Maternal Determinants of HIV-exposed and HIV-unexposed Fetal Growth, Birth Outcomes and Early Infant Growth
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Purpose
The purpose of this study is to understand how differences in the nutritional status and concentration of hormones and cytokines associated with cachexia in HIV+ and HIV- pregnant women living in a semi-rural and rural region of northern Tanzania affect fetal growth, pregnancy outcomes and early infant health and development. The study hypothesis is that HIV+ women will have worse nutritional status and a greater degree of cachexia which will negatively impact fetal growth, pregnancy outcomes and early infancy health and development.
| Condition |
|---|
|
HIV Pregnancy Malnutrition Cachexia |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
- Maternal cachexia score [ Time Frame: Up to 1 month post-partum ] [ Designated as safety issue: No ]
- Maternal anthropometric measures [ Time Frame: Up to 1 month post-partum ] [ Designated as safety issue: No ]weight, height, mid-upper arm circumference, triceps skinfold, fundal height
- Fetal growth [ Time Frame: Up to 1 month post-partum ] [ Designated as safety issue: No ]
- Pregnancy outcomes [ Time Frame: Up to 1 month post-partum ] [ Designated as safety issue: No ]spontaneous abortion, stillbirth, preterm delivery, perinatal mortality (death within first 7 days), neonatal mortality (death within first 28 days), small for gestational age, intrauterine growth retardation, low birth weight
- Early infant anthropometrics [ Time Frame: Up to 1 month post-partum ] [ Designated as safety issue: No ]weight, length, head circumference, mid-upper arm circumference, triceps skinfold
| Estimated Enrollment: | 208 |
| Study Start Date: | April 2012 |
| Estimated Study Completion Date: | July 2013 |
| Estimated Primary Completion Date: | June 2013 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
Pregnant women and infants
HIV+ and HIV- pregnant women, HIV-exposed and HIV-unexposed infants, ARV-exposed and ARV-unexposed infants
|
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
HIV+ and HIV- women and their infants attending a semi-rural clinic and/or rural dispensaries for their antenatal and early infancy care in north western Tanzania
Inclusion Criteria:
- Informed consent provided by mothers, and parental consent on behalf of their infants
- Confirmed HIV status (HIV-1, HIV-2 or HIV-Dual seropositive or HIV-seronegative)
- Estimated gestational age between 12th and 34th weeks
- Stated intention to remain in the clinic catchment area ≥6 months post-partum
- Singleton birth
Exclusion Criteria:
- None
Contacts and Locations| Contact: Joann M. McDermid, PhD | 607-255-2490 | jmm585@cornell.edu |
| Tanzania | |
| Kisesa Health Centre | Recruiting |
| Kisesa, Tanzania | |
| Contact: Joann M McDermid, PhD 607-255-2490 jmm585@cornell.edu | |
| Principal Investigator: | Joann M. McDermid, PhD | Cornell University |
More Information
No publications provided
| Responsible Party: | Cornell University |
| ClinicalTrials.gov Identifier: | NCT01647841 History of Changes |
| Other Study ID Numbers: | IRB 1111002615 |
| Study First Received: | July 18, 2012 |
| Last Updated: | March 11, 2013 |
| Health Authority: | United States: Institutional Review Board Tanzania: National Institute for Medical Research |
Additional relevant MeSH terms:
|
Cachexia Malnutrition Emaciation Weight Loss |
Body Weight Changes Body Weight Signs and Symptoms Nutrition Disorders |
ClinicalTrials.gov processed this record on May 19, 2013