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Gestational Diabetes MellitusMySweetHeartNCT02890693

Improving Cardio-metabolic and Mental Health in Women With Gestational Diabetes Mellitus and Their Offspring

A study testing interdisciplinary lifestyle and psychosocial intervention in people with Gestational Diabetes Mellitus, run by University of Lausanne Hospitals at 1 site in Switzerland.

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

MySweetHeart Trial is a randomized controlled trial to test the effect of a multidimensional interdisciplinary lifestyle and psychosocial intervention to improve the cardio-metabolic and mental health of women with GDM and their offspring. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Gestational Diabetes Mellitus
What is being tested?
interdisciplinary lifestyle and psychosocial intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
211 participants
Where
1 siteSwitzerland
Study dates
Sep 2016to 25 Oct 2021
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 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Women and their partners aged 18 yrs or older, with GDM at 24-32 weeks of gestation, and understanding French or English.

Who cannot join

  • Women on strict bed-rest, with pre-existing diabetes or known severe mental disorder.

Trial locations and contacts

1 site in 1 country.

Switzerland1 site
  • University Hospital Lausanne

    Lausanne, Canton of Vaud, 1011

Other trials in Switzerland

About this study

Official title: Improving Cardio-metabolic and Mental Health in Women With Gestational Diabetes Mellitus (GDM) and Their Offspring: MySweetHeart Trial

MySweetHeart Trial is a randomized controlled trial to test the effect of a multidimensional interdisciplinary lifestyle and psychosocial intervention to improve the cardio-metabolic and mental health of women with GDM and their offspring.

Primary objective of MySweetHeart Trial:

Read more

To test the effect of a multidimensional interdisciplinary lifestyle and psychosocial intervention in women with GDM to improve 1) their metabolic health (decrease in maternal weight between study inclusion after GDM diagnosis and at 1 yr postpartum) and 2) their mental health (decrease in maternal symptoms of depression during the same time period).

Secondary objective of MySweetHeart Trial:

To test the effect of a multidimensional interdisciplinary lifestyle and psychosocial intervention to improve other cardio-metabolic and mental health markers in women with GDM and their offspring.

MySweetHeart trial is linked to MySweetHeart Cohort, an observational cohort study that assesses the effect of GDM on offspring cardiovascular health early in life. The principal investigators of the cohort are Nicole Sekarski and Arnaud Chiolero (University Hospital Lausanne, Switzerland). Their primary objective is to assess the effect of GDM on the surrogate markers of cardiovascular disease (CVD) at birth (left ventricular mass index and subclinical atherosclerosis) and the secondary objective is to assess the effect of GDM on the cardiovascular structure and function during the fetal period and neonatal adverse cardiovascular risk factors.

Being tested
interdisciplinary lifestyle and psychosocial intervention
Keywords
gestational diabetes mellitus, randomized controlled trial, lifestyle intervention, cardiovascular, metabolic, mental health, depression, physical activity, dietary intervention
Medical subject headings
Diabetes, Gestational, Psychological Well-Being, Depression, Motor Activity

What participants receive

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

  • interdisciplinary lifestyle and psychosocial interventionBehavioural

    Also called lifestyle intervention, physical activity, dietary intervention, psychosocial intervention

    The multidimensional interdisciplinary lifestyle and psychosocial intervention will be offered on top of usual care. It will consist of individual sessions (face-to-face or telephone contact) with different members of the interdisciplinary team (dietician, physiotherapist, clinical psychologist or coach) and two group sessions. It will take place during pregnancy and during the first year postpartum.

Study groups in NCT02890693
Study groupRoleWhat they receive
interdisciplinary lifestyle/psychosocialExperimentalThe multidimensional interdisciplinary lifestyle and psychosocial intervention will be offered on top of usual care. It will consist of individual sessions (face-to-face or telephone contact) with different members of the interdisciplinary team (dietician, physiotherapist, clinical psychologist or coach) and two group sessions.
Receives: Behavioral: interdisciplinary lifestyle and psychosocial intervention
treatment as usualNo interventionUsual clinical follow-up and treatment is based on the current American Diabetes Association, the Endocrine Society guidelines, and the NICE guidelines.

