders of Pregnancy: A Scoping Review

At a Glance

CategoryDetail
ConditionHypertensive Disorders of Pregnancy (HDP)
Key MechanismsStructured exercise interventions may improve blood pressure control and pregnancy outcomes.
Target PopulationPregnant women at high risk of or diagnosed with HDP.
Care SettingPrenatal care settings.

Key Highlights

  • HDP affects over 10% of pregnant women and is a leading cause of maternal and fetal morbidity.
  • Exercise interventions include aerobic exercise, resistance training, stretching, and yoga.
  • Most studies reported improvements in blood pressure control and maternal psychological well-being.
  • Current evidence is limited by heterogeneity in exercise prescription parameters.
  • Safety monitoring and adherence reporting were inadequately addressed in studies.

Guideline-Based Recommendations

Diagnosis

  • Hypertensive disorders are characterized by new-onset hypertension after 20 weeks of gestation.

Management

  • Management approaches include pharmacological therapy, nutritional supplementation, and lifestyle modifications.

Monitoring & Follow-up

  • Exercise intensity and safety monitoring should be clearly defined and operationalized.

Risks

  • Established risk factors for HDP include advanced maternal age, chronic comorbidities, and history of HDP.

Patient & Prescribing Data

Women at high risk of or diagnosed with hypertensive disorders of pregnancy.

Exercise is a cost-effective strategy relevant to blood pressure regulation and overall health.

Clinical Best Practices

  • Adopt rigorous study designs in future trials.
  • Clearly define and monitor exercise intensity.
  • Include safety, adherence, and clinically meaningful outcomes in studies.

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