An interventional study of Moderate exercise program in Mental Health Wellness and Emotional Problem, sponsored by Universidad Politecnica de Madrid. Status unknown at 1 site in Spain. Open to female participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-07-01.
Sponsored by Universidad Politecnica de Madrid · Not applicable, Interventional, and Prevention
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Among 596 studies in Motor Activity with a site in Spain — 149 open to participants now, 185 under way, 1 of them phase 3. Motor Activity · Spain.
Among the 596 studies in Motor Activity with a site in Spain, this one is the 37th largest by planned enrollment of the 538 interventional ones that give a count, is one of 45 that started in 2022, is one of 514 with no phase, and was the 291st registered.
9,809 studies on the registry are indexed under Motor Activity; 1,915 are open to participants now.
Browse Motor Activity studies →149 of the 596 studies in Motor Activity with a site in Spain are open now. Recruiting first, the newest first:
Universidad Pública de Navarra · Sites in Spain
Ages 65+
University of Valencia · Sites in Spain
Ages 60–99
Universidad San Jorge · Sites in Spain
Ages 18–65 · Healthy volunteers
Institut Investigacio Sanitaria Pere Virgili · Sites in Spain
Ages 18+ · Women only
Alberto Bermejo Franco · Sites in Spain
Ages 70+
A study can be open while its sites in Spain have not opened yet or have stopped. Only those recruiting at a site in Spain →
Of the 1,203 Motor Activity studies recruiting now, 517 (43%) set no upper age limit and 538 (45%) stop at 75 or younger; 180 take children under 18; 420 take healthy volunteers.
This study: 18 Years to 45 Years · female · healthy volunteers too.
The full table on the hub →This tab as a report to print or save as PDF → With an account.
596 studies; the count open now beside each. This study's row is marked.
A study in two phases is counted once above. Listed by phase, each with its combined phases: Phase 1 2 · Phase 2 12 · Phase 3 9 · Phase 4 4
First in 2004; this study’s year is marked. 45 started in 2022.
By drug class, each counting the studies that test any of its medicines:
This study's planned enrollment of 500 is above the median of 60 across 8,397 interventional studies indexed under Motor Activity.
Median enrollment 80 across the 538 interventional studies, 145 across the 58 observational. Of the 333 that completed or were terminated, 5 (2%) have results posted.
This tab as a report to print or save as PDF → With an account.
11 of 596 have an industry lead sponsor. The 10 most frequent:
Universidad Politecnica de Madrid is the lead sponsor of 30 studies on the registry; 4 are open to participants now.
Universidad Politecnica de Madrid has 7 studies filed under Motor Activity — fewer than ten, so there is no comparison to draw.
47 of the studies in Motor Activity with a site in Spain that are under way reach primary completion within a year, 0 of them phase 3. Phase 3 first, then by date:
| Study | Primary completion |
|---|---|
| NCT07183241Universidad Pública de NavarraHospital-to-Home Rehabilitation Through Exercise and Cognitive Training | 2026-12 |
| NCT07489391University of DeustoConcomitant Use of Radiotherapy and Integrated Exercise - Lung Cancer | 2026-12 |
| NCT07232511University of ValenciaExercise-induced Hypoalgesia Effects of Blood Flow Restriction in People With Rotator Cuff-related Shoulder Pain | 2026-12 |
| NCT06446596University of ValenciaTelerehabilitation-based Exercises vs Standard Home-based Exercise in Low Back Pain | 2026-12 |
| NCT06948500Cardenal Herrera UniversityEffectiveness of an IVR-based Therapeutic Exercise Program With Altered Visual Feedback in Fibromyalgia Patients | 2026-12-01 |
Add all 47 to your calendar (.ics) → With an account.
Among the 596 studies in Motor Activity with a site in Spain, from their registry updates:
This tab as a report to print or save as PDF → With an account.
The complex process of pregnancy and childbirth can determine the future health of mother and child. It is the only vital process that involves the modification of practically all of a woman's body systems in order to sustain fetal life. In this sense, it is essential to ensure adequate functioning of all maternal physiological, mental and emotional mechanisms that facilitate fetal growth and development. Complications in any of these health domains and functions may contribute to pathologies and complications that have a detrimental impact on maternal and newborn health.
