Physical Activity and Vascular Health During Pregnancy
27. februar 2019 oppdatert av: Áine Brislane, Liverpool John Moores University
Can Physical Activity During Pregnancy Improve Maternal and Offspring Vascular Health?
The aim of this study is to determine the effect of aerobic exercise on maternal and offspring vascular health.
Studieoversikt
Detaljert beskrivelse
The study will comprise of a randomised pilot trial to assess the effect of a moderate intensity exercise intervention on maternal and offspring vascular health.
Participants will be recruited in the first trimester (T1, 10-12 weeks' gestation), and will be randomized to either a 24-week, structured and partially supervised, gym-based exercise intervention beginning in trimester 2 (T2) through to trimester 3 (T3), or a non-exercise control group who receive normal clinical care.
The inclusion of this non-exercise control group is critical in allowing us to create an understanding of the adaptation of the vascular system during a normal (non-exercising) pregnancy, and also determining the physical activity and sedentary behaviour engaged in during normal healthy pregnancy.
All participants will be asked to attend the laboratory at Liverpool John Moores University on 4 separate occasions synchronised with the end point of each trimester and then within four weeks of delivery.
Maternal vascular health, physical activity, sedentary behaviour and fitness will be assessed during each time point throughout pregnancy while the fourth visit will comprise of an offspring vascular assessment.
The investigators will also gain information on delivery outcomes including pre-term delivery, complications during labour, induction of labour, caesarean sections and post-partum haemorrhage via medical notes at the Liverpool Women's NHS Foundation Trust.
Studietype
Intervensjonell
Registrering (Forventet)
20
Fase
- Ikke aktuelt
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
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Merseyside
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Liverpool, Merseyside, Storbritannia, L33AF
- Research Institute for Sport and Exercise Sciences (RISES)
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Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
18 år til 45 år (Voksen)
Tar imot friske frivillige
Ja
Kjønn som er kvalifisert for studier
Hunn
Beskrivelse
Inclusion Criteria:
- Healthy pregnant female
- No history of cardiovascular disease, gestational diabetes or pre-eclampsia
- Single gestation
- Not on medication affecting cardiovascular health
- A non-smoker for at least 6 months
- Participating in structured exercise <twice/week
- BMI <30kg/m^2 -
Exclusion Criteria:
- Royal College of Obstetricians and Gynaecologists (RCOG) contraindications for pregnancy
- Pregnant by in-vitro fertilisation (IVF)exercise
- BMI >30kg/m^2
- >45 years old
- Structured exercise >twice/week
- Multiple gestation
- Disability preventing ambulation
- Currently smoking or smoking within past 6 months prior to pregnancy
- Non-English speaking women
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Annen
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Enkelt
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
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Eksperimentell: Exercise
Participants randomized to the exercise intervention group will be required to complete a 24-wk partially supervised exercise programme consisting of 3-4 sessions per week of 15 minutes progressing to 30 minutes over time.
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Previously inactive pregnant women will be asked to complete 3-4 sessions of aerobic exercise each week for 24 weeks of 15-30 minutes in duration.
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Ingen inngripen: Control
Those randomized to the control group will continue with their standard care.
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Change in Vascular Function
Tidsramme: Change from baseline at week 24 and 36 of pregnancy
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Vascular function will be measured via endothelial-dependent flow-mediated dilation (FMD) of the brachial and femoral arteries and reported as percentage change.
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Change from baseline at week 24 and 36 of pregnancy
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Change in Sedentary behaviour
Tidsramme: Change from baseline at week 24 and 36 of pregnancy
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Sedentary behaviour will be measured using an inclinometer at the end of each trimester for a period of 7 days in line with the accelerometer monitoring and will be reported in minutes.
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Change from baseline at week 24 and 36 of pregnancy
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Change in Physical activity
Tidsramme: Change from baseline at week 24 and 36 of pregnancy
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Physical activity will be monitored for a period of 7 days using accelerometry at the end of each trimester.
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Change from baseline at week 24 and 36 of pregnancy
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Incidence of Pregnancy specific outcomes
Tidsramme: Following delivery and within 4 weeks
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Following delivery the investigator will obtain information regarding pregnancy specific outcomes including pre-term birth, delivery complications, induction of labour, caesarean section and post-partum haemorrhage via medical notes at the collaborating hospital.
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Following delivery and within 4 weeks
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Andre resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Offspring Vascular Structure
Tidsramme: Assessed within 4 weeks of delivery
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Offspring vascular structure will be assessed at the abdominal aorta site using ultrasound imaging.
Wall thickness will be measured at three different angles of an optimised ultrasound image.
The image will be adjusted so that artery wall thickness can be clearly seen and a 30 second recording taken at three different angles.
The average of the three angles will be calculated for each artery.
Results will be reported as change in millimetres at each time point for each artery assessed.
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Assessed within 4 weeks of delivery
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Change in Cerebrovascular Function
Tidsramme: Change from baseline at week 24 and 36 of pregnancy
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Change in cerebrovascular function will be assessed using transcranial Doppler ultrasound to measure brain blood flow velocity.
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Change from baseline at week 24 and 36 of pregnancy
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Change in Vascular Structure
Tidsramme: Change from baseline at week 24 and 36 of pregnancy
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Vascular structure will be measured at carotid, femoral and brachial arteries using ultrasound imaging to clearly visualise the artery.
The image will be adjusted so that artery wall thickness can be clearly seen and a 30 second recording taken at three different angles.
The average of the three angles will be calculated for each artery.
Results will be reported as change in millimetres at each time point for each artery assessed.
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Change from baseline at week 24 and 36 of pregnancy
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Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Sponsor
Samarbeidspartnere
Etterforskere
- Studieleder: Nicola Hopkins, PhD, Dr.
Publikasjoner og nyttige lenker
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Studierekorddatoer
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Studer hoveddatoer
Studiestart (Faktiske)
23. april 2017
Primær fullføring (Forventet)
30. mai 2019
Studiet fullført (Forventet)
3. august 2019
Datoer for studieregistrering
Først innsendt
28. februar 2017
Først innsendt som oppfylte QC-kriteriene
8. mars 2017
Først lagt ut (Faktiske)
14. mars 2017
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
28. februar 2019
Siste oppdatering sendt inn som oppfylte QC-kriteriene
27. februar 2019
Sist bekreftet
1. februar 2019
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Andre studie-ID-numre
- 17/NW/0056
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