Gestational diabetes Pregnancy and Childbirth Gestational diabetes
Conditions
Interventions
14 counties are participating in the trial. They are randomised to the intervention and control groups (7 counties each).
Intervention group: Intensified, tailored diet and physical activity counsel
Sponsors
The Urho Kaleva Kekkonen (UKK) Institute for Health Promotion Research (Finland)
Eligibility
Sex/Gender
Female
Inclusion criteria
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
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Prevention of gestational diabetes, assessed by: 1. Oral glucose tolerance test during pregnancy weeks 26-28 2. Weight of the newborn | — |
Secondary
| Measure | Time frame |
|---|---|
| 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. 2. Child weight development, followed one year after delivery. 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]). | — |
Countries
Finland
Outcome results
None listed