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The Patients With Gestational Diabetes Were Interfered With Qigong.

Primary Purpose

Gestational Diabetes Mellitus in Pregnancy

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Qigong
guidance of nutrition and exercise
Sponsored by
Chen Chaoyang
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Gestational Diabetes Mellitus in Pregnancy focused on measuring Gestational Diabetes Mellitus in Pregnancy, Qigong, Non-drug therapy

Eligibility Criteria

20 Years - 40 Years (Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria: 20 years old≤ age ≤ 40 years old; Those with clear awareness, acceptable reading and language expression skills, and barrier-free communication; singleton pregnancy; gestational age between 24 and 28 weeks, with the upper limit of gestational age set at 28 weeks at the time of inclusion to allow for at least 8 weeks of intervention; Body mass index (BMI) is lower than 40; Agree to participate in this project and sign the informed consent form. Exclusion Criteria: Those with previous GDM and diabetes; Artificial insemination; Those with serious obstetric complications and contraindications; Participants in other planned and supervised exercise programs or researchers during the study.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Experimental

    Arm Label

    Qigong group

    Control group

    Arm Description

    On the basis of nutrition and exercise management and guidance, Qigong is exercised. Offline intensive learning once a week, 45-60 minutes each time, study for 12 weeks, and arrange online theory lecture once a week. In addition to concentrated learning, subjects in this group were required to practice themselves at home, at least once a day, each time for 30 minutes.

    guidance of nutrition and exercise

    Outcomes

    Primary Outcome Measures

    Fasting blood glucose
    If the blood glucose level is between 4.0 and 5.4 mmol/L, the result is normal. If the fasting blood glucose level is between 5.5-6.9 mmol/L, the condition is called prediabetes. Diabetes refers to blood sugar greater than 8.5 mmol/L.
    2-h postprandial plasma glucose
    less than 7.8mmol/L. When the blood glucose is 7.8~11.1 mmol/L 2 hours after meals, it can be diagnosed as impaired or impaired glucose tolerance.

    Secondary Outcome Measures

    Pittsburgh sleep quality index,PSQI
    PSQI was used to measure the sleep quality of participants in the last 1 month. It consists of 19 self-assessment items and 5 other assessment items, of which the 19th self-assessment item and 5 other evaluation items do not participate in scoring, and only 18 self-assessment items participating in scoring are introduced here. 18 items composed of 7 components, each component is scored on a scale of 0-3, the cumulative score of each component is the total score of PSQI, the total score range is 0-2l, the higher the score, the worse the sleep quality.
    Self-Rating Depression Scale,SDS
    SDS is rated according to the frequency of symptoms and is divided into 4 levels: no or very little time, a small amount of time, a considerable amount of time, and most or all the time. If it is a positive scoring question, it is rated as a rough score of L, 2, 3, and 4. For reverse grading questions, they are rated as 4, 3, 2, and 1. The assessment time is within the past week, add the scores of each question to a rough score, multiply the rough score by 1.25, and round up the whole number to get the standard score (T). The threshold value of depression assessment is T=53, and the higher the score, the more obvious the tendency to depression.
    Self-Rating Anxiety Scale, SAS
    SAS includes 20 items, and the score is based on a standard scoring pattern, with a score of 50 or less being normal, 50-59 being mild anxiety, 60-69 being moderate anxiety, and 70-79 being severe anxiety.

    Full Information

    First Posted
    July 11, 2023
    Last Updated
    July 18, 2023
    Sponsor
    Chen Chaoyang
    Collaborators
    Shanghai First Maternity and Infant Hospital
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05951621
    Brief Title
    The Patients With Gestational Diabetes Were Interfered With Qigong.
    Official Title
    Effect of Qigong on Gestational Diabetes Mellitus:A Randomized Controlled Trial
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    September 2023 (Anticipated)
    Primary Completion Date
    September 2025 (Anticipated)
    Study Completion Date
    March 2026 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor-Investigator
    Name of the Sponsor
    Chen Chaoyang
    Collaborators
    Shanghai First Maternity and Infant Hospital

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The goal of this clinical trial is to learn about in women with gestational diabetes's health conditions. The main question[s] it aims to answer are: Can Qigong control blood glucose in women with gestational diabetes? Can Qigong improve mood and sleep in women with gestational diabetes? Participants will required to follow the research team for 3 months of qigong practice。 If there is a comparison group: Researchers will compare Qigong groups to see if Qigong's effects.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Gestational Diabetes Mellitus in Pregnancy
    Keywords
    Gestational Diabetes Mellitus in Pregnancy, Qigong, Non-drug therapy

