Effect of a community dance program on the rate of preeclampsia in pregnancy Ann Cowlin, MA, Yale University Department of Athletics, New Haven, Connecticut, USA; Robyn Brancato Ovozek, CNM, MA; Brookdale Hospital, Brooklyn, New York, USA; Gil Mor, MD, PhD; Daniel Zelterman, PhD; Brian Karsif, MD, MPH, Yale University School of Medicine, New Haven, Connecticut, USA; Peggy DeZinno, RN, BSN, Yale-New Haven Hospital, New Haven, Connecticut, USA.
Transcript
Effect of a community dance program on the rate of preeclampsia in pregnancy
Ann Cowlin, MA, Yale University Department of Athletics, New Haven, Connecticut, USA; Robyn Brancato Ovozek, CNM, MA; Brookdale Hospital, Brooklyn, New York, USA; Gil Mor, MD, PhD; Daniel Zelterman, PhD; Brian Karsif, MD, MPH, Yale University School of Medicine, New Haven, Connecticut, USA; Peggy DeZinno, RN, BSN, Yale-New Haven Hospital, New Haven, Connecticut, USA.
Effect of Prenatal Dance on PE Risk
Background– Preeclampsia (PE) described:
• Complex disorder of pregnancy & downstream CVD• BP > 140/90 after 20 weeks, with proteinuria• Characterized by endothelial dysfunction, affecting the
placenta• Causes include infection and metabolic disorder of
pregnancy, affecting placental function• Genetic predisposition • Immune, cardiovascular & metabolic dysfunction• Responsible for 15-40% of preterm birth (PTB: <37
– Methods: largely recall of varying modalities– Difficulties
• Standardization• Translation for public health enhancement
Effect of Prenatal Dance on PE Risk
Purpose of This Project– To determine rates of 1) PE, and
2) PTB & LBW, in a community prenatal dance program versus the larger pregnant community.
Secondary Purpose– To determine if a community
prenatal dance program that is standardized, quality controlled, and culturally sensitive can reproduce the finding of reduced risk for PE consistent with other exercise studies.
Effect of Prenatal Dance on PE Risk Method
– Retrospective– Control Group
• PE Control Group: 9,949 women delivering at a major U.S. teaching hospital in 2004-2005
• PTB & LBW Control Group: 4,053 subset of community residents who delivered at the hospital 2004-2005
– Experimental Group 119 women…• Self-selecting Subgroup: 88 program compliant women• High-risk, assigned Subgroup: 31 women in a controlled environment
– Outcome Measures • PE • PTB & LBW
Effect of Prenatal Dance on PE Risk Design
– Community-Based Prenatal Dance program• Standardized, proprietary program • In existence for 30 years• Excellent compliance record among diverse
groups • Able to easily track progress and compliance• Allows us to account for group support• Reduces standardization & translational issues
Effect of Prenatal Dance on PE Risk Design
– Program Components• Centering floorwork (neutral
Conclusions– Findings support the hypothesis that a standardized
community-based prenatal dance program results in
low rates of 1) PE and 2) PTB & LBW. – Participating in such a program may help dance
professionals, serious amateurs, and general population participants remain healthy in this critical period, thereby promoting long-term health.
Effect of Prenatal Dance on PE Risk
The “Take-Home” Messages – There may be an ideal physical activity form for a
healthy pregnancy, birth and recovery: Group Dance with intentional choreography that maximizes benefits.
– Efficacious Prenatal Dance forms are untapped resources for our discipline…both as a benefit for our artists and as a way to engage the public in meaningful dance experiences within the community.
Our research team
Ann Cowlin, MA, Yale University Department of Athletics, New Haven, Connecticut, USA. Movement Specialist. Consultant, School of Medicine. <[email protected]>
Robyn Brancato Ovozek, CNM, MA; Obstetrics, Brookdale Hospital, Brooklyn, New York, USA. Certified Nurse Midwife.
Gil Mor, MD, PhD, Yale University School of Medicine, New Haven, Connecticut,
USA. Director, Reproductive Immunology Unit, Department of Obstetrics, Gynecology and Reproductive Sciences.
Daniel Zelterman, PhD, Yale University School of Medicine, New Haven, Connecticut, USA. Professor of Biostatistics, Department of Epidemiology and Public Health.
Brian Karsif, MD, MPH, Yale University School of Medicine, New Haven, Connecticut, USA. Assistant Clinical Professor, Department of Obstetrics, Gynecology and Reproductive Sciences. Coordinator, Maternal/Child Health, Connecticut State Medical Society and Dept. of Public Health.
Peggy DeZinno, RN, BSN, Yale-New Haven Hospital, New Haven, Connecticut, USA. Coordinator, WELL/A Mother’s Place at YNHH.
Thank you for your attention.References 1
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Thank you for your attention.References 2
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Unpublished dissertation, Case Western Reserve University, Cleveland, OH.
