Feasibility, Clinical Efficacy, and Maternal Outcomes of a Remote Exercise Program in Pregnant Women with Obesity: The GROB Randomized Control Pilot Study
Feasibility, Clinical Efficacy, and Maternal Outcomes of a Remote Exercise Program in Pregnant Women with Obesity: The GROB Randomized Control Pilot Study
Authors
Bernardo, Diana
Bobadilla Agouborde, Carolina
Festas, Clarinda
Carvalho, Carlos
Abdalla, Pedro Pugliesi
Amezcua Prieto, Carmen
Naia Entonado, Zeltia
Mesquita, Cristina Carvalho
Mota, Jorge
Santos, Paula Clara
Bobadilla Agouborde, Carolina
Festas, Clarinda
Carvalho, Carlos
Abdalla, Pedro Pugliesi
Amezcua Prieto, Carmen
Naia Entonado, Zeltia
Mesquita, Cristina Carvalho
Mota, Jorge
Santos, Paula Clara
Authors
Date
Datos de publicaciĆ³n:
CLINICAL AND EXPERIMENTAL OBSTETRICS & GYNECOLOGY,Vol.51,2024
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Abstract
Background: Obesity is common in women of reproductive age and increases the risk during pregnancy. Exercising during this period reduces health complications. Home e -health programs are effective in overcoming exercise barriers as pregnant women use technology and the internet for health information. Methods: A single -blind randomized controlled feasibility study with pregnant women with obesity (body mass index [BMI] >= 30 kg/m2) was conducted in the University Hospital Center of Sao Joao between January and April 2023. Pregnant women were randomized to a control group with standard care and to an experimental group with 8-week remote exercise program using a Phoenix (R) biofeedback device. Feasibility outcome measures were recruitment rate (>= 35%), loss to follow-up (<= 15%), and program fidelity (>= 1 session/week). Secondary outcomes were evaluated through Pregnancy Physical Activity Questionnaire, Oswestry Index on Disability, and weight assessments at baseline and at the end of the program. Results: Of the 63 eligible participants, 24 (38.1%) were successfully randomized and completed the baseline assessment. Of these, 3 (4.8%) from experimental group did not perform the initial onboarding. The control group had 8.3% of follow-up losses and for the experimental group there were no follow-up losses. Program fidelity (mean >= 1 session/week) was fulfilled by 66.7% of successfully randomized participants. Regarding secondary outcomes assessed between baseline and the 8th week, experimental group compared to control group had higher levels of physical activity for sports activities, a lower level of inactivity, and lower disability rates caused by low back pain. Conclusions: Based on the recruitment rate, losses to follow-up, and fidelity rate, the GROB (obesity in pregnancy) study was deemed feasible and worthy of consideration for a larger study. Moreover, the GROB study has the potential to improve maternal outcomes by reducing sedentarism and disability caused by low back pain. Clinical Trial Registration: The study has been registered on https://classic.clinicaltrials.gov/ (registration number: NCT05331586).