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A pilot walking program promotes moderate-intensity physical activity during pregnancy
Kong KL, Campbell CG, Foster RC, Peterson AD, Lanningham-Foster L
Medicine and Science in Sports and Exercise 2014 Apr;46(3):462-471
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

INTRODUCTION: Walking may be a strategy for increasing moderate-intensity physical activity (MPA) during pregnancy. PURPOSE: This study aimed to promote MPA among overweight and obese pregnant women, via walking, and to evaluate the effect of the intervention on maternal and birth outcomes. METHODS: Thirty-seven overweight or obese pregnant women were randomly assigned to a walking intervention or control group. Anthropometric and objective PA (StepWatch Activity Monitor) data were collected for four 1-wk periods: weeks 10 to 14 (V1), weeks 17 to 19 (V2), weeks 27 to 29 (V3), and weeks 34 to 36 (V4) of gestation. Participants provided information about maternal and birth outcomes. A cadence of => 80 steps per minute was defined as MPA, and "meaningful walking" was defined as moderate walking in >= 8-min bouts. ANOVA was used to determine the differences in walking amount and meaningful walks, the Kolmogorov-Smirnov test was used for walking intensity distribution analysis, and Fisher's exact test was used for maternal and infant outcomes analyses. Pearson correlation was used to examine the association between prepregnancy body mass index and gestational weight gain (GWG). RESULTS: There was significantly more MPA among women in the intervention group compared with those in the control group at V2 (overweight, p < 0.0001; obese, p < 0.025), V3 (overweight, p < 0.0001), and V4 (overweight, p < 0.0001; obese, p < 0.025). Women in the intervention group significantly increased their meaningful walks at V2 (p = 0.054), V3 (p = 0.01), and V4 (p = 0.014). There were trends for intervention group women to have more favorable maternal and birth outcomes compared with the control group. Rates of GWG at measurement points during pregnancy were significantly associated with preceding rates of GWG. CONCLUSION: The pilot, unsupervised walking intervention increased the MPA of overweight and obese women during pregnancy.

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