The Role of the Living Environment in the Social Inequalities in the Physical Activities of Pregnant Women Residing in the Eurometropole of Strasbourg

NCT04705272 | Unknown

• 1 other identifier: 7999
• Study Type: observational
• Target: 800
• Locations: 1 country
• Sites: 1

Brief Summary

Excessive weight gain during pregnancy can promote subsequent obesity or increase pre-existing maternal obesity, lead to complications during pregnancy, such as gestational diabetes, hypertension and pre-pregnancy eclampsia, which affect fetal growth. What are the determinants of excessive weight gain? The first determinant of excessive weight gain is related to healthy living place and physical activity, noted as "PA". Many meta-analyses have demonstrated the role of PA in gestational weight gain. The main objective is to study the role of the living environment in the PA practice of pregnant women and to identify the socio-environmental construction contributing to the disparities in the practice of PA in women during their pregnancy. This thesis is based on an innovative approach in France, combining both epidemiology and geography approaches to meet priority research objectives in a public health context. With regard to the general issue "What are the contextual determinants of pregnant women's PA practice beyond their individual characteristics that could explain the disparities in practice according to their socio-economic position?" This question underlies the following assumptions: i) In addition to their individual characteristics, women with low PA and who have reduced PA during pregnancy reside in a more socio-economically deprived neighborhood. ii)Beyond the socio-economic dimension, the physical characteristic of the residential place influences the level of PA practice of pregnant women. iii) The combination of the socio-economic, physical and psychosocial environment contributes to reducing the level of PA among pregnant women. iv) Pregnant women with an unfavourable living environment and low PA have adverse pregnancy outcomes.

Conditions

Physical Activity of Pregant Women

Keywords

physical activity level; neighborhood,; social inequalities; living environment,; gestational weight gain

Outcome Measures

Primary Outcomes (1)

• GWG gestational weight gain

  Calculation of the difference in weight at the beginning of pregnancy and at the end of pregnancy based on medical and declarative data

  7 months

Secondary Outcomes (1)

• Physical activity during each trimester Pregnancy and delivery outcomes

  7 months

Interventions

Questionnaire OTHER

Pregnant women will be included in the study at the time of their first or second trimester ultrasound in the Hautepierre and CMCO ultrasound department. The period of inclusion should extend from 1 October 2020 to 31 October 2021 with a duration of participation of each subject of 9 months.

Eligibility Criteria

• Age: 18 Years+
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Pregnant women will be included in the study at the time of their first or second trimester ultrasound in the Hautepierre and CMCO ultrasound department. The period of inclusion should extend from 1 October 2020 to 31 October 2021 with a duration of participation of each subject of 9 months.

You may qualify if:

• Pregnant women living in the Strasbourg Eurometropolis
• Women performing ultrasound follow-up and giving birth in HUS
• Understanding of the French language
• Patient who has expressed no opposition to the research and/or has signed a consent form in case of collection creation

You may not qualify if:

• Refusal to participate in study
• Minor women
• Unable to provide informed information (subject in an emergency, difficulty understanding the subject, etc.)
• Subject under protection of justice
• Subject under guardianship or curatorship
• Obstetric pathologies against-indicating the practice of AP

Sponsors & Collaborators

• University Hospital, Strasbourg, France: lead

Study Sites (1)

Les Hôpitaux Universitaires de Strasbourg

Schiltigheim, 67303, France

RECRUITING

Related Publications (1)

• Simoncic V, Hamann V, Huber L, Deruelle P, Sananes N, Enaux C, Alter M, Schillinger C, Deguen S, Kihal-Talantikite W. Study protocol to explore the social effects of environmental exposure and lifestyle behaviours on pregnancy outcome: an overview of cohort of pregnant women study. BMJ Open. 2022 Sep 17;12(9):e058883. doi: 10.1136/bmjopen-2021-058883.

  PMID: 36115665 DERIVED

MeSH Terms

Conditions

Gestational Weight Gain

Interventions

Surveys and Questionnaires

Condition Hierarchy (Ancestors)

Weight Gain; Body Weight Changes; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Officials

• Virginie HAMANN

  Hôpitaux Universitaires de Strasbourg

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Virginie HAMANN

CONTACT

+33 3 69 55 43 93; virginie.hamann@chru-strasbourg.fr

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 5, 2020
• First Posted: January 12, 2021
• Study Start: February 4, 2021
• Primary Completion: February 4, 2021
• Study Completion: January 1, 2022
• Last Updated: April 1, 2021

Record last verified: 2021-03

Locations

FR (1)