The First 1,000 Days Program: Maternal-Child Obesity Prevention in Early Life
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,645
- 主要终点
- Maternal Gestational Weight Gain
研究概览
简要总结
The First 1000 Days (conception to age 2) is a crucial period for the development and prevention of obesity and its adverse consequences in mother-child pairs and their families. The overall aim of the First 1000 Days program is to work across early-life systems to prevent obesity, promote healthy routines and behaviors, address social determinants of health, and reduce health disparities among vulnerable children and families at community health centers in the Boston, MA area.
The study aims to simultaneously implement and evaluate an obesity prevention program across early life systems to reduce the prevalence of obesity risk factors within racial/ethnic minority families, close the gap in maternal-child health disparities, and assess and address social determinants of health.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All pregnant women receiving prenatal care at select community health centers in the Boston, MA area
- •All families of children aged 0-2 years receiving pediatric care at select community health centers in the Boston, MA area
排除标准
- 未提供
研究组 & 干预措施
First 1,000 Days Program
干预措施: First 1,000 Days Program Site (Behavioral)
结局指标
主要结局
Maternal Gestational Weight Gain
时间窗: First prenatal care visit to 36 weeks gestation
Weight gained during pregnancy
Infant Weight-for-Length Z-Score
时间窗: Child age 24 months
Age- and sex-specific weight-for-length z-score
Infant Weight-for-Length Z-score
时间窗: Child age 12 months
Age- and sex-specific weight-for-length z-score
Infant Weight-for-Length Z-Score
时间窗: Child age 6 months
Age- and sex-specific weight-for-length z-score
次要结局
- Change from 1st trimester maternal diet to 3rd trimester(An average of 18 weeks (1st trimester to 3rd trimester))
- Change from 1st trimester maternal physical activity to 3rd trimester(An average of 18 weeks (1st trimester to 3rd trimester))
- Change from 1st trimester maternal sleep duration to 3rd trimester(An average of 18 weeks (1st trimester to 3rd trimester))
- Change from 1st trimester maternal sedentary time to 3rd trimester(An average of 18 weeks (1st trimester to 3rd trimester))
- Change from 1st trimester depression to 3rd trimester(An average of 18 weeks (1st trimester to 3rd trimester))
- Change from 1st trimester maternal food insecurity to 3rd trimester(An average of 18 weeks (1st trimester to 3rd trimester))
- Change from 1st trimester maternal housing insecurity to 3rd trimester(An average of 18 weeks (1st trimester to 3rd trimester))
- Change from 1st trimester pregnancy-related anxiety to 3rd trimester(An average of 18 weeks (1st trimester to 3rd trimester))
- Change from 1st trimester enrollment in food assistance programs to 3rd trimester(An average of 18 weeks (1st trimester to 3rd trimester))
研究者
Elsie Taveras, MD
Chief, Division of General Academic Pediatrics
Massachusetts General Hospital