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- The effect of daily walking during pregnancy on neuromuscular pain in the third trimesterPublication . Bobadilla-Agouborde, Carolina; Soto-Rodríguez, Francisco Javier; Benito-Villena, Rebeca; Mozas-Moreno, Juan; Santos, Paula Clara Ribeiro; Amezcua-Prieto, Carmen; Ribeiro Santos, Paula ClaraTo describe the frequency of neuromusculoskeletal pain across each trimester of pregnancy and assess the impact of daily walking from the second trimester on the incidence, prevalence, and daily life impact of such pain in the third trimester. A total of 192 pregnant women wearing pedometers from the beginning of the second trimester were analyzed. Daily walking activity, the frequency of back pain, pelvic girdle pain, and sciatic pain, as well as their impact on daily life, were measured. Women were categorized as physically active or inactive based on a threshold of 7000 steps/day. Back pain was the most commonly reported condition and had the greatest impact on daily life. No significant association was found between walking ≥7000 steps/day from the second trimester and the incidence or prevalence of pelvic girdle or sciatic pain in the third trimester. Additionally, no significant association was found with back pain prevalence, though the analysis suggested a possible trend in this direction. Walking ≥7000 steps/day from the second trimester was not significantly associated with musculoskeletal pain outcomes in the third trimester. While physical activity is essential for overall health, further research is needed to determine how different walking patterns and intensities may contribute to musculoskeletal pain prevention and management during pregnancy.
- Feasibility, clinical efficacy, and maternal outcomes of a remote exercise program in pregnant women with obesity: The GROB randomized control pilot studyPublication . Bernardo, Diana; Bobadilla-Agouborde, Carolina; Festas, Clarinda; Carvalho, Carlos; Abdalla, Pedro Pugliesi; Amezcua-Prieto, Carmen; Naia-Entonado, Zeltia; Mesquita, Cristina; Mota, Jorge; Santos, Paula ClaraObesity 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/m22) was conducted in the University Hospital Center of São João 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® 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.