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For pregnant women, inflammatory bowel disease increases risk

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For pregnant women, inflammatory bowel disease increases risk

Pregnant women with inflammatory bowel disease and their unborn children face more risks and issues than pregnant women without IBD do. These are the findings of a recent study that looked at more than 8 million pregnancies’ outcomes.

The University of Missouri School of Medicine directed the study, and the results were published in the International Journal of Colorectal Disease.

IBD is the name given to conditions like Crohn’s disease and ulcerative colitis, which are characterised by persistent gastrointestinal tract inflammation. IBD primarily impacts young people, including women who are at the height of their reproductive potential.

IBD is an incurable condition that is stressful for the 3 million Americans who have been diagnosed, according to senior author Yezaz Ghouri, MD, an assistant professor of clinical medicine. “We were interested in the effects of IBD on maternal and foetal outcomes because this disease frequently affects women at the height of their reproductive potential. As far as we are aware, this study is the most thorough of its kind, using information from numerous institutions across 48 states.”

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Between 2016 and 2018, the research team examined more than 8 million pregnancies. 14,129 of those mothers had IBD. The findings showed that gestational diabetes, postpartum haemorrhage, hypertensive complications, preterm delivery, foetal growth restriction, and foetal death were more common in pregnant women with IBD. The length of postpartum hospital stays was also longer for pregnant women with IBD. They spent an additional half-day in the hospital on average, and the additional medical expenses totaled more than $2,700.

According to our research, we advise pre-conceptional counselling and aggressive treatment for women with moderate to severe IBD in order to achieve remission prior to becoming pregnant, said Ghouri. The findings of our study highlight the significance of having IBD under optimal control before conception.

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Train smarter, not harder: How taking occasional breaks from gym can revolutionise your fitness routine

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Train smarter, not harder: How taking occasional breaks from gym can revolutionise your fitness routine

Taking regular breaks from intense training, like deload weeks, helps your body recover, preventing fatigue and injury, and ultimately boosts fitness gains.

When it comes to getting fit, the idea of spending hours at the gym might come to mind, but many fitness experts argue that taking a “deload week” every six to eight weeks is actually key to improving your fitness gains. A deload week involves reducing the intensity of workouts to allow the body to recover from the fatigue and muscle damage caused by intense training.

While high-intensity training helps build strength and fitness, it can also lead to muscle strain, and without adequate recovery, these gains can’t fully materialise. Deload weeks give the body much-needed rest to repair and rebuild, ensuring continued progress. (Also read: Bhagyashree swears by this super easy exercise for instant leg pain relief and better mobility. Watch how to do it )

Why recovery is key for muscle growth

According to an article by The Conversation, intense exercise can cause tiny tears in muscle fibres, leading to inflammation that requires rest or low-intensity exercise to heal. This inflammation is essential for muscle growth and fitness improvements. However, without proper recovery, muscles remain in a state of slight damage, preventing inflammation from resolving. This chronic state of inflammation can hinder muscle function, reducing oxygen efficiency and impairing performance. Giving muscles time to recover through rest ensures they repair properly and are primed for continued progress, setting us up for greater success in our fitness journey.

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Many gymgoers fear taking time off and are worried it will lead to a loss of gains. However, research shows that muscle genes have a “memory imprint,” which keeps them in a semi-prepared state. This allows muscles to respond more quickly and effectively to future training, promoting growth after a rest period. Even after extended periods of reduced intensity, up to seven weeks, muscular fitness can be restored to prime condition—and in some cases, surpass previous levels. Interestingly, recovery can occur twice as fast as it took to reach peak fitness initially, even if some strength is lost.

Taking time off from intense training is crucial to prevent muscle soreness and avoid overtraining syndrome. Overtraining occurs when the body doesn’t get enough rest, leading to prolonged fatigue, decreased performance, and mood disturbances. Symptoms develop gradually, making overtraining difficult to recognize until it’s severe. Rest is essential to avoid these issues and ensure long-term progress in training.

Role of overtraining syndrome and deload weeks

Overtraining syndrome is challenging to quantify due to its vague symptoms. Studies suggest it may affect as few as 10% of elite athletes, though rates could climb to 60% among highly competitive individuals. Recovery is essential for both fitness and overall health. When engaging in heavy gym routines, it’s vital to incorporate sufficient recovery time into your workout plan. Unlike rest days, which involve little to no exercise once or twice a week, deload weeks feature lighter training at reduced intensity—typically about 50% fewer workouts or a 20% drop in workout intensity.

Both rest days and deload weeks are essential for recovery and crucial to improving fitness. It’s not about choosing one over the other—they complement each other. For instance, intense training for marathons, Ironman, or CrossFit competitions requires weekly rest days alongside scheduled deload weeks. However, for recreational gym-goers exercising 1–3 times weekly at a moderate intensity, the recovery from this routine is often sufficient without the need for additional deload weeks.

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Fitness influencers recommend incorporating deload weeks into training schedules every 4–8 weeks, aligning closely with the expert advice of 4–6 weeks. However, it’s crucial to listen to your body and schedule deload weeks as needed. If your performance plateaus or worsens, it may signal time for a deload. Training plans should be flexible enough to allow rest when required. Deload weeks not only enhance performance but also support overall health.

Disclaimer: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.

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