Obesity Clinical Trial
— POInzOfficial title:
Primary Prevention of Rapid Weight Gain in Early Childhood: a Randomised Controlled Trial
Verified date | July 2020 |
Source | University of Otago |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Obesity is one of the biggest threats to health in the 21st century. Rapid weight gain in the
first year of life tends to lead to overweight in children, which in turn leads to overweight
in adults. This rapid early weight gain occurs most often at weaning when eating patterns
emerge. Infant sleep problems also appear to be associated with the risk of becoming
overweight, and contribute to maternal post-natal depression. We propose to undertake a 4-arm
randomised controlled trial to determine whether extra education and support for families
around weaning and development of early food and activity habits, with or without
intervention to improve infant sleep, will decrease the current risk patterns of rapid
excessive early childhood weight gain in New Zealand. This would provide strong evidence for
the value of such a strategy in the long term control of the obesity epidemic and its
consequent complications.
This is a two-year intervention with follow-ups at 3.5, 5 and 11 years of age.
Status | Completed |
Enrollment | 802 |
Est. completion date | April 2017 |
Est. primary completion date | April 2016 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 16 Years to 55 Years |
Eligibility |
Inclusion Criteria: - Mothers booked for delivery in Dunedin, New Zealand Exclusion Criteria: - Women booked after 34 weeks gestation, - Identified congenital abnormality likely to affect feeding and/or growth - Home address outside of metropolitan Dunedin or Invercargill, - Families who are likely to shift out of metropolitan Dunedin or Invercargill in the next 2 years. - Unable to communicate in English or te reo Maori. |
Country | Name | City | State |
---|---|---|---|
New Zealand | University of Otago | Dunedin | South Island |
Lead Sponsor | Collaborator |
---|---|
University of Otago | Health Research Council of NZ |
New Zealand,
Askie LM, Espinoza D, Martin A, Daniels LA, Mihrshahi S, Taylor R, Wen LM, Campbell K, Hesketh KD, Rissel C, Taylor B, Magarey A, Seidler AL, Hunter KE, Baur LA. Interventions commenced by early infancy to prevent childhood obesity-The EPOCH Collaboration: An individual participant data prospective meta-analysis of four randomized controlled trials. Pediatr Obes. 2020 Jun;15(6):e12618. doi: 10.1111/ijpo.12618. Epub 2020 Feb 6. — View Citation
Cameron SL, Heath AL, Gray AR, Churcher B, Davies RS, Newlands A, Galland BC, Sayers RM, Lawrence JA, Taylor BJ, Taylor RW. Lactation Consultant Support from Late Pregnancy with an Educational Intervention at 4 Months of Age Delays the Introduction of Complementary Foods in a Randomized Controlled Trial. J Nutr. 2015 Jul;145(7):1481-90. doi: 10.3945/jn.114.202689. Epub 2015 May 20. — View Citation
Fangupo LJ, Heath AL, Williams SM, Somerville MR, Lawrence JA, Gray AR, Taylor BJ, Mills VC, Watson EO, Galland BC, Sayers RM, Hanna MB, Taylor RW. Impact of an early-life intervention on the nutrition behaviors of 2-y-old children: a randomized controlled trial. Am J Clin Nutr. 2015 Sep;102(3):704-12. doi: 10.3945/ajcn.115.111823. Epub 2015 Jul 29. — View Citation
Galland BC, Sayers RM, Cameron SL, Gray AR, Heath AM, Lawrence JA, Newlands A, Taylor BJ, Taylor RW. Anticipatory guidance to prevent infant sleep problems within a randomised controlled trial: infant, maternal and partner outcomes at 6 months of age. BMJ Open. 2017 Jun 2;7(5):e014908. doi: 10.1136/bmjopen-2016-014908. — View Citation
Hatch B, Galland BC, Gray AR, Taylor RW, Sayers R, Lawrence J, Taylor B. Consistent use of bedtime parenting strategies mediates the effects of sleep education on child sleep: secondary findings from an early-life randomized controlled trial. Sleep Health. 2019 Oct;5(5):433-443. doi: 10.1016/j.sleh.2019.03.002. Epub 2019 May 20. — View Citation
Leong C, Haszard JJ, Heath AM, Tannock GW, Lawley B, Cameron SL, Szymlek-Gay EA, Gray AR, Taylor BJ, Galland BC, Lawrence JA, Otal A, Hughes A, Taylor RW. Using compositional principal component analysis to describe children's gut microbiota in relation to diet and body composition. Am J Clin Nutr. 2020 Jan 1;111(1):70-78. doi: 10.1093/ajcn/nqz270. — View Citation
Meredith-Jones K, Galland B, Haszard J, Gray A, Sayers R, Hanna M, Taylor B, Taylor R. Do young children consistently meet 24-h sleep and activity guidelines? A longitudinal analysis using actigraphy. Int J Obes (Lond). 2019 Dec;43(12):2555-2564. doi: 10.1038/s41366-019-0432-y. Epub 2019 Sep 2. — View Citation
