Objectives: E-health programs may be an excellent strategy to overcome some barriers related to the non-practice of exercise among pregnant women with obesity. This study aims to present a monitored exercise program for pregnant women with obesity using the Sword Phoenix® biofeedback system; and to evaluate pregnant women's perception of the biofeedback system and the exercise program protocol. Methods: A pre-experimental research was done through a One-shot case study design. Twelve pregnant women with Body Mass Index ≥ 30 kg/m2, were invited to perform for two weeks a home-based structured exercise program protocol with a digital biofeedback system, during exercise the women used an accelerometer to measure the intensity of the exercises. At the end of the two-week exercise period, the pregnant women filled in a questionnaire to assess their perception of usability, satisfaction, safety and motivation regarding exercise program and biofeedback system. Results: The accelerometry results indicate that, during the exercise program protocol, the pregnant women spent 79.3% of the time in moderate activities. The adherence to the program had an average performance of 40%. The results of the questionnaire demonstrated that 100% (n=12) of the participants enjoyed the system and recognized it as a safe instrument with the potential to increase physical activity during pregnancy. Discussion: The biofeedback system can be a useful tool for implementing an exercise program for pregnant women with obesity. The proposed exercise program complies with international recommendations for physical exercise during pregnancy, ensuring safety. Additionally, it reduces the team intervention, increases participant motivation, and has the potential to reduce sedentary behavior in pregnant women with obesity.
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