- ICH GCP
- Rejestr badań klinicznych w USA
- Badanie kliniczne NCT07656532
Polyphenol Intake, Mediterranean Diet Adherence, and Oxidative Stress in Pregnancy (PREGPOLY)
Effect of Polyphenol Intake and Adherence to the Mediterranean Diet on Oxidative Stress During Pregnancy
This study is a randomized controlled clinical trial designed to evaluate the effect of a polyphenol-rich dietary intervention during pregnancy on endothelial function, oxidative stress biomarkers, and maternal and neonatal outcomes.
Pregnancy is associated with metabolic and vascular adaptations, and complications such as gestational diabetes and hypertensive disorders are linked to endothelial dysfunction and increased oxidative stress. Dietary factors, particularly adherence to the Mediterranean diet and intake of polyphenol-rich foods, may play a protective role.
Pregnant women will be randomly assigned to either an intervention group or a control group. The intervention consists of daily consumption of 10 g of natural non-alkalized cocoa and structured dietary counseling aimed at achieving at least five daily servings of fruits and vegetables, alongside general Mediterranean diet recommendations.
The intervention will last 12 weeks, from early to mid-pregnancy. Biomarkers of endothelial function and oxidative stress will be measured at different time points, along with clinical maternal outcomes (including gestational diabetes and hypertensive disorders) and neonatal outcomes.
The aim is to determine whether this dietary intervention improves endothelial function, reduces oxidative stress, and contributes to better pregnancy outcomes.
Przegląd badań
Status
Warunki
Interwencja / Leczenie
Typ studiów
Zapisy (Szacowany)
Faza
- Nie dotyczy
Kontakty i lokalizacje
Kontakt w sprawie studiów
- Nazwa: Ana García Albarrán, RN, Midwife
- Numer telefonu: 923291100
- E-mail: annagarcialbarran@usal.es
Kopia zapasowa kontaktu do badania
- Nazwa: María Begoña Ayuda Durán, PharmD
- Numer telefonu: +34 923 294 537
- E-mail: bego_ayuda@usal.es
Lokalizacje studiów
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SALAMANCA
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Salamanca, SALAMANCA, Hiszpania, 37007
- Hospital de Salamanca
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Kontakt:
- Ana García Albarrán, RN, Midwife
- Numer telefonu: 923291100
- E-mail: annagarcialbarran@usal.es
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Kryteria uczestnictwa
Kryteria kwalifikacji
Wiek uprawniający do nauki
- Dorosły
- Starszy dorosły
Akceptuje zdrowych ochotników
Opis
Inclusion Criteria:
- Pregnant women aged 18 years or older.
- Singleton pregnancy.
- Gestational age between 8 and 11 weeks at enrollment.
- Receiving prenatal care within the Salamanca Health Area.
- Able to understand the study information and provide written informed consent.
- No clinical restrictions that would contraindicate dietary modifications.
Exclusion Criteria:
- Medical or obstetric conditions that contraindicate dietary modifications.
- Active metabolic, renal, or hepatic disease.
- Severe hyperemesis gravidarum or gastrointestinal disorders limiting food intake.
- Allergy or intolerance to cocoa.
- Habitual high cocoa or chocolate consumption (>30 g/day).
- Multiple pregnancy.
- Severe obstetric complications diagnosed before enrollment.
- Inability to comply with study procedures, attend follow-up visits, or communication barriers that could interfere with participation.
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Zapobieganie
- Przydział: Randomizowane
- Model interwencyjny: Przydział równoległy
- Maskowanie: Pojedynczy
Broń i interwencje
Grupa uczestników / Arm |
Interwencja / Leczenie |
|---|---|
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Eksperymentalny: Intervention Group
Participants will receive a daily dietary intervention consisting of 10 g of natural non-alkalized cocoa and structured nutritional counseling aimed at achieving at least five daily servings of fruits and vegetables, in addition to general Mediterranean diet recommendations.
The intervention will last 12 weeks during pregnancy.
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Structured nutritional counseling aimed at achieving at least five daily servings of fruits and vegetables and improving adherence to the Mediterranean diet.
Structured nutritional counseling aimed at achieving at least five daily servings of fruits and vegetables and improving adherence to the Mediterranean diet.
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Aktywny komparator: Control Group
Participants will receive standard dietary advice based on general healthy eating and Mediterranean diet recommendations during pregnancy, without specific supplementation or structured dietary intervention.
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Structured nutritional counseling aimed at achieving at least five daily servings of fruits and vegetables and improving adherence to the Mediterranean diet.
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Co mierzy badanie?
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Change in serum sVCAM-1 concentration
Ramy czasowe: Baseline, 24-28 weeks, and 32-36 weeks of gestation
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Change in serum soluble vascular cell adhesion molecule-1 (sVCAM-1) levels from baseline to 24-28 weeks of gestation, measured in [ng/mL].
