{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T12:08:02Z","timestamp":1778933282573,"version":"3.51.4"},"reference-count":41,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T00:00:00Z","timestamp":1763596800000},"content-version":"vor","delay-in-days":323,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K01DK105106"],"award-info":[{"award-number":["K01DK105106"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pregnancy"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This randomized controlled pilot trial evaluated a behavioral physical activity (PA) intervention for individuals with pregnancy hyperglycemia and explored the feasibility of a fully powered efficacy trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      The pilot trial sought to enroll and randomize participants to a 5\u2010week\u2010long behavioral PA intervention that promoted walking or stepping (i.e., in place or around a small area) versus a general wellness intervention (that provided no information on PA, diet, or metabolism), both delivered remotely via weekly, 10\u201320\u2010min\u2010long counseling sessions with a lifestyle coach. Participants (\n                      <jats:italic>N<\/jats:italic>\n                      = 20) completed surveys, including the Pregnancy Physical Activity Questionnaire, and wore ActiGraph CentrePoint watches for 7\u2009days at baseline and at follow\u2010up. Nineteen participants (95%) completed follow\u2010up study visits. A subset (85%) had neonatal anthropometric measurements due to pandemic\u2010related restrictions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      One hundred and twenty individuals were screened, with 54% (\n                      <jats:italic>n<\/jats:italic>\n                      = 65) meeting eligibility criteria and receiving physician approval to contact; 26% of the eligible enrolled, were randomized, and completed a baseline visit. Ninety percent of those randomized to the PA intervention (\n                      <jats:italic>n<\/jats:italic>\n                      = 9) completed it, rating the PA intervention as excellent (56%) or very good (44%). The PA intervention mitigated late pregnancy declines in self\u2010reported walking and running activity (follow\u2010up minus baseline: 0.22 MET h\/week [95% CI \u22120.41, 0.84] in the PA intervention vs. \u22120.70 [\u22121.31, \u22120.10] in controls), and there was the suggestion of improvements in neonatal birthweight for gestational age\n                      <jats:italic>Z<\/jats:italic>\n                      \u2010score and subscapular skinfold.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Findings suggest that the behavioral PA intervention promoting unsupervised, moderate\u2010intensity walking or stepping, which could easily be delivered in conjunction with clinical medical nutrition therapy, was acceptable. The intervention may mitigate late pregnancy declines in moderate\u2010intensity PA and remains to be investigated in a full\u2010scale randomized controlled efficacy trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>ClinicalTrials.gov identifier: NCT06125704<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jp\/7485092","type":"journal-article","created":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T09:59:57Z","timestamp":1763632797000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Randomized Controlled Pilot Trial of a Behavioral Physical Activity Intervention for Pregnancy Hyperglycemia"],"prefix":"10.1155","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0074-8399","authenticated-orcid":false,"given":"Samantha F.","family":"Ehrlich","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bethany R.","family":"Hallenbeck","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikki B.","family":"Zite","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly B.","family":"Fortner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alissa","family":"Paudel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3782-9504","authenticated-orcid":false,"given":"Hollie A.","family":"Raynor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott E.","family":"Crouter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2624-2385","authenticated-orcid":false,"given":"Jill M.","family":"Maples","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,20]]},"reference":[{"key":"e_1_2_13_1_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0707943"},{"key":"e_1_2_13_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2021.08.016"},{"key":"e_1_2_13_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.10.907"},{"key":"e_1_2_13_4_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc23-S015"},{"key":"e_1_2_13_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2011.04.014"},{"key":"e_1_2_13_6_2","doi-asserted-by":"publisher","DOI":"10.1123\/jpah.6.1.63"},{"key":"e_1_2_13_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-015-0479-2"},{"key":"e_1_2_13_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-021-03900-8"},{"key":"e_1_2_13_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-019-2293-8"},{"key":"e_1_2_13_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.6949"},{"key":"e_1_2_13_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c332"},{"key":"e_1_2_13_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2022.09.004"},{"key":"e_1_2_13_13_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc23-S002"},{"key":"e_1_2_13_14_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc15-1254"},{"key":"e_1_2_13_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/s2213-8587(20)30107-8"},{"key":"e_1_2_13_16_2","volume-title":"Social Foundations of Thought and Action: A Social Cognitive Theory","author":"Bandura A.","year":"1986"},{"key":"e_1_2_13_17_2","first-page":"345","volume-title":"Coping and Substance Use: A Conceptual Framework","author":"Prochaska J. 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