Effectiveness of High-Intensity Interval Training during pregnancy in the management of preeclampsia: a systematic review
DOI:
https://doi.org/10.47197/retos.v75.116914Keywords:
HIIT, Pregnancy, preeclampsia, physical exerciseAbstract
Introduction: Preeclampsia is one of the most common and serious complications during pregnancy, with significant maternal and fetal consequences. Physical exercise has been proposed as a preventive strategy, but evidence on the effects of high-intensity interval training (HIIT) during pregnancy remains limited.
Objective: To evaluate the effectiveness of HIIT during pregnancy on preeclampsia and other outcomes related to maternal physical and mental health.
Methods: A systematic review was conducted following the PRISMA guidelines. Randomized controlled trials evaluating HIIT interventions in pregnant women beyond 20 weeks of gestation were included. Searches were conducted in MEDLINE, Web of Science, and Scopus until April 2024. Risk of bias was assessed using the RoB 2 tool.
Results: Four studies with a total of 185 participants were included. Findings suggest that HIIT may improve or maintain maximal oxygen consumption (VO2 max), mental health, and functional capacity without reported adverse effects. No negative impact on glycemic response or blood pressure was observed.
Conclusion: HIIT during pregnancy appears to be a safe and potentially effective intervention to enhance cardiorespiratory and psychological health. However, current evidence is still limited and of moderate quality; more rigorous studies with larger sample sizes are needed.
References
Banco Mundial. (2023). Clasificación de los países elaborada por el Grupo Banco Mundial según los ni-veles de ingreso para el año fiscal 24 (1 de julio de 2023 - 30 de junio de 2024). https://blogs.worldbank.org/es/opendata/clasificacion-de-los-paises-elaborada-por-el-grupo-banco-mundial-segun-los-niveles-de-ingreso
Batacan, R. B., Duncan, M. J., Dalbo, V. J., Tucker, P. S., & Fenning, A. S. (2017). Effects of high-intensity interval training on cardiometabolic health: A systematic review and meta-analysis of interven-tion studies. British Journal of Sports Medicine, 51(6), 494–503. https://doi.org/10.1136/bjsports-2015-095841
Cochrane Training. (2024). Manual Cochrane de revisiones sistemáticas de intervenciones. https://training.cochrane.org/es/manual-cochrane-de-revisiones-sistem%C3%A1ticas-de-intervenciones
Curto Busnadiego, M., & Gil Gregorio, M. (2024). Cambios fisiológicos y ejercicio físico durante el emba-razo [Trabajo de fin de grado]. Universidad Europea. https://titula.universidadeuropea.com/bitstream/handle/20.500.12880/7859/21801798_TFG_MariaCurtoBusnadiego_21842311_MartaGilGregorio.pdf
Evenson, K. R., & Wen, F. (2011). Prevalence and correlates of objectively measured physical activity and sedentary behavior among US pregnant women. Preventive Medicine, 53(1), 39–43. https://doi.org/10.1016/j.ypmed.2011.04.014
Evenson, K. R., Barakat, R., Brown, W. J., Dargent-Molina, P., Haruna, M., Mikkelsen, E. M., Mottola, M. F., Owe, K. M., Rousham, E. K., & Yeo, S. (2014). Guidelines for physical activity during pregnancy: Comparisons from around the world. American Journal of Lifestyle Medicine, 8(2), 102–121. https://doi.org/10.1177/1559827613498204
Gibala, M. J., Little, J. P., Macdonald, M. J., & Hawley, J. A. (2012). Physiological adaptations to low-volume, high-intensity interval training in health and disease. The Journal of Physiology, 590(5), 1077–1084. https://doi.org/10.1113/jphysiol.2011.224725
Hayman, M., et al. (2023). Public health guidelines for physical activity during pregnancy from around the world: A scoping review. British Journal of Sports Medicine. Advance online publication. https://doi.org/10.1136/bjsports-2022-10577
López Araque, A. B., Linares Abad, M., & López Medina, M. D. (2015). Perception of symptoms in primi-gravid with post-term pregnancy. Index de Enfermería, 24(1–2), 35–39. https://doi.org/10.4321/S1132-12962015000100008
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetz-laff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, n71. https://doi.org/10.1136/bmj.n71
Serdán Ruiz, D. L., Vásquez Bone, K. K., & Yupa Pallchisaca, A. E. (2023). Cambios fisiológicos y anató-micos en el cuerpo de la mujer durante el embarazo. Universidad Ciencia y Tecnología, 27(119), 29–40. https://doi.org/10.47460/uct.v27i119.704
Wilczyńska, D., Walczak-Kozłowska, T., Radzimiński, Ł., Oviedo-Caro, M. Á., Santos-Rocha, R., & Szumi-lewicz, A. (2022). Can we hit prenatal depression and anxiety through HIIT? The effectiveness of online high intensity interval training in pregnant women during the COVID-19 pandemic: A randomized controlled trial. BMC Sports Science, Medicine and Rehabilitation, 14(1), 215. https://doi.org/10.1186/s13102-022-00610-2
Wilczyńska, D., Walczak-Kozłowska, T., Santos-Rocha, R., Laskowski, R., & Szumilewicz, A. (2024). Stress is not so bad—Cortisol level and psychological functioning after 8-week HIIT program during pregnancy: A randomized controlled trial. Frontiers in Public Health, 11, 1307998. https://doi.org/10.3389/fpubh.2023.1307998
Wowdzia, J. B., Hazell, T. J., & Davenport, M. H. (2022). Glycemic response to acute high-intensity inter-val versus moderate-intensity continuous exercise during pregnancy. Physiological Reports, 10(23), e15454. https://doi.org/10.14814/phy2.15454
Wowdzia, J. B., Hazell, T. J., van den Berg, E. R., Labrecque, L., Brassard, P., & Davenport, M. H. (2023). Maternal and fetal cardiovascular responses to acute high-intensity interval and moderate-intensity continuous training exercise during pregnancy: A randomized crossover trial. Sports Medicine, 53(9), 1819–1833. https://doi.org/10.1007/s40279-023-01858-5
Yu, H., Santos-Rocha, R., Radzimiński, Ł., Jastrzębski, Z., Bonisławska, I., Szwarc, A., & Szumilewicz, A. (2022). Effects of 8-week online, supervised high-intensity interval training on the parameters related to the anaerobic threshold, body weight, and body composition during pregnancy: A randomized controlled trial. Nutrients, 14(24), 5279. https://doi.org/10.3390/nu14245279
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Alvaro Puelles-Diaz, Javiera Cortes-Carranza, Carolina Flores-Araya, María Núñez-Araya, Joaquín González-Aroca, Javier Grau-Riveros

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and ensure the magazine the right to be the first publication of the work as licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of authorship of the work and the initial publication in this magazine.
- Authors can establish separate additional agreements for non-exclusive distribution of the version of the work published in the journal (eg, to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Is allowed and authors are encouraged to disseminate their work electronically (eg, in institutional repositories or on their own website) prior to and during the submission process, as it can lead to productive exchanges, as well as to a subpoena more Early and more of published work (See The Effect of Open Access) (in English).
This journal provides immediate open access to its content (BOAI, http://legacy.earlham.edu/~peters/fos/boaifaq.htm#openaccess) on the principle that making research freely available to the public supports a greater global exchange of knowledge. The authors may download the papers from the journal website, or will be provided with the PDF version of the article via e-mail.