An interventional study of Lifestyle Intervention Group and Usual Care Group in Pregnancy and Weight Gain, sponsored by Northwestern University. Completed at 2 sites in United States. Open to female participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2018-11-06.
Sponsored by Northwestern University · Not applicable, Interventional, and Prevention
The prevalence of maternal overweight and obesity has nearly doubled in the United States since 1976. In 2004-2005, 42% of pregnant women had body mass index (BMI) above 25 versus 23% in 1993. Most American women are overweight/ obese (OW/OB) at conception, especially within certain racial, ethnic, and lower socioeconomic groups leading to increased adverse maternal and birth outcomes. This study will recruit, randomize and test in 300 ethnically diverse OW/OB pregnant women a behavioral intervention aimed at controlling gestational weight gain (GWG) through recommended diet, activity and lifestyle changes that are to be maintained postpartum. Outcomes include anthropometric (height, weight, percent body fat) metabolic (blood pressure, fasting glucose, insulin, HbA1c, lipids and C-reactive protein) and behavioral measures (diet. physical activity, sleep and stress). In addition, babies will be measured for length, weight and percent body fat. The goal is to limit excessive gestational weight gain through improved maternal lifestyle that can be maintained and modelled for the family post partum and beyond.
A Randomized Control Trial is planned among ethnically diverse OW/OB pregnant women ages 18-45 years to be randomly assigned to the MOMFIT Active Intervention Group (AIG) or the Educational Control Group (ECG) plus standard obstetrical care. The Dietary Approaches to Stop Hypertension (DASH) diet, along with moderate physical activity and group intervention as utilized in the Diabetes Prevention Program (DPP), will be adapted for pregnant and postpartum women through individual visits to tailor calorie/nutrient/activity goals, plus group coaching sessions and electronic self-monitoring behavior. Evidence based motivational interviewing and state of the art self-monitoring tools involving the LoseIt app will be adapted for pregnant/postpartum women via smartphone or Internet access, along with tailored feedback and encouragement from the Lifestyle Coach. Prevention of excessive GWG and achievement of the Institute Of Medicine (IOM) weight gain goals will be compared between groups, whether ongoing adherence to the lifestyle interventions can be sustained through postpartum intervention. Approximately one third of the participants are expected to be minorities and/or from low income backgrounds. The primary outcome is gestational weight gain from baseline (self-reported prepregnancy weight) to near delivery (36 weeks) compared with IOM goals in both groups and postpartum weight retention between 6 weeks and 12 months postpartum. Additional outcome variables include changes in maternal Body Mass Index (BMI) and adiposity postpartum, blood pressure, blood glucose, insulin, Hemoglobin A1c (HbA1c), C-reactive Protein (CRP), and lipids, diet quality, and physical activity levels, offspring adiposity and anthropometrics, and glucose and C-peptide in cord blood
405 studies on the registry are indexed under Weight Gain; 52 are open to participants now.
This study's enrollment of 281 is above the median of 83 across 324 interventional studies indexed under Weight Gain.
Browse Weight Gain studies →Northwestern University is the lead sponsor of 1,396 studies on the registry; 199 are open to participants now.
Of its 102 completed or terminated interventional studies of FDA-regulated products, 73 (72%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Mom and family continue their typical eating, activity and other lifestyle habits for 24 months. They are invited to attend quarterly classes addressing prenatal wellness and family topics.
Behavioral: Usual Care Group
Women in the Intervention group will participate in a lifestyle program based on Moms'adopting a healthier diet and becoming more active for 24 months. Implementation is at approximately 15 weeks.Moms will meet individually with their Lifestyle Coach (LC)at least 3 times(more as needed, attend six sessions during pregnancy and one session after delivery. In addition moms will participate in monthly phone counseling sessions with Lifestyle Coach and complete daily tracking of diet \& activity and use of pedometer
Behavioral: Lifestyle Intervention Group
Moms will meet individually with their Lifestyle Coach (LC)at least 3 times(more as needed, attend six sessions during pregnancy and one session after delivery. In addition moms will participate in monthly phone counseling sessions with Lifestyle Coach and complete daily tracking of diet \& activity and use of pedometer
Mom and family continue their typical eating, activity and other lifestyle habits for 24 months. They are invited to attend quarterly classes addressing prenatal wellness and family topics.