Pregnancy could be a vulnerable period for women, especially regarding mental and emotional illnesses, which are more likely to manifest during this time compared to other periods of their life. In this sense, a high prevalence of prenatal stress, anxiety and depression exists, which are associated with downstream newborn complications as well.
Depressive symptoms such as sadness, decreased interest in everyday activities, reduced energy and concentration are generated by the aforementioned gestational lability, these symptoms would appear (mostly) at the beginning of the pregnancy. Feelings of being overwhelmed, uneasiness, threat or imminent danger, uncertainty, difficulty in making decisions, obsessive thoughts could be caused by prenatal anxiety.
According to scientific literature, the consequences of mental and emotional disturbances during pregnancy go beyond the gestational period and affect mother, fetus, newborn, and even child development, including complications such as preterm delivery, prolonged and more instrumental labor, low birth weight, pre-term birth, infant's physical and cognitive developmental delay, and the poor mother-infant relationship.
COVID-19. Risks associated with an inactive pregnancy:
The impact of COVID-19 has generated a global crisis never before experienced, which affects physiological, emotional, mental, and social factors for all population groups, including those who are pregnant with important related risks.
The complications associated with confinement (no group support, reduced mobility, the distance between people, etc.), significantly affects the lifestyle of pregnant individuals and potentially remove one of the basic recommendations established by the international scientific community: a physically active lifestyle.
Scientific evidence confirms that engaging in an unhealthy lifestyle during pregnancy, including inactivity, enhances the risk of chronic disease for both mother and fetus. In fact, the growing epidemic of sedentary behavior affects pregnancy and childbirth with adverse pre, peri, and postnatal outcomes. Unfortunately, the situation caused by COVID-19 could further exacerbate sedentary behavior and its associated complications for pregnant women.
Current Status:
Before the COVID-19 pandemic, the range of prenatal mental and emotional alterations was close to 15-30%, the prevalence being particularly high in low- and middle-income countries. However, the new social and economic situation generated by the COVID-19 pandemic has raised these values significantly, in this sense 37% reported clinically relevant symptoms of depression and 57% of pregnant women experienced symptoms of anxiety.
This means that the pandemic has negatively affected the mental and emotional health of pregnant women, and consequently of future generations. It is necessary (urgent) to intervene right now with preventive policies and alternatives.
The difficulty and associated (maternal/fetal) risks of pharmacological treatment of mental and emotional illnesses during pregnancy, requires the scientific search for new alternatives, especially aimed at the prevention of these pathologies.
There are important lifestyle recommendations promoted by the scientific community about establishing elements that ensure a healthy pregnancy. However, a small percentage of pregnant women meet global healthy lifestyle guidelines. In fact, the scientific literature reports an increase of perinatal disorders, for example, a high percentage of women continue to gain excessive weight during pregnancy in spite of mentioned health recommendations, and this in turn also increases the risk for other complications.
There are no official estimates of healthcare costs that these complications generate but obviously, we speculate significant amounts.
Worldwide, 80% of pregnant women or (or maybe more) don´t achieve the minimum weekly amount of 150 minutes of moderate physical activity intensity. In Spain, this inactivity is similar to other countries, with approximately 19.7% of women achieving the American College of Obstetricians and Gynecologists (ACOG) recommendations to be active weekly during pregnancy.
Physical exercise as a preventive factor:
Given this complex problem, it is necessary (urgent) to find non-invasive prevention mechanisms to benefit the wellbeing of the mother and her child, taking into account that pregnancy predisposes the woman to a significant change in lifestyle.
As substantiated by scientific evidence, physical exercise during pregnancy does not cause adverse effects on the mother and fetus. Indeed, physical exercise during pregnancy may prevent chronic disease risk in the mother and fetus.
Although the scientific literature is not entirely conclusive, many studies show the positive influence of a physical activity program during pregnancy on maternal mental and emotional status (even with better benefits if it´s supervised); this could be a good approach to maintain healthy mental wellbeing.
GESTACTIVE will examine the effects of a supervised moderate exercise program during pregnancy as a preventive tool for mental and emotional distress, as well as associated complications. The results of this proposal will contribute to the improvement of the quality of life of pregnant women and thus the promotion of health of future generations.
