Structured supervised exercise training or motivational counselling during pregnancy on physical activity level and health of mother and offspring: FitMum study protocol.

Autor:	Roland CB; Department of Biomedical Sciences, University of Copenhagen, Faculty of Health and Medical Sciences, Copenhagen, Denmark cba@sund.ku.dk.; Department of Gynaecology and Obstetrics, Nordsjaellands Hospital, Hillerod, Denmark., Knudsen SP; Department of Biomedical Sciences, University of Copenhagen, Faculty of Health and Medical Sciences, Copenhagen, Denmark.; Department of Gynaecology and Obstetrics, Nordsjaellands Hospital, Hillerod, Denmark., Alomairah SA; Department of Biomedical Sciences, University of Copenhagen, Faculty of Health and Medical Sciences, Copenhagen, Denmark.; Department of Public Health, Saudi Electronic University, Riyadh, Saudi Arabia., Andersen AD; Department of Gynaecology and Obstetrics, Nordsjaellands Hospital, Hillerod, Denmark., Bendix J; Department of Gynaecology and Obstetrics, Nordsjaellands Hospital, Hillerod, Denmark., Clausen TD; Department of Gynaecology and Obstetrics, Nordsjaellands Hospital, Hillerod, Denmark.; Department of Clinical Medicine, University of Copenhagen, Faculty of Health and Medical Sciences, Copenhagen, Denmark., Molsted S; Department of Clinical Research, Nordsjaellands Hospital, Hillerod, Denmark., Jensen AK; Department of Clinical Research, Nordsjaellands Hospital, Hillerod, Denmark.; Department of Public Health, University of Copenhagen, Copenhagen, Denmark., Teilmann G; Department of Paediatrics, Nordsjaellands Hospital, Hillerod, Denmark., Jespersen AP; The Saxo Institute, University of Copenhagen, Centre for Health Research in the Humanities, Copenhagen, Denmark., Larsen JE; Department of Applied Mathematics and Computer Science, Technical University of Denmark, Lyngby, Denmark., Hall GV; Department of Biomedical Sciences, University of Copenhagen, Faculty of Health and Medical Sciences, Copenhagen, Denmark.; Clinical Metabolomics Core Facility, Clinical Biochemistry, Rigshospitalet, Copenhagen, Denmark., Andersen E; Novo Nordisk Foundation Center for Basic Metabolic Research, University of Copenhagen, Copenhagen, Denmark., Barrès R; Novo Nordisk Foundation Center for Basic Metabolic Research, University of Copenhagen, Copenhagen, Denmark., Mortensen OH; Department of Biomedical Sciences, University of Copenhagen, Faculty of Health and Medical Sciences, Copenhagen, Denmark., Maindal HT; Department of Public Health, Aarhus Universitet, Aarhus, Denmark.; Steno Diabetes Center Copenhagen, Gentofte, Denmark., Tarnow L; Steno Diabetes Center Copenhagen, Holbaek, Denmark., Løkkegaard ECL; Department of Gynaecology and Obstetrics, Nordsjaellands Hospital, Hillerod, Denmark.; Department of Clinical Medicine, University of Copenhagen, Faculty of Health and Medical Sciences, Copenhagen, Denmark., Stallknecht B; Department of Biomedical Sciences, University of Copenhagen, Faculty of Health and Medical Sciences, Copenhagen, Denmark.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2021 Mar 19; Vol. 11 (3), pp. e043671. Date of Electronic Publication: 2021 Mar 19.
DOI:	10.1136/bmjopen-2020-043671
Abstrakt:	Introduction: A physically active lifestyle during pregnancy improves maternal and offspring health but can be difficult to follow. In Denmark, less than 40% of pregnant women meet physical activity (PA) recommendations. The FitMum study aims to explore strategies to increase PA during pregnancy among women with low PA and assess the health effects of PA. This paper presents the FitMum protocol, which evaluates the effects of structured supervised exercise training or motivational counselling supported by health technology during pregnancy on PA level and health of mother and offspring. Methods and Analysis: A single-site three-arm randomised controlled trial that aims to recruit 220 healthy, pregnant women with gestational age (GA) no later than week 15 and whose PA level does not exceed one hour/week. Participants are randomised to one of three groups: structured supervised exercise training consisting of three weekly exercise sessions, motivational counselling supported by health technology or a control group receiving standard care. The interventions take place from randomisation until delivery. The primary outcome is min/week of moderate-to-vigorous intensity PA (MVPA) as determined by a commercial activity tracker, collected from randomisation until GA of 28 weeks and 0-6 days, and the secondary outcome is gestational weight gain (GWG). Additional outcomes are complementary measures of PA; clinical and psychological health parameters in participant, partner and offspring; analyses of blood, placenta and breastmilk samples; process evaluation of interventions; and personal understandings of PA. Ethics and Dissemination: The study is approved by the Danish National Committee on Health Research Ethics (# H-18011067) and the Danish Data Protection Agency (# P-2019-512). Findings will be disseminated via peer-reviewed publications, at conferences, and to health professionals via science theatre performances. Trial Registration Number: NCT03679130. Protocol Version: This paper was written per the study protocol version 8 dated 28 August 2019. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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