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SPRING: an RCT study of probiotics in the prevention of gestational diabetes mellitus in overweight and obese women.

Nitert MD, Barrett HL, Foxcroft K, Tremellen A, Wilkinson S, Lingwood B, Tobin JM, McSweeney C, O'Rourke P, McIntyre HD, Callaway LK - BMC Pregnancy Childbirth (2013)

Bottom Line: In SPRING (the Study of Probiotics IN the prevention of Gestational diabetes), the effectiveness of probiotics ingestion for the prevention of gestational diabetes will be assessed in overweight and obese women.The probiotics capsules contain > 1x10(9) cfu each of Lactobacillus rhamnosus GG and Bifidobacterium lactis BB-12 per capsule.Secondary outcomes include rates of other pregnancy complications, gestational weight gain, mode of delivery, change in gut microbiome, preterm birth, macrosomia, and infant body composition.

View Article: PubMed Central - HTML - PubMed

Affiliation: The UQ Centre for Clinical Research, The University of Queensland, RBWH campus, Butterfield street, Herston, QLD 4029, Australia. m.dekker@uq.edu.au

ABSTRACT

Background: Obesity is increasing in the child-bearing population as are the rates of gestational diabetes. Gestational diabetes is associated with higher rates of Cesarean Section for the mother and increased risks of macrosomia, higher body fat mass, respiratory distress and hypoglycemia for the infant. Prevention of gestational diabetes through life style intervention has proven to be difficult. A Finnish study showed that ingestion of specific probiotics altered the composition of the gut microbiome and thereby metabolism from early gestation and decreased rates of gestational diabetes in normal weight women. In SPRING (the Study of Probiotics IN the prevention of Gestational diabetes), the effectiveness of probiotics ingestion for the prevention of gestational diabetes will be assessed in overweight and obese women.

Methods/design: SPRING is a multi-center, prospective, double-blind randomized controlled trial run at two tertiary maternity hospitals in Brisbane, Australia. Five hundred and forty (540) women with a BMI > 25.0 kg/m(2) will be recruited over 2 years and receive either probiotics or placebo capsules from 16 weeks gestation until delivery. The probiotics capsules contain > 1x10(9) cfu each of Lactobacillus rhamnosus GG and Bifidobacterium lactis BB-12 per capsule. The primary outcome is diagnosis of gestational diabetes at 28 weeks gestation. Secondary outcomes include rates of other pregnancy complications, gestational weight gain, mode of delivery, change in gut microbiome, preterm birth, macrosomia, and infant body composition. The trial has 80% power at a 5% 2-sided significance level to detect a >50% change in the rates of gestational diabetes in this high-risk group of pregnant women.

Discussion: SPRING will show if probiotics can be used as an easily implementable method of preventing gestational diabetes in the high-risk group of overweight and obese pregnant women.

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Related in: MedlinePlus

Recruitment at 14–16 wks gestation.
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Figure 1: Recruitment at 14–16 wks gestation.

Mentions: This is a prospective double blind randomized controlled trial, designed according to the CONSORT guidelines [23]. Our study will investigate the treatment of overweight and obese women with an oral probiotic combination using Lactobacillus rhamnosus GG and Bifidobacterium animalis subsp. lactis BB-12 (Chr. Hansen A/S, Horsholm, Denmark) at a dose of >1 x 109 colony-forming units each per day or placebo (microcrystalline cellulose and dextrose anhydrate capsules – Chr. Hansen). Capsules will be taken once daily from enrolment prior to 16 weeks gestation until birth (Figure 1).


SPRING: an RCT study of probiotics in the prevention of gestational diabetes mellitus in overweight and obese women.

Nitert MD, Barrett HL, Foxcroft K, Tremellen A, Wilkinson S, Lingwood B, Tobin JM, McSweeney C, O'Rourke P, McIntyre HD, Callaway LK - BMC Pregnancy Childbirth (2013)

Recruitment at 14–16 wks gestation.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3585705&req=5

Figure 1: Recruitment at 14–16 wks gestation.
Mentions: This is a prospective double blind randomized controlled trial, designed according to the CONSORT guidelines [23]. Our study will investigate the treatment of overweight and obese women with an oral probiotic combination using Lactobacillus rhamnosus GG and Bifidobacterium animalis subsp. lactis BB-12 (Chr. Hansen A/S, Horsholm, Denmark) at a dose of >1 x 109 colony-forming units each per day or placebo (microcrystalline cellulose and dextrose anhydrate capsules – Chr. Hansen). Capsules will be taken once daily from enrolment prior to 16 weeks gestation until birth (Figure 1).

Bottom Line: In SPRING (the Study of Probiotics IN the prevention of Gestational diabetes), the effectiveness of probiotics ingestion for the prevention of gestational diabetes will be assessed in overweight and obese women.The probiotics capsules contain > 1x10(9) cfu each of Lactobacillus rhamnosus GG and Bifidobacterium lactis BB-12 per capsule.Secondary outcomes include rates of other pregnancy complications, gestational weight gain, mode of delivery, change in gut microbiome, preterm birth, macrosomia, and infant body composition.

View Article: PubMed Central - HTML - PubMed

Affiliation: The UQ Centre for Clinical Research, The University of Queensland, RBWH campus, Butterfield street, Herston, QLD 4029, Australia. m.dekker@uq.edu.au

ABSTRACT

Background: Obesity is increasing in the child-bearing population as are the rates of gestational diabetes. Gestational diabetes is associated with higher rates of Cesarean Section for the mother and increased risks of macrosomia, higher body fat mass, respiratory distress and hypoglycemia for the infant. Prevention of gestational diabetes through life style intervention has proven to be difficult. A Finnish study showed that ingestion of specific probiotics altered the composition of the gut microbiome and thereby metabolism from early gestation and decreased rates of gestational diabetes in normal weight women. In SPRING (the Study of Probiotics IN the prevention of Gestational diabetes), the effectiveness of probiotics ingestion for the prevention of gestational diabetes will be assessed in overweight and obese women.

Methods/design: SPRING is a multi-center, prospective, double-blind randomized controlled trial run at two tertiary maternity hospitals in Brisbane, Australia. Five hundred and forty (540) women with a BMI > 25.0 kg/m(2) will be recruited over 2 years and receive either probiotics or placebo capsules from 16 weeks gestation until delivery. The probiotics capsules contain > 1x10(9) cfu each of Lactobacillus rhamnosus GG and Bifidobacterium lactis BB-12 per capsule. The primary outcome is diagnosis of gestational diabetes at 28 weeks gestation. Secondary outcomes include rates of other pregnancy complications, gestational weight gain, mode of delivery, change in gut microbiome, preterm birth, macrosomia, and infant body composition. The trial has 80% power at a 5% 2-sided significance level to detect a >50% change in the rates of gestational diabetes in this high-risk group of pregnant women.

Discussion: SPRING will show if probiotics can be used as an easily implementable method of preventing gestational diabetes in the high-risk group of overweight and obese pregnant women.

Show MeSH
Related in: MedlinePlus