- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01610752
Personalized Management of Body Weight During Pregnancy
Expecting Success: Personalized Management of Body Weight During Pregnancy
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The study will last 22 months, from screening until study completion. The entire study will include 3 screening visits, receipt of weight management advice, second trimester testing, third trimester testing and three follow up visits during the first year after the baby is born. Participants will randomly be assigned to 1 of 3 programs to help manage their weight during pregnancy:
- Physician Directed group
- SmartMoms-Clinic group
- SmartMoms-Phone group
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Louisiana
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Baton Rouge, Louisiana, United States, 70808
- Pennington Biomedical Research Center
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Baton Rouge, Louisiana, United States, 70815
- Woman's Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Are pregnant.
- Are between 18 and 40 years old.
- Have a BMI (a number calculated from your height and weight) equal to or above 25kg/m2.
- Establish prenatal care before 12 weeks of your pregnancy.
- Can read, speak and understand English.
Exclusion Criteria:
- Do not plan to deliver your baby at Woman's Hospital, Baton Rouge, LA
- Are pregnant with more than one infant.
- Have habitually smoked during the last 6 months.
- Currently abuse or have abused illegal or prescription drugs in the last 6 months.
- Consume more than 2 alcoholic drinks per week.
- Are unwilling to avoid pregnancy for 12 months following delivery.
- Are unwilling to enroll your baby in the 12 month follow-up testing planned in this study.
- Are planning to move out of the area within the next 2 years or plan to be out of the study area for more than 1 month in the next year.
- Are unwilling to be assigned at random to any of the intervention groups.
- Are planning to terminate your pregnancy.
- Are planning to give your baby up for adoption.
- Are pregnant with a baby who has a known fetal anomaly.
- Have a reason that exercising is unsafe (determined by your physician or study staff).
- Have had or plan to have bariatric surgery within 1 year of your expected delivery.
- Currently have or have a history of the following:
- 3 or more first trimester miscarriages
- High blood pressure
- Type 1 diabetes
- Diagnosis of pregnancy related diabetes during screening
- HIV or AIDS
- Psychotic disorder, major depressive episode, bipolar disorder or eating disorder
- Any other pregnancy, blood, heart, lung, hormone, or digestive problem that your doctor considers unsafe for participation in this study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: SmartMoms-Clinic
If picked for this group, you will attend study meetings with a weight management counselor.
During the second trimester study meetings occur 4 times per month.
During the third trimester you will attend study meetings 2 times per month.
These meetings will cover many topics to help you learn about weight management during pregnancy.
You will be taught how to use different tools provided to help you monitor your weight.
We will ask you to record your body weight (using a scale we will provide) as well as your food intake and exercise habits.
|
This intervention will cover many topics to help you learn about weight management during pregnancy.
You will be taught how to use different tools provided to help you monitor your weight.
We will ask you to record your body weight (using a scale we will provide) as well as your food intake and exercise habits.
|
Experimental: SmartMoms-Phone
If picked for this group, you will have two individual sessions with a weight management counselor.
At the first session, you will receive a scale and other technology to help manage your weight during pregnancy.
Each week you will receive information from a weight management counselor via a Smartphone (you can use your own Smartphone or one will be provided to you).
The information will cover topics to help manage your weight during pregnancy.
You will be taught how to use different tools provided to help you monitor your weight.
We will ask you to measure your body weight (using a scale we will provide) as well as monitor your food intake and exercise habits with the Smartphone.
|
This intervention will cover many topics to help you learn about weight management during pregnancy.
You will be taught how to use different tools provided to help you monitor your weight.
We will ask you to record your body weight (using a scale we will provide) as well as your food intake and exercise habits.
