Soy Supplementation and Gestational Diabetes

NCT ID: NCT02806739

Last Updated: 2016-10-27

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

EARLY_PHASE1

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-01-31

Study Completion Date

2016-09-30

Brief Summary

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The purpose of this study is to assess the feasibility of randomizing pregnant women at high risk for gestational diabetes to a 24-week period of soy food consumption. This study will also examine the effects of soy protein and isoflavones on glucose metabolism and lipid levels among pregnant women at high risk for gestational diabetes, and on child's weight and height at birth and 6 weeks of life.

Detailed Description

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Evidence from animal studies, human observational studies, and some randomized controlled trials has suggested that soy protein and isoflavones have beneficial effects on lipid and glucose metabolism. Additionally, soy isoflavones can diffuse across the placenta, enter fetal circulation and potentially reduce the susceptibility to cardiometabolic disorders in adulthood. Given the high prevalence of GDM and its serious health consequences for women and their children, and likely health benefits of soy protein and isoflavones on a panel of metabolic parameters, the role of maternal supplementation of soy protein and isoflavones for prevention of GDM and/or minimization of GDM severity in mothers and for improving health indicators in their offspring merits investigation.

This study will provide new and essential information about the efficacy and feasibility of using soy-based whole foods to prevent and manage gestational diabetes development. This study will be a randomized, placebo-controlled trial. Forty pregnant women at high risk for gestational diabetes will be recruited from the obstetrics services at the Melrose Wakefield Hospital and Tufts Medical Center, and randomized to receive soy-based foods or minimize soy intake, from the 16th gestational week to birth. To measure participants' compliance with the treatment, the study will use three methods: (1) monthly telephone interview about adherence to the treatment; (2) daily soy food intake log; and (3) serum isoflavone concentrations. To evaluate the effects of soy supplementation on GDM, the study will collect blood samples to measure glucose, insulin, HbA1c, and lipids (triglycerides, total cholesterol, high-density lipoprotein cholesterol and low-density lipoprotein cholesterol ). The study will also measure weight and body composition of participating pregnant women and the participants' respective children's weight, length and body composition.

Conditions

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Gestational Diabetes

Keywords

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Soy protein isoflavones gestational diabetes

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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Soy Group (Soy Protein + Isoflavones)

Intervention: Soy-based whole foods containing about 25 grams of soy protein and 60-75 mg isoflavones.

Intervention group will consume soy foods containing about 25 grams of soy protein and 60-75 mg isoflavones per day, from 16th gestational week to birth. Examples of soy foods that contain 25 grams of soy protein and 60-75mg isoflavones include: 2 cups of soy milk, or 12 ounces tofu, or a half cup of soy nuts. Women in the Soy Group will be instructed by a registered dietitian how to incorporate the soy foods into their daily diet.

Group Type EXPERIMENTAL

Soy Group (Soy Protein + Isoflavones)

Intervention Type DIETARY_SUPPLEMENT

Women in the intervention group are asked to eat a combination of soy foods that contain about 25 grams of protein and 60-75 milligrams of isoflavones per day, from the 16th gestational week to birth. A registered dietitian will instruct them to incorporate the soy foods into their daily diet.

Control Group (Minimize Soy Intake)

Control Group will avoid soy supplements and minimize intake of soy foods.

Group Type PLACEBO_COMPARATOR

Control Group (Minimize Soy Intake)

Intervention Type DIETARY_SUPPLEMENT

Women in the control group will be instructed by the dietitian how to avoid soy supplements and minimize soy intake.

Interventions

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Soy Group (Soy Protein + Isoflavones)

Women in the intervention group are asked to eat a combination of soy foods that contain about 25 grams of protein and 60-75 milligrams of isoflavones per day, from the 16th gestational week to birth. A registered dietitian will instruct them to incorporate the soy foods into their daily diet.

Intervention Type DIETARY_SUPPLEMENT

Control Group (Minimize Soy Intake)

Women in the control group will be instructed by the dietitian how to avoid soy supplements and minimize soy intake.

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Age \>=18 years
* ≤ 18 weeks of pregnancy
* Singleton pregnancy
* Have at least one of the risk factors for GDM, including overweight (BMI ≥ 25 kg/m2) before this pregnancy, first-degree relative with type-2 diabetes mellitus (T2DM), abnormal glucose tolerance/GDM in previous pregnancy, and/or history of macrosomia (birth weight ≥ 4,000 gram) in previous pregnancy
* Being able and willing to give written informed consent.

Exclusion Criteria

* Allergic to soy or milk products
* Current smoker
* Preexisting diabetes outside of pregnancy or other heath conditions that could affect glucose levels
* Chronic or serious medical conditions such as hypertension, heart disease, stroke, chronic renal or hepatic disease, or malignant disease (by self-report and medical record review)
* Use of medications that could interfere with insulin secretion or insulin sensitivity
* Weight loss during this pregnancy more than 10% of pre-pregnancy body weight
* Current severe nausea and/or vomiting (by self-report).
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of Massachusetts, Worcester

OTHER

Sponsor Role collaborator

Tufts University

OTHER

Sponsor Role collaborator

Hallmark Health System

OTHER

Sponsor Role collaborator

University of Massachusetts, Boston

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ling Shi, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Massachusetts, Boston

Locations

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Tufts Medical Center

Boston, Massachusetts, United States

Site Status

Countries

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United States

Other Identifiers

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UL1TR000161

Identifier Type: NIH

Identifier Source: org_study_id

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