{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T18:38:14Z","timestamp":1770143894402,"version":"3.49.0"},"reference-count":60,"publisher":"IMR Press","issue":"3","license":[{"start":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T00:00:00Z","timestamp":1710460800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Portuguese Foundation for Science and Technology","award":["UI\/BD\/151206\/2021"],"award-info":[{"award-number":["UI\/BD\/151206\/2021"]}]},{"name":"Portuguese Foundation for Science and Technology","award":["PTDC\/DES\/116586\/2010"],"award-info":[{"award-number":["PTDC\/DES\/116586\/2010"]}]},{"name":"Laboratory of Interdisciplinary Research\u2014ITR","award":["LA\/P\/0064\/2020"],"award-info":[{"award-number":["LA\/P\/0064\/2020"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin. Exp. Obstet. Gynecol."],"abstract":"<jats:p>Background: Obesity is common in women of reproductive age and increases the risk during pregnancy. Exercising during this period reduces health complications. Home e-health programs are effective in overcoming exercise barriers as pregnant women use technology and the internet for health information. Methods: A single-blind randomized controlled feasibility study with pregnant women with obesity (body mass index [BMI] \u226530 kg\/m2) was conducted in the University Hospital Center of S\u00e3o Jo\u00e3o between January and April 2023. Pregnant women were randomized to a control group with standard care and to an experimental group with 8-week remote exercise program using a Phoenix\u00ae biofeedback device. Feasibility outcome measures were recruitment rate (\u226535%), loss to follow-up (\u226415%), and program fidelity (\u22651 session\/week). Secondary outcomes were evaluated through Pregnancy Physical Activity Questionnaire, Oswestry Index on Disability, and weight assessments at baseline and at the end of the program. Results: Of the 63 eligible participants, 24 (38.1%) were successfully randomized and completed the baseline assessment. Of these, 3 (4.8%) from experimental group did not perform the initial onboarding. The control group had 8.3% of follow-up losses and for the experimental group there were no follow-up losses. Program fidelity (mean \u22651 session\/week) was fulfilled by 66.7% of successfully randomized participants. Regarding secondary outcomes assessed between baseline and the 8th week, experimental group compared to control group had higher levels of physical activity for sports activities, a lower level of inactivity, and lower disability rates caused by low back pain. Conclusions: Based on the recruitment rate, losses to follow-up, and fidelity rate, the GROB (obesity in pregnancy) study was deemed feasible and worthy of consideration for a larger study. Moreover, the GROB study has the potential to improve maternal outcomes by reducing sedentarism and disability caused by low back pain. Clinical Trial Registration: The study has been registered on https:\/\/classic.clinicaltrials.gov\/ (registration number: NCT05331586).<\/jats:p>","DOI":"10.31083\/j.ceog5103070","type":"journal-article","created":{"date-parts":[[2024,3,18]],"date-time":"2024-03-18T02:51:35Z","timestamp":1710730295000},"source":"Crossref","is-referenced-by-count":4,"title":["Feasibility, Clinical Efficacy, and Maternal Outcomes of a Remote Exercise Program in Pregnant Women with Obesity: The GROB Randomized Control Pilot Study"],"prefix":"10.31083","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3832-7581","authenticated-orcid":true,"given":"Diana","family":"Bernardo","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, University Hospital Center of S\u00e3o Jo\u00e3o, 4200-319 Porto, Portugal"},{"name":"Now with KinesioLab Research Unit in Human Movement, Piaget Institute, 4405-678 Vila Nova de Gaia, Portugal"},{"name":"Now with Department of Physiotherapy, Health School, Institute Piaget, 4405-678 Vila Nova de Gaia, Portugal"},{"name":"Now with Department of Physiotherapy, Health School Fernando Pessoa, 4249-004 Porto, Portugal"},{"name":"Research Center in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport University of Porto (FADEUP), 4200-450 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2200-6227","authenticated-orcid":true,"given":"Carolina","family":"Bobadilla-Agouborde","sequence":"first","affiliation":[{"name":"Research Center in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport University of Porto (FADEUP), 4200-450 Porto, Portugal"},{"name":"Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, 18010 Granada, Spain"},{"name":"Departamento de Procesos Terap\u00e9uticos, Faculdad de Ciencias de la Salud, Universidad Cat\u00f3lica de Temuco, Temuco 4813302, Chile"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5244-1914","authenticated-orcid":true,"given":"Clarinda","family":"Festas","sequence":"first","affiliation":[{"name":"Now with Department of Physiotherapy, Health School Fernando Pessoa, 4249-004 Porto, Portugal"},{"name":"I3ID-FP, Instituto de Investiga\u00e7\u00e3o, Inova\u00e7\u00e3o e Desenvolvimento Fernando Pessoa, FP-BHS, Biomedical and Health Sciences, 4249-004 Porto, Portugal"},{"name":"RISE, I3ID Centro de Investiga\u00e7\u00e3o em Sa\u00fade, Universidade Fernando Pessoa, Rua Dr. Pl\u00e1cido da Costa, 4200-450 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2066-2055","authenticated-orcid":true,"given":"Carlos","family":"Carvalho","sequence":"first","affiliation":[{"name":"Department of Physyiothepy, Clinical Physiotherapy Practice, 4100-465 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7490-9466","authenticated-orcid":true,"given":"Pedro","family":"Pugliesi Abdalla","sequence":"first","affiliation":[{"name":"Study and Research Group in Anthropometry, Training, and Sport (GEPETE), University of S\u00e3o Paulo, School of Physical Education and Sport of Ribeir\u00e3o Preto (EEFERP-USP), 14040-907 Ribeir\u00e3o Preto (S\u00e3o Paulo), Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0957-4057","authenticated-orcid":true,"given":"Carmen","family":"Amezcua-Prieto","sequence":"first","affiliation":[{"name":"Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, 18010 Granada, Spain"},{"name":"CIBER de Epidemiolog\u00eda y Salud P\u00fablica, Instituto de Salud Carlos III, 28029 Madrid, Spain"},{"name":"Department of Preventive Medicine and Public Health, Instituto de Investigaci\u00f3n Biosanitaria IBS, 18010 Granada, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7878-4018","authenticated-orcid":true,"given":"Zeltia","family":"Naia-Entonado","sequence":"first","affiliation":[{"name":"Department of Physiotherapy, Medicine and Biomedical Sciences, Faculty of Physiotherapy, University of A Coru\u00f1a, 15071 Coru\u00f1a, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0830-9064","authenticated-orcid":true,"given":"Cristina","family":"Carvalho Mesquita","sequence":"first","affiliation":[{"name":"Centro de Investiga\u00e7\u00e3o em Reabilita\u00e7\u00e3o, Escola Superior de Sa\u00fade, Instituto Polit\u00e9cnico do Porto, 4249-015 Porto, Portugal"},{"name":"Departamento de Fisioterapia, Escola Superior de Sa\u00fade, Instituto Polit\u00e9cnico do Porto, 4249-015 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7571-9181","authenticated-orcid":true,"given":"Jorge","family":"Mota","sequence":"first","affiliation":[{"name":"Research Center in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport University of Porto (FADEUP), 4200-450 Porto, Portugal"},{"name":"Laboratory for Integrative and Translational Research in Population Health (ITR), Instituto de Sa\u00fade P\u00fablica, Universidade do Porto, 4200-450 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3548-700X","authenticated-orcid":true,"given":"Paula","family":"Clara Santos","sequence":"first","affiliation":[{"name":"Research Center in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport University of Porto (FADEUP), 4200-450 Porto, Portugal"},{"name":"Centro de Investiga\u00e7\u00e3o em Reabilita\u00e7\u00e3o, Escola Superior de Sa\u00fade, Instituto Polit\u00e9cnico do Porto, 4249-015 Porto, Portugal"},{"name":"Departamento de Fisioterapia, Escola Superior de Sa\u00fade, Instituto Polit\u00e9cnico do Porto, 4249-015 Porto, Portugal"},{"name":"Laboratory for Integrative and Translational Research in Population Health (ITR), Instituto de Sa\u00fade P\u00fablica, Universidade do Porto, 4200-450 Porto, Portugal"}]}],"member":"16242","published-online":{"date-parts":[[2024,3,15]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","unstructured":"da 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