Starting Pediatric Obesity Prevention in Pregnancy

Wake Forest University Health Sciences147 enrolled

Overview

The purpose of this study is to examine whether we can use social networks to spread health information and health behaviors during pregnancy to prevent excessive gestational weight gain.

The long-term goal of this research is to prevent obesity-related adverse health outcomes for future generations by applying information emerging from social network studies to the development of new population-based behavioral interventions. There are a number of critical periods during fetal development that appear to influence the later development of obesity. Interventions that prevent insult to these critical windows from occurring could improve children's life course trajectories. This project sets the groundwork for examining whether social networks could explicitly be utilized to support women in gaining weight during pregnancy within their clinically recommended weight gain target.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

147

Conditions

Obesity Pregnancy

Interventions

Social network building interventionBEHAVIORAL

Group support and 12 weekly health education/skills building sessions during pregnancy

Home visitBEHAVIORAL

Three home visits during pregnancy focused on providing education on infant injury prevention

Eligibility

Sex: FEMALEMin age: 16 YearsMax age: 99 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * any race/ethnicity * speak Spanish or English * ≥16 years * \>10 and \<28 weeks pregnant * in prenatal care * anticipating remaining in Middle Tennessee for their full gestation * willing to sign a medical information release form so that we can abstract weight measures from their obstetric and pediatric records Exclusion Criteria: * speak neither Spanish or English * \<16 years * \< 10 weeks or \>28 weeks pregnant * not in prenatal care * anticipating leaving Middle Tennessee before full gestation * unwilling to sign medical information release form * current or past (within last 12 months) enrollment in another research program that targets weight, physical activity, nutrition

Locations (1)

Coleman Regional Community Center- Parks & Rec Department

Nashville, Tennessee, United States

Outcomes

Primary Outcomes

Gestational Weight Gain

Total weight gain during pregnancy extracted from medical record, relative to the 2009 Institute of Medicine (IOM) Weight Gain Recommendations for Pregnancy. (Reference: Institute of Medicine (US). Weight gain during pregnancy: reexamining the guidelines. Washington, DC. National Academies Press; 2009. 2009 National Academy of Sciences.)

Time frame: Duration of pregnancy

Secondary Outcomes

Social Network

Number of discussion partners within the intervention group. Participants were asked to identify by name any program participants with whom they had spoken about their pregnancy or pregnancy-related health behaviors.

Time frame: 2 times over 12 weeks (Week 6, Week 12)

Data from ClinicalTrials.gov

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