Born In Guangzhou Intervention Study (BIGIS)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Qiu Qiu, Dr.
- Phone Number: 86+02038367159
- Email: qxiu0161@163.com
Study Contact Backup
- Name: Songying Shen, Msc.
- Phone Number: 86+02038367160
Study Locations
-
-
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Guangzhou, China
- Recruiting
- Zhujiang new town campus, Guangzhou Women and Children's Medical Center, China
-
Contact:
- Xiu Qiu, MD,PhD
- Phone Number: 86-020-38367160
- Email: xiu.qiu@bigcs.org
-
Contact:
- Jian-Rong He, MD, PhD
- Phone Number: 86-020-38367160
- Email: jianrong.he@bigcs.org
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Guangzhou, China
- Recruiting
- Fuying Campus, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
-
Contact:
- Xiu Qiu
- Phone Number: 086-020-38367160
- Email: qxiu0161@163.com
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Pregnant women attending prenatal care at Guangzhou Women and Children's Medical Center (GWCMC) <20 weeks' gestation
- Pregnant women plan to deliver at GWCMC
- Pregnant women intend to reside in Guangzhou for at least 3 years
Exclusion Criteria:
- Multiple pregnancies
- Existing medical conditions (uncontrolled diabetes, hypertension or thyroid disease; other serious cardiovascular diseases, respiratory or systematic disorders)
- Use of drugs (aspirin, metformin, low molecular weight heparin)
- Women with reading and/or writing difficulties
- Women with serious mental disorders
- Women with eating disorders
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Proactive management during pregnancy
A combination of dietary, physical activity and lifestyle modification.
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This lifestyle modification aiming to provide proactive health management during pregnancy, which contains the following: 1) balanced dietary intake based on the Chinese Dietary Guideline; 2) sufficient physical activity; 3) changes in lifestyles (e.g.
sleep, sun exposure etc.)
|
|
No Intervention: Standard Care
No additional intervention beyond standard care procedure.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Maternal gestational weight change
Time Frame: From pregnancy until one month postpartum
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Maternal weight prior to pregnancy (or within 8 weeks of pregnancy), at around 20, 26, 32 weeks' gestation, before delivery and one month postpartum will be determined by digital scales, changes in maternal weight during pregnancy will be recorded in kg.
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From pregnancy until one month postpartum
|
|
Newborn size
Time Frame: Day 1 after birth
|
Weight (kg) will be measured with digital scales and height/length (cm) will be measured in supine with tape, comparing against reference to derived gestational age and sex-specific growth parameter Z-scores.
To identify whether the neonates was small/appropriate/large for gestational age.
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Day 1 after birth
|
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Neonatal skinfold thickness (at birth)
Time Frame: Day 1 after birth
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Measured with skinfold caliper, a summation of skinfold thickness at several body sites including triceps, biceps, subscapular, suprailiac and thigh, will be derived in cm.
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Day 1 after birth
|
|
Maternal blood lipid profile postpartum (3 years)
Time Frame: Three years after delivery
|
Measured by autoanalyzer, total lipids (total cholesterol, triglycerides, high/low density protein cholesterol) expressed in mmol/L.
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Three years after delivery
|
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Maternal blood glucose profile postpartum (3 years)
Time Frame: Three years after delivery
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Measured by autoanalyzer, blood glucose level in mmol/L.
|
Three years after delivery
|
|
Maternal blood insulin profile postpartum (3 years)
Time Frame: Three years after delivery
|
Measured by commercial ELIZA kit, total and free insulin in pmol/L.
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Three years after delivery
|
|
Child blood lipid profile (3 years)
Time Frame: At three years of age
|
Measured by autoanalyzer, total lipids (total cholesterol, triglycerides, high/low density protein cholesterol) expressed in mmol/L.
|
At three years of age
|
|
Child blood glucose profile (3 years)
Time Frame: At three years of age
|
Measured by autoanalyzer, blood glucose level in mmol/L.
|
At three years of age
|
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Child blood insulin profile (3 years)
Time Frame: At three years of age
|
Measured by commercial ELIZA kit, total and free insulin in pmol/L.
|
At three years of age
|
|
Child growth parameters (3 years)
Time Frame: At three years of age
|
Weight measured with digital scales in kg, length measured in standing position in cm, using weight and length to derived body mass index, comparing against age and sex-specific references for Z-score.
