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The Efficacy of Light-to-moderate Resistance Training in Sedentary Pregnant Women

Not Applicable
Terminated
Conditions
Pregnancy Related
Sedentary Lifestyle
Interventions
Behavioral: Resistance exercise
Registration Number
NCT03705741
Lead Sponsor
Värmland County Council, Sweden
Brief Summary

Maintaining a physically active lifestyle is associated with many health benefits, including lower risk of cardiovascular disease, diabetes, hypertension, some type of cancer, and depression . Pregnant, healthy women are recommended to do 30 minutes or more of light to moderate exercise a day, although most women in the Western world do not follow current recommendations and decrease their exercise level.

Benefits of exercise during pregnancy are several, including a protective effect against the development of gestational diabetes mellitus, reduced pregnancy related low back pain, and risk of caesarean delivery. On the contrary, a recent review concludes that sedentary behaviors are associated with higher levels of C Reactive Protein and LDL Cholesterol, a larger newborn abdominal circumference, and macrosomia.

Previous studies show that exercise during pregnancy is associated with improvements in psychological well-being among previously sedentary women.

Only a few RCT's have studied resistance exercise during pregnancy. These studies have found reduced fatigue and reduced need of insulin among women with gestational diabetes mellitus who did resistance exercise, with no adverse effects on fetus or the pregnant woman.

The aim of this study is to evaluate the efficacy of regular light -to-moderate resistance exercise among sedentary pregnant woman, with regard to fatigue, health related quality of life, pain location and intensity, body weight gain, blood pressure, and childbirth outcomes.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
Female
Target Recruitment
120
Inclusion Criteria
  • Single pregnancy and ≥18 of age
  • Ability to understand verbal and written Swedish
  • Inclusion during gestational week 20+0-20+6.
Exclusion Criteria
  • Follows the recommendation regarding contraindications according to the American Collage of Obstetricians and Gynecologists 2002
  • Severe pain from the pelvic or the back
  • Regular exercise >150 minutes per week the last six months

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Exercise groupResistance exerciseResistance exercise twice a week
Primary Outcome Measures
NameTimeMethod
Change in fatigueRegister at gestational week 22 and 34

Visual Analogue Scale (VAS) 0-100 millimeters. It is a psychometric scale and measure self-reported fatigue from 0, "no fatigue" to 100, "very great fatigue". The scale is a streight horizontal line.

Secondary Outcome Measures
NameTimeMethod
Change in blood pressureFrom perinatal records. Registered at gestational week 22 and 34

Systolic and Diastolic

Change in anxiety / depressionRegister at gestational week 22 and 34

Visual Analogue Scale (VAS) 0-100 millimeters. It is a psychometric scale and measure self-reported anxiety/depression from 0, "no anxiety/depression" to 100, "very great anxiety/depression". The scale is a streight horizontal line.

Change in painRegister at gestational week 22 and 34

Visual Analogue Scale (VAS) 0-100 millimeters. It is a psychometric scale and measure the intensity of pain from 0, "none pain" to 100, "extreme amount of pain". The scale is a streight horizontal line.

Change in weight gainfrom perinatal records. Registered at gestational week 22 and 34

kilogram

Change in Health Related Quality of LifeRegister at gestational week 22 and 34

Visual Analogue Scale (EQ-VAS). Mark health status on the day on a 20 centimeters vertical scale with end points of 0 and 100. There are notes at the both ends of the scale that the bottom rate (0) corresponds to " the worst health you can imagine", and the highest rate (100) corresponds to "the best health you can imagine".

Gestational ageFrom perinatal records at birth (gestational week 40)

days

Birth lengthfrom perinatal records at birth (gestational week 40)

centimeters

Change in exerciseRegistered at gestational week 22 and 34

Minutes a day. (Walks, light, moderate, vigorous intensity).

Gestational Diabetes Mellitus (GDM)from perinatal records. Registered at gestational week 34

Development of GDM

Birth weightfrom perinatal records at birth (gestational week 40)

kilogram

Acute cesarean sectionfrom perinatal records at birth (gestational week 40)

rate

Macrosomiafrom perinatal records at birth (gestational week 40)

rate of birth with macrosomia

Trial Locations

Locations (1)

Fysioterapimottagningen Gripen

🇸🇪

Karlstad, Sweden

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