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The purpose of this study is to investigate the effects of nutrition education focusing on colorful fruit and vegetable intake with after-meal physical activity guidance on glycemic control and complications in women with gestational diabetes and pre-gestational diabetes.
Diabetes (high blood sugar) developed during pregnancy can be harmful to the mother as it can lead to delivery complications because of a large baby and increases risks of type 2 diabetes and heart disease in the mother and baby in later life. Thus, pregnancy is a critical time during the human lifespan to make effective dietary changes that are safe for both mother and the fetus and reduce risks of developing diabetes and pregnancy complications. Women at risk for gestational diabetes will be randomly assigned to the standard care or the nutrition education group. Blood draws and other biomedical measures will be collected at baseline and at end of the study before delivery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Prenatal Care/Nutrition Education | No Intervention | Standard prenatal care with primary care physician with USDA-based federal guidelines | |
| Fruit/veggie + postprandial physical activity | Experimental | Nutrition education on increasing fruit and vegetable consumption and physical education on increasing postprandial physical activity for the duration from GDM diagnosis till delivery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dietary Intervention | Behavioral | Increasing fruit and vegetable by two servings a day and at least 30 min a day of postprandial physical activity |
|
| Measure | Description | Time Frame |
|---|---|---|
| Maternal glycemic control | Blood glycated hemoglobin | 12 weeks |
| Maternal gestational weight gain | Body weight | 12 weeks |
| Maternal medication usage | Glucose-lowering medications | 12 weeks |
| Maternal Lipids | LDL-cholesterol and triglycerides | 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Maternal inflammation | Adipokines, C-reactive protein | 12 weeks |
| Maternal serum carotenoids | Carotenoids indicating fruit and vegetable consumption |
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Inclusion Criteria:
Exclusion Criteria:
Females going through pregnancy and diagnosed with gestational diabetes
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| Name | Affiliation | Role |
|---|---|---|
| Arpita Basu, PhD | University of Nevada at Las Vegas | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UNLV School of Medicine MFM clinic | Las Vegas | Nevada | 89154 | United States |
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| ID | Term |
|---|---|
| D016640 | Diabetes, Gestational |
| D003924 | Diabetes Mellitus, Type 2 |
| D008659 | Metabolic Diseases |
| ID | Term |
|---|---|
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D003920 | Diabetes Mellitus |
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| ID | Term |
|---|---|
| D004035 | Diet Therapy |
| ID | Term |
|---|---|
| D044623 | Nutrition Therapy |
| D013812 | Therapeutics |
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| 12 weeks |
| D044882 | Glucose Metabolism Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |