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Intervention to Promote Changes of Healthy Lifestyle (Physical Activity and Nutrition) During Gestation

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ClinicalTrials.gov Identifier: NCT01782105
Recruitment Status : Completed
First Posted : February 1, 2013
Last Update Posted : December 11, 2013
Sponsor:
Collaborators:
Diabetes Québec
Fonds de la Recherche en Santé du Québec
Information provided by (Responsible Party):
Marie-France Hivert, Université de Sherbrooke

Brief Summary:

The purpose of this study are:

  • Assess the impact of an intervention to the adoption of healthy lifestyles among pregnant women at high risk of gestational diabetes mellitus on:

    • weight gain in pregnancy
    • the levels of maternal and fetal adipokines and
    • glycemic control maternal and fetal.
  • Determine whether the adoption of healthy lifestyles in pregnancy is associated with epigenetic changes that influence the levels of adipokines and glucose regulation during pregnancy and in newborns.

Condition or disease Intervention/treatment Phase
Excessive Weight Gain During Pregnancy Gestational Diabetes Behavioral: Healthy lifestyle counseling Behavioral: Control group Not Applicable

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 16 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Intervention en Changement Des Habitudes de Vie Par l'Activité Physique et un Support Nutritionnel Durant la Grossesse en Estrie
Study Start Date : December 2011
Actual Primary Completion Date : September 2013
Actual Study Completion Date : October 2013

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U.S. FDA Resources

Arm Intervention/treatment
Active Comparator: Control group
In addition to the usual monitoring of pregnancy, this group will receive information about the recommended weight gain during pregnancy and an evaluation about of their nutritional and physical activity habits.
Behavioral: Control group
Evaluation of nutritional and physcial activity habits
Experimental: Intervention group

This group will receive a regular monitoring by health professionals (nutritionist and kinesiologist) who will ensure nutritional changes and physical activity necessary to secure the adoption of a healthy lifestyle and could participate to a physical activity group session once a week until week 36 of gestation.

The intervention include:

A nutritional counseling every 2 weeks by a nutritionist until week 36 of gestation; a physical activity group session once a week lead by a kinesiologist until week 36 of gestation; 2 sessions of physical activity counseling (weeks 12 and 24).

Behavioral: Healthy lifestyle counseling
Nutritionnal and physical activity counseling and physical activity session group
Other Name: Intervention group



Primary Outcome Measures :
  1. Weight change during pregnancy [ Time Frame: Weeks 12, 24, 36 of gestation ]

Secondary Outcome Measures :
  1. Levels of maternal and fetal adipokines [ Time Frame: Weeks 12, 24 of gestation and at delivery (in cord blood) ]
  2. Maternal and fetal glycemic control [ Time Frame: Weeks 12, 24 of gestation and at delivery ]
    Results of glucose tolerance test (50g and 75g)

  3. Determine whether the adoption of healthy lifestyle in pregnancy is associated with epigenetic changes that influence the levels of adipokines and glucose regulation during pregnancy and in newborns. [ Time Frame: Weeks 12, 24 of gestation and at delivery (cord blood) ]
  4. Optimize the intervention before measuring its impact on the prevention of gestational diabetes mellitus on a larger scale. [ Time Frame: throughout the study ]
    Documentation will be collected about appreciation of the participants and attendance.



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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • be aged ≥ 18 years,
  • have a pre-pregnancy BMI ≥ 25 kg/m2,
  • be at risk of developing a gestational diabetes mellitus (a history of gestational diabetes mellitus or glucose 1 hour post-50g > 7.1 mmol/L.

Exclusion Criteria:

  • Pre-pregnancy diabetes detected in the first trimester (A1c > 6.5%, fasting glucose > 7.0 mmol/L, random blood glucose> 11.1 mmol/L, glucose > 10.3 mmol/L 1 hour post-50g)
  • twin pregnancy
  • taking medications that can affect blood sugar or weight,
  • practice ≥ 150 minutes of physical activity per week
  • against formal-indication for physical activity.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01782105


Locations
Canada, Quebec
Centre Hospitalier Universitaire de Sherbrooke
Sherbrooke, Quebec, Canada, J1H5N4
Sponsors and Collaborators
Université de Sherbrooke
Diabetes Québec
Fonds de la Recherche en Santé du Québec
Investigators
Principal Investigator: Marie-France Hivert, MD, MSc Université de Sherbrooke

Responsible Party: Marie-France Hivert, MD, MSc, Université de Sherbrooke
ClinicalTrials.gov Identifier: NCT01782105     History of Changes
Other Study ID Numbers: I-CHANGE
First Posted: February 1, 2013    Key Record Dates
Last Update Posted: December 11, 2013
Last Verified: December 2013

Keywords provided by Marie-France Hivert, Université de Sherbrooke:
weight gain
healthy lifestyle
gestational diabetes
adipokins
glycemic regulation

Additional relevant MeSH terms:
Diabetes, Gestational
Weight Gain
Pregnancy Complications
Diabetes Mellitus
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases
Body Weight Changes
Body Weight
Signs and Symptoms