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PregnancyNCT01922791

Nutrition and Pregnancy Intervention Study

A study of Pregnancy and Obesity, run by Turku University Hospital at 2 sites in Finland.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

A randomized double-blind placebo controlled intervention study with pregnant obese women (n=440) will be conducted. The intervention will involve consumption of fish oil and/or probiotic capsules from early pregnancy until 6 months after delivery. Read more about this study

Who is it for?
Ages 18 to 45 years, women onlyHealthy volunteers can take part
Conditions the study is for
Pregnancy, Obesity, Gestational Diabetes Mellitus
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
439 participants
Where
2 sitesFinland
Study dates
Oct 2013to Mar 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 45 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • pregnant, less than 17 gestational weeks
  • overweight
  • healthy

Who cannot join

  • Diabetes (type 1 or 2)
  • Coeliac disease
  • Increased bleeding tendency

Trial locations and contacts

2 sites in 1 country.

Finland2 sites
  • University of Turku

    Turku, 20014

  • Turku University Hospital

    Turku, 20521

Other trials in Finland

About this study

Official title: Placebo-controlled Intervention Study for Maternal and Child Health

A randomized double-blind placebo controlled intervention study with pregnant obese women (n=440) will be conducted. The intervention will involve consumption of fish oil and/or probiotic capsules from early pregnancy until 6 months after delivery.

The aim of the study is firstly to investigate the effects of the supplements on the risk of gestational diabetes mellitus and obesity in the women and secondly to modify the risk markers of allergy and obesity in children of the women. Also the underlying metabolic mechanisms will be investigated.

Follow up visits at child's age of 5 to 6 years will be conducted to evalute long-term effects on maternal and child health. The aim is to investigate the impact of dietary intervention, diet, maternal overweight/obesity and gestational diabetes status as well as gut microbiota and metabolism during pregnancy on maternal and child's health, allergy and child neuropsychological development.

Being tested
Comparison of probiotics, fish oil and their combination to placebo
Keywords
Nutrition, Probiotics, Fish oil
Medical subject headings
Obesity, Diabetes, Gestational, Feeding Behavior, Liver Diseases, Neurodevelopmental Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Comparison of probiotics, fish oil and their combination to placeboDietary supplement

    Also called Lactobacillus and Bifidobacterium, Fish oil, Placebo, microcrystalline cellulose, Placebo, medium-chain triglycerides

    Double-blind randomized placebo controlled intervention

Study groups in NCT01922791
Study groupRoleWhat they receive
ProbioticActive comparatorComparison of probiotics, fish oil and their combination to placebo
Receives: Dietary Supplement: Comparison of probiotics, fish oil and their combination to placebo
Fish oilActive comparatorComparison of probiotics, fish oil and their combination to placebo
Receives: Dietary Supplement: Comparison of probiotics, fish oil and their combination to placebo
Probiotics and Fish oilActive comparatorComparison of probiotics, fish oil and their combination to placebo
Receives: Dietary Supplement: Comparison of probiotics, fish oil and their combination to placebo
PlaceboPlacebo comparatorComparison of probiotics, fish oil and their combination to placebo
Receives: Dietary Supplement: Comparison of probiotics, fish oil and their combination to placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Prevalence of gestational diabetes mellitus, GDM

    Measured: Assessed at gestational weeks 24-28

  2. Fasting glucose levels

    Measured: assessed at the third trimester of pregnancy

  3. Prevalence of allergy in child

    Measured: assessed at 12 and 24 months of age

Secondary outcomes (30)
  1. Need for medication for management of gestational diabetes mellitus GDM (insulin or metformin)

    Measured: During pregnancy

  2. Body composition of mother

    Measured: During and after pregnancy

  3. Immunologic and metabolic markers

    Measured: During and after pregnancy

  4. Fecal microbiota

    Measured: Before, during and after intervention

  5. Fasting serum glucose (mmol/l) (mother/ child)

    Measured: Assessed at 5-6 years postpartum

  6. Fasting serum insulin (mU/l) (mother/child)

    Measured: Assessed at 5-6 years postpartum

  7. Number of women with prediabetes using criteria defined by American Diabetes Association

    Measured: Assessed at 5-6 years postpartum

  8. Number of women with metabolic syndrome using criteria defined by The International Diabetes Federation

    Measured: Assessed at 5-6 yrs postpartum

  9. Risk for Type 2 diabetes using questionnaire (mother)

    Measured: Assessed at 5-6 yrs postpartum

  10. Serum high sensitive C-reactive protein (mg/l) (mother/child)

    Measured: Assessed at 5-6 yrs postpartum

  11. Lipid metabolism (fasting cholesterol (mmol/l), fasting triglycerides (mmol/l), fasting HDL-cholesterol (mmol/l), fasting LDL-cholesterol (mmol/l) (mother/child)

