The First 1,000 Days Program: Maternal-Child Obesity Prevention in Early Life
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Overweight and Obesity
- Sponsor
- Massachusetts General Hospital
- Enrollment
- 1645
- Primary Endpoint
- Maternal Gestational Weight Gain
- Status
- Completed
- Last Updated
- 4 months ago
Overview
Brief Summary
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.
Investigators
Elsie Taveras, MD
Chief, Division of General Academic Pediatrics
Massachusetts General Hospital
Eligibility Criteria
Inclusion Criteria
- •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
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Maternal Gestational Weight Gain
Time Frame: First prenatal care visit to 36 weeks gestation
Weight gained during pregnancy
Infant Weight-for-Length Z-Score
Time Frame: Child age 24 months
Age- and sex-specific weight-for-length z-score
Infant Weight-for-Length Z-score
Time Frame: Child age 12 months
Age- and sex-specific weight-for-length z-score
Secondary Outcomes
- 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))