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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.
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).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention group | Experimental | Dietary intervention. Intervention group will receive written material on healthy diet during pregnancy, nutritional guidance given by public health nurses at each maternity care clinic visit and group meeting with dietician x2. |
|
| Control group | No Intervention | The control group will receive written material on healthy diet during pregnancy, otherwise basic care and guidance at maternity care clinics. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dietary intervention | Behavioral | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| gestational weight gain (GWG) | gestational weight gain from 1st trimester of pregnancy until childbirth, measured at each maternity clinic visit | from first to third trimester of pregnancy, gestational weeks |
| Measure | Description | Time Frame |
|---|---|---|
| gestational diabetes mellitus (GDM), | GDM is measured by the result of an oral glucose tolerance test (OGTT) | gestational weeks 12-16 |
| eating habits | eating habits are measured by 4 day food records |
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Inclusion Criteria:
Exclusion Criteria:
Eligibility is based on gender
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| Name | Affiliation | Role |
|---|---|---|
| Reeta Lamminpää, PhD | University of Eastern Finland, Department of Nursing Science | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Neulamäki antenatal care clinic | Kuopio | Finland | ||||
| Pyörö antenatal care clinic |
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| ID | Term |
|---|---|
| D005247 | Feeding Behavior |
| D016640 | Diabetes, Gestational |
| D015430 | Weight Gain |
| D050177 | Overweight |
| D009765 | Obesity |
| D000078064 | Gestational Weight Gain |
| ID | Term |
|---|---|
| D001522 | Behavior, Animal |
| D001519 | Behavior |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| ID | Term |
|---|---|
| D004035 | Diet Therapy |
| ID | Term |
|---|---|
| D044623 | Nutrition Therapy |
| D013812 | Therapeutics |
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intervention group and control group.
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| 1st, 2nd and 3rd trimester of pregnancy, gestational weeks |
| eating habits | Eating habits are measured by TFEQ R-18 questionnaire | 1st, 2nd and 3rd trimester, gestational weeks |
| Eating habits | Eating habits are measured by Binge Eating Scale (BES) | 1st, 2nd and 3rd trimester, gestational weeks |
| Kuopio |
| Finland |
| D000091642 | Urogenital Diseases |
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
| D001836 | Body Weight Changes |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |