- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03057808
Gestational Weight Gain and Postpartum Weight Loss in Active Duty Women (Moms Fit 2 Fight)
Gestational Weight Gain and Postpartum Weight Loss in Active Duty Women
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Investigators will randomize 450 consented participants to 1 of 3 interventions: a) a gestational weight gain intervention (GWG-only); b) a postpartum weight loss intervention (PPWL-only), or c) a combined gestational weight gain and postpartum weight loss intervention (GWG+PPWL) to determine the efficacy of the interventions on GWG as well as PPWL.
Procedures: Interested individuals will be directed to call the study telephone number to learn more and determine whether eligibility criteria is met. Individuals who meet the telephone screening eligibility criteria will be invited to schedule a Screening Visit, during which written informed consent will be obtained. At this visit, eligibility will be assessed and measures will be administrated. The potential participant will also be asked to complete a one-week dietary and exercise self-monitoring run-in and receive medical clearance from their obstetrician to participate. Should she continue to be interested, she will return for a Baseline Visit and will be randomized.
Randomized participants will have 5 in person scheduled visits after their Screening Visit and Baseline Visit to the Wilford Hall Ambulatory Surgical Center (WHASC) or San Antonio Military Medical Center (SAMMC) Obstetrics (OB) clinic. These visits will be scheduled at gestational week 32, 36, as well as at 6- weeks, 6-months, and 12- month postpartum. At these visits, physical measurements will be collected and participants will complete various questionnaires.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Texas
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San Antonio, Texas, United States, 78219
- San Antonio Military Medical Center Obstetrics Clinic (SAMMC)
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San Antonio, Texas, United States, 78236
- Wilford Hall Ambulatory Surgical Center
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Participants will be active duty military, dependents or retired with TRICARE benefits
- Participants must be less than 12 weeks gestation upon recruitment (based on the date of their last menstrual period and then confirmed by their physician at their first prenatal visit, which typically occurs at 6-8 weeks gestation at WHASC and SAMMC)
- Participants also must be within the normal, overweight, or obese BMI ranges
- Are generally in good health
- Currently not smoking more than 5 cigarettes per day at the time of conception
Exclusion Criteria:
- Expecting multiple babies (e.g. twins)
- Diabetic
- Not interested in participating in a program for 21 months
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Gestational weight gain intervention (GWG-only)
The GWG intervention will begin upon randomization to the GWG-only or the GWG+PPWL arm, and continue until the birth of the participant's child.
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This intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists.
The intervention will focus on self-monitoring, clear goals (i.e., GWG, caloric intake exercise), and problem solving.
Other Names:
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Experimental: Postpartum weight loss intervention (PPWL-only)
The PPWL intervention will begin at 6-weeks postpartum (when most women will be approved for weight loss and exercise by their obstetrician) for those participants randomized to the PPWL only or the GWG+PPWL arms, and will continue until 6-months postpartum.
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The PPWL intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists.
(The number of possible telephone sessions will depend on the level of support needed by each participant to meet her weight loss goals).
The PPWL intervention will focus on self-monitoring; weight, dietary intake and exercise goals; and problem solving.
Other Names:
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Experimental: Combined
During the gestational phase participants will receive the same intervention as the GWG only group.
During the postpartum phase participants will receive the the same intervention as the PPWL group.
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This intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists.
The intervention will focus on self-monitoring, clear goals (i.e., GWG, caloric intake exercise), and problem solving.
Other Names:
The PPWL intervention will provide individual, telephone-based sessions (20-30 minutes each) by trained interventionists.
(The number of possible telephone sessions will depend on the level of support needed by each participant to meet her weight loss goals).
The PPWL intervention will focus on self-monitoring; weight, dietary intake and exercise goals; and problem solving.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in the Mother's Body Weight Pre and Post Pregnancy
Time Frame: Baseline to 6 months postpartum
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At all measurement visits, weight will be recorded in kilograms.
Weight will be measured on a calibrated digital scale in duplicate, with the participant wearing light clothing and no shoes.
While Investigators obtain the mother's weight at baseline, there will also be a self reported pregravid weight (before the last menstrual period).
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Baseline to 6 months postpartum
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Length of Infant
Time Frame: Delivery
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Birth height of the infant will be recorded in centimeters.
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Delivery
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Waist Circumference on Fitness Test Scores
Time Frame: Baseline and 12 months postpartum
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Waist circumference will be recorded in centimeters.
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Baseline and 12 months postpartum
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Number of Push Ups on Fitness Test Scores
Time Frame: Baseline and 12 months postpartum
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Number of push ups completed.
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Baseline and 12 months postpartum
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Maternal and Fetal Conditions During Pregnancy
Time Frame: Baseline (13 weeks gestational to delivery)
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Pregnancy-related medical outcomes will be obtained from the participant's medical record and will include: maternal (e.g., gestational diabetes, preeclampsia) and fetal conditions.
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Baseline (13 weeks gestational to delivery)
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Birth Weight of Infant
Time Frame: Delivery
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Birth weight of the infant will be recorded in grams.
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Delivery
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Number of Sit Ups on Fitness Test Scores
Time Frame: Baseline and 12 months postpartum
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Number of sit ups completed.
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Baseline and 12 months postpartum
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1.5 Mile Run on Fitness Test Scores
Time Frame: Baseline and 12 months postpartum
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The amount of time it took to complete 1.5 miles.
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Baseline and 12 months postpartum
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Moms Fit 2 Fight Program Evaluation Form
Time Frame: 12 months postpartum
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Program satisfaction will be assessed using the Investigators program evaluation form to offer insight into program acceptability as well as barriers and facilitators to participation in each intervention arm.
Participants will be given 10 statements to rate their experience using a 5 point scale.
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12 months postpartum
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Collaborators and Investigators
Publications and helpful links
General Publications
- Pebley K, Farage G, Hare ME, Bursac Z, Andres A, Chowdhury SMR, Talcott GW, Krukowski RA. Changes in self-reported and accelerometer-measured physical activity among pregnant TRICARE Beneficiaries. BMC Public Health. 2022 Nov 7;22(1):2029. doi: 10.1186/s12889-022-14457-2.
- Estevez Burns R, Hare ME, Andres A, Klesges RC, Talcott GW, LeRoy K, Little MA, Hyrshko-Mullen A, Waters TM, Harvey JR, Bursac Z, Krukowski RA. An interim analysis of a gestational weight gain intervention in military personnel and other TRICARE beneficiaries. Obesity (Silver Spring). 2022 Oct;30(10):1951-1962. doi: 10.1002/oby.23523. Epub 2022 Aug 30.
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 (Actual)
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
- 16-04804-XP DOD
- 1R01DK104872-01A1 (U.S. NIH Grant/Contract)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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