Meredith-Jones K, Haszard J, Moir C, Heath AL, Lawrence J, Galland B, Taylor B, Gray A, Sayers R, Taylor R. Physical activity and inactivity trajectories associated with body composition in pre-schoolers. Int J Obes (Lond). 2018 Sep;42(9):1621-1630. doi: 10.1038/s41366-018-0058-5. Epub 2018 Mar 15. — View Citation
Moir C, Meredith-Jones K, Taylor BJ, Gray A, Heath AM, Dale K, Galland B, Lawrence J, Sayers RM, Taylor RW. Early Intervention to Encourage Physical Activity in Infants and Toddlers: A Randomized Controlled Trial. Med Sci Sports Exerc. 2016 Dec;48(12):2446-2453. — View Citation
Roy M, Haszard JJ, Savage JS, Yolton K, Beebe DW, Xu Y, Galland B, Paul IM, Mindell JA, Mihrshahi S, Wen LM, Taylor B, Richards R, Te Morenga L, Taylor RW. Bedtime, body mass index and obesity risk in preschool-aged children. Pediatr Obes. 2020 May 6. doi: 10.1111/ijpo.12650. [Epub ahead of print] — View Citation
Taylor BJ, Gray AR, Galland BC, Heath AM, Lawrence J, Sayers RM, Cameron S, Hanna M, Dale K, Coppell KJ, Taylor RW. Targeting Sleep, Food, and Activity in Infants for Obesity Prevention: An RCT. Pediatrics. 2017 Mar;139(3). pii: e20162037. doi: 10.1542/pe — View Citation
Taylor RW, Gray AR, Heath AM, Galland BC, Lawrence J, Sayers R, Healey D, Tannock GW, Meredith-Jones KA, Hanna M, Hatch B, Taylor BJ. Sleep, nutrition, and physical activity interventions to prevent obesity in infancy: follow-up of the Prevention of Overweight in Infancy (POI) randomized controlled trial at ages 3.5 and 5 y. Am J Clin Nutr. 2018 Aug 1;108(2):228-236. doi: 10.1093/ajcn/nqy090. — View Citation
Taylor RW, Haszard JJ, Meredith-Jones KA, Galland BC, Heath AM, Lawrence J, Gray AR, Sayers R, Hanna M, Taylor BJ. 24-h movement behaviors from infancy to preschool: cross-sectional and longitudinal relationships with body composition and bone health. Int J Behav Nutr Phys Act. 2018 Nov 26;15(1):118. doi: 10.1186/s12966-018-0753-6. — View Citation
Taylor RW, Heath AL, Galland BC, Cameron SL, Lawrence JA, Gray AR, Tannock GW, Lawley B, Healey D, Sayers RM, Hanna M, Meredith-Jones K, Hatch B, Taylor BJ. Three-year follow-up of a randomised controlled trial to reduce excessive weight gain in the first two years of life: protocol for the POI follow-up study. BMC Public Health. 2016 Aug 11;16(1):771. doi: 10.1186/s12889-016-3383-4. — View Citation
Taylor RW, Iosua E, Heath AM, Gray AR, Taylor BJ, Lawrence JA, Hanna M, Cameron SL, Sayers R, Galland B. Eating frequency in relation to BMI in very young children: a longitudinal analysis. Public Health Nutr. 2017 Jun;20(8):1372-1379. doi: 10.1017/S1368980017000143. Epub 2017 Feb 27. — View Citation
* Note: There are 15 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | BMI z score | BMI z score derived from ht and weight and using World Health Organisation (WHO) growth standards | 24 months (end of intervention) | |
Primary | BMI z score | BMI z score derived from ht and weight and using WHO growth standards | 60 months of age (followup at 5 years of age) | |
Primary | BMI z score | BMI z score derived from height and weight and using WHO reference data | Follow-up at 11 years of age | |
Secondary | Dietary intake | Dietary information (foods, food groups, nutrients) via food frequency questionnaire | 24 months (end of intervention) and 60 months (end of follow-up) and 11 years (further follow-up) | |
Secondary | Television viewing | Hours of screen use by parental questionnaire | 24 months (end of intervention) and 60 months (end of follow-up) | |
Secondary | Major/ Moderate sleep problems | Parents indicate presence of sleep problems in child | 24 months (end of intervention) | |
Secondary | Physical activity (PA) | PA measured using actical accelerometry over 5-7 days | 24 months (end of intervention) and 60 months (end of follow-up) and 11 years (further follow-up) | |
Secondary | Duration of exclusive and any breast feeding | Measured by repeated questionnaire | 24 months | |
Secondary | Parental depression score | Edinburgh Postnatal Depression questionnaire | Measured at multiple timepoints between pregnancy and 24 months (end of intervention) and 60 months (end of follow-up) | |
Secondary | Sleep | Measured by questionnaire and accelerometry at multiple timepoints | 24 months (end of intervention) and 60 months (end of follow-up) and 11 years (further follow-up) | |
Secondary | Number of night awakenings | Measured by questionnaire and accelerometry at multiple timepoints | 24 months (end of intervention) and 60 months (end of follow-up) | |
Secondary | Self-regulation | Measured by questionnaire and laboratory based measures at follow-up only | 42 and 60 months | |
Secondary | Body composition | Measured by dual-energy x-ray absorptiometry at follow-up only | 60 months and 11 years (further follow-up) |
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