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A proposal to optimize postprandial glycaemic control and prevent maternal and neonatal complications: timing of acute exercise and underlying mechanisms in healthy, obese and T1DM pregnant women

Project description

Exercise during pregnancy to avoid diabetes

Some pregnant women develop gestational diabetes with a negative impact on both the mother and the foetus. Emerging evidence indicates that exercise can help control blood sugar levels during pregnancy. The EU-funded The MERIT study project aims to investigate the most effective time of exercise. Researchers will study the impact of exercise on healthy, obese and diabetic pregnant women at different times during the day, before or after a meal. Metabolic information from these women will help delineate the potential crosstalk with the placenta. Considering that gestational diabetes increases the susceptibility to diabetes later on in life as well as the chances of transmitting it to subsequent generations, the results of the study are of great clinical importance.

Objective

Hyperglycaemia during pregnancy is a major factor leading to adverse pregnancy complications, and future maternal and offspring diseases. Growing diseases such as obesity and T1DM -hyperglycaemic states- increase this susceptibility to later disease; which can be transmitted to subsequent generations. To find strategies aimed at breaking this intergenerational cycle, which is aggravating the disease burden of this and next generations, is a high-priority within the European Policy Framework.
Exercise has been recently proposed as a mean to better control short-term glycaemic responses such as postprandial glucose and glucose variability, and thus reduce adverse maternal and neonatal outcomes. However, it remains unknown which timing of exercise is more effective to optimize postprandial glycaemic control in healthy and impaired metabolic conditions during pregnancy. The mechanisms underlying these benefits also remain to be established. The MERIT project will investigate which timing of exercise (at lunch or dinnertime, and before or after the meal) is more effective to optimize postprandial glycaemic control in healthy, obese and T1DM women during pregnancy. To obtain a mechanistic insight, the muscle molecular signature related to these metabolic responses will be explored, as well as the related muscle molecular changes induced by exercise. This new knowledge on the muscle molecular signature, changes and functionality, will be generated by using last-generation technologies, and cutting-edge bioinformatics analyses. Lastly, the role of the muscle molecular machinery and glycaemic excursions on placental phenotype, and the muscle-placenta crosstalk will be investigated, which further highlights the novelty of this project.
Working under the supervision of Prof. van Poppel and Prof. Desoye will boost the fellow´s scientific career development and professional maturation as an independent researcher, in addition to help him setting this pioneering field in Europe.

Fields of science (EuroSciVoc)

Keywords

Programme(s)

Topic(s)

Funding Scheme

MSCA-IF - Marie Skłodowska-Curie Individual Fellowships (IF)

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Call for proposal

(opens in new window) H2020-MSCA-IF-2020

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Coordinator

UNIVERSITAET GRAZ
Net EU contribution
€ 174 167,04
Address
UNIVERSITATSPLATZ 3
8010 Graz
Austria
Region
Südösterreich Steiermark Graz
Activity type
Higher or Secondary Education Establishments
Links
Total cost
€ 174 167,04