Gestational Weight Gain (GWG)
The primary outcome is GWG as assessed continuously by the difference between the maternal weight measured at the baseline and at the 35-37 week visit.
Time frame: 14-37 weeks
Percentage of Participants With Gestational Diabetes
Oral Glucose Tolerance Test (OGTT) will be administered at 24-26wks, as part of routine obstetric visit. Difference in incidence of Gestational diabetes between study groups will be documented.
Time frame: 24-26 weeks
Fasting Glucose
Blood will be collected at Baseline and 35-37 weeks.
Time frame: 14-37 wks
High-density Lipoprotein (HDL)
Blood will be collected at Baseline and 35-37 weeks.
Time frame: 14-37 wks
Low-density Lipoprotein (LDL)
Blood will be collected at Baseline and 35-37 weeks.
Time frame: 14-37 weeks
Total Cholesterol
Blood will be collected at Baseline and 35-37 weeks.
Time frame: 14-37 Weeks
Triglycerides
Blood will be collected at Baseline and 35-37 weeks.
Time frame: 14-37 Weeks
Leptin
Blood will be collected at Baseline and 35-37 weeks.
Time frame: 14-37 weeks
Steady State Beta Cell Function
Insulin resistance will be measured with the assistance of a computer program (HOMA Calculator v2.2.3, Diabetic Trial Unit, University of Oxford) which uses blood Glucose and Insulin measures to yield the Homeostatic Model Assessment (HOMA) Steady State beta cell function (%B). 100% is set at normal reference. Should not be interpreted alone, but in combination with Insulin Sensitivity (%S).
Time frame: baseline (14 weeks) and 35-37 weeks
Insulin Sensitivity
Insulin resistance will be measured with the assistance of a computer program which will yield the Homeostatic Model Assessment (HOMA) Insulin Sensitivity (%S). 100% is equivalent to the normal reference, but needs to be interpreted in context of %B.
Time frame: baseline(14 weeks) and 35-37 weeks
Insulin Resistance (IR)
Insulin resistance will be measured with the assistance of a computer program (HOMA Calculator v2.2.3, Diabetic Trial Unit, University of Oxford) which uses blood Glucose and Insulin measures to yield the Homeostatic Model Assessment (HOMA) Insulin Resistance. HOMA IR (insulin resistance) is the reciprocal of insulin sensitivity (%S), as a percentage of a normal reference population (100/%S); Lower IR is better. Note: estimates are model-derived, and not linear approximations.
Time frame: Baseline (14 weeks) and 35 weeks
Birth Weight
Neonatal Body measurements
Time frame: Delivery
Birth Length
Neonate birth measures
Time frame: Delivery
Head Circumference
Neonate birth measures
Time frame: Delivery
Neonate Percent Body Fat
Neonate percent body fat as measured by PeaPod, and air displacement plethysmography system.
Time frame: Delivery
Infant Weight
Infant Body measurements
Time frame: 1 year
Infant Length
Infant body measurement
Time frame: 1 year
Women were screened from multiple practices at the Prentice Women's Hospital of Northwestern Memorial Hospital. Screening took place between Feb 2013-Dec 2015.
| Milestone | Usual Care Group | Lifestyle Intervention Group |
|---|---|---|
| Started | 141 | 140 |
| Completed | 140 | 140 |
| Not completed | 1 | 0 |
| Withdrew: Lost to follow-up | 1 | 0 |
| Milestone | Usual Care Group | Lifestyle Intervention Group |
|---|---|---|
| Started | 140 | 140 |
| Completed | 136 | 139 |
| Not completed | 4 | 1 |
| Withdrew: Pregnancy termination | 1 | 0 |
| Withdrew: Miscarriage | 2 | 0 |
| Withdrew: Stillbirth | 1 | 1 |
| Milestone | Usual Care Group | Lifestyle Intervention Group |
|---|---|---|
| Started | 136 | 139 |
| Completed | 123 | 130 |
| Not completed | 13 | 9 |
| Withdrew: Patient refused | 13 | 9 |
The primary outcome is GWG as assessed continuously by the difference between the maternal weight measured at the baseline and at the 35-37 week visit.
| kg | Usual Care Group | Lifestyle Intervention Group |
|---|---|---|
| Gestational Weight Gain (GWG) | 12 ± 6 | 10 ± 6 |
Oral Glucose Tolerance Test (OGTT) will be administered at 24-26wks, as part of routine obstetric visit. Difference in incidence of Gestational diabetes between study groups will be documented.
