Randomized Controlled Clinical Trial: Dietetic-nutritional Intervention Based on the Mediterranean Diet During Pregnancy and the First Two Years, First Thousand Days, for the Improvement of Neurological Development
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 534
- 主要终点
- Neurodevelopmental assessment an behavior at 2 years old
研究概览
简要总结
The main objective is to evaluate the effect of the Mediterranean diet during pregnancy and the first two years of the child's life on the child's neurodevelopment and behavior (externalizing and internalizing disorders) measured at one and a half and two years. Secondary objectives are to evaluate the effect of the Mediterranean diet on: body composition at two years of age in infants (densitometry) and of the mother at 3 months postpartum, the incidence of allergic disease in infants, the fetal and infant ́s growth and metabolic risk in the mother during pregnancy and in the boy/girl at two years (fasting glucose: insulin, HOMA), LDL and HDL cholesterol, and micronutrient status (iron, calcium, phosphorus, magnesium, sodium, potassium, chloride, selenium, zinc and LCPUFAs).
Randomized controlled clinical trial with a 1:1 ratio, parallel and open label. Group 1: Mother-child binomial with nutritional intervention; Group 2: Mother-child binomial as a control group (with follow-up without intervention).
Assuming a loss of 25% (10% at follow-up, 15% failure of nutritional intervention) we would need a sample size of 267 patients per group. 1. Evaluation of neurodevelopment using the Bayleys scale version -III, at 2 years of age. 2.
Behavioral assessment CBCL at 1.5 and two years and BRIEF-P at two years.
详细描述
It will be registered in ClinicalTrials.gov. Randomization will be carried out in blocks of 50 patients (the last of 34 for having a total of 534 patients).
using the "sample" function of the statistical program R version 4.0.2 (R Core Team, 2020).
Study subjects:
All adult pregnant women who attend the routine first trimester visit from 4 weeks + 0 days of gestation up to 14 weeks + 6 days of gestation will be candidates to participate in the study.
The study will be carried out at the La Paz University Hospital, and in associated health centers.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •a. Fluency in the Spanish language, singleton pregnancy
排除标准
- •Children conceived with assisted reproduction techniques
- •Fetal anomalies and congenital infections
- •Neonatal anomalies diagnosed after birth
- •Intellectual development disorder, due to clinical judgment, inability to attend visits
- •Participation in another controlled trial
- •Vegetarian diet
结局指标
主要结局
Neurodevelopmental assessment an behavior at 2 years old
时间窗: Assessment at 2 years of age
Neurodevelopmental assessment using the Bayleys scale version III
次要结局
未报告次要终点
研究者
Esperanza Escribano
Pediatrician; Neonatologist
Hospital Universitario La Paz
