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Time-restricted Eating and High-intensity Interval Training After Gestational Diabetes (TRE-HIITmoms)

Time-restricted Eating and High-intensity Interval Training After Gestational Diabetes (TRE-HIIT Moms)

This trial will recruit participants who had gestational diabetes in their most previous pregnancy. Participants will be randomly allocated into two groups: one intervention group and one control group 6-12 weeks after giving birth. The intervention group will undergo an 8-week supervised intervention consisting of time-restricted eating and endurance exercise training with moderate-to-high intensity. The investigators will assess cardiorespiratory fitness, body composition, and other markers of cardiovascular and metabolic health before and after the 8 weeks. Additionally, the participants in the intervention group will be encouraged to continue exercising and eating time restricted after the supervised period and follow them up by telephone until one year from the baseline visit. The investigators will measure the same outcomes at the follow-up as on the previous two test points.

Studieoversigt

Status

Ikke rekrutterer endnu

Detaljeret beskrivelse

TREHIIT Moms is a randomised, controlled trial with two parallel groups. To be eligible for the trial, the participants need to have had gestational diabetes in their most previous pregnancy and be 6-12 weeks postpartum at inclusion. Participants will be randomly allocated to intervention or control (1:1). The intervention consist of time-restricted eating and endurance exercise. Time-restricted eating implies restricting energy intake to a maximum 10-hour time window daily. The exercise training will be supervised and consist of 2-4 weekly sessions of moderate-to-high intensity exercise. After the supervised period, the participants will continue high-intensity exercise and time-restricted eating at home, with follow-up from the researchers until 1 year from baseline.

The investigators will assess cardiometabolic health outcomes and psychological well-being at baseline, after 8 weeks, and 1 year. Human milk samples will be collected at baseline and 8 weeks and stored for future exploratory analyses of milk composition. The specific analytes and analytical methods will be determined in subsequent exploratory studies and are not prespecified trial outcomes

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

56

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

Studiesteder

      • Trondheim, Norge, 7491
        • Department of Circulation and Medical Imaging
        • Ledende efterforsker:
          • Trine Moholdt, PhD
        • Kontakt:
        • Kontakt:

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inclusion Criteria:

  • Gestational diabetes mellitus in most recent pregnancy
  • Within 6-12 weeks postpartum
  • Understands oral and written Norwegian or English
  • Able to walk or run on a treadmill or ride a bike for at least 60 minutes
  • Living in the Trondheim area

Exclusion Criteria:

  • Pregnant or trying to become pregnant
  • Diagnosed with type 1 or type 2 diabetes
  • Diagnosed with cardiovascular disease
  • Have a history of eating disorders (anorexia, bulimia, or binge eating disorder)
  • Habitual eating window of less than 12 hours/day
  • Engaging in regular high-intensity endurance training (once per week or more)
  • Intention of starting an exercise programme and/or a dietary strategy within the study period
  • Shift work that includes night shifts
  • Bariatric surgery
  • Any other reason which, according to the researchers, makes the potential participant ineligible

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Forebyggelse
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Intervention
Time-restricted eating and high-intensity interval training
The intervention is a combination of time-restricted eating and endurance exercise training. Time-restricted eating implies that the participants will be asked to limit their energy intake to a maximum 10-hour time window daily. The endurance exercise programme consists of 2-4 weekly supervised exercise sessions for 8 weeks. Thereafter, the participants will continue exercising unsupervised with weekly follow-up from researchers.
Andre navne:
  • Dyrke motion
  • Kost
Ingen indgriben: Control
No intervention administered

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Peak oxygen uptake
Tidsramme: From baseline to after 8 weeks
Direct measurement of oxygen uptake during graded maximal exercise test to exhaustion
From baseline to after 8 weeks