What is being measured

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

  1. maternal weight measured on calibrated scale

    decrease in maternal weight between study inclusion after GDM diagnosis and 1 year postpartum

    Measured: study inclusion after GDM diagnosis and 1 year postpartum

  2. Self-reported symptoms of depression (mother) measured by Edinburgh Postnatal Depression Scale

    decrease in maternal symptoms of depression between study inclusion after GDM diagnosis and 1 year postpartum

    Measured: study inclusion after GDM diagnosis and 1 year postpartum

Secondary outcomes (25)
  1. Body composition (mother and infant) measured by bioelectrical impedance analysis

    Measured: study inclusion after GDM diagnosis (mother), 6-8 weeks postpartum (mother), 1 year postpartum (infant)

  2. Skinfolds (mother and infant) measured by calipers

    Measured: study inclusion after GDM diagnosis (mother), 6-8 weeks postpartum (mother), 1 year postpartum (infant)

  3. Total and regional fat mass measured by Dual-Energy X-Ray absorptiometry (mother)

    Measured: 1 year postpartum

  4. Self-reported food intake (mother) measured by Food Frequency Questionnaire

    Measured: study inclusion after GDM diagnosis, 1 year postpartum

  5. Self-reported eating behavior (mother) measured by French Intuitive Eating Scale

    Measured: study inclusion after GDM diagnosis, 1 year postpartum

  6. Self-reported breastfeeding (mother) measured by questionnaire

    Measured: 6-8- weeks postpartum, 1 year postpartum

  7. Self-reported feeding to soothe (mother) measured by Food to Soothe Questionnaire

    Measured: 1 year postpartum

  8. Self-reported recognition of hunger/satiety cues (mother) measured by Infant Feeding Style Questionnaire

    Measured: 1 year postpartum

  9. Physical activity (mother) measured by Accelerometer

    Measured: study inclusion after GDM diagnosis, 1 year postpartum

  10. Aerobic fitness (mother) measured by Chester Step Test

    Measured: study inclusion after GDM diagnosis, 1 year postpartum

  11. Grip strength (mother) measured by Jamar dynamometer

    Measured: study inclusion after GDM diagnosis, 1 year postpartum

  12. Self-reported anxiety (mother) measured by Hospital Anxiety and Depression Scale

    Measured: study inclusion after GDM diagnosis, 1 year postpartum

  13. Self-reported well-being (mother) measured by WHO Well-being Index

    Measured: study inclusion after GDM diagnosis, 33-38 weeks GA, 6-8 weeks postpartum,1 year postpartum

  14. Self-reported social support (mother) measured by Medical Outcomes Study Social Support Survey-short form

    Measured: study inclusion after GDM diagnosis, 1 year postpartum

  15. Weight (infant) measured on calibrated scale

    Measured: 6-8 weeks postpartum, 1 year postpartum

  16. Laboratory variables (mother): Lipid levels

    Measured: study inclusion after GDM diagnosis, 6-8 weeks postpartum, 1 year postpartum

  17. Cardiometabolic laboratory variables (mother), HDL cholesterol, LDL cholesterol, total cholesterol, triglycerides, HbA1C, insulin, glucose, indices of insulin resistance and insulin secretion, gamma-GT, B12 vitamin, ferritine, and miRNA

    Fasting laboratory at inclusion and in addition 75 g oral glucose tolerance test at 6-8 weeks postpartum and 1 year postpartum

    Measured: study inclusion after GDM diagnosis, 6-8 weeks postpartum, 1 year postpartum

  18. Cord blood sample at the time of delivery for lipid levels

    Measured: At delivery

  19. Cord blood sample at the time of delivery for glucose control

    Measured: At delivery

  20. Cord blood sample at the time of delivery for insulin indices

    Measured: At delivery

  21. Cord blood sample at the time of delivery for Ferritin and Vitamin B12

    Measured: At delivery

  22. Cord blood sample at the time of delivery for miRNA

    Measured: At delivery

  23. Laboratory variables (mother): insulin, glucose, indices of insulin resistance and insulin secretion,

    Fasting laboratory at inclusion and in addition 75 g oral glucose tolerance test at 6-8 weeks postpartum and 1 year postpartum

