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Trial registered on ANZCTR
Registration number
ACTRN12617000797370
Ethics application status
Approved
Date submitted
23/05/2017
Date registered
31/05/2017
Date last updated
24/04/2020
Date data sharing statement initially provided
24/04/2020
Type of registration
Prospectively registered
Titles & IDs
Public title
The objective Behavioural Assessment of Breaks in SITting and risk of developing gestational diabetes during pregnancy - the BABy-SIT in pregnancy study
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Scientific title
Exploring the relationship of post challenge glucose levels and objectively measured sedentary behaviours in mid-term pregnant women
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Secondary ID [1]
292020
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None
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Universal Trial Number (UTN)
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Trial acronym
The BABy-SIT in pregnancy study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Pregnancy
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Gestational diabetes mellitus
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Condition category
Condition code
Metabolic and Endocrine
302821
302821
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0
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Metabolic disorders
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Reproductive Health and Childbirth
302822
302822
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0
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Fetal medicine and complications of pregnancy
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
This is an observational study of sedentary behaviour and sleep patterns in pregnant women attending an outpatient maternity services clinic. Participation involves wearing two small lightweight devices (a sleep monitor and an activity monitor) for a period of 7 days in a 4-week window before the recommended oral glucose tolerance test to screen for gestational diabetes mellitus. The activity monitor (ActivPal) will be worn on the thigh and will provide information on times spent sitting, standing and walking. The sleep monitor (Actigraph) will be worn on the wrist and will provide information on sleeping duration and sleep quality. Participants will choose the timing of the 7-day period within the 4-week window before their oral glucose tolerance test providing that the 7-day period is reflective of their normal weekly schedule.
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Intervention code [1]
298151
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Post challenge glucose levels during a pregnancy oral glucose tolerance test
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Assessment method [1]
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Timepoint [1]
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Performed at 24-28 weeks gestation
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Primary outcome [2]
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Total accumulated sedentary time, calculated as an average of the total time spent sitting/lying during waking hours (mins/d), as recorded from 7-days of wearing an ActivPal physical activity monitor
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Assessment method [2]
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Timepoint [2]
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Measured between 18-28 weeks gestation
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Secondary outcome [1]
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The frequency of interruptions in sitting, defined as the average number of transitions recorded from “sit/lie” posture to “stand” during waking time, as recorded from 7-days of wearing an ActivPAL physical activity monitor
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Assessment method [1]
335169
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Timepoint [1]
335169
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Measured between 18-28 weeks gestation.
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Secondary outcome [2]
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Time accumulated in long duration sedentary bouts, defined as the accumulated time spent in bouts >30minutes (mins/d) during waking hours, as recorded from 7-days of wearing the ActivPAL physical activity monitor.
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Assessment method [2]
335170
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Timepoint [2]
335170
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Measured between 18-28 weeks gestation
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Secondary outcome [3]
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Total sleep time, defined as the average time spent sleeping (mins/d), as recorded from 7-days of wearing an Actigraph sleep monitor.
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Assessment method [3]
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Timepoint [3]
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Measured between 18-28 weeks gestation.
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Secondary outcome [4]
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Sleep efficiency, defined as the time spent sleeping (mins/d) determined from Actigraph sleep monitor divided by time available for sleep ("lights off to lights on"), multiplied by 100 to calculate a percentage.
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Assessment method [4]
335366
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Timepoint [4]
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Measured between 18-28 weeks gestation
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Eligibility
Key inclusion criteria
This study will recruit pregnant, English-speaking women, aged 18-50 years at 18-27 weeks gestation.
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Minimum age
18
Years
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Maximum age
50
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Criteria for exclusion include - >28 weeks gestation, multiple pregnancy, known diabetes, taking medications known to affect glucose metabolism, and current smokers.
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
Using data from the UK Pregnancy Better Eating and Activity Trial (UPBEAT), we estimate that 74 individuals will be required with a minimum power of 80% and a type 2 error probability of 0.05 (two-sided test) to determine whether the association of objectively assessed sedentary time and 2-hour glucose differs from zero. To account for participant attrition and potential for missing devices, we will over-sample by 35% and recruit 100 participants.
