PMID- 38256550
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240128
IS  - 2077-0383 (Print)
IS  - 2077-0383 (Electronic)
IS  - 2077-0383 (Linking)
VI  - 13
IP  - 2
DP  - 2024 Jan 11
TI  - Perioperative Exercise Testing in Pregnant and Non-Pregnant Women of Reproductive 
      Age: A Systematic Review.
LID - 10.3390/jcm13020416 [doi]
LID - 416
AB  - 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.
FAU - Spicer, Madeleine G
AU  - Spicer MG
AUID- ORCID: 0000-0002-4259-9395
AD  - Department of Obstetrics and Gynaecology, Alice Springs Hospital, Alice Springs, 
      NT 0870, Australia.
FAU - Dennis, Alicia T
AU  - Dennis AT
AD  - Department of Anaesthesia, Pain and Perioperative Medicine, Joan Kirner Women's 
      and Children's Hospital, Western Health, St Albans, VIC 3021, Australia.
AD  - School of Medicine, Faculty of Health, Deakin University, Melbourne, VIC 3125, 
      Australia.
AD  - Departments of Critical Care, Obstetrics and Gynaecology, University of 
      Melbourne, Melbourne, VIC 3010, Australia.
AD  - Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20240111
PL  - Switzerland
TA  - J Clin Med
JT  - Journal of clinical medicine
JID - 101606588
PMC - PMC10816516
OTO - NOTNLM
OT  - functional capacity
OT  - functional exercise testing
OT  - healthy females
OT  - perioperative assessment
OT  - physiology
COIS- The authors declare no conflicts of interest.
EDAT- 2024/01/23 06:42
MHDA- 2024/01/23 06:43
PMCR- 2024/01/11
CRDT- 2024/01/23 01:15
PHST- 2023/12/19 00:00 [received]
PHST- 2024/01/05 00:00 [revised]
PHST- 2024/01/08 00:00 [accepted]
PHST- 2024/01/23 06:43 [medline]
PHST- 2024/01/23 06:42 [pubmed]
PHST- 2024/01/23 01:15 [entrez]
PHST- 2024/01/11 00:00 [pmc-release]
AID - jcm13020416 [pii]
AID - jcm-13-00416 [pii]
AID - 10.3390/jcm13020416 [doi]
PST - epublish
SO  - J Clin Med. 2024 Jan 11;13(2):416. doi: 10.3390/jcm13020416.