    Measured: study inclusion after GDM diagnosis, 6-8 weeks postpartum, 1 year postpartum

  24. Laboratory (mother): gamma-GT, B12 vitamin, ferritine

    Measured: study inclusion after GDM diagnosis, 6-8 weeks postpartum, 1 year postpartum

  25. Laboratory (mother): miRNA

    Measured: study inclusion after GDM diagnosis, 6-8 weeks postpartum, 1 year postpartum

Timeline

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

  1. First posted7 Sep 2016 (estimated)
  2. Study startSep 2016
  3. Primary completion25 Oct 2021
  4. Study completion25 Oct 2021

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
211 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02890693
Sponsor's protocol ID
2016-00745
Other IDs
2016
Acronym
MySweetHeart
Status last verified
Oct 2022
First submitted
5 Aug 2016
Last updated
3 Nov 2022
Results posted
No
Data monitoring committee
Yes
Individual data sharing
Undecided

Publications

  • Montandon L, Quansah DY, Lacroix A, Gonzalez-Rodriguez E, Horsch A, Arhab A, Puder JJ. Maternal Physical Activity, Fitness, and Body Composition in Women with Gestational Diabetes: A Prospective Study. Med Sci Sports Exerc. 2025 Aug 1;57(8):1646-1656. doi: 10.1249/MSS.0000000000003716. Epub 2025 Apr 4.

    PubMed 40197687
  • Quansah DY, Gilbert L, Arhab A, Gonzalez-Rodriguez E, Hans D, Gross J, Lanzi S, Stuijfzand B, Lacroix A, Horsch A, Puder JJ. Effect of a prepartum and postpartum, complex interdisciplinary lifestyle and psychosocial intervention on metabolic and mental health outcomes in women with gestational diabetes mellitus (the MySweetheart trial): randomised, single centred, blinded, controlled trial. BMJ Med. 2024 Feb 7;3(1):e000588. doi: 10.1136/bmjmed-2023-000588. eCollection 2024.

    PubMed 38348309
  • Gilbert L, Quansah DY, Arhab A, Schenk S, Gross J, Lanzi S, Stuijfzand B, Lacroix A, Horsch A, Puder JJ; MySweetheart Research group. Effect of the MySweetheart randomized controlled trial on birth, anthropometric and psychobehavioral outcomes in offspring of women with GDM. Front Endocrinol (Lausanne). 2023 Jun 7;14:1148426. doi: 10.3389/fendo.2023.1148426. eCollection 2023.

    PubMed 37351105
  • Horsch A, Gilbert L, Lanzi S, Gross J, Kayser B, Vial Y, Simeoni U, Hans D, Berney A, Scholz U, Barakat R, Puder JJ; MySweetHeart Research Group. Improving cardiometabolic and mental health in women with gestational diabetes mellitus and their offspring: study protocol for MySweetHeart Trial, a randomised controlled trial. BMJ Open. 2018 Feb 27;8(2):e020462. doi: 10.1136/bmjopen-2017-020462.

    PubMed 29487077
  • Di Bernardo S, Mivelaz Y, Epure AM, Vial Y, Simeoni U, Bovet P, Estoppey Younes S, Chiolero A, Sekarski N; MySweetHeart Research Group. Assessing the consequences of gestational diabetes mellitus on offspring's cardiovascular health: MySweetHeart Cohort study protocol, Switzerland. BMJ Open. 2017 Nov 14;7(11):e016972. doi: 10.1136/bmjopen-2017-016972.

    PubMed 29138200

Questions about this trial

What is this clinical trial studying?

A study testing interdisciplinary lifestyle and psychosocial intervention in people with Gestational Diabetes Mellitus, run by University of Lausanne Hospitals at 1 site in Switzerland.

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 1 inclusion and 1 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 3 Nov 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Switzerland. 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. 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?

maternal weight measured on calibrated scale (time frame: study inclusion after GDM diagnosis and 1 year postpartum). The study lists 2 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 NCT02890693, which also lists 5 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 3 Nov 2022.

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