Maternal Characteristics Associated With Child Growth and Adiposity

Maternal Characteristics Associated With Child Growth and Adiposity. Search for Nutrigenomic Biomarkers in Peripheral Blood

The goal of this observational study is to investigate the concentrations of leptin, insulin, liver expressed antimicrobial peptide 2 (LEAP2), and cortisol in plasma and breast milk and their relationship with eating behavior, growth, adiposity and with the levels of these hormones in infants, comparing mothers with normal weight and with pre-pregnancy overweight/obesity. The main question[s] it aims to answer are:

  • Are maternal hormones associated with child growth and adiposity
  • Are maternal hormone receptors associated with child growth and adiposity
  • Are infant hormones and their receptors associated with child growth and adiposity
  • Are maternal and infant hormones and their receptors associated with child eating behavior Participants will provide milk and blood samples. Researchers will compare mothers with normal weight and with pre-pregnancy overweight/obesity to see if there are differences in child growth and adiposity .

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Study Type

Observational

Enrollment (Estimated)

130

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

    • Buenos Aires
      • La Plata, Buenos Aires, Argentina, 1900
        • Recruiting
        • Instituto de Desarrollo e Investigaciones Pediátricas Prof. Dr. Fernando E. Viteri
        • Contact:
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 40 years (Adult)

Accepts Healthy Volunteers

Yes

Sampling Method

Non-Probability Sample

Study Population

Lactating women with pre-pregnancy normal weight and overweight or obesity recruited at the Mother and Healthy Children Outpatient Service, Instituto de Desarrollo e Investigaciones Pediátricas (IDIP), HIAEP "Sor María Ludovica", La Plata, Argentina.

Description

Inclusion Criteria:

  • Lactating women with pre-pregnancy normal weight and overweight or obesity as described by the World Health Organization.

Exclusion Criteria:

  • Diabetes (Type I or II or gestational)
  • Multiple pregnancy
  • Hypertensive disorders during pregnancy
  • Delivery of pre-term infant (<37 weeks).

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
mothers with pre-pregnancy normal weight and their infants
mothers with pre-pregnancy normal weight according to World Health Organization will provide blood and milk samples
mothers with pre-pregnancy overweight or obesity and their infants
mothers with pre-pregnancy overweight or obesity according to World Health Organization will provide blood and milk samples
the consequences of maternal pregestational overweight/obesity on infant´s growth and adiposity will be studied

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
infant weight
Time Frame: from birth to 2 years old
weight in kilograms
from birth to 2 years old
infant height
Time Frame: from birth to 2 years old
height in centimeters
from birth to 2 years old
infant body mass index (BMI)
Time Frame: from birth to 2 years old
weight and height will be combined to report BMI in kg/m^2
from birth to 2 years old
infant upper arm circumference
Time Frame: from birth to 2 years old
upper arm circumference in centimeters
from birth to 2 years old
infant skinfold thickness
Time Frame: from birth to 2 years old
skinfold thickness in centimeters
from birth to 2 years old
infant blood leptin concentration
Time Frame: six months old
blood leptin concentration (ng/ml)
six months old
infant blood cortisol concentration
Time Frame: six months old
blood cortisol concentration (ug%)
six months old
infant saliva cortisol concentration
Time Frame: six months old
saliva cortisol (ug%)
six months old
infant blood insulin concentration
Time Frame: six months old
blood insulin concentration (uU/ml)
six months old
infant insulin receptor gene expression in peripheral blood mononuclear cells
Time Frame: six months old
insulin receptor gene expression in peripheral blood mononuclear cells (relative expression)
six months old
infant leptin receptor gene expression in peripheral blood mononuclear cells
Time Frame: six months old
leptin receptor gene expression in peripheral blood mononuclear cells (relative expression)
six months old
infant glucocorticoid receptor gene expression in peripheral blood mononuclear cells
Time Frame: six months old
glucocorticoid receptor gene expression in peripheral blood mononuclear cells (relative expression)
six months old
infant blood LEAP2 concentration
Time Frame: six months old
blood LEAP2 concentration (pg/ml)
six months old
infant eating behavior assessed in a Taste acceptance test
Time Frame: at 18 month od

Outcome Measures Infant taste acceptance was assessed using two complementary measures: an Ingestion Ratio (IR) and a Liking Ratio (LR). Sweet and fat taste acceptance were evaluated using a lactose solution (0.2 M) and a fat emulsion (3.5% w/v), respectively, with water used as a reference. During each test, infants were sequentially offered bottles containing water and the tastant. Intake volume was determined by weighing bottles before and after ingestion.

The IR was calculated as the volume of tastant consumed divided by the total volume of tastant plus water consumed, allowing comparison across infants by accounting for individual differences in sucking behavior.

The LR was based on a blinded experimenter's assessment of the infant's overall behavioral response using a standardized 5-point scale ranging from strong rejection to strong acceptance. Both ratios ranged from 0 to 1, with 0.5 indicating indifference relative to water.

at 18 month od

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
maternal blood leptin concentration
Time Frame: 15 days, three and six months postpartum
blood leptin concentration (ng/ml)
15 days, three and six months postpartum
maternal milk leptin concentration
Time Frame: 15 days, three and six months postpartum
milk leptin concentration (ng/ml)
15 days, three and six months postpartum
maternal blood insulin concentration
Time Frame: 15 days, three and six months postpartum
blood insulin concentration (uU/ml)
15 days, three and six months postpartum
maternal milk insulin concentration
Time Frame: 15 days, three and six months postpartum
milk insulin concentration (uU/ml)
15 days, three and six months postpartum
maternal blood cortisol concentration
Time Frame: 15 days, three and six months postpartum
blood cortisol concentration (ug%)
15 days, three and six months postpartum
maternal milk cortisol concentration
Time Frame: 15 days, three and six months postpartum
milk cortisol concentration (ug%)
15 days, three and six months postpartum
maternal insulin receptor gene expression in peripheral blood mononuclear cells
Time Frame: 15 days, three and six months postpartum
insulin receptor gene expression in peripheral blood mononuclear cells (relative expression)
15 days, three and six months postpartum
maternal leptin receptor gene expression in peripheral blood mononuclear cells
Time Frame: 15 days, three and six months postpartum
leptin receptor gene expression in peripheral blood mononuclear cells (relative expression)
15 days, three and six months postpartum
maternal glucocorticoid receptor gene expression in peripheral blood mononuclear cells
Time Frame: 15 days, three and six months postpartum
glucocorticoid receptor gene expression in peripheral blood mononuclear cells (relative expression)
15 days, three and six months postpartum
maternal blood LEAP2 concentration
Time Frame: 15 days, three and six months postpartum
blood LEAP2 concentration (pg/ml)
15 days, three and six months postpartum
maternal milk LEAP2 concentration
Time Frame: 15 days, three and six months postpartum
milk LEAP2 concentration (pg/ml)
15 days, three and six months postpartum

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: Maria F Andreoli, BsC, Instituto de Desarrollo e Investigaciones Pediátricas Prof. Dr. Fernando E. Viteri

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

May 2, 2019

Primary Completion (Estimated)

March 1, 2028

Study Completion (Estimated)

March 1, 2028

Study Registration Dates

First Submitted

February 23, 2023

First Submitted That Met QC Criteria

March 22, 2023

First Posted (Actual)

April 4, 2023

Study Record Updates

Last Update Posted (Actual)

December 26, 2025

Last Update Submitted That Met QC Criteria

December 19, 2025

Last Verified

December 1, 2025

More Information

Terms related to this study

Other Study ID Numbers

  • L2022

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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