Effects of Structured Supervised Exercise Training or Motivational Counseling on Pregnant Women's Physical Activity Level: FitMum - Randomized Controlled Trial

Research output: Contribution to journalJournal articlepeer-review

Standard

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.

In: Journal of Medical Internet Research, Vol. 24, No. 7, e37699, 01.07.2022, p. 1-13.

Research output: Contribution to journalJournal articlepeer-review

Harvard

De Place Knudsen, S, Alomairah, SA, Roland, CB, Jessen, AD, Hergel, IM, Clausen, TD, Larsen, JE, Van Hall, G, Jensen, AK, Molsted, S, Bendix, JM, Løkkegaard, E & Stallknecht, B 2022, 'Effects of Structured Supervised Exercise Training or Motivational Counseling on Pregnant Women's Physical Activity Level: FitMum - Randomized Controlled Trial', Journal of Medical Internet Research, vol. 24, no. 7, e37699, pp. 1-13. https://doi.org/10.2196/37699

APA

De Place Knudsen, S., Alomairah, S. A., Roland, C. B., Jessen, A. D., Hergel, I. M., Clausen, T. D., Larsen, J. E., Van Hall, G., Jensen, A. K., Molsted, S., Bendix, J. M., Løkkegaard, E., & Stallknecht, B. (2022). Effects of Structured Supervised Exercise Training or Motivational Counseling on Pregnant Women's Physical Activity Level: FitMum - Randomized Controlled Trial. Journal of Medical Internet Research, 24(7), 1-13. [e37699]. https://doi.org/10.2196/37699

Vancouver

De Place Knudsen S, Alomairah SA, Roland CB, Jessen AD, Hergel IM, Clausen TD et al. Effects of Structured Supervised Exercise Training or Motivational Counseling on Pregnant Women's Physical Activity Level: FitMum - Randomized Controlled Trial. Journal of Medical Internet Research. 2022 Jul 1;24(7):1-13. e37699. https://doi.org/10.2196/37699

Author

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. / Effects of Structured Supervised Exercise Training or Motivational Counseling on Pregnant Women's Physical Activity Level : FitMum - Randomized Controlled Trial. In: Journal of Medical Internet Research. 2022 ; Vol. 24, No. 7. pp. 1-13.

Bibtex

@article{e87ce28cb6474cbf93c88a44611299f1,
title = "Effects of Structured Supervised Exercise Training or Motivational Counseling on Pregnant Women's Physical Activity Level: FitMum - Randomized Controlled Trial",
abstract = "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.",
keywords = "commercial activity tracker, COVID-19, digital health, doubly labeled water, exercise, fitness, health outcome, intervention, maternal, maternal health, maternity, motivation, physical activity, physical activity questionnaire, pregnancy, pregnant, randomized controlled trial, RCT, tracker, women's health",
author = "{De Place Knudsen}, Signe and Alomairah, {Saud Abdulaziz} and Roland, {Caroline Borup} and Jessen, {Anne Dsane} and Hergel, {Ida Marie} and Clausen, {Tine D.} and Larsen, {Jakob Eg} and {Van Hall}, Gerrit and Jensen, {Andreas Kryger} and Stig Molsted and Bendix, {Jane M.} and Ellen L{\o}kkegaard and Bente Stallknecht",
note = "Publisher Copyright: {\textcopyright} 2022 Journal of Medical Internet Research. All rights reserved.",
year = "2022",
month = jul,
day = "1",
doi = "10.2196/37699",
language = "English",
volume = "24",
pages = "1--13",
journal = "Journal of Medical Internet Research",
issn = "1439-4456",
publisher = "JMIR Publications",
number = "7",

}

RIS

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