| Participants | Usual Care Group | Lifestyle Intervention Group |
|---|---|---|
| Percentage of Participants With Gestational Diabetes | 9 | 7 |
Blood will be collected at Baseline and 35-37 weeks.
| mg/dL | Usual Care Group | Lifestyle Intervention Group |
|---|---|---|
| Baseline | 87 (83 to 91) | 86 (82 to 90) |
| 35-37 Weeks | 85 (81 to 89) | 84 (80 to 89) |
Blood will be collected at Baseline and 35-37 weeks.
| mg/dL | Usual Care Group | Lifestyle Intervention Group |
|---|---|---|
| Baseline | 66 (58 to 78) | 71 (60 to 80) |
| 35-37 Weeks | 68 (57 to 79) | 70 (56 to 82) |
Blood will be collected at Baseline and 35-37 weeks.
| mg/dL | Usual Care Group | Lifestyle Intervention Group |
|---|---|---|
| Baseline | 95 (79 to 112) | 94 (78 to 117) |
| 35-37 Weeks | 146 (103 to 164) | 130 (106 to 163) |
Blood will be collected at Baseline and 35-37 weeks.
| mg/dL | Usual Care Group | Lifestyle Intervention Group |
|---|---|---|
| Baseline | 188 (167 to 205) | 185 (164 to 208) |
| 35-37 Weeks | 255 (219 to 290) | 252 (222 to 281) |
Blood will be collected at Baseline and 35-37 weeks.
| mg/dL | Usual Care Group | Lifestyle Intervention Group |
|---|---|---|
| Baseline | 108 (86 to 138) | 109 (81 to 131) |
| 35-37 Weeks | 235 (187 to 300) | 223 (180 to 271) |
Blood will be collected at Baseline and 35-37 weeks.
| ug/L | Usual Care Group | Lifestyle Intervention Group |
|---|---|---|
| Baseline | 49 (40 to 58) | 50 (40 to 61) |
| 35-37 Weeks | 59 (49 to 68) | 54 (44 to 67) |
Insulin resistance will be measured with the assistance of a computer program (HOMA Calculator v2.2.3, Diabetic Trial Unit, University of Oxford) which uses blood Glucose and Insulin measures to yield the Homeostatic Model Assessment (HOMA) Steady State beta cell function (%B). 100% is set at normal reference. Should not be interpreted alone, but in combination with Insulin Sensitivity (%S).
| percentage of normal reference | Usual Care Group | Lifestyle Intervention Group |
|---|---|---|
| Baseline | 120 (99 to 150) | 121 (98 to 145) |
| 35-37 Weeks | 174 (137 to 205) | 159 (133 to 195) |
Insulin resistance will be measured with the assistance of a computer program which will yield the Homeostatic Model Assessment (HOMA) Insulin Sensitivity (%S). 100% is equivalent to the normal reference, but needs to be interpreted in context of %B.
| percentage of normal reference | Usual Care Group | Lifestyle Intervention Group |
|---|---|---|
| Baseline | 78 (56 to 107) | 87 (59 to 112) |
| 35-37 Weeks | 51 (39 to 74) | 62 (41 to 80) |
Insulin resistance will be measured with the assistance of a computer program (HOMA Calculator v2.2.3, Diabetic Trial Unit, University of Oxford) which uses blood Glucose and Insulin measures to yield the Homeostatic Model Assessment (HOMA) Insulin Resistance. HOMA IR (insulin resistance) is the reciprocal of insulin sensitivity (%S), as a percentage of a normal reference population (100/%S); Lower IR is better. Note: estimates are model-derived, and not linear approximations.
| inverse proportion of normal reference | Usual Care Group | Lifestyle Intervention Group |
|---|---|---|
| Baseline | 1.3 (0.9 to 1.8) | 1.2 (0.9 to 1.7) |
| 35-37 Weeks | 2.0 (1.4 to 2.6) | 1.6 (1.3 to 2.4) |
Neonatal Body measurements
| g | Usual Care Group | Lifestyle Intervention Group |
|---|---|---|
| Birth Weight | 3213 ± 524 | 3244 ± 489 |
Neonate birth measures
| cm | Usual Care Group | Lifestyle Intervention Group |
|---|---|---|
| Birth Length | 51 ± 3 | 51 ± 2 |
Neonate birth measures
| cm | Usual Care Group | Lifestyle Intervention Group |
|---|---|---|
| Head Circumference | 34 ± 2 | 34 ± 2 |
Neonate percent body fat as measured by PeaPod, and air displacement plethysmography system.
