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Primary prevention of gestational diabetes among women at risk: a cluster-randomized controlled trial

Completed
Conditions
Pregnancy and Childbirth
Gestational diabetes
Registration Number
ISRCTN33885819
Lead Sponsor
The Urho Kaleva Kekkonen (UKK) Institute for Health Promotion Research (Finland)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Female
Target Recruitment
600
Inclusion Criteria

Pregnant women in their 8-12th pregnancy week and with at least one of the following criteria:
1. Body mass index at least 25 kg/m2
2. Age at least 40 years
3. History of gestational diabetes or macrosomic child
4. Type 1 or 2 diabetes in any of the first stage relatives

Exclusion Criteria

1. Age < 18 years
2. Type 1 or 2 diabetes before pregnancy
3. Twin pregnancy or otherwise problematic pregnancy based on physician's opinion
4. Physical disability preventing from exercising
5. Substance abuse or history of severe mental illness

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Prevention of gestational diabetes, assessed by: <br>1. Oral glucose tolerance test during pregnancy weeks 26-28<br>2. Weight of the newborn
Secondary Outcome Measures
NameTimeMethod
1. Maternal weight development. Maternal weight will be measured 5 times during pregnancy, on pregnancy weeks 8-9, 16-18, 22-24, 32-34 and 36-37, and 6-8 weeks after delivery.<br>2. Child weight development, followed one year after delivery. <br>3. Need of insulin treatment during pregnancy. This will be determined at time of possible GDM diagnosis (earliest 26-28th week of pregnancy based on Oral Glucose Tolerance Test [OGTT]).
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