ClinicalTrials.gg
CompletedNCT03277807PAPUpdated Sep 11, 2017

Physical Activity in Pregnancy

An observational study in Pregnancy, Physical Activity, sponsored by Medical University of Graz. Completed. Open to female participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-09-11.

Sponsored by Medical University of Graz · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
53
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

This prospective observational study assesses whether women who regularly exercise during pregnancy show reduced low grade Inflammation, compared to women who are not regularly exercising. Furthermore, the effects of regular physical activity in pregnancy on fetal and neonatal outcomes will be investigated. 3 groups of pregnant women will be formed (group 1: regularly physically active women; group 2: physically inactive women and group 3: women with a history of preeclampsia or positive history of metabolic conditions increasing the risk of hypertensive disorders in pregnancy).

Read the detailed description

Pregnancy is a natural state of low grade inflammation in the mother and the feto-placental unit. The severity of this inflammation increases with higher pregravid Body Mass Index (BMI). This is reflected by an increase in pro-inflammatory cytokines in the maternal circulation and in the placenta. It has been proposed that the pro-inflammatory maternal and fetal environment plays a role in mediating pregnancy outcomes.

In non-pregnant individuals regular physical activity is associated with a reduced inflammatory state. The overall objective of the study is to investigate the interaction of maternal physical activity and pregnancy induced low-grade inflammation in the mother and feto-placental unit, and to assess th resulting effects on prenatal and postnatal development.

Specific research objective will be to study effects of maternal physical activity on:

  1. low grade Inflammation in the mother an feto-placental unit;
  2. maternal and fetal lipid profiles, including High Density Lipoprotein (HDL) proteome;
  3. fetal growth and infant body composition;
  4. transcriptomic and epigenetic profile in the placenta;
  5. biomarkers of nutritive status;
  6. psychological assessment: cardiac awareness; assessment of arterial stiffness; stress-coping questionaire
02

Conditions studied

  • Pregnancy, Physical Activity

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03

In context

Motor Activity

9,798 studies on the registry are indexed under Motor Activity; 1,910 are open to participants now.

This study's enrollment of 53 is below the median of 98 across 1,235 observational studies indexed under Motor Activity.

Browse Motor Activity studies →

Lead sponsor

Medical University of Graz is the lead sponsor of 471 studies on the registry; 98 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Women with an ongoing healthy pregnancy. 3 groups will be formed: Group1 consists of women performing moderate to vigorous physical activity (PA) before and in early pregnancy. Group2 consists of women who are not physically active, and Group3 consists of women with a risk of hypertensive disorders or metabolic diseases (not diabetes). PA before and in early pregnancy will be assessed with a screening questionnaire. Women reporting a minimum of 150 mins of moderate to vigorous PA per week will be classified as active, women with less PA will be classified as inactive. 20 women each group will be recruited not later than 14 weeks of gestation. Women will be recruited at the outpatient clinic at the Department of Obstetrics and Gynecology, Medical University of Graz.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • ongoing pregnancy no later than 14 weeks of gestation
  • giving

Exclusion criteria

Exclusion Criteria:

  • not wanting to give birth at the University Hospital
  • gestational age > 14 weeks of gestation
  • 3 or more consecutive miscarriages
  • increased risk to or above 1:200 after combined test (Minimum parameters: maternal age, fetal crown-rump length (CRL), nuchal translucency, nasal bone and maternal biochemistry)
  • fetal anomalies associated with possible growth or genetic anomalies
  • Smoking
  • diagnosed with Diabetes type 1 or 2 (T1D, T2D)
  • for groups 1 and 2: maternal metabolic risk factors ( conditions, increased risk for thromboembolic events needing anticoagulative therapy)
  • for groups 1 and 2: pre-pregnancy hypertension
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

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Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
53 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Active

    pregnant women who are physically active (spend a minimum of 150min/week with moderate to vigorous physical activity)

  • Inactive

    pregnant women who are physically inactive (spend less than 150min/week with moderate to vigorous physical activity)

  • risk for hypertensive disorders

    pregnant women with a history of preeclampsia or positive history for metabolic conditions increasing the risk of hypertensive disorders in pregnancy

06

What researchers measure

Primary outcomes

  1. low grade inflammation (in maternal and cord blood)

    clinical inflammation markers: C-reactive protein, cytokines and chemokine (IL1b, IL1a, IL-2, IL-5, IL-6,IL-12, TNFa, MCP-1, MIP1-a) measured by ELISA and multiplexing arrays

    Time frame: 1 year

Secondary outcomes

  1. maternal and fetal (cord blood) lipid profiles

    triglycerides, phospholipids, free fatty acids, HDL/LDL/total cholesterol

    Time frame: 1 year

  2. neonatal body composition (% body fat)

    measured by air displacement plethysmography (Peapod)

    Time frame: 1 year

  3. maternal and newborn fat distribution

    subcutaneous adipose tissue thickness at 15 defined body sites, measured by a lipometer

    Time frame: 1 year

  4. fetal growth

    measured by ultrasound scanner

    Time frame: 1 year

  5. transcriptome of the placenta

    measured by full genome arrays

    Time frame: 2 years

  6. epigenetic analysis of the placenta

    analysed by 450k methylation arrays

    Time frame: 2 years

  7. biomarkers of nutritional status

    measurement of blood levels of fatty acids (DHA, EPA, 15:0, 17:0), vitamin A, B1, B2, B6, D2/D3, C, E, homocysteine

    Time frame: 2 years

  8. psychological assessment

    assessment of arterial stiffness, stress coping questionnaire, cardiac awareness

    Time frame: 1 year

07

Study locations

No study locations are listed for this record.

08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Feb 2013 to primary completion in Oct 2013, 8 months.

Of 490 non-industry observational studies under Motor Activity, half reached primary completion within 22 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 48. This study's 8 months is below that.

Counting every sponsor, half of 500 studies reached it within 22 months; a quarter within 8 and three quarters within 48.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 31, 2017
First posted
Sep 11, 2017
StartActual
Feb 4, 2013
Primary completionActual
Oct 11, 2013
CompletionActual
Oct 11, 2013
Last update
Sep 11, 2017
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 11, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03277807
Responsible party
Sponsor
First posted
Sep 11, 2017
Start date
Feb 4, 2013
Primary completion
Oct 11, 2013
Completion
Oct 11, 2013
Last update
Sep 11, 2017

Study contacts

Bence Csapo, MD
principal investigator · Medical University of Graz

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2017. You cannot join it, but the record below documents what was studied.

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