Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

The incredible journey of pregnancy: endurance, resilience, and unconditional love

Mukaila Kareem, DPT
Conditions
May 13, 2023
Share
Tweet
Share

“Pregnancy is the longest duration and highest energy expenditure that humans can experience. Mothers probably aren’t surprised by this.”
-Herman Pontzer

How fast you can run depends on why, for how long, and, more importantly, the drive that sets the purpose for why you are running in the first place. In all emergencies, trying to avoid becoming a tiger’s lunch does not take long: You either run as hard as ever to clearly demonstrate to the charging tiger that it’s not worth the effort to burn its limited energy for an uncatchable running “human bullet” that you are, or it would be over within minutes, with the eternal loss of the right to brag about how you outran a tiger.

Needless to say, physical activity is metabolically expensive, which explains why humans are inherently lazy. However, we would go out of our way to let people know that we “walk or exercise all the time” and that we actually “don’t eat much.” It’s easy to remember the details of the last time we took a long walk in the neighborhood or the intense sweating session at the gym. However, unlike exercise that requires energy expenditure, hardly anyone remembers their meals in the last 24 hours because eating provides energy gain. That being said, energy is not limitless, and there is a hard limit to human endurance before exhaustion sets in. The brain shuts down intense activity as mental fatigue battles with the deep, inaudible but increasingly loud inner voice stating, “I am too exhausted to run another mile, and I do not want to do this, it is not worth it.” This is why athletes need coaches.

A 2019 study reported that the metabolic ceiling for all humans is 4,000 kilocalories per day, roughly 2.5 times the basal metabolic rate. The basal metabolic rate (1,000 to 2,000 kilocalories for most people) can be described as the energy required to keep the body alive at rest. The study noted that prolonged activity above this metabolic ceiling would require burning energy reserves, which is not sustainable indefinitely as the digestive competence of the gut is maxed out.

The Ironman triathlon event only lasts less than a day but involves swimming (2.4 miles), bicycling (112 miles), and running (26.2 miles). The record time for the Western States 100-mile Endurance Run is currently 15 hours, 7 minutes, and 4 seconds. According to bicycling.com, the total mileage for the Tour de France is about 2,200 miles over the 21 days of racing. In 2015, Scott Jurek hiked the 2,189-mile Appalachian Trail in 46 days, 8 hours, and 7 minutes. Finally, the longest-ever man-made endurance event is the 3,000-mile Race Across the USA, where runners, from Southern California to Washington, DC, complete one marathon (26.2 miles) a day, six days a week for 140 days. To say the least, these are insanely unsustainable activities, and it’s no wonder they don’t last several months.

However, here comes the pregnant mama who sets out on a solo 9-month endurance trip with no pre-coaching and still outlasts all known voluntary man-made athletic endeavors in the history of life. She thrives on 2.2 times the basal metabolic rate, near the edge of the human metabolic ceiling, for 270 days! As declared by Herman Pontzer, the author of Burn, “pregnancy is the ultimate ultramarathon.” Just as you don’t forget the details of your recent energy-expensive workout or perhaps how you gallantly outran a tiger, mama remembers your pregnancy history too, if you ask her, or it might come up unprompted, as it did during my recent visit to Nigeria. I learned about the loss of my mom’s first pregnancy, the years it took to conceive me, and some events that occurred during my stay in the womb.

Beyond that, as I went out for a walk in the street every day, it didn’t matter whether it was for 40 or 120 minutes. It was as if someone was still protecting her almost 60-year-old, energy-expensive womb investment. Mama would step out of the house and anxiously sit outside by the gate, watching the street for me to show up.

To my mama, the mama of my children, and all mamas out there, Happy Mother’s Day.

Mukaila Kareem is a physical therapist and physical activity advocate.

Prev

Unlocking the power of morning intentions: a physician's self-care practice for finding ease and flow in life

May 13, 2023 Kevin 0
…
Next

Breaking down barriers: Illinois bill calls for cultural competency training for physicians to improve health care for LGBTQ+ community

May 13, 2023 Kevin 1
…

Tagged as: Orthopedics

Post navigation

< Previous Post
Unlocking the power of morning intentions: a physician's self-care practice for finding ease and flow in life
Next Post >
Breaking down barriers: Illinois bill calls for cultural competency training for physicians to improve health care for LGBTQ+ community

ADVERTISEMENT

More by Mukaila Kareem, DPT

  • The ketogenic diet: a historical perspective and survival consequences

    Mukaila Kareem, DPT

Related Posts

  • What’s wrong with crisis pregnancy centers?

    Nickey Jafari, MD
  • My healer, please guide me on this journey

    Michele Luckenbaugh
  • Define what true resilience means for you

    Sarah E. Jorgensen, RN
  • A surprise pregnancy in medical school

    Christine Loftis
  • Want resilience? Look to your patients.

