Preconception Lifestyle Interventions to Improve Future Metabolic Health (Before the Beginning)

NCT ID: NCT04585581

Last Updated: 2024-08-26

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

167 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-06

Study Completion Date

2026-12-31

Brief Summary

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The aim of this study is to investigate whether the combination of high intensity exercise and time restricted eating before and during pregnancy can reduce the risk of hyperglycaemia during pregnancy.

Detailed Description

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Women who are planning a pregnancy will be recruited into a parallel groups randomised controlled trial where the intervention will consist of high intensity training and time-restricted eating. The intervention will continue throughout pregnancy. The investigators will assess whether this lifestyle intervention can effect maternal and offspring cardiometabolic health.

Conditions

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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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diet + training

Group Type EXPERIMENTAL

time-restricted eating

Intervention Type BEHAVIORAL

Participants will be asked to limit the time-window for their daily energy intake to a maximum of 10 hours.

high intensity exercise

Intervention Type BEHAVIORAL

Participants will be encouraged to exercise with high intensity 2-3 times per week

Standard Care

Intervention Type OTHER

Standard clinical care

controls

Group Type ACTIVE_COMPARATOR

Standard Care

Intervention Type OTHER

Standard clinical care

Interventions

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time-restricted eating

Participants will be asked to limit the time-window for their daily energy intake to a maximum of 10 hours.

Intervention Type BEHAVIORAL

high intensity exercise

Participants will be encouraged to exercise with high intensity 2-3 times per week

Intervention Type BEHAVIORAL

Standard Care

Standard clinical care

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* contemplating pregnancy within the next six months
* At least one of the following criteria: BMI ≥ 25 \< 40 kg/m2, gestational diabetes in a previous pregnancy, previous infant \> 4.5 kg, fasting plasma glucose \> 5.3 mmol/L, or Non-European ethnicity

Exclusion Criteria

* On-going pregnancy
* Trying to conceive ≥ 6 cycles at study entry
* Known diabetes (type 1 or 2)
* Shift work that includes night shifts \> 2 days per week
* Previous hyperemesis
* Known cardiovascular diseases
* High intensity exercise ≥ 2 hours/week the last 3 months
* Habitual eating window ≤ 12 hours
Minimum Eligible Age

18 Years

Maximum Eligible Age

39 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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St. Olavs Hospital

OTHER

Sponsor Role collaborator

Norwegian University of Science and Technology

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Øystein Risa

Role: STUDY_DIRECTOR

Norwegian University of Science and Technology, Fac MH ISB

Kjell Å Salvesen, md prof

Role: STUDY_DIRECTOR

St Olavs Hospital, Dept Obstetrics & Gynecology

Locations

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St Olavs Hospital

Trondheim, , Norway

Site Status

Countries

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Norway

References

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Sujan MJ, Skarstad HM, Rosvold G, Fougner SL, Follestad T, Salvesen KA, Moholdt T. Time restricted eating and exercise training before and during pregnancy for people with increased risk of gestational diabetes: single centre randomised controlled trial (BEFORE THE BEGINNING). BMJ. 2025 Sep 9;390:e083398. doi: 10.1136/bmj-2024-083398.

Reference Type DERIVED
PMID: 40925657 (View on PubMed)

Sujan MAJ, Skarstad HMS, Rosvold G, Fougner SL, Nyrnes SA, Iversen AC, Follestad T, Salvesen KA, Moholdt T. Randomised controlled trial of preconception lifestyle intervention on maternal and offspring health in people with increased risk of gestational diabetes: study protocol for the BEFORE THE BEGINNING trial. BMJ Open. 2023 Oct 4;13(10):e073572. doi: 10.1136/bmjopen-2023-073572.

Reference Type DERIVED
PMID: 37793933 (View on PubMed)

Other Identifiers

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143756

Identifier Type: -

Identifier Source: org_study_id

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