| percentage of weight | Usual Care Group | Lifestyle Intervention Group |
|---|---|---|
| Neonate Percent Body Fat | 11.9 ± 4.2 | 11.2 ± 4.4 |
Infant Body measurements
| kg | Usual Care Group | Lifestyle Intervention Group |
|---|---|---|
| Infant Weight | 9.9 ± 1.2 | 9.9 ± 1.3 |
Infant body measurement
| cm | Usual Care Group | Lifestyle Intervention Group |
|---|---|---|
| Infant Length | 76.3 ± 3.6 | 76.2 ± 3.5 |
Collected over Each participant was followed from initial contact through delivery for adverse events (approximately 7 months).. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Usual Care Group | 0/141 (0%) | 29/141 (20.6%) | 5/141 (3.5%) |
| Lifestyle Intervention Group | 0/140 (0%) | 18/140 (12.9%) | 3/140 (2.1%) |
| Event | Usual Care Group | Lifestyle Intervention Group |
|---|---|---|
| NICU admissionGeneral disorders | 18/141 | 12/140 |
| Congenital anomalyCongenital, familial and genetic disorders | 7/141 | 2/140 |
| PreeclampsiaPregnancy, puerperium and perinatal conditions | 6/141 | 6/140 |
| Pregnancy Loss/TerminationPregnancy, puerperium and perinatal conditions | 4/141 | 1/140 |
| CholestasisHepatobiliary disorders | 1/141 | 1/140 |
| Preterm laborPregnancy, puerperium and perinatal conditions | 1/141 | 1/140 |
| Vasa PreviaPregnancy, puerperium and perinatal conditions | 0/141 | 1/140 |
| RespiratoryRespiratory, thoracic and mediastinal disorders | 0/141 | 1/140 |
| AbruptionPregnancy, puerperium and perinatal conditions | 1/141 | 0/140 |
| TachycardiaCardiac disorders | 1/141 | 0/140 |
| Event | Usual Care Group | Lifestyle Intervention Group |
|---|---|---|
| Small for gestational ageEndocrine disorders | 5/141 | 3/140 |
| Age, Continuous(years) | Usual Care Group | Lifestyle Intervention Group | Total |
|---|---|---|---|
| Mean | 34 ± 4 | 33 ± 4 | 33 ± 4 |
| Sex: Female, Male(Participants) | Usual Care Group | Lifestyle Intervention Group | Total |
|---|---|---|---|
| Female | 141 | 140 | 281 |
| Male | 0 | 0 | 0 |
| Ethnicity (NIH/OMB)(Participants) | Usual Care Group | Lifestyle Intervention Group | Total |
|---|---|---|---|
| Hispanic or Latino | 30 | 30 | 60 |
| Not Hispanic or Latino | 111 | 110 | 221 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Usual Care Group | Lifestyle Intervention Group | Total |
|---|---|---|---|
| American Indian or Alaska Native | 2 | 0 | 2 |
| Asian | 4 | 6 | 10 |
| Native Hawaiian or Other Pacific Islander | 1 | 0 | 1 |
| Black or African American | 20 | 34 | 54 |
| White | 99 | 79 | 178 |
| More than one race | 5 | 9 | 14 |
| Unknown or Not Reported | 10 | 12 | 22 |
| Region of Enrollment(participants) | Usual Care Group | Lifestyle Intervention Group | Total |
|---|---|---|---|
| United States | 141 | 140 | 281 |
| Gestational Age at Randomization(weeks) | Usual Care Group | Lifestyle Intervention Group | Total |
|---|---|---|---|
| Mean | 13 ± 1 | 13 ± 1 | 13 ± 1 |
| Pre-pregnancy BMI(kg per meters-squared) | Usual Care Group | Lifestyle Intervention Group | Total |
|---|---|---|---|
| Mean | 31 ± 4 | 31 ± 4 | 31 ± 4 |
Documents are hosted by the registry — open the source record to download them.
This study is completed, as verified in Oct 2018. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Northwestern University