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    Care ProviderOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    60 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Qigong group
    Arm Type
    Experimental
    Arm Description
    On the basis of nutrition and exercise management and guidance, Qigong is exercised. Offline intensive learning once a week, 45-60 minutes each time, study for 12 weeks, and arrange online theory lecture once a week. In addition to concentrated learning, subjects in this group were required to practice themselves at home, at least once a day, each time for 30 minutes.
    Arm Title
    Control group
    Arm Type
    Experimental
    Arm Description
    guidance of nutrition and exercise
    Intervention Type
    Other
    Intervention Name(s)
    Qigong
    Intervention Description
    An ancient Chinese system of postures, exercises, breathing techniques, and meditations designed to improve and enhance the body's QI.
    Intervention Type
    Behavioral
    Intervention Name(s)
    guidance of nutrition and exercise
    Intervention Description
    Provide health promotion and guidance to participants on diet and physical exercise
    Primary Outcome Measure Information:
    Title
    Fasting blood glucose
    Description
    If the blood glucose level is between 4.0 and 5.4 mmol/L, the result is normal. If the fasting blood glucose level is between 5.5-6.9 mmol/L, the condition is called prediabetes. Diabetes refers to blood sugar greater than 8.5 mmol/L.
    Time Frame
    Average peripheral fasting blood glucose measured one week prior to participant enrollment. Fasting blood glucose measured in the first week after the end of 12 weeks of intervention.
    Title
    2-h postprandial plasma glucose
    Description
    less than 7.8mmol/L. When the blood glucose is 7.8~11.1 mmol/L 2 hours after meals, it can be diagnosed as impaired or impaired glucose tolerance.
    Time Frame
    Average postprandial blood glucose measured in the week prior to study participant enrollment. Average postprandial 2-hour postprandial peripheral capillary blood glucose measured in the first week after the end of 12 weeks of intervention.
    Secondary Outcome Measure Information:
    Title
    Pittsburgh sleep quality index,PSQI
    Description
    PSQI was used to measure the sleep quality of participants in the last 1 month. It consists of 19 self-assessment items and 5 other assessment items, of which the 19th self-assessment item and 5 other evaluation items do not participate in scoring, and only 18 self-assessment items participating in scoring are introduced here. 18 items composed of 7 components, each component is scored on a scale of 0-3, the cumulative score of each component is the total score of PSQI, the total score range is 0-2l, the higher the score, the worse the sleep quality.
    Time Frame
    Weeks 0 and 13
    Title
    Self-Rating Depression Scale,SDS
    Description
    SDS is rated according to the frequency of symptoms and is divided into 4 levels: no or very little time, a small amount of time, a considerable amount of time, and most or all the time. If it is a positive scoring question, it is rated as a rough score of L, 2, 3, and 4. For reverse grading questions, they are rated as 4, 3, 2, and 1. The assessment time is within the past week, add the scores of each question to a rough score, multiply the rough score by 1.25, and round up the whole number to get the standard score (T). The threshold value of depression assessment is T=53, and the higher the score, the more obvious the tendency to depression.
    Time Frame
    Weeks 0 and 13
    Title
    Self-Rating Anxiety Scale, SAS
    Description
    SAS includes 20 items, and the score is based on a standard scoring pattern, with a score of 50 or less being normal, 50-59 being mild anxiety, 60-69 being moderate anxiety, and 70-79 being severe anxiety.
    Time Frame
    Weeks 0 and 13
    Other Pre-specified Outcome Measures:
    Title
    Maternal and infant complications during childbirth
    Time Frame
    birth

    10. Eligibility

    Sex
    Female
    Minimum Age & Unit of Time
    20 Years
    Maximum Age & Unit of Time
    40 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: 20 years old≤ age ≤ 40 years old; Those with clear awareness, acceptable reading and language expression skills, and barrier-free communication; singleton pregnancy; gestational age between 24 and 28 weeks, with the upper limit of gestational age set at 28 weeks at the time of inclusion to allow for at least 8 weeks of intervention; Body mass index (BMI) is lower than 40; Agree to participate in this project and sign the informed consent form. Exclusion Criteria: Those with previous GDM and diabetes; Artificial insemination; Those with serious obstetric complications and contraindications; Participants in other planned and supervised exercise programs or researchers during the study.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    chen chaoyang, Master
    Phone
    15002153216
    Email
    675694333@qq.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Li Jie, Doctor
    Organizational Affiliation
    Shanghai University of Traditional Chinese Medicine
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No
    IPD Sharing Plan Description
    This study is still in the exploratory stage and has a certain degree of confidentiality
    Citations:
    PubMed Identifier
    35660387
    Citation
    Jin Y, Chen Z, Li J, Zhang W, Feng S. Effects of the original Gymnastics for Pregnant Women program on glycaemic control and delivery outcomes in women with gestational diabetes mellitus: A randomized controlled trial. Int J Nurs Stud. 2022 Aug;132:104271. doi: 10.1016/j.ijnurstu.2022.104271. Epub 2022 Apr 28.
    Results Reference
    background
    PubMed Identifier
    29055674
    Citation
    Sklempe Kokic I, Ivanisevic M, Biolo G, Simunic B, Kokic T, Pisot R. Combination of a structured aerobic and resistance exercise improves glycaemic control in pregnant women diagnosed with gestational diabetes mellitus. A randomised controlled trial. Women Birth. 2018 Aug;31(4):e232-e238. doi: 10.1016/j.wombi.2017.10.004. Epub 2017 Oct 18.
    Results Reference
    background
    PubMed Identifier
    33184151
    Citation
    Yew TW, Chi C, Chan SY, van Dam RM, Whitton C, Lim CS, Foong PS, Fransisca W, Teoh CL, Chen J, Ho-Lim ST, Lim SL, Ong KW, Ong PH, Tai BC, Tai ES. A Randomized Controlled Trial to Evaluate the Effects of a Smartphone Application-Based Lifestyle Coaching Program on Gestational Weight Gain, Glycemic Control, and Maternal and Neonatal Outcomes in Women With Gestational Diabetes Mellitus: The SMART-GDM Study. Diabetes Care. 2021 Feb;44(2):456-463. doi: 10.2337/dc20-1216. Epub 2020 Nov 12.
    Results Reference
    background
    PubMed Identifier
    28639706
    Citation
    Brown J, Ceysens G, Boulvain M. Exercise for pregnant women with gestational diabetes for improving maternal and fetal outcomes. Cochrane Database Syst Rev. 2017 Jun 22;6(6):CD012202. doi: 10.1002/14651858.CD012202.pub2.
    Results Reference
    background

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    The Patients With Gestational Diabetes Were Interfered With Qigong.

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