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The aim of this rct -study is to explore the effect of a dietary intervention for overweight (body maas index BMI≥25) and obese (BMI≥30) pregnant women on gestational weight gain and the prevalence of gestational diabetes.
Pregnant women are recruited for the study from 18 maternity care clinics in Northern Savo and Northern Karelia area. The participants will be randomized into intervention and control groups. All the participants will have access to the study web-pages, which includes written material of healthy diet during pregnancy as well as all the study material (4 day food records, Three factor eating questionnaire (TFEQ R-18) and Binge Eating Scale (BES)). In addition, intervention group will get two virtual dietary counseling sessions by a dietician. The information on participants' gestational weight gain and the result of oral glucose tolerance tests will be collected by the public health nurses after birth.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention group | Experimental | Dietary intervention: Written material on healthy diet during pregnancy, 2 virtual dietary counseling sessions given by a dietician. Otherwise basic care and counseling at maternity care clinics. |
|
| Control group | No Intervention | Written material on healthy diet during pregnancy, otherwise basic care and counseling at maternity care clinics. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dietary intervention | Behavioral | Written material on healthy diet during pregnancy and 2 virtual dietary counseling sessions. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Gestational weight gain (GWG) | gestational weight gain (from pre-pregnancy weight until childbirth), measured at maternity care clinic. | immediately after the intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Gestational diabetes mellitus (GDM) | GDM is measured by the result of an oral glucose tolerance test (OGTT) | immediately after the intervention |
| Eating habits I | eating habits are measured by 4 day food records |
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Inclusion Criteria:
Exclusion Criteria:
Females because of pregnancy
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| Name | Affiliation | Role |
|---|---|---|
| Reeta Lamminpää | University of Eastern Finland | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Antenatal maternity care clinics (n=6) | Joensuu | Finland | ||||
| Antenatal maternity care clinics (n=12) |
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| ID | Term |
|---|---|
| D005247 | Feeding Behavior |
| D009765 | Obesity |
| D016640 | Diabetes, Gestational |
| D000078064 | Gestational Weight Gain |
| ID | Term |
|---|---|
| D001522 | Behavior, Animal |
| D001519 | Behavior |
| D050177 | Overweight |
| D044343 | Overnutrition |
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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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| During the intervention up to gestational weeks 36-37 |
| Eating habits II | Eating habits are measured by TFEQ R-18 questionnaire | During the intervention up to gestational weeks 37-42 |
| Eating habits III | Eating habits are measured by Binge Eating Scale (BES) | During the intervention up to gestational weeks 37-42 |
| Kuopio |
| Finland |
| D009748 |
| Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D004700 | Endocrine System Diseases |
| D015430 | Weight Gain |
| D001836 | Body Weight Changes |