The Efficacy of Light-to-moderate Resistance Training in Sedentary Pregnant Women: a Randomized Controlled Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pregnancy Related
- Sponsor
- Värmland County Council, Sweden
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- Change in fatigue
- Status
- Terminated
- Last Updated
- last year
Overview
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.
Investigators
Ylva Karolina Petrov Fieril
Principal Investigator, Fysiotherapist, PhD
Värmland County Council, Sweden
Eligibility Criteria
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
Outcomes
Primary Outcomes
Change in fatigue
Time Frame: Register 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 Outcomes
- Change in anxiety / depression(Register at gestational week 22 and 34)
- Change in pain(Register at gestational week 22 and 34)
- Change in weight gain(from perinatal records. Registered at gestational week 22 and 34)
- Change in Health Related Quality of Life(Register at gestational week 22 and 34)
- Change in blood pressure(From perinatal records. Registered at gestational week 22 and 34)
- Gestational age(From perinatal records at birth (gestational week 40))
- Birth length(from perinatal records at birth (gestational week 40))
- Change in exercise(Registered at gestational week 22 and 34)
- Gestational Diabetes Mellitus (GDM)(from perinatal records. Registered at gestational week 34)
- Birth weight(from perinatal records at birth (gestational week 40))
- Acute cesarean section(from perinatal records at birth (gestational week 40))
- Macrosomia(from perinatal records at birth (gestational week 40))