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Peak oxygen uptake
Tidsramme: From baseline to after 12 months
Direct measurement of oxygen uptake during graded maximal exercise test to exhaustion
From baseline to after 12 months
Body mass
Tidsramme: From baseline to after 8 weeks
Estimated by bioimpedance scale
From baseline to after 8 weeks
Body mass
Tidsramme: From baseline to after 12 months
Estimated by bioimpedance scale
From baseline to after 12 months
Fat mass
Tidsramme: From baseline to after 8 weeks
Estimated by bioimpedance scale
From baseline to after 8 weeks
Fat mass
Tidsramme: From baseline to after 12 months
Estimated by bioimpedance scale
From baseline to after 12 months
Muscle mass
Tidsramme: From baseline to after 8 weeks
Estimated by bioimpedance scale
From baseline to after 8 weeks
Muscle mass
Tidsramme: From baseline to after 12 months
Estimated by bioimpedance scale
From baseline to after 12 months
Visceral fat area
Tidsramme: From baseline to after 8 weeks
Estimated by bioimpedance scale
From baseline to after 8 weeks
Visceral fat area
Tidsramme: From baseline to after 12 months
Estimated by bioimpedance scale
From baseline to after 12 months
Bone mass
Tidsramme: From baseline to after 8 weeks
Estimated by bioimpedance scale
From baseline to after 8 weeks
Bone mass
Tidsramme: From baseline to after 12 months
Estimated by bioimpedance scale
From baseline to after 12 months
Waist circumference
Tidsramme: From baseline to after 8 weeks
Measured by measuring tape at the level of the umbilicus
From baseline to after 8 weeks
Waist circumference
Tidsramme: From baseline to after 12 months
Measured by measuring tape at the level of the umbilicus
From baseline to after 12 months
Systolic blood pressure
Tidsramme: From baseline to after 8 weeks
Measured by automatic blood pressure cuff
From baseline to after 8 weeks
Systolic blood pressure
Tidsramme: From baseline to after 12 months
Measured by automatic blood pressure cuff
From baseline to after 12 months
Diastolic blood pressure
Tidsramme: From baseline to after 8 weeks
Measured by automatic blood pressure cuff
From baseline to after 8 weeks
Diastolic blood pressure
Tidsramme: From baseline to after 12 months
Measured by automatic blood pressure cuff
From baseline to after 12 months
Resting heart rate
Tidsramme: From baseline to after 8 weeks
Measured by automatic blood pressure cuff
From baseline to after 8 weeks
Resting heart rate
Tidsramme: From baseline to after 12 months
Measured by automatic blood pressure cuff
From baseline to after 12 months
Blood cholesterol
Tidsramme: From baseline to after 8 weeks
Venous blood sampling
From baseline to after 8 weeks
Blood cholesterol
Tidsramme: From baseline to after 12 months
Venous blood sampling
From baseline to after 12 months
LDL cholesterol
Tidsramme: From baseline to after 8 weeks
Venous blood sampling
From baseline to after 8 weeks
LDL cholesterol
Tidsramme: From baseline to after 12 months
Venous blood sampling
From baseline to after 12 months
HDL cholesterol
Tidsramme: From baseline to after 8 weeks
Venous blood sampling
From baseline to after 8 weeks
HDL cholesterol
Tidsramme: From baseline to after 12 months
Venous blood sampling
From baseline to after 12 months
Triglycerides
Tidsramme: From baseline to after 8 weeks
Venous blood sampling
From baseline to after 8 weeks
Triglycerides
Tidsramme: From baseline to after 12 months
Venous blood sampling
From baseline to after 12 months
Fasting glucose
Tidsramme: From baseline to after 8 weeks
Venous blood sampling
From baseline to after 8 weeks
Fasting glucose
Tidsramme: From baseline to after 12 months
Venous blood sampling
From baseline to after 12 months
Insulin C-peptide
Tidsramme: From baseline to after 8 weeks
Venous blood sampling
From baseline to after 8 weeks
Insulin C-peptide
Tidsramme: From baseline to after 12 months
Venous blood sampling
From baseline to after 12 months
Plasma glucose after oral glucose tolerance test
Tidsramme: From baseline to after 8 weeks
Venous blood sampling 120 minutes after ingesting 75 gram glucose
From baseline to after 8 weeks
Plasma glucose after oral glucose tolerance test
Tidsramme: From baseline to after 12 months
Venous blood sampling 120 minutes after ingesting 75 gram glucose
From baseline to after 12 months
Dietary intake
Tidsramme: From baseline to after 8 weeks
Self-reported dietary intake using electronic application
From baseline to after 8 weeks
Dietary intake
Tidsramme: From baseline to after 12 months
Self-reported dietary intake using electronic application
From baseline to after 12 months
Mean Daily Minutes of Moderate-to-Vigorous Physical Activity Measured by ActiGraph Accelerometer
Tidsramme: From baseline to after 8 weeks

Participants will wear an ActiGraph accelerometer for 7 consecutive days. Moderate-to-vigorous physical activity will be determined using prespecified accelerometer count thresholds. For each participant, the total number of minutes classified as moderate-to-vigorous physical activity will be calculated for each valid wear day and averaged across all valid wear days. The reported value will be mean minutes of moderate-to-vigorous physical activity per day.

