Dietary Habits, Gestational Diabetes, Overweight and Obesity, Weight Gain
Conditions
Keywords
dietary intervention, gestational weight gain, gestational diabetes, overweight, obesity
Brief summary
The aim of this pilot study is to conduct a dietary intervention for overweight (body maas index BMI≥25) and obese (BMI≥30) pregnant women in two maternity care clinics and explore the effect of the intervention on gestational weight gain and the prevalence of gestational diabetes between the intervention and control groups.
Detailed description
Half of the women are allocated to the intervention group and another half for the control group. The intervention group will get written material of healthy diet during pregnancy as well as emphasized nutritional guidance given by public health nurses at each visit in the maternity care clinic. There will also be two group meetings with a dietitian. The control group will get the same written material, but otherwise basic care and guidance at each visit in the maternity care clinics. The collected data of both groups include the information on weight gain, the result of an oral glucose tolerance test and 4 day food records, Three factor eating questionnaire (TFEQ R-18) and Binge Eating Scale (BES).
Interventions
Written material on healthy diet during pregnancy, dietary counseling at each maternity clinic visit given by public health nurse, group meeting with a dietician x2.
Sponsors
Study design
Intervention model description
intervention group and control group.
Eligibility
Inclusion criteria
* Age less than 35 years * BMI 25 or over * healthy, no chronic medical conditions * singleton pregnancy * first trimester of pregnancy at the time of recruitment
Exclusion criteria
* Age 35 and older * BMI less than 25 * chronic medical conditions * multiple pregnancy * pregnancy at second or third trimester at the time of recruitment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| gestational weight gain (GWG) | from first to third trimester of pregnancy, gestational weeks | gestational weight gain from 1st trimester of pregnancy until childbirth, measured at each maternity clinic visit |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| gestational diabetes mellitus (GDM), | gestational weeks 12-16 | GDM is measured by the result of an oral glucose tolerance test (OGTT) |
| eating habits | 1st, 2nd and 3rd trimester of pregnancy, gestational weeks | eating habits are measured by 4 day food records |
| Eating habits | 1st, 2nd and 3rd trimester, gestational weeks | Eating habits are measured by Binge Eating Scale (BES) |
Countries
Finland