Hypothesis Aerobic, moderate, and supervised exercise during pregnancy can be an efficient element of the prevention of mental and emotional alterations that the situation generated by COVID-19 causes to the healthy pregnant population and their children.
Objective Examine the influence of a supervised aerobic exercise program during pregnancy, in non-face-to-face and face-to-face ways, on the prevention of maternal mental and emotional health, fetal, newborn, and infant outcomes during the pandemic state and in the near future.
Material and Methods:
- Study design. A randomized clinical trial (RCT) will be carried out, not masked with healthy pregnant women, giving rise to two study groups: exercise group (EG), pregnant women participating in a regular program of supervised physical exercise and control group ( CG), pregnant women who receive normal obstetric monitoring of their pregnancy, including recommendations regarding dietary-nutritional factors, as well as the benefits of an active pregnancy. All selected pregnant women will sign an Informed Consent before participating in the study.
Women randomly assigned to the CG received general advice from their health care provider about the positive effects of physical activity. Participants in the CG had their usual visits with health care providers during pregnancy, which were equal to the exercise group. Women were not discouraged from exercising on their own. However, women in the CG were asked about their exercise once each trimester using a "Decision Algorithm" (by telephone).
Intervention
General characteristics of the physical exercise program:
Basic Considerations:
a, All the activities carried out will be aerobic.
b. Avoid working positions in which areas normally overloaded by pregnancy are further affected.
c. The work corresponding to flexibility will be carried out always bearing in mind that these are pregnant women, this forces us once again not to include forced operating positions in the exercises or to excessively maintain the stretching times in each area.
d. An adequate fluid intake will be maintained before and after the activity.
e. Also as a general rule and to eliminate potential risks, the following will be avoided:
Structure:
All sessions will begin with a warm-up of 7-8 minutes composed of mild movements and joint mobility of upper and lower limbs exercises. Then a central part of 35-40 minutes, four types of activities will be included (aerobic work, muscle strengthening, coordination/balance tasks, pelvic floor exercises), finally a section of flexibility, relaxation and final talk (comments and sharing) will be performed (12-15 minutes).
Below we offer a greater detail of each part:
I. Warm-up-General activation. Displacements varied without impact activities (avoiding jumps, falls). Mild work of mobility of the main joints.
II. Aerobic section. Exercise to increase intensity up to moderate activities, play with sports equipment (balls, ropes, pikes), or choreographies of different musical styles.
III. Muscle strengthening, general toning exercises of the whole body: lower part (calf, quadriceps, hamstrings, adductors, abductors), upper part (abdominal, pectoral, shoulders, paravertebral musculature). Also exercises for the most weakened and needy muscle groups during pregnancy, the aim is to avoid muscular decompensation.
IV. Coordination and balance exercises: simple tasks of eye-hand and eye-foot coordination with sports equipment, as well as body axis balance exercises.
V. Strengthening the pelvic floor muscles, Kegel exercises will be applied and is basically composed of contractions (slow and fast) of the different structures of the pelvic floor musculature.
VI. Relaxing section during 7-8 minutes, aiming to gradually lower the intensity of work with flexibility-stretching and relaxation exercises.
VII. Final Talk. This part is intended for pregnant women to express clearly and openly the sensations and perceptions experienced during the session. The reflection of each participant on the effect of physical practice is sought, not only in the physical or physiological aspect but also in the psychic and emotional section. The exchange of impressions between the pregnant women enhances the role of a correctly designed and conducted physical exercise program, as a social mobile of maintenance and improvement of the quality of life of the pregnant woman.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
- Pregnant women fulfilling the following criteria: >18 years old, singleton pregnancies and planning management and delivery at the research hospitals, and also do not participate in any other program of supervised physical exercise.
Exclusion Criteria:
Women with absolute . Women with relative contraindications need permission from obstetric care providers prior to participation:
Absolute contraindications to exercise:
Relative contraindications to exercise:
Women in the CG were asked about their exercise once each trimester using a "Decision Algorithm" and those who are excessively actives were excluded.
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.
