Gestational Metabolic Abnormalities and Maternal and Infant Nutrition and Health
Childhood obesity is on the rise and is a major risk factor for type 2 diabetes later in life. Recent evidence indicates that abnormalities that increase risk for diabetes may be initiated early in infancy. Since the offspring of women with diabetes have an increased long-term risk for obesity and type 2 diabetes, the impact of maternal metabolic abnormalities on early nutrition and infant metabolic trajectories is of considerable interest. The purpose of the study is to investigate the impact of maternal nutrition and metabolic abnormalities in pregnancy on human milk and subsequently on infant health over the first year of life.
|Study Design:||Observational Model: Cohort
Time Perspective: Prospective
|Official Title:||Impact of Maternal Metabolic Abnormalities in Pregnancy on Human Milk and Subsequent Infant Metabolic Development|
- Infant growth [ Time Frame: Growth from birth to anthrometry at 12mo ] [ Designated as safety issue: No ]
- Human milk composition [ Time Frame: At 3d and at 3mo postpartum ] [ Designated as safety issue: No ]
- Onset of lactogenesis II [ Time Frame: At 3d, 5d, 7d postpartum until the event occurrence of milk-coming-in up to day 7. ] [ Designated as safety issue: No ]If the participant reports no milk-coming-in at the day 7 postpartum interview, the response is recorded as no milk-coming-in by day 7 postpartum.
- Gestational diabetes [ Time Frame: An expected average of 30 weeks of gestation ] [ Designated as safety issue: No ]
- Gestational metabolic abnormalities [ Time Frame: An expected average of 30 weeks of gestation ] [ Designated as safety issue: No ]
- Getational hyperglycemia and insulinemia (insulin resistance/sensitivity) [ Time Frame: An expected average of 30 weeks of gestation ] [ Designated as safety issue: No ]
|Study Start Date:||March 2009|
|Study Completion Date:||August 2012|
|Primary Completion Date:||August 2012 (Final data collection date for primary outcome measure)|
The current investigation is a prospective study conducted within ongoing cohort studies of women and their offspring. Pregnant women attending outpatient obstetrics clinics in Toronto, Canada are recruited. The overall study protocol includes four study visits between the second half of pregnancy and the first year of infant's life and interim phone call interviews:
- Pregnant women undergo an oral glucose tolerance test at an expected average of 30 weeks of gestation and complete medical and lifestyle questionnaires including food frequency questionnaires.
- Infant birth anthropometry measurements and human milk samples are collected at an expected average of 3 days postpartum. The timing of onset of lactogenesis II is asked at 3d, 5d, 7d postpartum or until the event occurrence up to day 7.
- At 3 months postpartum, follow-up assessments including infant anthropometry, medical and lifestyle questionnaires and human milk sample collection are completed.
- Interim telephone interviews are conducted at 6 weeks and 5, 7, 9 months postpartum to characterize infant feeding and supplementation behaviors.
- At 12 months postpartum, infant anthropometric assessments are conducted.
|Mount Sinai Hospital|
|Toronto, Ontario, Canada, M5T 3L9|
|Study Chair:||Anthony Hanley, PhD||University of Toronto|
|Study Director:||Sylvia Ley, PhD||University of Toronto|