|
No Intervention: Physician Directed
If picked for this group, you will receive weight management advice from your physician's office.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Count of Women Who Have Excess Gestational Weight Gain
Time Frame: Approximately 6 months (from 10-13 weeks gestation to 35-36 weeks gestation)
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Count of pregnant women who gain more weight during pregnancy than is recommended by the Institute of Medicine Gestational Weight Gain guidelines
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Approximately 6 months (from 10-13 weeks gestation to 35-36 weeks gestation)
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Total Gestational Weight Gain
Time Frame: Approximately 6 months (from 10-13 weeks gestation to 35-36 weeks gestation)
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Approximately 6 months (from 10-13 weeks gestation to 35-36 weeks gestation)
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Gestational Weight Gain Per Week
Time Frame: Approximately 6 months (from 10-13 weeks gestation to 35-36 weeks gestation)
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"per week" is included to adjust for the different length of time between weight measurements
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Approximately 6 months (from 10-13 weeks gestation to 35-36 weeks gestation)
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Collaborators and Investigators
Investigators
- Principal Investigator: Leanne M Redman, Ph.D., Pennington Biomedical Research Center
Publications and helpful links
General Publications
- Palmer MJ, Henschke N, Bergman H, Villanueva G, Maayan N, Tamrat T, Mehl GL, Glenton C, Lewin S, Fonhus MS, Free C. Targeted client communication via mobile devices for improving maternal, neonatal, and child health. Cochrane Database Syst Rev. 2020 Jul 14;8(8):CD013679. doi: 10.1002/14651858.CD013679.
- Redman LM, Drews KL, Klein S, Horn LV, Wing RR, Pi-Sunyer X, Evans M, Joshipura K, Arteaga SS, Cahill AG, Clifton RG, Couch KA, Franks PW, Gallagher D, Haire-Joshu D, Martin CK, Peaceman AM, Phelan S, Thom EA, Yanovski SZ, Knowler WC; LIFE-Moms Research Group. Attenuated early pregnancy weight gain by prenatal lifestyle interventions does not prevent gestational diabetes in the LIFE-Moms consortium. Diabetes Res Clin Pract. 2021 Jan;171:108549. doi: 10.1016/j.diabres.2020.108549. Epub 2020 Nov 22.
- Altazan AD, Redman LM, Burton JH, Beyl RA, Cain LE, Sutton EF, Martin CK. Mood and quality of life changes in pregnancy and postpartum and the effect of a behavioral intervention targeting excess gestational weight gain in women with overweight and obesity: a parallel-arm randomized controlled pilot trial. BMC Pregnancy Childbirth. 2019 Jan 29;19(1):50. doi: 10.1186/s12884-019-2196-8.
- Peaceman AM, Clifton RG, Phelan S, Gallagher D, Evans M, Redman LM, Knowler WC, Joshipura K, Haire-Joshu D, Yanovski SZ, Couch KA, Drews KL, Franks PW, Klein S, Martin CK, Pi-Sunyer X, Thom EA, Van Horn L, Wing RR, Cahill AG; LIFE-Moms Research Group. Lifestyle Interventions Limit Gestational Weight Gain in Women with Overweight or Obesity: LIFE-Moms Prospective Meta-Analysis. Obesity (Silver Spring). 2018 Sep;26(9):1396-1404. doi: 10.1002/oby.22250. Epub 2018 Sep 6.
- Redman LM, Gilmore LA, Breaux J, Thomas DM, Elkind-Hirsch K, Stewart T, Hsia DS, Burton J, Apolzan JW, Cain LE, Altazan AD, Ragusa S, Brady H, Davis A, Tilford JM, Sutton EF, Martin CK. Effectiveness of SmartMoms, a Novel eHealth Intervention for Management of Gestational Weight Gain: Randomized Controlled Pilot Trial. JMIR Mhealth Uhealth. 2017 Sep 13;5(9):e133. doi: 10.2196/mhealth.8228.
- Sutton EF, Cain LE, Vallo PM, Redman LM. Strategies for Successful Recruitment of Pregnant Patients Into Clinical Trials. Obstet Gynecol. 2017 Mar;129(3):554-559. doi: 10.1097/AOG.0000000000001900.
- Clifton RG, Evans M, Cahill AG, Franks PW, Gallagher D, Phelan S, Pomeroy J, Redman LM, Van Horn L; LIFE-Moms Research Group. Design of lifestyle intervention trials to prevent excessive gestational weight gain in women with overweight or obesity. Obesity (Silver Spring). 2016 Feb;24(2):305-13. doi: 10.1002/oby.21330. Epub 2015 Dec 26.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- PBRC 11024
- U01DK094418-01 (U.S. NIH Grant/Contract)
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.
Clinical Trials on Weight Gain During Pregnancy
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University of PennsylvaniaCompletedThe IBEP Study: an Intervention for Lifestyle Modification in Women With Gestational Diabetes (IBEP)Gestational Diabetes | Weight Gain During Pregnancy | Weight Loss After PregnancyUnited States
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