    Measured: Assessed at 5-6 yrs postpartum

  12. Serum metabolomics by NMR (mother/child)

    Measured: assessed at 5-6 yrs postpartum

  13. Obesity by body mass index (mother/child) and body fat percentage by air displacement plethysmography (mother/child)

    Measured: Assessed at 5-6 yrs postpartum

  14. Carotid intima media thickness by ultra sound (mother/child)

    Measured: Assessed at 5-6 yrs postpartum

  15. Retinal microvasculature by digital retinal imaging (mother)

    Measured: Assessed at 5-6 yrs postpartum

  16. Liver fat by ultra sound (mother)

    Measured: Assessed at 5-6 yrs postpartum

  17. Liver health by ALAT (child/mother)

    Measured: Assessed at 5-6 yrs postpartum

  18. Fecal microbiota composition (mother/child)

    Measured: Assessed at 5-6 yrs postpartum

  19. Dietary intake of foods and nutrients and diet pattern calculated from food diaries, dietary quality index and food frequencies (assessed by questionnaires)/mother and child

    Measured: Assessed at 5-6 yrs postpartum

  20. Eating behavior by Three Factor Eating Questionnaire, Neofobia and Comprehensive Feeding Practices Questionnaire, Child Feeding Questionnaire, Child Eating Behaviour Questionnaire (child)

    Measured: Assessed at 5-6 yrs postpartum

  21. Motor development by Movement Assessment Battery for Children and by Developmental Coordination Disorder Questionnaire 2007 (DCDQ'07) (Child)

    Measured: Assessed at 5-6 yrs postpartum

  22. Cognitive development by Cantab test and Wechsler Preschool and Primary Scale of Intelligence (child)

    Measured: Assessed at 5-6 yrs postpartum

  23. Child effortful/emotionally-driven inhibition by the Forbidden Toy task and by Delay of gratification test (child)

    Measured: Assessed at 5-6 yrs postpartum

  24. Social emotional assessment by Behavior Rating Inventory of Executive Functions (child)

    Measured: Assessed at 5-6 yrs postpartum

  25. The child's social competence by Multisource Assessment of Children's Social Competence questionnaire and children's behavioral, social, and attention problems by the Child Behavior Checklist. (child)

    Measured: Assessed at 5-6 yrs postpartum

  26. Infant temperament, Child Behavior Questionnaire (child)

    Measured: Assessed at 5-6 yrs postpartum

  27. Child growth measured from weight (kg) and length (cm)

    Measured: Assessed at 5-6 yrs postpartum

  28. Atopy by serum antigens and asthma by spirometry (child)

    Measured: Assessed at 5-6 yrs postpartum

  29. Immunological cells from blood (child)

    Measured: Assessed at 5-6 yrs postpartum

  30. Physical activity by questionnaires and activity monitor

    Measured: Assessed at 5-6 yrs postpartum

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Aug 2013 (estimated)
  2. Study startOct 2013
  3. Primary completionDec 2017
  4. Study completionMar 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
439 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01922791
Sponsor's protocol ID
T166/2012
Status last verified
Apr 2023
First submitted
12 Aug 2013
Last updated
13 Apr 2023
Results posted
No
Data monitoring committee
No

Publications

  • Houttu V, Mongad D, Houttu N, Saros L, Zhang C, Viitaharju J, Vahlberg T, Lahti L, Laitinen K. The Impact of Maternal Supplementation of Fish Oil and/or Probiotics During Pregnancy on the Serum Metabolomic Profile From Infancy to Childhood: Secondary Analysis of a Randomized Placebo-Controlled Trial. Curr Dev Nutr. 2025 Sep 9;9(10):107553. doi: 10.1016/j.cdnut.2025.107553. eCollection 2025 Oct.

    PubMed 41127037
  • Muhli E, Vahlberg T, Saros L, Houttu N, Pellonpera O, Tertti K, Laitinen K. Postpartum Body Composition in Women With Overweight: Associations With Diet During Pregnancy. Obes Sci Pract. 2025 Oct 13;11(5):e70093. doi: 10.1002/osp4.70093. eCollection 2025 Oct.

    PubMed 41098558
  • Seitz T, Viitaharju J, Benchraka C, Merilahti J, Kalliomaki M, Polari L, Toivola D, Lahti L, Kauko O, Laitinen K. Breast Milk Proteome: Changes in the Different Stages of Lactation and Impacts of Gestational Diabetes Mellitus and Body Mass Index. Mol Nutr Food Res. 2025 Nov;69(22):e70225. doi: 10.1002/mnfr.70225. Epub 2025 Sep 1.

    PubMed 40891102
  • Saros L, Vahlberg T, Koivuniemi E, Houttu N, Tertti K, Shivappa N, Hebert JR, Niinikoski H, Laitinen K. Maternal diet and gestational diabetes mellitus modestly influence children's growth during their first 24 months. J Pediatr Gastroenterol Nutr. 2025 Aug;81(2):355-366. doi: 10.1002/jpn3.70098. Epub 2025 Jun 9.

