{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T23:44:24Z","timestamp":1773791064552,"version":"3.50.1"},"reference-count":41,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100011958","name":"Danmarks Frie Forskningsfond","doi-asserted-by":"publisher","award":["8020-00353B"],"award-info":[{"award-number":["8020-00353B"]}],"id":[{"id":"10.13039\/501100011958","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007437","name":"TrygFonden","doi-asserted-by":"publisher","award":["128509"],"award-info":[{"award-number":["128509"]}],"id":[{"id":"10.13039\/501100007437","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100023338","name":"Copenhagen Center for Health Technology","doi-asserted-by":"publisher","award":["061017"],"award-info":[{"award-number":["061017"]}],"id":[{"id":"10.13039\/501100023338","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100009898","name":"Beckett-Fonden","doi-asserted-by":"publisher","award":["17-2-0883"],"award-info":[{"award-number":["17-2-0883"]}],"id":[{"id":"10.13039\/501100009898","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003035","name":"Aase og Ejnar Danielsens Fond","doi-asserted-by":"publisher","award":["10-002052"],"award-info":[{"award-number":["10-002052"]}],"id":[{"id":"10.13039\/501100003035","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007438","name":"Familien Hede Nielsens Fond","doi-asserted-by":"publisher","award":["2017-1142"],"award-info":[{"award-number":["2017-1142"]}],"id":[{"id":"10.13039\/501100007438","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>The main objective of the study was to investigate the effects of prenatal exercise interventions on maternal body composition at 28 weeks gestation and 7\u201314 days after delivery. We also explored associations between physical activity (PA) <jats:italic>per se<\/jats:italic> and body composition. This study presents secondary outcomes of the FitMum randomized controlled trial, which included healthy inactive pregnant women at gestational age \u2264 15+0 weeks. They were randomized to structured supervised exercise training, motivational counselling on PA, or standard care. Maternal body composition was measured by doubly labeled water at 28 weeks gestation (<jats:italic>n<\/jats:italic> = 134) and by dual-energy X-ray absorptiometry scan 7\u201314 days after delivery (<jats:italic>n<\/jats:italic> = 117). PA, including moderate-to-vigorous-intensity PA (MVPA), active kilocalories, and steps, were measured continuously from inclusion to delivery by a wrist-worn activity tracker. One hundred fifty pregnant women were included with a median pre-pregnancy body mass index (BMI) of 24.1 (21.6\u201327.9) kg\/m<jats:sup>2<\/jats:sup>. We found no differences between groups in fat mass, fat percentage or fat-free mass at 28 weeks gestation or 7\u201314 days after delivery. Visceral adipose tissue mass and bone mineral density measured 7\u201314 days after delivery did not differ between groups either. Linear regression analyses adjusted for pre-pregnancy BMI showed that a higher number of daily steps was associated with lower fat mass, fat percentage, and visceral adipose tissue mass at 28 weeks gestation and 7\u201314 days after delivery. Active kilocalories during pregnancy was positively associated with fat-free mass 7\u201314 days after delivery. Neither structured supervised exercise training nor motivational counselling on PA during pregnancy affected maternal body composition at 28 weeks gestation or 7\u201314 days after delivery compared to standard care. Interestingly, when adjusted for pre-pregnancy BMI, higher number of daily steps was associated with lower fat content during pregnancy and after delivery, whereas MVPA and active kilocalories were not.<\/jats:p>\n<jats:p><jats:bold>Trial registration:<\/jats:bold> ClinicalTrials.gov; <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/clinicaltrials.gov\/ct2\/show\/NCT03679130\" xlink:type=\"simple\">NCT03679130<\/jats:ext-link>; 20\/09\/2018.<\/jats:p>","DOI":"10.1371\/journal.pone.0308214","type":"journal-article","created":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T17:44:04Z","timestamp":1722534244000},"page":"e0308214","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":4,"title":["Effects of prenatal exercise interventions on maternal body composition: A secondary analysis of the FitMum randomized controlled trial"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1268-9215","authenticated-orcid":true,"given":"Caroline Borup","family":"Roland","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parisa","family":"Seyedhosseini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Signe de Place","family":"Knudsen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne Dsane","family":"Jessen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8624-0299","authenticated-orcid":true,"given":"Ida Karoline Bach","family":"Jensen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane M.","family":"Bendix","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2519-8127","authenticated-orcid":true,"given":"Gerrit","family":"van Hall","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stig","family":"Molsted","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saud Abdulaziz","family":"Alomairah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellen","family":"L\u00f8kkegaard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bente","family":"Stallknecht","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tine D.","family":"Clausen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2024,8,1]]},"reference":[{"issue":"6","key":"pone.0308214.ref001","first-page":"259","article-title":"A review of maternal overweight and obesity and its impact on cardiometabolic outcomes during pregnancy and postpartum.","volume":"9","author":"JA Grieger","year":"2021","journal-title":"Ther Adv Reprod Heal"},{"issue":"21","key":"pone.0308214.ref002","doi-asserted-by":"crossref","first-page":"2207","DOI":"10.1001\/jama.2017.3635","article-title":"Association of gestational weight gain with maternal and infant outcomes: A systematic review and meta-analysis.","volume":"317","author":"RF Goldstein","year":"2017","journal-title":"JAMA\u2014J Am Med Assoc"},{"issue":"153","key":"pone.0308214.ref003","first-page":"1","article-title":"Gestational weight gain across continents and ethnicity: systematic review and meta-analysis 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