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BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2024

Open Access 01-12-2024 | Research

The sedentary behavior reduction in pregnancy intervention (SPRING) pilot and feasibility randomized trial

Authors: Bethany Barone Gibbs, Andrea C. Kozai, Shannon N. McAdoo, Kelliann D. Davis, Meghan B. Savidge, Joshua L. Paley, Alisse Hauspurg, Janet M. Catov

Published in: BMC Pregnancy and Childbirth | Issue 1/2024

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Abstract

Pregnant individuals rarely achieve moderate-to-vigorous intensity physical activity recommendations.
Purpose The sedentary behavior reduction in pregnancy intervention (SPRING) pilot and feasibility randomized trial aimed to demonstrate feasibility, acceptability, and initial efficacy of a lower intensity intervention targeting reduced sedentary behavior and increased standing and steps.
Methods First trimester pregnant individuals at risk for high sedentary behavior and adverse pregnancy outcomes (APO) were randomized 2:1 to a multi-component sedentary behavior reduction intervention or no-contact control. Intervention components included biweekly remote health coaching, wearable activity monitor, height-adjustable workstation, and a private Facebook group. Evidence-based behavioral targets included sedentary time < 9 h/day, increasing standing by 2–3 h/day, and ≥ 7500 steps/day. Participants completed all-remote assessments (baseline, second trimester, third trimester) of sedentary behavior and activity (thigh-worn activPAL) along with exploratory pregnancy health outcomes abstracted from medical records. Intervention effects vs. control were evaluated using generalized mixed models and an intention-to-treat approach. Intervention participants also provided feedback on perceived benefits and acceptability.
Results Participants (34 intervention; 17 control) had mean age 32 years, were 83% White, with mean pre-pregnancy BMI 28 kg/m2. Retention was high (90% and 83% at second and third trimester follow-up visits). Intervention participants decreased sedentary time (-0.84 h/day, p = 0.019) and increased standing (+0.77 h/day, p = 0.003), but did not increase steps/day (+710, p = 0.257) compared to controls. Intervention participants reported many perceived benefits and identified the wearable, height-adjustable workstation, and behavioral lessons as most useful.
Conclusion For pregnant individuals at risk for high sedentary behavior and APOs, a sedentary behavior reduction intervention is feasible, acceptable, and may offer a viable alternative to more intense physical activity recommendations during pregnancy. Further testing in a fully powered clinical trial is warranted.
Trial registration NCT05093842 on clinicaltrials.gov
Appendix
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Metadata
Title
The sedentary behavior reduction in pregnancy intervention (SPRING) pilot and feasibility randomized trial
Authors
Bethany Barone Gibbs
Andrea C. Kozai
Shannon N. McAdoo
Kelliann D. Davis
Meghan B. Savidge
Joshua L. Paley
Alisse Hauspurg
Janet M. Catov
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2024
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-024-06474-3

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