Obesity Clinical Trial
Official title:
Weight Management Interventions for Obese Women and the Live Birth Outcome of in Vitro Fertilization (IVF): a Randomized Controlled Trial
The primary aim of the study is to evaluate if weight management intervention for obese women (BMI≥30<35 kg/m2) prior to IVF improves the outcome assessed as live birth per participating woman, as compared to women where no intervention was made.
1. There will be two groups of patients.
1. The first group (n=167) will receive weight management intervention during up to
four months prior to IVF treatment.The group randomized to intervention will start
an intensive weight reduction plan. The aim of the weight reduction is to reach as
close to normal BMI (<25.0 kg/m2) as possible during a time of approximately 4
months. The purpose of the dietary intervention is to create a negative energy
balance to induce weight loss. The intervention starts with 12 weeks of a low
calorie liquid formula diet (LCD) and thereafter, diet re-introduction and weight
control stabilization until IVF treatment begins. Should the patient for some
reason be unable to fulfil the LCD-treatment, she will anyhow have an
individualized dietary counselling to help her loose weight until the time for her
IVF-treatment.
2. The second group (n=167) will start their IVF-treatment directly without other
intervention than written advice about the benefits of weight reduction and
exercise. The group randomized directly to IVF-treatment will start the treatment
as soon as possible after randomization, preferably within that menstrual cycle.
2. Tertiary aim is a follow-up 2 years after randomization to the study with questionnaires
to the couple in both the intervention and the control groups. A special questionnaire
will cover the weights of the couple and if the woman has had any pregnancies or live
births after concluding the study. For the women having achieved a live birth in the
index-cycle of IVF the number of children and also follow-up of the children will be
performed by assessing medical records from pediatric clinic (if applicable) and child
health care centres covering birth data, general health and weight of the children at
birth and at the assessment date. Eating -habits and -patterns and quality of life
parameters will be assessed with the same three questionnaires that were filled in after
randomization.
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