Healthy Living in Pregnancy (GeliS)
Multicenter and multidisciplinary public health project in 10 regions of Bavaria, a federal state of Germany, targeting maternal and fetal health. The objective of this trial is to evaluate the efficacy of a lifestyle intervention program focusing on diet, physical activity and weight monitoring during pregnancy. The intervention comprises 4 individual counseling sessions addressing healthy living. Primary outcome: gestational weight gain. Secondary outcomes are pregnancy and obstetric complications like gestational diabetes and rate of caesarean sections as well as offspring health.
The lifestyle intervention program is adapted to the German health care system to allow an immediate implementation after successful evaluation.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Bayreuth, Germany, 95447
- AELF, Fachzentrum L 3.10 Ernährung/Gemeinschaftsverpflegung
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Fürstenfeldbruck, Germany, 82256
- AELF, Fachzentrum L 3.10 Ernährung/Gemeinschaftsverpflegung
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Fürth, Germany, 90763
- AELF, Fachzentrum L 3.10 Ernährung/Gemeinschaftsverpflegung
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Regensburg, Germany, 93057
- AELF, Fachzentrum L 3.10 Ernährung/Gemeinschaftsverpflegung
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Würzburg, Germany, 97074
- AELF, Fachzentrum L 3.10 Ernährung/Gemeinschaftsverpflegung
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Gestational age ≤ 12th week of gestation
- Age: 18 years to 43 years
- Prepregnancy BMI ≥ 18.5 kg/m2 and ≤ 40.0 kg/m2
- Sufficient German language skills
- Written informed consent
Exclusion Criteria:
- Multiple pregnancy
- Any condition preventing physical activity such as placenta praevia, persistent bleeding, cervical incompetence
- Prepregnancy diabetes or early diagnosed gestational diabetes
- Uncontrolled chronic diseases (e.g. thyroid dysfunction)
- Psychiatric or psychosomatic diseases
- Any condition that may interfere with the study protocol
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Intervention
Lifestyle intervention
|
The intervention program consists of four individual counseling modules focusing on diet, physical activity and weight monitoring (12th-16th, 16th-20th, 30th-34th week of gestation and 6th-8th week postpartum).
The counseling sessions are given by carefully trained midwives or medical staff in combination with prenatal visits and follow a standardized curriculum.
Women are provided with brochures including a list of adequate prenatal exercise programs and a pedometer.
Furthermore, they receive a chart personalized according to their baseline BMI category to monitor weight development.
|
|
No Intervention: No intervention
Standard prenatal care, short information leaflet about healthy lifestyle in pregnancy
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Gestational weight gain
Time Frame: 4 years
|
Proportion of pregnant women showing excessive gestational weight gain according to Institute of Medicine (IOM) guidelines
|
4 years
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Hans Hauner, Prof. Dr., Else Kröner-Fresenius-Zentrum für Ernährungsmedizin
Publications and helpful links
General Publications
- Rauh K, Gabriel E, Kerschbaum E, Schuster T, von Kries R, Amann-Gassner U, Hauner H. Safety and efficacy of a lifestyle intervention for pregnant women to prevent excessive maternal weight gain: a cluster-randomized controlled trial. BMC Pregnancy Childbirth. 2013 Jul 16;13:151. doi: 10.1186/1471-2393-13-151.
- Raab R, Hoffmann J, Spies M, Geyer K, Meyer D, Gunther J, Hauner H. Are pre- and early pregnancy lifestyle factors associated with the risk of preterm birth? A secondary cohort analysis of the cluster-randomised GeliS trial. BMC Pregnancy Childbirth. 2022 Mar 21;22(1):230. doi: 10.1186/s12884-022-04513-5.
- Johar H, Hoffmann J, Gunther J, Atasoy S, Stecher L, Spies M, Hauner H, Ladwig KH. Evaluation of antenatal risk factors for postpartum depression: a secondary cohort analysis of the cluster-randomised GeliS trial. BMC Med. 2020 Jul 24;18(1):227. doi: 10.1186/s12916-020-01679-7.
- Hoffmann J, Gunther J, Geyer K, Stecher L, Rauh K, Kunath J, Meyer D, Sitzberger C, Spies M, Rosenfeld E, Kick L, Oberhoffer R, Hauner H. Effects of a lifestyle intervention in routine care on prenatal physical activity - findings from the cluster-randomised GeliS trial. BMC Pregnancy Childbirth. 2019 Nov 11;19(1):414. doi: 10.1186/s12884-019-2553-7. Erratum In: BMC Med Educ. 2019 Dec 24;19(1):470.
- Kunath J, Gunther J, Rauh K, Hoffmann J, Stecher L, Rosenfeld E, Kick L, Ulm K, Hauner H. Effects of a lifestyle intervention during pregnancy to prevent excessive gestational weight gain in routine care - the cluster-randomised GeliS trial. BMC Med. 2019 Jan 14;17(1):5. doi: 10.1186/s12916-018-1235-z.
- Rauh K, Kunath J, Rosenfeld E, Kick L, Ulm K, Hauner H. Healthy living in pregnancy: a cluster-randomized controlled trial to prevent excessive gestational weight gain - rationale and design of the GeliS study. BMC Pregnancy Childbirth. 2014 Mar 28;14:119. doi: 10.1186/1471-2393-14-119.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- GEL-1309--2500-S
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