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Trial registered on ANZCTR
Registration number
ACTRN12612000932864
Ethics application status
Approved
Date submitted
17/08/2012
Date registered
3/09/2012
Date last updated
2/04/2014
Type of registration
Prospectively registered
Titles & IDs
Public title
IMPROVE- Improving Maternal and Progency Obesity Via Exercise: Antenatal exercise in overweight and obese women and its effects on offspring and maternal health
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Scientific title
A prospective randomised controlled trial on the effects of antenatal exercise in overweight and obese women on offspring and maternal health
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Secondary ID [1]
281052
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Nil
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Universal Trial Number (UTN)
U1111-1133-5895
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Trial acronym
IMPROVE- Improving Maternal and Progency Obesity Via Exercise
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Obesity prevention
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Condition category
Condition code
Reproductive Health and Childbirth
287521
287521
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0
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Fetal medicine and complications of pregnancy
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Metabolic and Endocrine
287522
287522
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0
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Other metabolic disorders
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Diet and Nutrition
287528
287528
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0
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Obesity
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A regular moderate intensity exercise program staring from the 20th week of pregnancy and continuing to the 36 th week of pregnancy consisting of 30- 45 minutes of exercise, 5 times a week. The intervention will consist of stationary cycling at home, supervised/overseen by a trained exercise physiologist. Exercise sessions will be monitored by heart rate monitors and exercise intensity kept at moderate intensity (40-59% VO2 reserve)
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Intervention code [1]
285510
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Prevention
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Intervention code [2]
285520
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Lifestyle
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Intervention code [3]
285593
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Treatment: Other
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Comparator / control treatment
Control subjects (ie not undertaking the exercise intervention arm) will be asked to do the physical activities they would normally do.
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Control group
Active
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Outcomes
Primary outcome [1]
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Birth weight will be measured on electronic scales within 24 hours of birth.
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Assessment method [1]
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Timepoint [1]
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Within 24 hours of term delivery
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Primary outcome [2]
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Neonatal body composition by DEXA scanning
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Assessment method [2]
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Timepoint [2]
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at 14 days after delivery
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Secondary outcome [1]
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Maternal weight gain based on weight taken at initial obsteric assessment at 20 weeks and compared to weight at 36 weeks gestation. This will be measured on electronic scales at the Liggins Institute.
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Assessment method [1]
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Timepoint [1]
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Change in maternal body weight from 20 weeks (baseline) to 36 weeks of gestation (end of intervention)
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Secondary outcome [2]
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Maternal body composition by DEXA scan
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Assessment method [2]
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Timepoint [2]
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At 2 weeks post-partum
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Secondary outcome [3]
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Maternal obstetric complications- gestational diabetes mellitus, pregnancy induced hypertension. Data from obstetric visits (which will be different obstetricians caring for these women) will be collated by the research team and analysed. Oral glucose tolerance tests will be performed as part of the study at 28 weeks and these results will be analysed seperately.
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Assessment method [3]
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Timepoint [3]
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From baseline (20 weeks of gestation to time of delivery)
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Eligibility
Key inclusion criteria
Pregnant women with a BMI => 25 and a single live fetus confirmed on early pregnancy dating ultrasonography (5-16 weeks of gestation)and a period of gestation < 20 weeks at recruitment
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Minimum age
18
Years
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Maximum age
40
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Smoking and substance abuse
Significant chronic disease
On long term medication known to affect fetal growth
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation to study groups will be performed by an independent statistician
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Sequence generation will be performed by an independent statistician using a computerised random number generation
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/10/2012
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Actual
21/03/2013
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Auckland
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Gravida
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Address [1]
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Gravida, The University of Auckland, Building 505, 85 Park Road, Grafton, Auckland, 1023
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Country [1]
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New Zealand
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Primary sponsor type
University
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Name
Liggins Institute, University of Auckland
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Address
The Liggins Institute
The University of Auckland
2–6 Park Avenue, Grafton
Auckland 1023
New Zealand
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
284736
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Country [1]
284736
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
287859
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Northern B Health and Disabilty Ethics Committee
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Ethics committee address [1]
287859
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Ethics committee country [1]
287859
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Date submitted for ethics approval [1]
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24/08/2012
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Approval date [1]
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16/10/2012
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Ethics approval number [1]
287859
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Summary
Brief summary
Obese women who become pregnant have increased pregnancy weight gain, pregnancy complications and their offspring develop obesity. Lifestyle interventions during pregnancy may restrict fetal overnutrition and metabolic programming of offspring disrupting the obesity cycle. The central hypothesis for this project is that increasing maternal physical activity can improve maternal and neonatal outcomes, in particular protecting the offspring from obesity. Furthermore we hypothesise that these interventions will be reflected in altered gene expression in placenta, muscle, fat and liver. This human study will confirm the clinical efficacy of moderate exercise in overweight and obese women during the last half of pregnancy. Outcome measures in will include alterations in auxology and body composition during fetal life, at birth and through childhood (latter stage will be another study), serum biochemistry and hormones. These studies represent translational research targeting the very earliest development of obesity to reduce the health burden of this major health issue.
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Trial website
Nil
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Trial related presentations / publications
Nil
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Public notes
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Contacts
Principal investigator
Name
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Prof Paul Hofman
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Address
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Liggins institute, The University of Auckland
Building 505
85 Park Road
Grafton, Auckland, 1023
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Country
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New Zealand
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Phone
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+ 64 (0)9 923 6453
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Paul Hofman
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Address
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Liggins institute, The University of Auckland
Building 505
85 Park Road
Grafton, Auckland, 1023
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Country
17838
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New Zealand
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Phone
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+ 64 (0)9 923 6453
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Fax
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+ 64 (0)9 3738763
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Email
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[email protected]
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Contact person for scientific queries
Name
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Paul Hofman
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Address
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Liggins institute, The University of Auckland
Building 505
85 Park Road
Grafton, Auckland, 1023
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Country
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New Zealand
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Phone
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+ 64 (0)9 923 6453
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Fax
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+ 64 (0)9 3738763
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Nulliparity is associated with subtle adverse metabolic outcomes in overweight/obese mothers and their offspring.
2017
https://dx.doi.org/10.1111/cen.13426
N.B. These documents automatically identified may not have been verified by the study sponsor.
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