Bernardo, DianaBobadilla-Agouborde, CarolinaFestas, ClarindaCarvalho, CarlosAbdalla, Pedro PugliesiAmezcua-Prieto, CarmenNaia, ZeltiaCarvalho Mesquita, CristinaMora, JorgeSantos, Paula Clara2024-06-252024-06-252024-03-15Bernardo D, Bobadilla-Agouborde C, Festas C, Carvalho C, Pugliesi Abdalla P, Amezcua-Prieto C, Naia-Entonado Z, Mesquita CC, Mota J, Santos PC. Feasibility, clinical efficacy, and maternal outcomes of a remote exercise program in pregnant women with obesity: the GROB randomized control pilot study. Clin Exp Obstet Gynecol. 2024; 51(3):70.0390-6663http://hdl.handle.net/2183/37325[Abstract] 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] ≥30 kg/m2) was conducted in the University Hospital Center of São João 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® biofeedback device. Feasibility outcome measures were recruitment rate (≥35%), loss to follow-up (≤15%), and program fidelity (≥1 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 ≥1 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.engCreative Commons Attribution 4.0 International License (CC-BY 4.0)http://creativecommons.org/licenses/by/3.0/es/PregnancyExercisePhysical activityObesityE-healthRemotejournal articleopen access10.31083/j.ceog5103070