The OHSU Pregnancy Exercise & Nutrition (PEN) Program
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Purpose
Personal behaviors can influence development of Gestational Diabetes Mellitus (GDM), a condition that can adversely affect the pregnant woman, her developing fetus and future events for both. To reduce GDM risk, we will develop and implement an in-person team and web-based nutrition and exercise program for women, beginning in their first trimester. A scripted, peer-led, 20-week educational program, tailored for pregnant women working in teams (5 women/team), will be developed and implemented among pregnant employees and/or their spouses. Each weekly thirty minute session will focus on achieving 30-minutes of moderate daily physical activity with nutrition targets of five servings of fruits and vegetables, 3 servings of whole grains and lower fat food choices. Diet, exercise and lab assessments will occur before enrollment during the first trimester, each subsequent trimester and 12 weeks after delivery. In addition to exercise and diet survey results, we will assess fasting glucose, insulin, hemoglobin A1C levels, pregnancy weight gain, blood pressure, lipid and lipoprotein levels, pedometer records, weekly accelerometer data, each trimester and at 12 weeks post delivery, as well as gestational birth age, Apgar score, delivery mode and infant birth weight, and weekly health thermometer self-ratings during the assessment period.
| Condition | Intervention |
|---|---|
|
Gestational Diabetes |
Behavioral: Intervention, behavioral lifestyle education |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Prevention |
| Official Title: | Randomized Control Pilot of a Behavior-based Exercise and Diet Intervention to Reduce Risk Factors for Gestational Diabetes Among Otherwise Healthy Pregnant Women. |
- Achieving 30 minutes of daily exercise, four or more times each week [ Time Frame: 32 weeks ] [ Designated as safety issue: No ]Assessment of daily exercise (in minutes) during pregnancy and 12 weeks post pregnancy for the duration of the study.
- Eating 5 or more servings of vegetables and/or fruits each day [ Time Frame: 32 weeks of the study ] [ Designated as safety issue: No ]Women will self-assess the number of servings of vegetables and fruits each day throughout the study.
- Pregnancy weight gain [ Time Frame: 20 weeks ] [ Designated as safety issue: No ]Assess pregnancy weight gain, in which excessive weight gain is a risk factor for gestational diabetes.
- HemoglobinA1C [ Time Frame: Each trimester and 12-weeks post delivery ] [ Designated as safety issue: No ]Assessing the average plasma glucose concentration over longer time periods.
| Estimated Enrollment: | 30 |
| Study Start Date: | November 2012 |
| Estimated Study Completion Date: | December 2013 |
| Estimated Primary Completion Date: | November 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Intervention, behavioral lifestyle education
Pregnant women will participate in 20 educational sessions designed to promote daily exercise, vegetable and fruit intake, maintain a diet that is relatively lower in fat and rich in whole grains.
|
Behavioral: Intervention, behavioral lifestyle education
Twenty interactive weekly sessions that are scripted curriculum and peer led.
Other Names:
|
|
No Intervention: Control
Standard medical care
|
Eligibility| Ages Eligible for Study: | 18 Years to 40 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria: Healthy first trimester pregnant women -
Exclusion Criteria: hypertension, diabetes, known cardiopulmonary disease; orthopedic problems or other conditions that would prevent regular physical activity.
-
Contacts and Locations| Contact: Linn Goldberg, M.D. | 503-494-3861 | goldberl@ohsu.edu |
| Contact: Esther L Moe, Ph.D. | 503-494-8051 | moe@ohsu.edu |
| United States, Oregon | |
| Oregon Health & Science University | Recruiting |
| Portland, Oregon, United States, 97239 | |
| Contact: Linn Goldberg, MD 503-494-6559 goldberl@ohsu.edu | |
| Contact: Esther L Moe, Ph.D. 503-494-5084 moe@ohsu.edu | |
| Sub-Investigator: Esther L Moe, Ph.D., MPH | |
| Sub-Investigator: Maggie McLain, MPH | |
| Sub-Investigator: Diane L Elliot, M.D. | |
| Sub-Investigator: Diane Stadler, Ph.D. | |
| Sub-Investigator: Jessica Voge, M.D. | |
More Information
No publications provided
| Responsible Party: | Linn Goldberg, Professor of Medicine, Oregon Health and Science University |
| ClinicalTrials.gov Identifier: | NCT01719406 History of Changes |
| Other Study ID Numbers: | eIRB # 8895 |
| Study First Received: | October 29, 2012 |
| Last Updated: | January 17, 2013 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Oregon Health and Science University:
|
Gestational diabetes Exercise Diet Fruits |
Vegetables Whole grains pregnancy weight |
Additional relevant MeSH terms:
|
Diabetes Mellitus Diabetes, Gestational Glucose Metabolism Disorders |
Metabolic Diseases Endocrine System Diseases Pregnancy Complications |
ClinicalTrials.gov processed this record on May 16, 2013