Effects of Structured Supervised Exercise Training or Motivational Counseling on Pregnant Women's Physical Activity Level: FitMum - Randomized Controlled Trial
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Effects of Structured Supervised Exercise Training or Motivational Counseling on Pregnant Women's Physical Activity Level : FitMum - Randomized Controlled Trial. / De Place Knudsen, Signe; Alomairah, Saud Abdulaziz; Roland, Caroline Borup; Jessen, Anne Dsane; Hergel, Ida Marie; Clausen, Tine D.; Larsen, Jakob Eg; Van Hall, Gerrit; Jensen, Andreas Kryger; Molsted, Stig; Bendix, Jane M.; Løkkegaard, Ellen; Stallknecht, Bente.
I: Journal of Medical Internet Research, Bind 24, Nr. 7, e37699, 01.07.2022, s. 1-13.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Effects of Structured Supervised Exercise Training or Motivational Counseling on Pregnant Women's Physical Activity Level
T2 - FitMum - Randomized Controlled Trial
AU - De Place Knudsen, Signe
AU - Alomairah, Saud Abdulaziz
AU - Roland, Caroline Borup
AU - Jessen, Anne Dsane
AU - Hergel, Ida Marie
AU - Clausen, Tine D.
AU - Larsen, Jakob Eg
AU - Van Hall, Gerrit
AU - Jensen, Andreas Kryger
AU - Molsted, Stig
AU - Bendix, Jane M.
AU - Løkkegaard, Ellen
AU - Stallknecht, Bente
N1 - Publisher Copyright: © 2022 Journal of Medical Internet Research. All rights reserved.
PY - 2022/7/1
Y1 - 2022/7/1
N2 - Background: Physical activity (PA) during pregnancy is an effective and safe way to improve maternal health in uncomplicated pregnancies. However, compliance with PA recommendations remains low among pregnant women. Objective: The purpose of this study was to evaluate the effects of offering structured supervised exercise training (EXE) or motivational counseling on PA (MOT) during pregnancy on moderate-to-vigorous intensity physical activity (MVPA) level. Additionally, complementary measures of PA using the Pregnancy Physical Activity Questionnaire (PPAQ) and gold standard doubly labeled water (DLW) technique were investigated. The hypotheses were that both EXE and MOT would increase MVPA in pregnancy compared with standard care (CON) and that EXE would be more effective than MOT. In addition, the association between MVPA and the number of sessions attended was explored. Methods: A randomized controlled trial included 220 healthy, inactive pregnant women with a median gestational age of 12.9 (IQR 9.4-13.9) weeks. A total of 219 women were randomized to CON (45/219), EXE (87/219), or MOT (87/219). The primary outcome was MVPA (minutes per week) from randomization to the 29th gestational week obtained by a wrist-worn commercial activity tracker (Vivosport, Garmin International). PA was measured by the activity tracker throughout pregnancy, PPAQ, and DLW. The primary outcome analysis was performed as an analysis of covariance model adjusting for baseline PA. Results: The average MVPA (minutes per week) from randomization to the 29th gestational week was 33 (95% CI 18 to 47) in CON, 50 (95% CI 39 to 60) in EXE, and 40 (95% CI 30 to 51) in MOT. When adjusted for baseline MVPA, participants in EXE performed 20 (95% CI 4 to 36) minutes per week more MVPA than participants in CON (P=.02). MOT was not more effective than CON; EXE and MOT also did not differ. MVPA was positively associated with the number of exercise sessions attended in EXE from randomization to delivery (P=.04). Attendance was higher for online (due to COVID-19 restrictions) compared with physical exercise training (P=.03). Adverse events and serious adverse events did not differ between groups. Conclusions: Offering EXE was more effective than CON to increase MVPA among pregnant women, whereas offering MOT was not. MVPA in the intervention groups did not reach the recommended level in pregnancy. Changing the intervention to online due to COVID-19 restrictions did not affect MVPA level but increased exercise participation.
AB - Background: Physical activity (PA) during pregnancy is an effective and safe way to improve maternal health in uncomplicated pregnancies. However, compliance with PA recommendations remains low among pregnant women. Objective: The purpose of this study was to evaluate the effects of offering structured supervised exercise training (EXE) or motivational counseling on PA (MOT) during pregnancy on moderate-to-vigorous intensity physical activity (MVPA) level. Additionally, complementary measures of PA using the Pregnancy Physical Activity Questionnaire (PPAQ) and gold standard doubly labeled water (DLW) technique were investigated. The hypotheses were that both EXE and MOT would increase MVPA in pregnancy compared with standard care (CON) and that EXE would be more effective than MOT. In addition, the association between MVPA and the number of sessions attended was explored. Methods: A randomized controlled trial included 220 healthy, inactive pregnant women with a median gestational age of 12.9 (IQR 9.4-13.9) weeks. A total of 219 women were randomized to CON (45/219), EXE (87/219), or MOT (87/219). The primary outcome was MVPA (minutes per week) from randomization to the 29th gestational week obtained by a wrist-worn commercial activity tracker (Vivosport, Garmin International). PA was measured by the activity tracker throughout pregnancy, PPAQ, and DLW. The primary outcome analysis was performed as an analysis of covariance model adjusting for baseline PA. Results: The average MVPA (minutes per week) from randomization to the 29th gestational week was 33 (95% CI 18 to 47) in CON, 50 (95% CI 39 to 60) in EXE, and 40 (95% CI 30 to 51) in MOT. When adjusted for baseline MVPA, participants in EXE performed 20 (95% CI 4 to 36) minutes per week more MVPA than participants in CON (P=.02). MOT was not more effective than CON; EXE and MOT also did not differ. MVPA was positively associated with the number of exercise sessions attended in EXE from randomization to delivery (P=.04). Attendance was higher for online (due to COVID-19 restrictions) compared with physical exercise training (P=.03). Adverse events and serious adverse events did not differ between groups. Conclusions: Offering EXE was more effective than CON to increase MVPA among pregnant women, whereas offering MOT was not. MVPA in the intervention groups did not reach the recommended level in pregnancy. Changing the intervention to online due to COVID-19 restrictions did not affect MVPA level but increased exercise participation.
KW - commercial activity tracker
KW - COVID-19
KW - digital health
KW - doubly labeled water
KW - exercise
KW - fitness
KW - health outcome
KW - intervention
KW - maternal
KW - maternal health
KW - maternity
KW - motivation
KW - physical activity
KW - physical activity questionnaire
KW - pregnancy
KW - pregnant
KW - randomized controlled trial
KW - RCT
KW - tracker
KW - women's health
UR - http://www.scopus.com/inward/record.url?scp=85134854241&partnerID=8YFLogxK
U2 - 10.2196/37699
DO - 10.2196/37699
M3 - Journal article
C2 - 35857356
AN - SCOPUS:85134854241
VL - 24
SP - 1
EP - 13
JO - Journal of Medical Internet Research
JF - Journal of Medical Internet Research
SN - 1439-4456
IS - 7
M1 - e37699
ER -
ID: 316416804