Knowledge into action: proposing an evidence-based group prenatal exercise prescription.

Area of Science:

• Obstetrics and Gynecology
• Exercise Science
• Public Health

Background:

• Current guidelines from the American College of Obstetricians and Gynecologists emphasize exercise during pregnancy.
• There is a need for structured, evidence-based prenatal exercise programs.
• Group-based programs can offer social support and enhance adherence.

Purpose of the Study:

• To provide an evidence-based prescription for a group-based prenatal exercise program.
• To detail the components of each exercise session.
• To identify behavior change techniques promoting high program adherence.

Main Methods:

• The program prescription was developed based on 21 randomized controlled trials.
• Each session includes seven components: warm-up, aerobic, resistance, coordination/balance, pelvic floor training, cool-down, and discussion.
• The Abraham and Michie 26-item behavior change taxonomy was used to analyze adherence strategies.

Main Results:

• The program incorporates specific techniques to foster high adherence.
• The seven-component session structure is detailed.
• Analysis identified common behavioral strategies contributing to program success.

Conclusions:

• The described prenatal exercise program model is evidence-based and effective.
• The program is designed for high adherence.
• This model can be replicated by trained exercise professionals for group prenatal fitness.