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Feasibility, clinical efficacy, and maternal outcomes of a remote exercise program in pregnant women with obesity: The GROB randomized control pilot study

2024-03-15Journal article Restricted access
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dc.contributor.authorBernardo, Diana
dc.contributor.authorBobadilla-Agouborde, Carolina
dc.contributor.authorFestas, Clarinda
dc.contributor.authorCarvalho, Carlos
dc.contributor.authorAbdalla, Pedro Pugliesi
dc.contributor.authorAmezcua-Prieto, Carmen
dc.contributor.authorNaia-Entonado, Zeltia
dc.contributor.authorMesquita, Cristina
dc.contributor.authorMota, Jorge
dc.contributor.authorSantos, Paula Clara
dc.date.accessioned2024-03-19T12:36:13Z
dc.date.available2024-03-19T12:36:13Z
dc.date.issued2024-03-15
dc.description.abstract 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/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. pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationBernardo, D., Bobadilla-Agouborde, C., Festas, C., Carvalho, C., Abdalla, P. P., Amezcua-Prieto, C., Naia-Entonado, Z., Mesquita, C. C., Mota, J., & Santos, P. C. (2024). Feasibility, clinical efficacy, and maternal outcomes of a remote exercise program in pregnant women with obesity: The GROB randomized control pilot study. Clinical and Experimental Obstetrics & Gynecology, 51(3), Artigo 3. https://doi.org/10.31083/j.ceog5103070pt_PT
dc.identifier.doi10.31083/j.ceog5103070pt_PT
dc.identifier.eissn2709-0094
dc.identifier.issn0390-6663
dc.identifier.urihttp://hdl.handle.net/10400.22/25196
dc.language.isoporpt_PT
dc.peerreviewedyespt_PT
dc.publisherIMR Presspt_PT
dc.relationThis research was funded by Portuguese Foundation for Science and Technology (FCT), grants numbers UI/BD/151206/2021 and PTDC/DES/116586/2010 (Research Centre on Physical Activity Health and Leisure—CIAFEL) and by Laboratory of Interdisciplinary Research—ITR grant number LA/P/0064/2020.pt_PT
dc.relation.publisherversionhttps://www.imrpress.com/journal/CEOG/51/3/10.31083/j.ceog5103070/htmpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectPregnancypt_PT
dc.subjectExercisept_PT
dc.subjectPhysical activitypt_PT
dc.subjectObesitypt_PT
dc.subjecte-healthpt_PT
dc.subjectRemotept_PT
dc.titleFeasibility, clinical efficacy, and maternal outcomes of a remote exercise program in pregnant women with obesity: The GROB randomized control pilot studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage12pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleClinical and Experimental Obstetrics & Gynecologypt_PT
oaire.citation.volume51 (3)pt_PT
person.familyNameCarvalho Mesquita
person.familyNameSantos
person.givenNameCristina
person.givenNamePaula Clara
person.identifier2641453
person.identifier.ciencia-id221C-ECA5-4EB4
person.identifier.ciencia-id5C16-2441-F091
person.identifier.orcid0000-0003-0830-9064
person.identifier.orcid0000-0003-3548-700X
person.identifier.scopus-author-id35848786400
rcaap.rightsclosedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationb8eda95a-0cca-4eed-aed6-2cca990169d3
relation.isAuthorOfPublication78bef72f-1c59-47e1-a79d-3e4f8e0d438d
relation.isAuthorOfPublication.latestForDiscoveryb8eda95a-0cca-4eed-aed6-2cca990169d3

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