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| ID | Type | Description | Link |
|---|---|---|---|
| 5R01HD073572-02 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) | NIH |
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The goal of this trial is to investigate the efficacy of a lifestyle intervention of healthy diet and physical activity for helping overweight/obese pregnant women to achieve appropriate gestational weight gain (GWG) for their prepregnancy body mass index (BMI). The goal of the intervention is to help women achieve the lower bound of the GWG range recommended by the Institutes of Medicine (IOM) for a given prepregnancy BMI category (i.e., 11 lbs for obese women and 15 lbs for overweight women). The lifestyle intervention will be delivered via 2 in-person counseling sessions and 11 telephone contacts with study dieticians trained in motivational interviewing techniques. The lifestyle intervention will be compared to usual medical care. Outcomes will be assessed by trained study personnel at approximately 10 weeks and 32 weeks gestation, within several days of delivery and at 6 months and 12 months postpartum.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lifestyle Intervention | Experimental | The goal of the intervention is to help women achieve the lower bound of the GWG range recommended by the Institutes of Medicine (IOM) for a given prepregnancy BMI category (i.e., 11 lbs for obese women and 15 lbs for overweight women). The pregnancy lifestyle intervention will be delivered by trained study dieticians via individual counseling sessions: 2 in-person and 11 telephone sessions delivered on a weekly basis, followed by telephone sessions delivered every other week through the end of pregnancy. |
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| Usual Care | Active Comparator | Usual Medical Care |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lifestyle Intervention | Behavioral |
| ||
| Usual Care |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of gestational weight gain per week | From pre-pregnancy weight to last pregnancy weight up to 21 weeks to 42 weeks of pregnancy | |
| Proportion of women exceeding the Institute of Medicine's recommendation for rate of gestational weight gain per week | from pre-pregnancy weight up to 21 weeks to 42 weeks of pregnancy |
| Measure | Description | Time Frame |
|---|---|---|
| Total gestational weight gain | from pre-pregnancy weight to last pregnancy weight up to 24 weeks to 42 weeks | |
| Proportion of women exceeding the Institute of Medicine's recommendation for total gestational weight gain per week | From pre-pregnancy weight to last pregnancy weight up to 24 weeks to 42 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Assiamira Ferrara, MD PhD | Kaiser Permanente Division of Research | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kaiser Permanente Oakland Medical Center | Oakland | California | 94611 | United States | ||
| Kaiser Permanente Santa Clara Medical Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34544560 | Derived | Jake-Schoffman DE, Brown SD, Baiocchi M, Bibeau JL, Daubenmier J, Ferrara A, Galarce MN, Hartogensis W, Hecht FM, Hedderson MM, Moran PJ, Pagoto SL, Tsai AL, Waring ME, Kiernan M. Methods-Motivational Interviewing Approach for Enhanced Retention and Attendance. Am J Prev Med. 2021 Oct;61(4):606-617. doi: 10.1016/j.amepre.2021.04.005. | |
| 32445736 | Derived | Ferrara A, Hedderson MM, Brown SD, Ehrlich SF, Tsai AL, Feng J, Galarce M, Marcovina S, Catalano P, Quesenberry CP. A telehealth lifestyle intervention to reduce excess gestational weight gain in pregnant women with overweight or obesity (GLOW): a randomised, parallel-group, controlled trial. Lancet Diabetes Endocrinol. 2020 Jun;8(6):490-500. doi: 10.1016/S2213-8587(20)30107-8. |
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| ID | Term |
|---|---|
| D000078064 | Gestational Weight Gain |
| ID | Term |
|---|---|
| D015430 | Weight Gain |
| D001836 | Body Weight Changes |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
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|
| Rate of gestational weight gain between study clinical assessments | Rate of gestational weight gain between approximately 10 weeks and 32 weeks gestation (kilograms per week) |
| Diet - total calories from fat | Change in total calories from fat between study clinical assessments in pregnancy between 10 weeks and 32 weeks gestation |
| Diet - proportion of calories from fat | Change in proportion of calories from fat between study clinical assessments in pregnancy between 10 weeks and 32 weeks gestation |
| Physical Activity | Change in physical activity between study clinical assessments in pregnancy (i.e., between 10 weeks and 32 weeks gestation, approximately) |
| Metabolic marker - glycemia | Change in glucose between study clinical assessments in pregnancy (i.e., between 10 weeks and 32 weeks gestation, approximately) |
| Metabolic marker - insulinemia | Change in insulin between study clinical assessments in pregnancy (i.e., between 10 weeks and 32 weeks gestation, approximately) |
| Metabolic marker - lipids | Change in lipids between study clinical assessments in pregnancy (i.e., between 10 weeks and 32 weeks gestation, approximately) |
| Metabolic marker - leptin | Change in leptin between study clinical assessments in pregnancy (i.e., between 10 weeks and 32 weeks gestation, approximately) |
| Metabolic marker - adiponectin | Change in adiponectin between study clinical assessments in pregnancy (i.e., between 10 weeks and 32 weeks gestation, approximately) |
| Santa Clara |
| California |
| 95051 |
| United States |
| 31039753 | Derived | Brown SD, Hedderson MM, Ehrlich SF, Galarce MN, Tsai AL, Quesenberry CP, Ferrara A. Gestational weight gain and optimal wellness (GLOW): rationale and methods for a randomized controlled trial of a lifestyle intervention among pregnant women with overweight or obesity. BMC Pregnancy Childbirth. 2019 Apr 30;19(1):145. doi: 10.1186/s12884-019-2293-8. |
| D013568 |
| Pathological Conditions, Signs and Symptoms |