A valid day will be defined as at least 10 hours of accelerometer wear, and participants must have at least 4 valid days to be included in the analysis.

From baseline to after 8 weeks
Mean Daily Minutes of Moderate-to-Vigorous Physical Activity Measured by ActiGraph Accelerometer
Tidsramme: From baseline to after 12 months

Participants will wear an ActiGraph accelerometer for 7 consecutive days. Moderate-to-vigorous physical activity will be determined using prespecified accelerometer count thresholds. For each participant, the total number of minutes classified as moderate-to-vigorous physical activity will be calculated for each valid wear day and averaged across all valid wear days. The reported value will be mean minutes of moderate-to-vigorous physical activity per day.

A valid day will be defined as at least 10 hours of accelerometer wear, and participants must have at least 4 valid days to be included in the analysis.

From baseline to after 12 months
Self-reported physical activity
Tidsramme: From baseline to after 8 weeks
International Physical Activity Questionnaire
From baseline to after 8 weeks
Self-reported physical activity
Tidsramme: From baseline to after 12 months
International Physical Activity Questionnaire
From baseline to after 12 months
Psychological wellbeing
Tidsramme: From baseline to after 8 weeks
World Health Organization Five Well-Being Index (WHO-5). The World Health Organization Five Well-Being Index (WHO-5) is a 5-item self-report questionnaire assessing subjective psychological well-being over the previous 2 weeks. Raw scores are transformed to a scale ranging from 0 to 100 by multiplying the total raw score by 4. Higher scores indicate better well-being.
From baseline to after 8 weeks
Psychological wellbeing
Tidsramme: From baseline to after 12 months
World Health Organization Five Well-Being Index (WHO-5). The World Health Organization Five Well-Being Index (WHO-5) is a 5-item self-report questionnaire assessing subjective psychological well-being over the previous 2 weeks. Raw scores are transformed to a scale ranging from 0 to 100 by multiplying the total raw score by 4. Higher scores indicate better well-being.
From baseline to after 12 months
Sleep quality
Tidsramme: From baseline to after 8 weeks
Pittsburgh Sleep Quality Index questionnaire global score. The Pittsburgh Sleep Quality Index (PSQI) is a 19-item self-report questionnaire that assesses sleep quality over the previous month. The global PSQI score ranges from 0 to 21, with higher scores indicating worse sleep quality.
From baseline to after 8 weeks
Sleep quality
Tidsramme: From baseline to after 12 months
Pittsburgh Sleep Quality Index questionnaire global score. The Pittsburgh Sleep Quality Index (PSQI) is a 19-item self-report questionnaire that assesses sleep quality over the previous month. The global PSQI score ranges from 0 to 21, with higher scores indicating worse sleep quality.
From baseline to after 12 months
Depression
Tidsramme: From baseline to 8 weeks
The Edinburgh Postnatal Depression Scale (EPDS) global score. The Edinburgh Postnatal Depression Scale is a 10-item self-report questionnaire that assesses symptoms of depression over the previous 7 days. The total score ranges from 0 to 30, with higher scores indicating more severe depressive symptoms.
From baseline to 8 weeks
Depression
Tidsramme: From baseline to after 12 months
The Edinburgh Postnatal Depression Scale (EPDS) global score. The Edinburgh Postnatal Depression Scale is a 10-item self-report questionnaire that assesses symptoms of depression over the previous 7 days. The total score ranges from 0 to 30, with higher scores indicating more severe depressive symptoms.
From baseline to after 12 months
Anxiety
Tidsramme: From baseline to after 8 weeks
Generalised anxiety disorder questionnaire (GAD-7) total score. The Generalized Anxiety Disorder 7-Item (GAD-7) is a 7-item self-report questionnaire that assesses symptoms of generalized anxiety over the previous 2 weeks. The total score ranges from 0 to 21, with higher scores indicating more severe anxiety symptoms.
From baseline to after 8 weeks
Anxiety
Tidsramme: From baseline to after 12 months
Generalised anxiety disorder questionnaire (GAD-7) total score. The Generalized Anxiety Disorder 7-Item (GAD-7) is a 7-item self-report questionnaire that assesses symptoms of generalized anxiety over the previous 2 weeks. The total score ranges from 0 to 21, with higher scores indicating more severe anxiety symptoms.
From baseline to after 12 months
Type 2 diabetes mellitus diagnosis
Tidsramme: During the 12-month follow-up
Participant-reported or measurement of HbA1c of 48 mmol/mol or above
During the 12-month follow-up
Mean Daily Step Count Measured by ActiGraph Accelerometer
Tidsramme: From baseline to after 8 weeks
Participants will wear an ActiGraph accelerometer for 7 consecutive days. The number of steps recorded on each valid wear day will be averaged across all valid wear days for each participant. A valid day will be defined as at least 10 hours of accelerometer wear, and at least 4 valid days will be required.
From baseline to after 8 weeks
Mean Daily Sedentary Time Measured by ActiGraph Accelerometer
Tidsramme: At baseline and after 8 weeks
Participants will wear an ActiGraph accelerometer for 7 consecutive days. Sedentary time will be identified using a prespecified accelerometer count threshold. Minutes classified as sedentary will be calculated for each valid wear day and averaged across all valid wear days for each participant. A valid day will be defined as at least 10 hours of accelerometer wear, and at least 4 valid days will be required.
At baseline and after 8 weeks
Mean Daily Step Count Measured by ActiGraph Accelerometer
Tidsramme: From baseline to after 12 months
Participants will wear an ActiGraph accelerometer for 7 consecutive days. The number of steps recorded on each valid wear day will be averaged across all valid wear days for each participant. A valid day will be defined as at least 10 hours of accelerometer wear, and at least 4 valid days will be required.
From baseline to after 12 months
Mean Daily Sedentary Time Measured by ActiGraph Accelerometer
Tidsramme: From baseline to after 12 months
Participants will wear an ActiGraph accelerometer for 7 consecutive days. Sedentary time will be identified using a prespecified accelerometer count threshold. Minutes classified as sedentary will be calculated for each valid wear day and averaged across all valid wear days for each participant. A valid day will be defined as at least 10 hours of accelerometer wear, and at least 4 valid days will be required.
From baseline to after 12 months

