The Effect of Individualized Exercise Guidance on Pregnancy Outcome

Chinese Academy of Medical Sciences & Peking Union Medical College

Status: Completed

Conditions: Mediation; Pregnancy Outcome; Macrosomia, Fetal; Gestational Weight Gain

Treatments: Behavioral: Individualized exercise guidance

Study type: Interventional

Funder types: Other

Identifiers

NCT05760768

018

Details and patient eligibility

About

A single center, randomized controlled trial was conducted to investigate whether individualized exercise guidance was more effective in improving pregnancy outcomes in normal pregnant women. What's more, the trial was also conducted to find out whether there is a mediating effect between prenatal exercise and pregnancy outcomes.

Full description

Fetal macrosomia refers to newborns with a birth weight more than 4000 grams, which poses varying degrees of risks to the health of both mother and infant and also affects the health outcomes of future generations. Research has found that exercise can effectively reduce the incidence of macrosomia and prevent gestational diabetes mellitus, pregnancy-induced hypertension, and excessive weight gain during pregnancy. However, every pregnant woman's individual situation and exercise habits are different, and personalized guidance based on their own circumstances is necessary during pregnancy exercise. The use of intelligent devices for supervision and management is also essential. To explore the impact of personalized exercise guidance during pregnancy on macrosomia, as well as the mediating effect of weight gain during pregnancy on exercise and macrosomia, we conducted a prospective randomized controlled clinical trial. The study included pregnant women who were over 20 years old, married, singleton, in the mid-term of pregnancy, and had no contraindications for exercise during pregnancy. They were randomly divided into an individualized exercise guidance group and standard clinic prenatal care group. Both groups received routine prenatal care and did not have any special dietary recommendations. The pregnant women in the individualized exercise guidance group received regular exercise guidance from a professional teacher and were supervised and managed through a WeChat group. The main outcome indicators were the incidence of macrosomia and the total weight gain during pregnancy.

Enrollment: 326 patients

Sex: Female

Ages: 20 to 45 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Aged between 18 and 45 years.
• With singleton pregnancy.
• Second trimester.
• No contraindications to exercise during pregnancy.
• Be able to use smart phone for chatting, read and write basic Chinese.
• Volunteer for research.

Exclusion criteria

• Adverse pregnancy reaction, such as abdominal pain, vaginal bleeding and so on.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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326 participants in 2 patient groups

Individualized exercise guidance group

Experimental group

Description:

Participants accept individualized exercise guidance. They are also managed continuously through WeChat group chat during prenatal clinical interval.

Treatment:

Behavioral: Individualized exercise guidance

Standard clinic prenatal care (control) group

No Intervention group

Description:

Participants accept regular routine prenatal care following Chinese standard.