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Baseline, 24-28 weeks, and 32-36 weeks of gestation
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Change in serum sFlt-1/PlGF ratio
Ramy czasowe: Baseline, 24-28 weeks of gestation, and 32-36 weeks of gestation.
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Change in the soluble fms-like tyrosine kinase-1 to placental growth factor (sFlt-1/PlGF) ratio from baseline to 24-28 weeks and 32-36 weeks of gestation.
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Baseline, 24-28 weeks of gestation, and 32-36 weeks of gestation.
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Change in serum nitric oxide concentration
Ramy czasowe: Baseline, 24-28 weeks, and 32-36 weeks of gestation.
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Change in serum nitric oxide (NO) concentration from baseline to 24-28 weeks and 32-36 weeks of gestation, measured in [pg/mL].
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Baseline, 24-28 weeks, and 32-36 weeks of gestation.
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Change in serum IL-6 concentration
Ramy czasowe: Baseline, 24-28 weeks, and 32-36 weeks of gestation
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Change in circulating interleukin-6 levels between baseline and follow-up assessments, measured in [pg/mL].
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Baseline, 24-28 weeks, and 32-36 weeks of gestation
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Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Change in Mediterranean Diet Adherence Screener (MEDAS) score
Ramy czasowe: Baseline, 24-28 weeks of gestation, and 32-36 weeks of gestation.
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Change in adherence to the Mediterranean diet measured using the Mediterranean Diet Adherence Screener (MEDAS).
Scores range from 0 to 14, with higher scores indicating greater adherence to the Mediterranean diet.
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Baseline, 24-28 weeks of gestation, and 32-36 weeks of gestation.
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Inne miary wyników
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Incidence of gestational diabetes mellitus
Ramy czasowe: 24-28 weeks of gestation.
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Occurrence of gestational diabetes mellitus diagnosed according to standard clinical criteria and routine screening procedures during pregnancy.
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24-28 weeks of gestation.
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Incidence of gestational hypertension
Ramy czasowe: From enrollment until delivery.
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Occurrence of gestational hypertension diagnosed according to standard clinical criteria during pregnancy.
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From enrollment until delivery.
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Incidence of preeclampsia
Ramy czasowe: From enrollment until delivery.
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Occurrence of preeclampsia diagnosed according to standard clinical criteria during pregnancy.
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From enrollment until delivery.
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Gestational age at delivery
Ramy czasowe: At delivery.
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Gestational age at the time of delivery measured in completed weeks of gestation.
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At delivery.
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Neonatal birth weight
Ramy czasowe: At delivery.
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Neonatal birth weight measured in grams.
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At delivery.
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Apgar score at 1 minute
Ramy czasowe: At delivery.
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Neonatal condition assessed using the Apgar score at 1 minute after birth.
Scores range from 0 to 10, with higher scores indicating better neonatal condition.
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At delivery.
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Apgar score at 5 minutes
Ramy czasowe: At delivery.
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Neonatal condition assessed using the Apgar score at 5 minutes after birth.
Scores range from 0 to 10, with higher scores indicating better neonatal condition.
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At delivery.
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Apgar score at 10 minutes
Ramy czasowe: At delivery.
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Neonatal condition assessed using the Apgar score at 10 minutes after birth.
Scores range from 0 to 10, with higher scores indicating better neonatal condition.
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At delivery.
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Neonatal intensive care unit admission
Ramy czasowe: At delivery
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Proportion of newborns requiring admission to the neonatal intensive care unit (NICU).
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At delivery
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Współpracownicy i badacze
Sponsor
Śledczy
- Główny śledczy: Ana García Albarrán, RN, Midwife, University of Salamanca
- Dyrektor Studium: Susana González Manzano, PharmD, University of Salamanca
- Dyrektor Studium: María Begoña Ayuda Durán, PharmD, University of Salamanca
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Szacowany)
Zakończenie podstawowe (Szacowany)
Ukończenie studiów (Szacowany)
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Dodatkowe istotne warunki MeSH
- Choroby układu moczowo-płciowego
- Choroby układu hormonalnego
- Choroby naczyniowe
- Choroby układu krążenia
- Choroby układu moczowo-płciowego kobiet i powikłania ciąży
- Choroby metaboliczne
- Powikłania ciąży
- Zaburzenia metabolizmu glukozy
- Cukrzyca
- Nadciśnienie
- Choroby żywieniowe i metaboliczne
- Cukrzyca, Ciąża
- Stan przedrzucawkowy
- Nadciśnienie tętnicze wywołane ciążą
Inne numery identyfikacyjne badania
- USAL-CT-2026-001
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Opis planu IPD
At present, there is no finalized plan for sharing individual participant data (IPD). Due to the sensitive nature of maternal and neonatal health data and the presence of biological and clinical information, data sharing will be considered in accordance with institutional ethics requirements, participant consent, and applicable data protection regulations.
Any potential future sharing of de-identified data will be determined after study completion and in line with publication and regulatory requirements.
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
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