Similarities between pre-eclampsia and atherosclerosis: a protective effect of physical exercise?
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Luís Belo1, Alice Santos-Silva, Alexandre Quintanilha
1Department of Biochemistry, Faculty of Pharmacy, University of Porto, 4099-030 Porto, Portugal. luis_fbelo@yahoo.com
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Regular physical exercise may reduce the risk of pre-eclampsia (PE), a serious pregnancy hypertension disorder. This review explores PE
Area of Science:
- Obstetrics and Gynecology
- Cardiovascular Disease Research
- Reproductive Health
Background:
- Pre-eclampsia (PE) is a major cause of maternal and fetal mortality.
- PE shares pathophysiological similarities with atherosclerosis, including oxidative stress and endothelial dysfunction.
- Physical exercise is known to protect against cardiovascular events, but its role in PE prevention is less understood.
Purpose of the Study:
- To describe the similarities between atherosclerosis and pre-eclampsia.
- To review existing studies on the impact of physical activity on PE risk.
- To discuss potential mechanisms for physical activity as a PE prophylactic approach.
Main Methods:
- Literature review of studies evaluating physical activity and PE risk.
- Comparative analysis of pathogenic mechanisms in atherosclerosis and PE.
- Discussion of potential prophylactic mechanisms of physical activity.
Main Results:
- Pre-eclampsia and atherosclerosis share common risk factors, lesions, and involve oxidative stress and endothelial dysfunction.
- Few studies have investigated the impact of physical activity on reducing PE risk.
- Physical activity may offer a protective effect against PE, similar to its cardiovascular benefits.
Conclusions:
- Physical activity is a potential prophylactic strategy for pre-eclampsia.
- Further research is needed to elucidate the mechanisms and confirm the efficacy of exercise in PE prevention.
- Understanding the links between PE and cardiovascular disease can inform preventative strategies.
Abstract:
Pre-eclampsia (PE), a characteristic hypertensive disorder of human pregnancy and a leading cause of maternal and fetal mortality and morbidity worldwide, shares some similarities with atherosclerosis, namely the involvement of oxidative stress and of endothelial dysfunction in their pathophysiologies, the presence of similar typical lesions and of common risk factors. Although it is widely accepted that regular physical exercise protects against cardiovascular events, few studies have addressed the impact of physical activity in reducing PE risk. In this paper, similarities between atherosclerosis and PE, involving pathogenic mechanisms, are described. This paper also reviews the studies performed until now that evaluated the impact of regular physical exercise (prenataly or during pregnancy) in reducing risk of PE. The potential mechanisms underlying physical activity as a prophylactic approach of PE, as observed with cardiovascular diseases, are discussed.
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