    PubMed 40491247
  • Lotankar M, Houttu N, Benchraka C, Lahti L, Laitinen K. Links between gut microbiota with specific serum metabolite groups in pregnant women with overweight or obesity. Nutr Metab Cardiovasc Dis. 2025 Sep;35(9):104095. doi: 10.1016/j.numecd.2025.104095. Epub 2025 Apr 16.

    PubMed 40348632
  • Saros L, Setanen S, Hieta J, Kataja EL, Suorsa K, Vahlberg T, Tertti K, Niinikoski H, Stenholm S, Jartti T, Laitinen K. The effect of maternal risk factors during pregnancy on children's motor development at 5-6 years. Clin Nutr ESPEN. 2025 Apr;66:236-244. doi: 10.1016/j.clnesp.2025.01.047. Epub 2025 Jan 25.

    PubMed 39870192
  • Viitaharju J, Polari L, Kauko O, Merilahti J, Rokka A, Toivola DM, Laitinen K. Improved breast milk proteome coverage by DIA based LC-MS/MS method. Proteomics. 2024 Jul;24(14):e2300340. doi: 10.1002/pmic.202300340. Epub 2024 Jun 14.

    PubMed 38873899
  • Saros L, Vahlberg T, Koivuniemi E, Houttu N, Niinikoski H, Tertti K, Laitinen K. Fish Oil And/Or Probiotics Intervention in Overweight/Obese Pregnant Women and Overweight Risk in 24-Month-Old Children. J Pediatr Gastroenterol Nutr. 2023 Feb 1;76(2):218-226. doi: 10.1097/MPG.0000000000003659. Epub 2022 Nov 23.

    PubMed 36705702
  • Houttu N, Mokkala K, Saleem WT, Virtanen S, Juhila J, Koivuniemi E, Pellonpera O, Tertti K, Luokola P, Sorsa T, Salonen A, Lahti L, Laitinen K. Potential pathobionts in vaginal microbiota are affected by fish oil and/or probiotics intervention in overweight and obese pregnant women. Biomed Pharmacother. 2022 May;149:112841. doi: 10.1016/j.biopha.2022.112841. Epub 2022 Mar 28.

    PubMed 35344737
  • Lotankar M, Mokkala K, Houttu N, Koivuniemi E, Sorensen N, Nielsen HB, Munukka E, Lahti L, Laitinen K. Distinct Diet-Microbiota-Metabolism Interactions in Overweight and Obese Pregnant Women: a Metagenomics Approach. Microbiol Spectr. 2022 Apr 27;10(2):e0089321. doi: 10.1128/spectrum.00893-21. Epub 2022 Mar 28.

    PubMed 35343768
  • Mokkala K, Gustafsson J, Vahlberg T, Vreugdenhil ACE, Ding L, Shiri-Sverdlov R, Plat J, Laitinen K. Serum CathepsinD in pregnancy: Relation with metabolic and inflammatory markers and effects of fish oils and probiotics. Nutr Metab Cardiovasc Dis. 2022 May;32(5):1292-1300. doi: 10.1016/j.numecd.2022.02.011. Epub 2022 Feb 23.

    PubMed 35304048
  • Pajunen L, Korkalo L, Koivuniemi E, Houttu N, Pellonpera O, Mokkala K, Shivappa N, Hebert JR, Vahlberg T, Tertti K, Laitinen K. A healthy dietary pattern with a low inflammatory potential reduces the risk of gestational diabetes mellitus. Eur J Nutr. 2022 Apr;61(3):1477-1490. doi: 10.1007/s00394-021-02749-z. Epub 2021 Nov 30.

    PubMed 34846602
  • Davidson SJ, Barrett HL, Price SA, Callaway LK, Dekker Nitert M. Probiotics for preventing gestational diabetes. Cochrane Database Syst Rev. 2021 Apr 19;4(4):CD009951. doi: 10.1002/14651858.CD009951.pub3.

    PubMed 33870484
  • Mokkala K, Houttu N, Koivuniemi E, Sorensen N, Nielsen HB, Laitinen K. GlycA, a novel marker for low grade inflammation, reflects gut microbiome diversity and is more accurate than high sensitive CRP in reflecting metabolomic profile. Metabolomics. 2020 Jun 20;16(7):76. doi: 10.1007/s11306-020-01695-x.

    PubMed 32564244
  • Mokkala K, Vahlberg T, Pellonpera O, Houttu N, Koivuniemi E, Laitinen K. Distinct Metabolic Profile in Early Pregnancy of Overweight and Obese Women Developing Gestational Diabetes. J Nutr. 2020 Jan 1;150(1):31-37. doi: 10.1093/jn/nxz220.

    PubMed 31529056

Questions about this trial

What is this clinical trial studying?

A study of Pregnancy and Obesity, run by Turku University Hospital at 2 sites in Finland.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 Apr 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Finland. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Prevalence of gestational diabetes mellitus, GDM (time frame: Assessed at gestational weeks 24-28). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01922791, which also lists 17 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Apr 2023.

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