Physical Exercise Program in Obese and Overweight Pregnant Women

Study Overview
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Brief Summary
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Obesity and overweight have become an epidemic in the world and its prevalence between pregnant women is especially dangerous. Having a high Body Mass Index (BMI) is also associated with depression disorders and its serious complications during this period.

Detailed Description
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The aim of our study is to assess whether a specific exercise program during pregnancy has a positive effect on maternal mood and other pregnancy outcomes.

Official Title
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Effect of a Supervised Exercise Program in Obese and Overweight Pregnant Women on Outcomes and Level of Depression. A Randomized Controlled Trial

Conditions
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Pregnancy

Intervention / Treatment
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* Behavioral: Exercise group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being healthy and able to exercise following American College of Obstetricians and Gynecologists (ACOG) guidelines Being able to communicate in spanish Giving birth at Hospital Universitario de Fuenlabrada Having a Body Mass Index (BMI) greater than 24.9 Exclusion Criteria: Multiparity Obstetrician complications Being interested in the study after 18 weeks Not being regular in physical exercise program (minimum adherence 80%) Younger than 18 years old

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 45 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Control group<br>Sedentary Obese and overweight pregnant women | |
| Experimental: Exercise group<br>Physical exercise program | Behavioral: Exercise group<br>* Supervised physical conditioning program of three 55-60 minute sessions per week during whole pregnancy (from week 9 to 38). Each session consists of 25-30 minutes of cardiovascular exercise, 10 minutes of specific exercises (strength and balance exercises), and 10 minutes of pelvic floor muscles training. Aerobic activity was prescribed at light to moderate intensity, aiming for 55-60 of maximal heart rate. All subjects wore a heart rate (HR) monitor (Polar FT7) during the training sessions to ensure that exercise intensity was light to moderate.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from level of depression at the end of the pregnancy | The Center for Epidemiological Studies-Depression scale (CES-D) was administered to all obese and overweight pregnant women at the beginning and at the end of their pregnancies | Up to 36 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Maternal gestational weight gain | Maternal gain weight | 40-42 weeks | 
| Maternal outcomes | Type of labor | After labor | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Overweight, obese, pregnant, depression, outcomes