Aerobic Exercise During Lactation: Safe,Healthful,and Compatible

U.S. Department of Health and Human Services . Physical Activity and Health: A Report of the Surgeon General.Atlanta, Ga: Centers for Dis-ease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion; 1996.

Dewey KG , Lovelady CA , Nommsen-Rivers LA , McCrory MA , Lonnerdal B . A randomized study of the effects of aerobic exercise by lactating women on breast-milk volume and composition. N Engl J Med. 1994;330:449-453.

Lovelady CA , Nommsen-Rivers LA , McCrory MA , Dewey KG . Effects of exercise on plasma lipids and metabolism of lactating women. Med Sci Sports Exerc. 1995;27:22-28.

Wallace JP , Inbar G , Ernsthausen K . Infant acceptance of postexercise breast milk. Pediatrics. 1992;89:1245-1247.

Gregory RL , Wallace JP , Gfell LE , Marks J , King BA . Effect of exercise on milk immunoglobin A. Med Sci Sports Exerc. 1997;29:1596-1601.

Wallace JP , Inbar G , Ernsthausen K . Lactate concentrations in breast milk following maximal exercise and a typical workout. J Wom Health. 1994;3:91-96.

Quinn TJ , Carey GB . Does exercise intensity or diet influence lactic acid accumulation in breast milk? Med Sci Sports Exerc. 1999;31:105-110.

McCrory MA , Nommsen-Rivers LA , Molé PA , Lonnerdal B , Dewey KG . Randomized trial of the short-term effects of dieting compared with dieting plus aerobic exercise on lactation performance. Am J Clin Nutr. 1999;69:959-967.

Lovelady CA , Garner KG , Moreno KI , Williams JP . The effect of weight loss in overweight, lactating women on the growth of their infants. New Engl J Med. 2000;342:449-453.

Goldman AS , Garza C , Johnson CA , Nichols BL , Goldblum RM . Immunologic factors in human milk during the first year of lactation. J Pediatr. 1982;100:563-567.

Institute of Medicine . Nutrition During Lactation.Washington, DC: National Academy Press; 1990.

Scanga CB , Verde TJ , Paolone AM , Andersen RE , Wadden TA . Effects of weight loss and exercise training on natural killer cell activity in obese women. Med Sci Sports Exerc. 1998;30:1666-1671.

Nieman DC , Pedersen BK . Exercise and immune function: Recent developments. Sports Med. 1999;27:73-80.

Shore S , Shinkai S , Rhind S , Shephard RJ . Immune responses to training: How critical is training volume? J Sports Med Phys Fitness. 1999;39:1-11.

Woods JA , Ceddia MA , Wolters BW , Evans JK , Lu Q , McAuley E . Effects of 6 months of moderate aerobic exercise training on immune function in the elderly. Mech Ageing Devel. 1999;109:1-19.

Strode MA , Dewey KG , Lonnerdal B . Effects of short-term caloric restriction on lactational performance of well-nourished women. Acta Paediatr Scand. 1986;75:222-229.

Dusdieker LB , Hemingway DL , Stumbo PJ . Is milk production impaired by dieting during lactation? Am J Clin Nutr. 1994;59:833-840.

Molé PA , Stern JS , Schulze CL , Bernauer EM , Holcomb BJ . Exercise reverses depressed metabolic rate produced by severe energy restriction in humans. Med Sci Sports Exerc. 1989;21:29-33.

Ballor DL , Poehlman ET . Exercise training enhances fat-free mass preservation during diet-induced weight loss: A meta analytical finding. Int J Obes. 1994;18:35-40.

Garrow JS , Summerbell CD . Meta-analysis: Effect of exercise, with or without dieting, on the body composition of overweight subjects. Eur J Clin Nutr. 1995;49:1-10.

Molé PA . Daily exercise enhances fat utilization and maintains metabolic rate during severe energy restriction in humans. Sports Med Trainin Rehabil. 1996;7:39-48.

Bjorntorp P , De Jounge K , L. S , Sullivan L . The ffect of physical training on insulin production in obesity. Metabolism. 1970;19:631-637.

Sampselle CM , Seng JA , Yeo S , Killion C , Oakley D . Physical activity and postpartum well-being. JOGNN. 1999;28:41-49.

Dewey KG , McCrory MA . Effects of dieting and physical activity on pregnancy and lactation. Am J Clin Nutr. 1994;59(suppl):446S-453S.

McCrory MA . The role of diet and exercise in postpartum weight management. Nutrition Today.In press.