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Infant feeding method
Tidsramme: Baseline, 8 weeks, and after 12 months
Infant feeding practices will be assessed using a study questionnaire. Feeding method will be categorized as exclusive breastfeeding, partial breastfeeding, exclusive formula feeding, or complementary feeding, as appropriate for the infant's age. The number and proportion of infants in each feeding category will be reported at each assessment.
Baseline, 8 weeks, and after 12 months
Adherence to time-restricted eating
Tidsramme: Baseline, after 8 weeks and after 12 months
Time-frame for daily energy intake, reported as average and percentage of participants who adhere to < 10 hours daily energy intake window
Baseline, after 8 weeks and after 12 months
Adherence to exercise training
Tidsramme: During the 8-week intervention and during the 12-month follow-up
Number of completed sessions, recorded using an electronic application
During the 8-week intervention and during the 12-month follow-up
Perception of intervention and follow-up
Tidsramme: After 12 months
Qualitative interviews with selected participants to explore barriers and motivators
After 12 months

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Samarbejdspartnere

Efterforskere

  • Ledende efterforsker: Trine Moholdt, PhD, Norwegian University of Science and Technology

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

15. august 2026

Primær færdiggørelse (Anslået)

1. december 2028

Studieafslutning (Anslået)

1. januar 2029

Datoer for studieregistrering

Først indsendt

3. juli 2026

Først indsendt, der opfyldte QC-kriterier

17. august 2026

Først opslået (Faktiske)

20. august 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

20. august 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

17. august 2026

Sidst verificeret

1. august 2026

Mere information

Begreber relateret til denne undersøgelse

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

We will make de-identified individual participant data (IPD) collected in the study available to other researchers. We will upload a data set in an open access repository.

We will only share IPD that cannot be used to identify individuals.

IPD-delingstidsramme

Data will become available at the time of publication of the results from the study

IPD-delingsadgangskriterier

De-identified individual participant data underlying published results will be available upon reasonable request following publication of the primary study results.

Requests must be accompanied by a research proposal and statistical analysis plan. Requests will be reviewed by the Principal Investigator and study investigators for scientific merit, feasibility, consistency with participant consent, and compliance with applicable ethical and legal requirements. Approved researchers will be required to sign a data sharing agreement.

Only de-identified data will be shared. Data may be modified as necessary to minimize the risk of participant re-identification while preserving scientific utility.

IPD-deling Understøttende informationstype

  • STUDY_PROTOCOL
  • SAP
  • ANALYTIC_CODE
  • CSR

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Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

Abonner