Prevention of Gestational Diabetes

NCT ID: NCT01130012

Last Updated: 2010-12-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

440 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-04-30

Study Completion Date

2006-12-31

Brief Summary

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Gestational diabetes mellitus (GDM)is a major health problem

* growing prevalence of obesity
* the older age of pregnant women

A randomized controlled trial in 54 pregnant voluntary women at high risk for GDM.

* feasibility of an early intervention
* glucose tolerance at weeks 26-28

Detailed Description

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1. A 75-g oral glucose tolerance test (OGTT) was performed at weeks 8-12

1. voluntary women in early pregnancy (n=96)
2. 54 high risk mothers were randomized

* lifestyle intervention group (n=27)
* close follow-up (n=27)
2. An OGTT was performed again at weeks 26-28

* the lifestyle intervention group (n=27)
* the close follow-up group (n=27)
* other high-risk women of the early care group (n=42)who were not randomized
3. An OGTT was also performed at weeks 26-28 in two neighboring municipalities

* a standard care high-risk group(n=171)who did not undergo early intervention
4. Primary outcomes

* number of at risk participants developing GDM during pregnancy in the two arms
5. Secondary outcomes

* the effect of intervention on fetal growth

Conditions

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Gestational Diabetes

Keywords

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Gestational diabetes mellitus Lifestyle intervention Oral glucose tolerance test Insulin treatment Pregnancy outcomes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Lifestyle, follow-up, early care, standard care high/low risk

Lifestyle: The women received counseling by a clinical nutritionist six times and by a physiotherapist six times during pregnancy.

Group Type OTHER

Lifestyle: diet and exercise

Intervention Type BEHAVIORAL

Lifestyle: The women received counseling by a clinical nutritionist six times and by a physiotherapist six times during pregnancy.

Close follow-up

Follow-up: The women received information of the results of a glucose tolerance test (OGTT), reported food records three times during pregnancy, exercise history and exercise diaries monthly.

Group Type OTHER

Close follow-up: reporting diaries of food and exercise

Intervention Type BEHAVIORAL

Follow-up: The women received information of the results of a glucose tolerance test (OGTT), reported food records three times during pregnancy, exercise history and exercise diaries monthly.

Interventions

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Lifestyle: diet and exercise

Lifestyle: The women received counseling by a clinical nutritionist six times and by a physiotherapist six times during pregnancy.

Intervention Type BEHAVIORAL

Close follow-up: reporting diaries of food and exercise

Follow-up: The women received information of the results of a glucose tolerance test (OGTT), reported food records three times during pregnancy, exercise history and exercise diaries monthly.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* high risk for gestational diabetes
* fasting glucose 4.8-5.5 mmol/l and 2-hour glucose of OGTT \<7.8 mmol/l

Exclusion Criteria

* normal glucose tolerance at weeks 8-12
* gestational diabetes at weeks 8-12
Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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South Ostrobothnia Hospital District

UNKNOWN

Sponsor Role collaborator

Kuopio University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Kuopio University Hospital

Principal Investigators

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Eeva Korpi-Hyövälti, MD

Role: PRINCIPAL_INVESTIGATOR

South Ostrobothnia Hospital District

References

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Korpi-Hyovalti E, Heinonen S, Schwab U, Laaksonen DE, Niskanen L. Effect of intensive counselling on physical activity in pregnant women at high risk for gestational diabetes mellitus. A clinical study in primary care. Prim Care Diabetes. 2012 Dec;6(4):261-8. doi: 10.1016/j.pcd.2012.07.004. Epub 2012 Aug 13.

Reference Type DERIVED
PMID: 22898328 (View on PubMed)

Korpi-Hyovalti EA, Laaksonen DE, Schwab US, Vanhapiha TH, Vihla KR, Heinonen ST, Niskanen LK. Feasibility of a lifestyle intervention in early pregnancy to prevent deterioration of glucose tolerance. BMC Public Health. 2011 Mar 24;11:179. doi: 10.1186/1471-2458-11-179.

Reference Type DERIVED
PMID: 21429234 (View on PubMed)

Other Identifiers

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KUH16032005

Identifier Type: -

Identifier Source: org_study_id