Multiple linear regression will be used to assess the association between sedentary time (and its interrelationship with sleep) and glucose outcomes (continuous outcome variable), after adjustment for potential confounders (e.g., age, monitor wear time, pre-pregnancy BMI and pregnancy weight gain).
Binary, multivariate logistic regression models, including confounders (age, monitor wear time, pre-pregnancy weight, pregnancy weight gain) and physical activity time, will be used
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
5/06/2017
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Actual
26/07/2017
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Date of last participant enrolment
Anticipated
1/05/2019
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Actual
1/11/2019
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Date of last data collection
Anticipated
15/05/2019
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Actual
1/11/2019
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Sample size
Target
100
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Accrual to date
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Final
100
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
8085
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Mercy Hospital for Women - Heidelberg
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Recruitment postcode(s) [1]
16140
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3084 - Heidelberg
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health and Medical Research Council (NHMRC)
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Address [1]
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Level 1
16 Marcus Clarke St
Canberra ACT 2601
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Professor David Dunstan
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Address
Physical Activity Laboratory
Baker Heart and Diabetes Institute
Level 4, 99 Commercial Rd
Melbourne VIC 3004
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Country
Australia
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Secondary sponsor category [1]
295506
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None
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Name [1]
295506
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Address [1]
295506
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Country [1]
295506
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Other collaborator category [1]
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Individual
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Name [1]
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A/Prof Martha Lappas
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Address [1]
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The Mercy Hospital for Women
4th Floor, 163 Studley Rd
Heidelberg VIC 3084
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Country [1]
279582
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Mercy Hospital for Women HREC
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Ethics committee address [1]
297765
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Human Research Ethics Committee Mercy Hospital for Women, 6th Floor 163 Studley Rd Heidelberg, VIC 3084
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Ethics committee country [1]
297765
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Australia
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Date submitted for ethics approval [1]
297765
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07/02/2017
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Approval date [1]
297765
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18/05/2017
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Ethics approval number [1]
297765
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2017/012
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Summary
Brief summary
The prevalence of gestation diabetes mellitus (GDM) is increasing worldwide, with current Australian prevalence rates estimated to be between 13-16%. Little is known about how to prevent GDM in high risk individuals. Strategies to date have largely focused on structured exercise programs. However, the results from these trials have shown little success possibly due to low adherence rates. Recently, studies suggest that sedentary behaviour during pregnancy is associated with increased risk for abnormal glucose tolerance, gestational diabetes and preeclampsia. This suggests that strategies that target a reduction in sedentary time could be an additional, or alternative approach to GDM prevention. However, before such interventions are developed, it is important to investigate the associations of objectively measured sedentary time and sleep patterns on blood glucose and GDM risk. This study aims to examine various descriptors of sedentary behaviour (total sedentary time, prolonged sedentary bouts, number of breaks in sitting) which will help to inform the design of early targeted sedentary behaviour interventions to reduce GDM incidence. Hypothesis: We hypothesise that measurement of sedentary time in pregnant women at 18-28 weeks gestation will be associated with higher fasting and post-challenge glucose levels during the screening test for GDM
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof David Dunstan
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Address
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Physical Activity Laboratory
Baker Heart and Diabetes Institute
Level 4, 99 Commercial Rd
Melbourne VIC 3004
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Country
75046
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Australia
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Phone
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+613 8532 1873
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Fax
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+613 8532 1100
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Email
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[email protected]
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Contact person for public queries
Name
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Robyn Larsen
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Address
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Physical Activity Laboratory
Baker Heart and Diabetes Institute
Level 4, 99 Commercial Rd
Melbourne VIC 3004
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Country
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Australia
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Phone
75047
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+613 8532 1859
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Fax
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+613 8532 1100
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Email
75047
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[email protected]
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Contact person for scientific queries
Name
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Megan Grace
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Address
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Physical Activity Laboratory
Baker Heart and Diabetes Institute
Level 4, 99 Commercial Rd
Melbourne VIC 3004
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Country
75048
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Australia
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Phone
75048
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+613 8532-1855
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Fax
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+613 8532-1100
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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