    Prerana Chatty, MD
  • A young mother’s medical school journey

    Choryon Park

More in Conditions

  • The emotional toll of leaving patients behind

    Dr. Damane Zehra
  • Peripheral artery disease prevention: Saving limbs and lives

    Wei Zhang, MBBS, PhD
  • A clinician’s guide to embryo grading in IVF

    Erica Bove, MD
  • Why women’s symptoms are dismissed in medicine

    Shannon S. Myers, FNP-C
  • GLP-1 psychological side effects: a psychiatrist’s view

    Farid Sabet-Sharghi, MD
  • Emotional awareness and expression therapy explained

    David Clarke, MD
  • Most Popular

  • Past Week

    • Why patient trust in physicians is declining

      Mansi Kotwal, MD, MPH | Physician
    • “The meds made me do it”: Unpacking the Nick Reiner tragedy

      Arthur Lazarus, MD, MBA | Meds
    • Why insurance must cover home blood pressure monitors

      Soneesh Kothagundla | Conditions
    • Is tramadol really ineffective and risky?

      John A. Bumpus, PhD | Meds
    • The dangers of oral steroids for seasonal illness

      Megan Milne, PharmD | Meds
    • 5 things health care must stop doing to improve physician well-being

      Christie Mulholland, MD | Physician
  • Past 6 Months

    • Why patient trust in physicians is declining

      Mansi Kotwal, MD, MPH | Physician
    • The blind men and the elephant: a parable for modern pain management

      Richard A. Lawhern, PhD | Conditions
    • Is primary care becoming a triage station?

      J. Leonard Lichtenfeld, MD | Physician
    • Psychiatrists are physicians: a key distinction

      Farid Sabet-Sharghi, MD | Physician
    • Why feeling unlike yourself is a sign of physician emotional overload

      Stephanie Wellington, MD | Physician
    • Accountable care cooperatives: a community-owned health care fix

      David K. Cundiff, MD | Policy
  • Recent Posts

    • From law to medicine: Witnessing trauma on the Pacific Coast Highway

      Scott Ellner, DO, MPH | Physician
    • Why doctors struggle with treating friends and family

      Rebecca Margolis, DO and Alyson Axelrod, DO | Physician
    • The emotional toll of leaving patients behind

      Dr. Damane Zehra | Conditions
    • Peripheral artery disease prevention: Saving limbs and lives

      Wei Zhang, MBBS, PhD | Conditions
    • Artificial intelligence ends the dangerous cycle of delayed patient care [PODCAST]

      The Podcast by KevinMD | Podcast
    • A simple nocturia management technique for seniors

      Neil R. M. Buist, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why patient trust in physicians is declining

      Mansi Kotwal, MD, MPH | Physician
    • “The meds made me do it”: Unpacking the Nick Reiner tragedy

      Arthur Lazarus, MD, MBA | Meds
    • Why insurance must cover home blood pressure monitors

      Soneesh Kothagundla | Conditions
    • Is tramadol really ineffective and risky?

      John A. Bumpus, PhD | Meds
    • The dangers of oral steroids for seasonal illness

      Megan Milne, PharmD | Meds
    • 5 things health care must stop doing to improve physician well-being

      Christie Mulholland, MD | Physician
  • Past 6 Months

    • Why patient trust in physicians is declining

      Mansi Kotwal, MD, MPH | Physician
    • The blind men and the elephant: a parable for modern pain management

      Richard A. Lawhern, PhD | Conditions
    • Is primary care becoming a triage station?

      J. Leonard Lichtenfeld, MD | Physician
    • Psychiatrists are physicians: a key distinction

      Farid Sabet-Sharghi, MD | Physician
    • Why feeling unlike yourself is a sign of physician emotional overload

      Stephanie Wellington, MD | Physician
    • Accountable care cooperatives: a community-owned health care fix

      David K. Cundiff, MD | Policy
  • Recent Posts

    • From law to medicine: Witnessing trauma on the Pacific Coast Highway

      Scott Ellner, DO, MPH | Physician
    • Why doctors struggle with treating friends and family

      Rebecca Margolis, DO and Alyson Axelrod, DO | Physician
    • The emotional toll of leaving patients behind

      Dr. Damane Zehra | Conditions
    • Peripheral artery disease prevention: Saving limbs and lives

      Wei Zhang, MBBS, PhD | Conditions
    • Artificial intelligence ends the dangerous cycle of delayed patient care [PODCAST]

      The Podcast by KevinMD | Podcast
    • A simple nocturia management technique for seniors

      Neil R. M. Buist, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...