Obesity Clinical Trial
— NAMIOfficial title:
Nutrition, Allergy, Mucosal Immunology and Intestinal Microbiota (NAMI): Pre-, Peri- and Postnatal Programming and Origins of Disease: Early Targeting the Epidemics of Allergy and Overweight
Combined programme: Nutrition, Allergy, Mucosal immunology and Intestinal microbiota (NAMI)
was created with the objective to reverse the rising trend of chronic inflammatory diseases,
such as allergic disease and obesity, by control of the internal and external environments
of the infant. To approach this problem, the project aims to characterize
- how immunology is regulated during pregnancy and early infancy,
- how the immune interaction between mother and child is influenced by nutritional and
microbial factors, and
- how the regulation is related to disease risk.
Status | Recruiting |
Enrollment | 800 |
Est. completion date | December 2015 |
Est. primary completion date | |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Pregnant women from families with at least one family member having an allergic disease Exclusion Criteria: - Women presenting severe immunological or other chronic diseases (rheumatoid arthritis, diabetes, inflammatory bowel disease, thyroid diseases, malignancies etc.) - Women who cannot be expected to comply with treatment - Women currently participating or having participated in other clinical trial during the last 2 months prior to the beginning of the intervention. |
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Prevention
Country | Name | City | State |
---|---|---|---|
Finland | Turku University Central Hospital | Turku |
Lead Sponsor | Collaborator |
---|---|
University of Turku | Academy of Finland |
Finland,
Aaltonen J, Ojala T, Laitinen K, Poussa T, Ozanne S, Isolauri E. Impact of maternal diet during pregnancy and breastfeeding on infant metabolic programming: a prospective randomized controlled study. Eur J Clin Nutr. 2011 Jan;65(1):10-9. doi: 10.1038/ejcn — View Citation
Collado MC, Isolauri E, Laitinen K, Salminen S. Effect of mother's weight on infant's microbiota acquisition, composition, and activity during early infancy: a prospective follow-up study initiated in early pregnancy. Am J Clin Nutr. 2010 Nov;92(5):1023-3 — View Citation
Collado MC, Laitinen K, Salminen S, Isolauri E. Maternal weight and excessive weight gain during pregnancy modify the immunomodulatory potential of breast milk. Pediatr Res. 2012 Jul;72(1):77-85. doi: 10.1038/pr.2012.42. Epub 2012 Mar 27. — View Citation
Hoppu U, Isolauri E, Laakso P, Matomäki J, Laitinen K. Probiotics and dietary counselling targeting maternal dietary fat intake modifies breast milk fatty acids and cytokines. Eur J Nutr. 2012 Mar;51(2):211-9. doi: 10.1007/s00394-011-0209-0. Epub 2011 May — View Citation
Ilmonen J, Isolauri E, Poussa T, Laitinen K. Impact of dietary counselling and probiotic intervention on maternal anthropometric measurements during and after pregnancy: a randomized placebo-controlled trial. Clin Nutr. 2011 Apr;30(2):156-64. doi: 10.1016 — View Citation
Kalliomäki M, Salminen S, Arvilommi H, Kero P, Koskinen P, Isolauri E. Probiotics in primary prevention of atopic disease: a randomised placebo-controlled trial. Lancet. 2001 Apr 7;357(9262):1076-9. — View Citation
Kalliomäki M, Salminen S, Poussa T, Arvilommi H, Isolauri E. Probiotics and prevention of atopic disease: 4-year follow-up of a randomised placebo-controlled trial. Lancet. 2003 May 31;361(9372):1869-71. — View Citation
Laiho K, Lampi AM, Hamalainen M, Moilanen E, Piironen V, Arvola T, Syrjanen S, Isolauri E. Breast milk fatty acids, eicosanoids, and cytokines in mothers with and without allergic disease. Pediatr Res. 2003 Apr;53(4):642-7. Epub 2003 Jan 29. — View Citation
Laitinen K, Kalliomäki M, Poussa T, Lagström H, Isolauri E. Evaluation of diet and growth in children with and without atopic eczema: follow-up study from birth to 4 years. Br J Nutr. 2005 Oct;94(4):565-74. — View Citation
Laitinen K, Poussa T, Isolauri E; Nutrition, Allergy, Mucosal Immunology and Intestinal Microbiota Group. Probiotics and dietary counselling contribute to glucose regulation during and after pregnancy: a randomised controlled trial. Br J Nutr. 2009 Jun;10 — View Citation
Luoto R, Laitinen K, Nermes M, Isolauri E. Impact of maternal probiotic-supplemented dietary counseling during pregnancy on colostrum adiponectin concentration: a prospective, randomized, placebo-controlled study. Early Hum Dev. 2012 Jun;88(6):339-44. doi — View Citation
Luoto R, Laitinen K, Nermes M, Isolauri E. Impact of maternal probiotic-supplemented dietary counselling on pregnancy outcome and prenatal and postnatal growth: a double-blind, placebo-controlled study. Br J Nutr. 2010 Jun;103(12):1792-9. doi: 10.1017/S00 — View Citation
Niinivirta K, Isolauri E, Laakso P, Linderborg K, Laitinen K. Dietary counseling to improve fat quality during pregnancy alters maternal fat intake and infant essential fatty acid status. J Nutr. 2011 Jul;141(7):1281-5. doi: 10.3945/jn.110.137083. Epub 20 — View Citation
Ojala T, Aaltonen J, Siira S, Jalonen J, Ekholm E, Ekblad U, Laitinen K. Fetal cardiac sympathetic activation is linked with maternal body mass index. Early Hum Dev. 2009 Sep;85(9):557-60. doi: 10.1016/j.earlhumdev.2009.05.009. Epub 2009 Jun 12. — View Citation
* Note: There are 14 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Number of participants with allergic disease | Up to 13 years | No | |
Primary | Weight gain | Up to 13 years | No | |
Primary | Number of patients with chronic inflammatory disease | Up to 13 years | No | |
Secondary | Innate immune gene expression patterns | Up to 13 years | No | |
Secondary | Microbiota composition | Amount of bacterial cells (per gram of faeces of mothers and infants as well as of breast milk) is measured using multiple methods, i.e. pyrosequencing, HIT-CHIP, qPCR, FISH and DGGE. | No | |
Secondary | Plasma glucose | Up to 13 years | No | |
Secondary | Cytokines in peripheral blood | Up to 13 years | No | |
Secondary | Cytokine profile in breast milk | Up to 13 years | No | |
Secondary | Cytokine profile in peripheral blood mononuclear cells (PBMC) | Up to 13 years | No | |
Secondary | GHbA1c | Up to 13 years | No | |
Secondary | Fatty acids | Up to 13 years | No | |
Secondary | Lipoproteins | Up to 13 years | No | |
Secondary | Intakes of foods and nutrients | Up to 13 years | No | |
Secondary | Blood pressure | Up to 13 years | No | |
Secondary | Leukotrienes in peripheral blood | Up to 13 years | No | |
Secondary | Adipokines | Up to 13 years | No | |
Secondary | Amount of crying in minutes | Crying minutes per day | Up to 1 year | No |
Secondary | Number of patients with functional gastrointestinal disorders | Up to 13 years | No | |
Secondary | Incidence of viral infections | Up to 13 years | No |
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