The participant (both mother and child) in the initial TOP study will be invited to a follow-up study to evaluate the effect of life style intervention during pregnancy on both mother and their offspring 12 years after the intervention. The study will contribute to understanding the transfer of obesity between generations and how to treat as well as prevent obesity.
The initial study (Treatment of Obese Pregnant women (TOP) study) was performed at Hvidovre Hospital, University of Copenhagen in 2009-12 and included 425 pregnant women with pre-gestational BMI ≥ 30kg/m2 in gestational week 11-14. They were randomized 1:1:1 into: 1) a low-calorie Mediterranean-style diet and pedometer assisted physical activity (PA) intervention 2) a pedometer assisted PA intervention alone or 3) no intervention (control). Primary outcome was gestational weight gain (GWG). 389 women completed the study. The participants (both mother and child in pair) who completed the initial TOP study will be invited to a 3-hour examination now 12 years after the intervention during pregnancy to evaluate the effect of the intervention on both mother and child long term.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
497
Dietary advise and/or advise on physical activity monitored by pedometer
Steno Diabetes Center Copenhagen
Herlev, Denmark
Body composition
Fatt mass index offspring, DXA scan + BMI mothers
Time frame: 2 years data collection
Metabolic and inflammatory markers
Analyses of blood samples
Time frame: 2 years data collection
Blood pressure
Standardized sitting measurement of systolic and diastolic blood pressure, average of 3 measures
Time frame: 2 years data collection
Glycemic variability
CGM measures
Time frame: 2 years data collection
Mental health
Assessed by questionnaires, validated to mother and child respectively
Time frame: 2 years data collection
Diet composition
Assessed by FFQ (food frequency questionnaire), validated to mother and child respectively
Time frame: 2 years data collection
Level and pattern of physical activity
Assessed by activity tracker worn on the rist for 7 days + IPAQ short (International physical activity questionnaire)
Time frame: 2 years data collection
Relative fitness level
Estimated relative fitness level assessed by a submaximal step test (The Danish Step Test)
Time frame: 2 years data collection
Epigenetic examinations
Epigenetic examinations
Time frame: 2 years data collection
Liver stiffness
FibroScan
Time frame: 2 years data collection
Lung function
Spirometry assessing FVC and FEV1
Time frame: 2 years data collection
Large artery stiffness
SphygmoCor examination
Time frame: 2 years data collection
Eye examination
OPTOS
Time frame: 2 years data collection
Sex hormones
Analyses of blood samples, children
Time frame: 2 years data collection
Puberty stage
According to the classifications of Marshall and Tanner
Time frame: 2 years data collection
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.