The elite athlete

The elite athlete experiences limitations and physiological changes in pregnancy similar to the recreational athlete, including ligament relaxation, change in posture, and weight gain. These changes may in turn impact a woman's competitive ability and increase her desire for strenuous training, making her more prone to injury [12]. The elite athlete should be aware that pregnancy is not a time for improving competitive fitness, but instead she should focus on remaining physically active, modifying her exercise routine if medically indicated. Caution and careful evaluation by an obstetrician is essential with high-intensity, prolonged, frequent exercise during pregnancy, since there is evidence of low birth weight and greater risk of thermoregulatory complications associated with this type of exercise regimen.

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