Remotely Monitored Exercise Program in Pregnant Women With Obesity

Remotely Monitored and Exercise Program in Gestational Weight Gain in Pregnant Women With Obesity

Pregnant women with obesity will be invited to participate in structured home-based exercise programme, remotely monitored

Pregnant women with obesity will be invited to participate in structured home-based exercise programme, remotely monitored. The remote system use inertial motion trackers, digitizes pregnant women motion and provides real-time feedback on performance through a mobile app. It also includes a web-based platform that allows the clinical team to prescribe, monitor and adapt the exercise program remotely. This way, the system allows patients to perform independent exercise program at home without the need for constant therapist supervision, ensuring remote monitoring throughout the rehabilitation program. The exercise programme will be performed since the first gestational trimester until delivery.

Data of gestational weight gain, gestational diabetes mellitus, low back pain and quality of life will be colected.

Inclusion Criteria:

• Pregnant women with obesity (BMI ≥ 30 kg/m2) at first gestational trimester

Exclusion Criteria:

• pre-pregnancy BMI < 30 kg/m2;
• previous bariatric surgery;
• hemodynamically significant heart disease;
• restrictive lung disease;
• incompetent cervix or cerclage;
• multiple gestation;
• persistent second- or third-trimester bleeding;
• placenta previa after 26 weeks of gestation;
• premature labor during the current pregnancy;
• ruptured membranes;
• preeclampsia or pregnancy-induced hypertension;
• severe anemia;
• inability to read and understand Portuguese; ->15 weeks gestation.