Gestational diabetes & diabetes in pregnancy

Time restricted eating and exercise training before and during pregnancy for people with increased risk of gestational diabetes: single centre randomised controlled trial (BEFORE THE BEGINNING)

BMJPublished Randomised controlled trial

Primary result · 2-h plasma glucose in OGTTResult — go to the resultMean difference 0.48 mmol/L 95% CI −0.05 to 1.01

Authors' conclusion

A combination of time restricted eating and exercise training started before and continued throughout pregnancy had no significant effect on glycaemic control in late pregnancy.

Study context

Population
People contemplating pregnancy with ≥1 risk factor for GDM; university hospital, Trondheim, Norway111 became pregnant
Participants
167 people
Comparison
Prepregnancy lifestyle intervention vs standard care
  • Interventionn = 84
  • Controln = 83reference
Primary endpoint
2-hour plasma glucose in OGTT
Follow-up
Gestational week 28
Methodological detailssingle-centre, Enrolled 2 October 2020 to 12 May 2023, 1 intervention participant excluded (prepregnancy diabetes); pregnancy data of 1 control participant excluded (twin pregnancy)
  • Single-centre
  • Enrolled 2 October 2020 to 12 May 2023
  • 1 intervention participant excluded (prepregnancy diabetes); pregnancy data of 1 control participant excluded (twin pregnancy)

Primary result

2-h plasma glucose in OGTT

Mean difference

0.48 mmol/L

95% CI −0.05 to 1.01

P = 0.08

Interventionvs Control
mean difference 0.48 mmol/L (95% CI −0.05 to 1.01); P = 0.08

As reported in the abstract

Further findings

Adherence to prespecified criteria (intervention)

Adhered in prepregnancy period
31/83 (37%)
Fulfilled criteria among those who became pregnant
24/55 (44%)

Intervention components in prepregnancy period

Average eating window, hours/day (SD 1.2)
9.9
Average weekly PAI points (SD 54)
111
Adherence to both components decreased during pregnancy

Original publication

Time restricted eating and exercise training before and during pregnancy for people with increased risk of gestational diabetes: single centre randomised controlled trial (BEFORE THE BEGINNING). BMJ. Published 9 September 2025. doi:10.1136/bmj-2024-083398

Composed by AI from the published abstract and checked against it. How Briefs are made →

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