Preventing Excessive Gestational Weight Gain in Obese Women
- 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
Not provided
- Pregnant with Twins
- Untreated medical or psychological problem
- Inability to be physically active
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Lifestyle intervention Lifestyle intervention -
- Primary Outcome Measures
Name Time Method Weight Gain Per Week of Observation 13 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
Name Time Method 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 Gain 1 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 Glucose 13 weeks gestation, 34 weeks gestation Fasting glucose
Kcals/Day 13 weeks gestation, 34 weeks gestation Changes in maternal calorie intake (Kcal/day)
Changes in Offspring Dietary Intake 1 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 Group 48-56 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