228 Participants Needed

Exercise Program for Pregnant Women

TS
Overseen ByTaren Swindle
Age: 18+
Sex: Female
Trial Phase: Academic
Sponsor: Arkansas Children's Hospital Research Institute
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

Regular physical activity during pregnancy is safe and offers many health benefits for both mothers and their babies. Research over the past decade shows that exercise can help pregnant women gain a healthy amount of weight, lower their risk of gestational diabetes and high blood pressure, and reduce stress, anxiety, and symptoms of postpartum depression. Babies also benefit when their mothers are active, with lower risks of preterm birth, unhealthy birth size, and childhood obesity.

Despite this strong evidence, very few exercise programs for pregnant women have been tested in real-world community settings, such as fitness centers, community health programs, or local organizations. Even fewer studies explain how these programs were delivered or what helped them succeed. Without this information, it is difficult for communities and health programs to offer exercise support that is both effective and practical for pregnant women.

To address this gap, the research team adapted an evidence-based program called EXPECTING so it could be delivered by community organizations. Previous participants and community advisors helped to understand what changes were needed to make the program easier to offer while still keeping it safe and effective. The core parts of the program, including the type, amount, and intensity of aerobic and strength-building exercises, remained the same and are based on established pregnancy exercise guidelines.

The adapted program, called COMMUNITY EXPECTING, includes both aerobic exercise and resistance training. The research team also developed specific supports to help community instructors deliver the program consistently and with confidence. All program components have already been tested in community settings and shown to be realistic, acceptable, and delivered as planned.

This study will examine whether offering a structured exercise program in community settings helps pregnant women be more physically active than usual prenatal care alone. We will also assess whether the program can be delivered successfully and in a way that works for both participants and community providers. The results will help determine whether COMMUNITY EXPECTING is a practical approach for supporting healthy pregnancies in real-world settings.

Who Is on the Research Team?

TS

Taren Swindle

Principal Investigator

University of Arkansas

Are You a Good Fit for This Trial?

This trial is for pregnant women over 18 with a BMI ≥ 30 who aren't currently active for at least 150 minutes per week. It aims to see if structured exercise in community settings can increase physical activity and benefit both mothers and babies.

Inclusion Criteria

Not currently meeting guidelines for 150 min of moderate physical activity per week
All children born to mother participants will be included and eligible
I am 18 years old or older.
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Exclusion Criteria

Contraindications for exercise (preeclampsia-eclampsia, premature rupture of the membranes, antepartum hemorrhage, placenta previa, or multiple gestation) as determined by the investigators to affect the outcomes of interest
Using recreational drugs, tobacco, or alcohol during their pregnancy
Non-English speaking individuals
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Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants engage in a structured exercise program, working out three times per week with a certified personal trainer, progressing to 45 minutes each session within the first 6 weeks.

Up to 40 weeks
3 sessions per week (2 in-person, 1 virtual optional)

Follow-up

Participants are monitored for safety and effectiveness after treatment, including postpartum support and health assessments.

6-12 weeks postpartum

Postpartum Extension

Participants have the option to continue with the exercise program for up to 12 months postpartum.

Up to 12 months

What Are the Treatments Tested in This Trial?

Interventions

  • Community Expecting

Trial Overview

The 'COMMUNITY EXPECTING' program, which includes aerobic exercises and resistance training adapted for pregnant women, is being tested against usual prenatal care to measure its effectiveness in promoting physical activity during pregnancy.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: ExerciseExperimental Treatment1 Intervention
Group II: ControlActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Arkansas Children's Hospital Research Institute

Lead Sponsor

Trials
141
Recruited
5,025,000+