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At three years of age
|
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Incidence of pregnancy complications
Time Frame: From 20 weeks' gestation until one month postpartum
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Incidence of physician-diagnosed pregnancy complications, including gestational diabetes mellitus, hypertensive disorders
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From 20 weeks' gestation until one month postpartum
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Child skinfold thickness (6 months)
Time Frame: At six months of age
|
Measured with skinfold caliper, a summation of skinfold thickness at several body sites including triceps, biceps, subscapular, suprailiac and thigh, will be derived in cm.
|
At six months of age
|
|
Child skinfold thickness (1 year)
Time Frame: At one year of age
|
Measured with skinfold caliper, a summation of skinfold thickness at several body sites including triceps, biceps, subscapular, suprailiac and thigh, will be derived in cm.
|
At one year of age
|
|
Child skinfold thickness (3 years)
Time Frame: At three years of age
|
Measured with skinfold caliper, a summation of skinfold thickness at several body sites including triceps, biceps, subscapular, suprailiac and thigh, will be derived in cm.
|
At three years of age
|
|
Child skinfold thickness (6 years)
Time Frame: At six years of age
|
Measured with skinfold caliper, a summation of skinfold thickness at several body sites including triceps, biceps, subscapular, suprailiac and thigh, will be derived in cm.
|
At six years of age
|
|
Child growth parameters (6 months)
Time Frame: At six months of age
|
Weight measured with digital scales in kg, length measured with tape in supine position in cm, using weight and length to derived body mass index, comparing against age and sex-specific references for Z-score.
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At six months of age
|
|
Child growth parameters (1 year)
Time Frame: At one year of age
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Weight measured with digital scales in kg, length measured with tape in supine position in cm, using weight and length to derived body mass index, comparing against age and sex-specific references for Z-score.
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At one year of age
|
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Child growth parameters (6 years)
Time Frame: At six years of age
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Weight measured with digital scales in kg, length measured in standing position in cm, using weight and length to derived body mass index, comparing against age and sex-specific references for Z-score.
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At six years of age
|
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Child blood lipid profile (6 years)
Time Frame: At six years of age
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Measured by autoanalyzer, total lipids (total cholesterol, triglycerides, high/low density protein cholesterol) expressed in mmol/L
|
At six years of age
|
|
Child blood sugar profile (6 years)
Time Frame: At six years of age
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Measured by autoanalyzer, blood glucose level in mmol/L.
|
At six years of age
|
|
Child blood insulin profile (6 years)
Time Frame: At six years of age
|
Measured by commercial ELIZA kit, total and free insulin in pmol/L.
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At six years of age
|
|
Neurological development of child (1 year)
Time Frame: At one year of age
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Assessed by using Gesell testing, which measures the child's cognitive, language, motor (gross & fine) and social-emotional responses.
Higher score in each domain is desired, there is no upper limit.
Overall score of less than 86 indicates suspected developmental retardation.
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At one year of age
|
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Neurological development of child (3 years)
Time Frame: At three years of age
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Assessed by Ages & Stages Questionnaires, including adaptive, motor (gross & fine), language, and social function domains, overall score being less than -2SD of age specific mean indicates suspected developmental retardation.
|
At three years of age
|
|
Maternal hand grip strength during pregnancy
Time Frame: Between 32-34 weeks' gestation
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Measured by high precision digital hand dynamometer, in kg
|
Between 32-34 weeks' gestation
|
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Maternal hand grip strength after delivery
Time Frame: At one month postpartum
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Measured by high precision digital hand dynamometer, in kg
|
At one month postpartum
|
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Maternal body composition postpartum
Time Frame: At one month postpartum
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Measured by dual-energy X-ray absorptiometry by trained physician, fat mass (kg), fat free mass (kg), and relative proportion (%) and distribution of fat mass will be described.
|
At one month postpartum
|
|
Maternal blood lipid profile postpartum (6 years)
Time Frame: Six years after delivery
|
Measured by autoanalyzer, total lipids (total cholesterol, triglycerides, high/low density protein cholesterol) expressed in mmol/L.
|
Six years after delivery
|
|
Maternal blood sugar profile postpartum (6 years)
Time Frame: Six years after delivery
|
Measured by autoanalyzer, blood glucose level in mmol/L.
|
Six years after delivery
|
|
Maternal blood insulin profile postpartum (6 years)
Time Frame: Six years after delivery
|
Measured by commercial ELIZA kit, total and free insulin in pmol/L.
|
Six years after delivery
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Xiu Qiu, Guangzhou Women and Children's Medical Center
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2022390B00
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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