About this trial
This pilot study aims to evaluate the impact of a specifically designed exercise program for hospitalized high-risk pregnant individuals on bed rest. The exercise program, focused on resistance and strength training, is adapted for execution while in bed and seeks to address physical and emotional health challenges during hospitalization. The study will compare outcomes between participants who follow the exercise program and those receiving standard care. Primary outcomes include physical and emotional health parameters, quality of life, and sleep quality. Secondary outcomes focus on feasibility, adherence, and participant satisfaction. This research addresses the gap in physical activity guidelines for pregnant individuals on bed rest and explores the potential benefits of exercise to improve maternal well-being and postpartum recovery.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Maternal age of 18 or more
Delivery not expected within 1 week after recruitment.
Language ability to understand the study.
Informed consent signed.
Disqualifiers
Fetal death
Severe mental health disorders and substance abuse disorders.
Trial design
Parallel
Treatments tested in this trial
Exercise
Other interventionSpecifically designed and structured exercise program (based on resistance/strength, designed to be executed in bed or minimal mobility). It is an adaptation from the exercise program described by Brun CR et al (Brun CR, Shoemaker JK, Bocking A, Hammond JA, Poole M, Mottola MF. Bed-rest exercise, activity restriction, and high-risk pregnancies: a feasibility study. Applied Physiology, Nutrition, and Metabolism. 2011;36(4):577-582).
Treatment groups
Trial outcomes
Primary outcomes
Physiological parameters: Time spent in moderate or vigorous activity
Time spent in moderate or vigorous activity (in minutes, summarized as average per day).
Physiological parameters: Total physical activity
Total physical activity (average per day in mG).
Physiological parameters: Handgrip strength test.
Handgrip strength test (in kg, adjusted for gender and age).
Physiological parameters: Calf Circumference measurement
Calf Circumference measurement (in cm, adjusted for gender and age).
Secondary outcomes
Baseline Maternal and fetal characteristics: Evaluation of physical activity (GAQ-P questionnaire)
Evaluation of physical activity using the Get Active Questionnaire for Pregnancy. The questionnaire self-classifies how often and for how long she is engaged in physical activity of a light, moderate or vigorous intensity. Also, it addresses the question whether the woman should speak to her Obstetric Health Care Provider before beginning or continue to be physically active.
Baseline Maternal and fetal characteristics: Maternal age
Maternal age (in years)
Baseline Maternal and fetal characteristics: Maternal weight
Maternal weight (in kg)
Baseline Maternal and fetal characteristics: Ethnic group
Ethnic group classified as: * White/European * Hispanic/latin American * Black/African Americans * Arabic * Asian
Sponsors and contacts
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Montse Palacio
Lead sponsor
Hospital Clinic of Barcelona
Sponsor institution