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Preventing Excessive Gestational Weight Gain in Obese Women

Not Applicable
Completed
Conditions
Obesity
Interventions
Behavioral: Lifestyle intervention
Registration Number
NCT01545934
Lead Sponsor
California Polytechnic State University-San Luis Obispo
Brief Summary

The purpose of this study is to study the effects of a multicomponent lifestyle intervention that includes partial meal replacements as a means to prevent excessive gestational weight gain in obese women. The primary hypothesis is that the intervention will reduce the rate of gestational weight gain compared with standard care.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
264
Inclusion Criteria

Not provided

Exclusion Criteria
  • Pregnant with Twins
  • Untreated medical or psychological problem
  • Inability to be physically active

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Lifestyle interventionLifestyle intervention-
Primary Outcome Measures
NameTimeMethod
Weight Gain Per Week of Observation13 weeks gestation, 35 weeks gestation

Rate of gestational weight gain will be computed as difference between weights measured at study entry and gestational week 35; this difference will be divided by the number of weeks of observation during pregnancy (i.e., weeks between study entry and final pregnancy assessment). If gestational week 35 is unavailable, most proximal clinic visit weight will be used.

Secondary Outcome Measures
NameTimeMethod
Number of Women Exceeding IOM Guidelines as a Proportion of Total Number of Women in Each Group.13 weeks, 40 weeks

Self-reported pre-pregnancy weight will be subtracted from weight measured at last clinic visit prior to delivery. Women will be categorized as exceeding 2009 IOM guidelines if the difference is \> 11.5 kg gain for women with prepregnancy overweight or \>9 kg for women with prepregnancy obesity.

Offspring Weight Gain1 week, 6 months, 12 months

Offspring weight for age z scores from birth (1 week), to 6 months, and 12 months of age.

Changes in Maternal Glucose13 weeks gestation, 34 weeks gestation

Fasting glucose

Kcals/Day13 weeks gestation, 34 weeks gestation

Changes in maternal calorie intake (Kcal/day)

Changes in Offspring Dietary Intake1 week, 6 months, 12 months

Changes in offspring intake of breast milk (#feeds per day) and/or formula (#feeds per day).

Number of Women at or Below Prepregnancy Weight as a Proportion of the Total Number of Participants in Each Group48-56 weeks post delivery

Weight measured at 48-56 weeks postpartum and subtracted from self-reported prepregnancy weight and then categorized as at or below vs. above self-reported prepregnancy weight.

Trial Locations

Locations (2)

California Polytechnic State University

🇺🇸

San Luis Obispo, California, United States

Miriam Hospital

🇺🇸

Providence, Rhode Island, United States

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