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Trial registered on ANZCTR
Registration number
ACTRN12624001165572p
Ethics application status
Not yet submitted
Date submitted
11/09/2024
Date registered
24/09/2024
Date last updated
24/09/2024
Date data sharing statement initially provided
24/09/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Physical activity advice during pregnancy by an Accredited Exercise Physiologist
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Scientific title
Effect of Physical Activity Advice during Antenatal Visits on Changes in Weight, Health and Wellness in Pregnant Women
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Secondary ID [1]
312943
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
pregnancy
335113
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Condition category
Condition code
Physical Medicine / Rehabilitation
331616
331616
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0
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Other physical medicine / rehabilitation
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Reproductive Health and Childbirth
331680
331680
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0
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Antenatal care
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention group will receive education materials and guidance on effective exercise during pregnancy, including recommended types of exercise, intensity levels, and duration. The advice will be provided in the form of a one-on-one consultation with an Accredited Exercise Physiologist (AEP). Participants will be invited to attend AEP consultations either face-to-face at the hospital or via zoom, as such the timing and attendance between participants will vary. It is hoped that participants will attend 7 to 10 AEP consults. The consults will last for approximately 20-30 minutes. The initial session with the AEP will incorporate educational materials, pre-pregnancy exercise participation and exercise participation since pregnancy. The education materials will be designed specifically for this study. In the weekly and monthly telehealth sessions, The AEP will encourage participants to meet the physical activity guidelines according to the Australian Government - Department of Health and Aged Care guidelines (updated 2021). The advice will be individualised to each participants health concerns, conditions, interests and available equipment, as per a standard AEP consultation. However will broadly include recommendations for being active most days of the week, with a weekly total up to 5 hours of moderate intensity exercise or 2.5 hours of vigorous intensity exercise (or an equivalent combination of both). Muscle strengthening exercises will also be recommended at least 2 days each week. Adherence to the intervention will be assessed by a session attendance checklist.
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Intervention code [1]
329476
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Lifestyle
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Comparator / control treatment
The control group will receive no exercise advice or resources from the AEP. They will continue to receive usual care from their health providers, which may include exercise advice as per a standard antenatal appointment.
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Control group
Active
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Outcomes
Primary outcome [1]
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Weight gain
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Assessment method [1]
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Gestational weight measured at final obstetrics appointment relative to pre-pregnancy weight (obtained from records).
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Timepoint [1]
339348
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pre-pregnancy and term
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Secondary outcome [1]
439611
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Maternal and perinatal morbidity composite score
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Assessment method [1]
439611
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Birth records of gestational diabetes mellitus, gestational hypertension, pre-eclampsia, small for gestational age, low birthweight, high birthweight, preterm birth (less than 37 weeks)
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Timepoint [1]
439611
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Birth
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Secondary outcome [2]
439612
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Exercise capacity
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Assessment method [2]
439612
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6 minute walk test
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Timepoint [2]
439612
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Upon enrolment and week 35-37 gestation
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Secondary outcome [3]
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Physical activity
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Assessment method [3]
439613
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Active Australia Questionnaire
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Timepoint [3]
439613
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Upon enrolment and week 35-37 gestation
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Secondary outcome [4]
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Grip strength
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Assessment method [4]
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Hand-grip dynamometry
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Timepoint [4]
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Upon enrolment and week 35-37 gestation
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Eligibility
Key inclusion criteria
Pregnant and presenting to RWBH antenatal department.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Standard absolute contraindications to exercise in pregnancy
o Severe respiratory diseases (e.g., chronic obstructive pulmonary disease, restrictive lung disease and cystic fibrosis)
o Severe acquired or congenital heart disease with exercise intolerance
o Uncontrolled or severe arrhythmia
o Placental abruption
o Vasa previa
o Uncontrolled type 1 diabetes
o Intrauterine growth restriction (IUGR)
o Active preterm labour
o Severe pre-eclampsia
o Cervical insufficiency
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
That is, an external party with no association to the present study or the topic, will randomly assign participants to each group using a random generator. The research team will be made aware of the allocation of each participant following assignment to either group.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
20/01/2025
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Actual
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Date of last participant enrolment
Anticipated
2/01/2026
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Actual
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Date of last data collection
Anticipated
11/09/2026
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Funding & Sponsors
Funding source category [1]
317378
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University
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Name [1]
317378
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Australian Catholic University
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Address [1]
317378
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Country [1]
317378
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Australia
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Funding source category [2]
317443
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Hospital
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Name [2]
317443
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Royal Brisbane and Women's Hospital
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Address [2]
317443
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Country [2]
317443
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Australia
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Primary sponsor type
University
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Name
Australian Catholic University
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Address
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Country
Australia
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Secondary sponsor category [1]
319668
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None
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Name [1]
319668
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Address [1]
319668
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Country [1]
319668
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
316107
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Metro North Health Human Research Ethics Committee A
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Ethics committee address [1]
316107
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https://metronorth.health.qld.gov.au/research/ethics-and-governance/human-research-ethics-committee
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Ethics committee country [1]
316107
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Australia
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Date submitted for ethics approval [1]
316107
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02/10/2024
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Approval date [1]
316107
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Ethics approval number [1]
316107
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Summary
Brief summary
The aim of this intervention is to provide women with evidence-based advice on exercise during pregnancy that will help them to make informed decisions about their own health and wellbeing. By improving knowledge and awareness about safe and effective exercise during pregnancy, it is hoped that this intervention will contribute to better health outcomes for both mother and baby. Literature suggests that less than 39% of pregnant women meet the current physical activity guidelines. Potentially, this is due to the disregard of the physiological changes in the cardiovascular system as pregnancy progresses, resulting in poor adherence to exercise. This is clinically important as adequate physical activity during pregnancy is associated with lower average gestational weight gain. However, no research has investigated the effect of individualised exercise prescription on maternal weight gain. It is hypothesised that individualised exercise prescription provided during pregnancy will reduce maternal weight gain, and improve maternal and infant health outcomes.
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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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Dr Kassia Beetham
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Address
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Australian Catholic University, 1100 Nudgee Road, Banyo, QLD 4014
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Country
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Australia
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Phone
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+61738616141
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Fax
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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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Kassia Beetham
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Address
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Australian Catholic University, 1100 Nudgee Road, Banyo, QLD, 4014
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Country
136807
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Australia
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Phone
136807
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+61738616141
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Fax
136807
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Email
136807
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[email protected]
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Contact person for scientific queries
Name
136808
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Kassia Beetham
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Address
136808
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Australian Catholic University, 1100 Nudgee Road, Banyo, QLD, 4014
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Country
136808
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Australia
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Phone
136808
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+61738616141
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Fax
136808
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Email
136808
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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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