Starting Pediatric Obesity Prevention in Pregnancy
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Purpose
The purpose of this study is to examine whether we can use social networks to spread health information and health behaviors during pregnancy to prevent excessive gestational weight gain.
| Condition | Intervention |
|---|---|
|
Obesity Pregnancy |
Behavioral: Social network building intervention Behavioral: Home visit |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Prevention |
| Official Title: | Starting Pediatric Obesity Prevention in Pregnancy |
- Gestational Weight Gain [ Time Frame: Duration of pregnancy ] [ Designated as safety issue: No ]Total weight gain during pregnancy extracted from medical record
- Infant feeding intentions [ Time Frame: 3 times over 12 weeks ] [ Designated as safety issue: No ]Mother's intent to breastfeed vs formula feed
- Social network structure [ Time Frame: 3 times over 12 weeks ] [ Designated as safety issue: No ]Number and type of relationships
- Nutrition [ Time Frame: 3 times over 12 weeks ] [ Designated as safety issue: No ]Fat/Fruit/Vegetable intake
- Physical Activity [ Time Frame: 21 days over 12 weeks ] [ Designated as safety issue: No ]Accelerometer worn on waist during the day
- Infant Weight at Birth [ Time Frame: 1 time after study participation ] [ Designated as safety issue: No ]Infant weight at birth collected through medical chart abstraction
- Gestational Diabetes [ Time Frame: Once after delivery ] [ Designated as safety issue: No ]Gestational diabetes status extracted from medical record
- Total Weeks Gestation [ Time Frame: Once after delivery ] [ Designated as safety issue: No ]Total weeks gestation extracted from medical record
| Enrollment: | 153 |
| Study Start Date: | January 2011 |
| Study Completion Date: | April 2012 |
| Primary Completion Date: | June 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Social network building intervention
Healthy lifestyle intervention focused on building healthy lifestyle skills and reciprocal social ties between the intervention group members
|
Behavioral: Social network building intervention
Group support and 12 weekly health education/skills building sessions during pregnancy
Other Name: Madre Sana
|
|
Active Comparator: Home visit
Home visits focused on preventable infant injuries
|
Behavioral: Home visit
Three home visits during pregnancy focused on providing education on infant injury prevention
|
Detailed Description:
The long-term goal of this research is to prevent obesity-related adverse health outcomes for future generations by applying information emerging from social network studies to the development of new population-based behavioral interventions. There are a number of critical periods during fetal development that appear to influence the later development of obesity. Interventions that prevent insult to these critical windows from occurring could improve children's life course trajectories. This project sets the groundwork for examining whether social networks could explicitly be utilized to support women in gaining weight during pregnancy within their clinically recommended weight gain target.
Eligibility| Ages Eligible for Study: | 16 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- any race/ethnicity
- speak Spanish or English
- ≥16 years
- >10 and <28 weeks pregnant
- in prenatal care
- anticipating remaining in Middle Tennessee for their full gestation
- willing to sign a medical information release form so that we can abstract weight measures from their obstetric and pediatric records
Exclusion Criteria:
- speak neither Spanish or English
- <16 years
- < 10 weeks or >28 weeks pregnant
- not in prenatal care
- anticipating leaving Middle Tennessee before full gestation
- unwilling to sign medical information release form
- current or past (within last 12 months) enrollment in another research program that targets weight, physical activity, nutrition
Contacts and Locations| United States, Tennessee | |
| Coleman Regional Community Center- Parks & Rec Department | |
| Nashville, Tennessee, United States, 37211 | |
| Principal Investigator: | Sabina B Gesell, PhD | Vanderbilt University |
More Information
No publications provided
| Responsible Party: | Sabina Gesell, Research Assistant Professor of Pediatrics, Vanderbilt University |
| ClinicalTrials.gov Identifier: | NCT01279109 History of Changes |
| Other Study ID Numbers: | 101552 |
| Study First Received: | January 17, 2011 |
| Last Updated: | April 18, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Vanderbilt University:
|
gestational weight gain |
Additional relevant MeSH terms:
|
Obesity Overnutrition Nutrition Disorders |
Overweight Body Weight Signs and Symptoms |
ClinicalTrials.gov processed this record on June 18, 2013