Contraindication
A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
The design of the physical exercise program will be supported by the Canadian and Spanish Guidelines for exercise throughout pregnancy and published by Barakat model. Frequency: The program will consist of three weekly sessions. The duration of every session will be 55-60 minutes. The intensity of the workload will be 55-60% of the maximum maternal Heart Rate, and controlled by Polar monitor (FT60). Likewise, once a week, the Borg Scale of Perceived Effort will be administered to participants, in order to have a more reliable assessment of the intensity of the activities, 12-14 (moderate; out of a 20 point scale) will be the level used. The minimum adherence required for the participants will be 80% of the total sessions (approximately 80 sessions).
Other: Moderate exercise program
Women randomly assigned to the control group (CG) received general advice from their health care provider about the positive effects of physical activity. Participants in the CG had their usual visits with health care providers during pregnancy, which were equal to the exercise group. Women were not discouraged from exercising on their own. However, women in the CG were asked about their exercise once each trimester using a "Decision Algorithm" (by telephone).
Exercise program All sessions will begin with a warm-up of 7-8 minutes composed of mild movements and joint mobility of upper and lower limbs exercises. Then a central part of 35-40 minutes, four types of activities will be included (aerobic work, muscle strengthening, coordination/balance tasks, pelvic floor exercises), finally a section of flexibility, relaxation, and final talk (comments and sharing) will be performed (12-15 minutes). Healthy lifestyle advise This intervention consists of providing guidelines and videos with advice on healthy habits throughout the pregnancy process. This type of content will be related to daily physical activity, food recommendations, and fundamental exercises to perform during pregnancy.
Prenatal depression (CES-D)
analyze with a questionnaire the variability during pregnancy (Likert scale 0-3)
Time frame: 9 months
Prenatal anxiety, State-Trait Anxiety Inventory (STAI)
analyze with a questionnaire the value and its interrelationship with physical exercise patterns (Likert scale 0-3)
Time frame: 9 months
Prenatal stress, Perceived Stress Scale (PSS)
analyze with a questionnaire the value and its interrelationship with physical exercise patterns(Likert scale 0-3)
Time frame: 9 months
Postnatal depression, Edinburgh Postnatal Depression Scale (EPDS).
analyze with a questionnaire the value and its interrelationship with physical exercise during pregnancy(Likert scale 0-5)
Time frame: 6 months
Postnatal anxiety, State-Trait Anxiety Inventory (STAI)
analyze with a questionnaire the value and its interrelationship with physical exercise patterns (Likert scale 0-3)
Time frame: 6 months
Postnatal stress, PSS (Perceived Stress Scale)
analyze with a questionnaire the value and its interrelationship with physical exercise patterns(Likert scale 0-5; higher scores mean a worse outcome)
Time frame: 6 months
Maternal weight gain
analyze the increase during pregnancy
Time frame: 9 months
Blood pressure
analyze how it varies during pregnancy
Time frame: 9 months
O'Sullivan test (OGTT)
analyze the value and its interrelationship with physical exercise patterns
Time frame: 1 month
Urinary Incontinence Questionnaire (ICIQ-SF)
analyze with a questionnaire the value and its interrelationship with physical exercise patterns (different measures in the questionnaire)(Likert scale 0-5; higher scores mean a worse outcome)
Time frame: 9 months
Behavior of Fetal Heart Rate
analyze variability during pregnancy
Time frame: 3 months
Gestational age
analyze the value and its interrelationship with physical exercise patterns
Time frame: 9 months
Type of delivery (Vaginal, instrumental or cesarean)
analyze whether women have had a vaginal, instrumental, or cesarean delivery and its interrelationship with physical exercise patterns
Time frame: 1 month
Duration of labor
analyze the value and its interrelationship with physical exercise patterns
Time frame: 1 month
Birthweight
analyze the value and its interrelationship with physical exercise patterns
Time frame: 1 month
Child's weight
analyze the value and its interrelationship with physical exercise patterns during pregnancy
Time frame: 24 months
Child's height
analyze the value and its interrelationship with physical exercise patterns during pregnancy
Time frame: 24 months
Mental assessment of the child (depression questionnaire adapted to childhood)
analyze the value and its interrelationship with physical exercise patterns during pregnancy (Likert scale 0-3)
Time frame: 24 months
Psychomotor behavior of the child
analyze some variables (sitting, crawling, standing, walking, holding objects...) and its relationship with maternal exercise
Time frame: 24 months
Maternal pains during pregnancy (headache, back pain, pelvic pain, paravertebral, scapular, etc.)
analyze the value and its interrelationship with physical exercise patterns
Time frame: 9 months
Fetal growth and development
analyze the value and its interrelationship with physical exercise patterns
Time frame: 9 months
Delivery tears
analyze the value and its interrelationship with physical exercise patterns
Time frame: 1 month
Performing episiotomy during childbirth
analyze the appearance (descriptive: yes/no) and its interrelationship with physical exercise patterns
Time frame: 1 month
Apgar Score
analyze the value and its interrelationship with physical exercise patterns (1 to 10)
Time frame: 1 month
Birth length
analyze the value and its interrelationship with physical exercise patterns
Time frame: 1 month
Head circumference
analyze the value and its interrelationship with physical exercise patterns
Time frame: 1 month
Landau reflexes test
analyze the value and its interrelationship with physical exercise pattern
Time frame: 1 month
Neonatal intensive care unit (NICU)
analyze the number of admissions and its interrelationship with physical exercise patterns
Time frame: 1 month
Postpartum recovery of pre-pregnancy weight
analyze how it varies during postpartum period
Time frame: 12 months
Umbilical cord Ph
analyze the value and its interrelationship with physical exercise patterns
Time frame: 1 month
Fetal development
analyze variables (estimated fetal weight, Fetal cardiac function, fetal measures, uterine arteries...) by ultrasound
Time frame: 9 months, once a trimester
Carotid intima-media thickness (CIMT)
Measurement of carotid intima-media thickness (CIMT) with B-mode ultrasound is a noninvasive, sensitive, and reproducible technique for identifying and quantifying subclinical vascular disease and for evaluating cardiovascular disease (CVD) risk.
Time frame: 9 months
Maternal sleep habits
analyze with Pittsburgh´s sleep quality index (Likert scale 0-5; higher scores mean a worse outcome)
Time frame: 9 months
Maternal body self-perception
analyze using Ben-Toby Walker Body Attitude Questionnaire (Likert scale 0-5; higher scores mean a worse outcome)
Time frame: 9 months
Newborn sleep habits
analyze using Brief Infant Sleep Questionnaire (Likert scale 0-5; higher scores mean a worse outcome)
Time frame: 24 months
Perception of health status - Short Form 36 health scale
analyze the value and its interrelationship with physical exercise patterns (Likert scale 0-5; higher scores mean a better outcome)
Time frame: 9 months
Placental angiogenic factors
placental growth factor (PIGF)
Time frame: measured at 24-25 weeks and at 34-35 weeks
Placental angiogenic factors
soluble fms-like tyrosinekinase-1 (sFlt1)
Time frame: measured at 24-25 weeks and at 34-35 weeks
Lipidic profile
( Total Cholesterol, LDL-Cholesterol, HDL- Cholesterol, Tryglicerids)
Time frame: measured at 24-25 weeks and at 34-35 weeks
Recovery of pelvic floor muscles ultrasound
analyze the diameter and thickness of muscles in the perineal area and their interrelationship with physical exercise patterns
Time frame: 6 months
Maternal habits of physical activity - Pregnancy Physical Activity Questionnaire (PPAQ)
analyze with a questionnaire how it varies during and after pregnancy
Time frame: 12 months
Pregestational maternal patterns
analyze sociodemographic and behavioral habits like (smoking, alcoholism, previous illness, COVID-19, parity, occupation, previous miscarriage...)
Time frame: 9 months
Coronavirus disease
analyze the coronavirus condition during pregnancy and its interrelationship with other variables
Time frame: 9 months
Plan to share: No
Started Mar 2022 (actual). Primary completion is estimated for Jan 2024, 21 months after the start.
Of 5,155 non-industry interventional studies with no phase under Motor Activity, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 36. This study's planned 21 months is above that.
Counting every sponsor, half of 5,215 studies reached it within 17 months; a quarter within 7 and three quarters within 36.
How these figures are worked out, and which studies are left out of them.
This study is status unknown, as verified in Jun 2022. You cannot join it, but the record below documents what was studied.
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Universidad Politecnica de Madrid