Improving the Eating Habits of Mother and Her Infant Via Sugar Reduction
| Status: | Recruiting |
|---|---|
| Conditions: | Obesity Weight Loss |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 18 - 59 |
| Updated: | 11/16/2017 |
| Start Date: | September 21, 2017 |
| End Date: | November 2020 |
| Contact: | Michael I Goran |
| Email: | goran@usc.edu |
| Phone: | 323-442-3027 |
Home Intervention for Reducing Sugary Drinks and Obesity in Hispanic Women-infants
This study will determine whether a home visitation program incorporating sugar sweetened
beverage and juice (SSB/J) reduction and home water delivery affects maternal and infant risk
for obesity. The postpartum period is a time of both opportunity and vulnerability for
mothers and their infants to diminish risk for obesity and related health problems. This is
particularly relevant in the context of Hispanic families. Hispanic mothers are at high-risk
for excess gestational weight gain and postpartum weight retention, and their infants are at
high-risk for rapid weight gain associated with early onset obesity. A contributing factor
may be their intake of SSB/J. There is a high prevalence of reported SSB/J consumption in
low-income Hispanic households, and Hispanic mothers are more likely to incorporate sweet
foods during weaning. Because evidence suggests that obese Hispanic children are responsive
to SSB/J reduction and substitution with non-caloric beverages, this may be a potential
strategy for Hispanic mothers that may also be beneficial for their infants.
This study will be conducted in collaboration with Antelope Valley Partners for Health, who
will deliver a home visitation program intervention once a week for 24 months.
Two-hundred-and-forty overweight/obese Hispanic mothers and their infants will be recruited.
They will be randomly assigned to: group 1, a standard home visitation program only; group 2,
a standard home visitation program that incorporates sugar reduction; and group 3, a standard
home visitation program that incorporates sugar reduction with home water delivery. The main
outcomes are maternal BMI and infant weight-for-length growth. We will also assess maternal
and infant diet using 24-hour recalls, and maternal feeding style and infant eating behaviors
using questionnaires. Linear mixed effects models will be used to compare changes between the
intervention groups in maternal BMI and infant weight-for-length.
beverage and juice (SSB/J) reduction and home water delivery affects maternal and infant risk
for obesity. The postpartum period is a time of both opportunity and vulnerability for
mothers and their infants to diminish risk for obesity and related health problems. This is
particularly relevant in the context of Hispanic families. Hispanic mothers are at high-risk
for excess gestational weight gain and postpartum weight retention, and their infants are at
high-risk for rapid weight gain associated with early onset obesity. A contributing factor
may be their intake of SSB/J. There is a high prevalence of reported SSB/J consumption in
low-income Hispanic households, and Hispanic mothers are more likely to incorporate sweet
foods during weaning. Because evidence suggests that obese Hispanic children are responsive
to SSB/J reduction and substitution with non-caloric beverages, this may be a potential
strategy for Hispanic mothers that may also be beneficial for their infants.
This study will be conducted in collaboration with Antelope Valley Partners for Health, who
will deliver a home visitation program intervention once a week for 24 months.
Two-hundred-and-forty overweight/obese Hispanic mothers and their infants will be recruited.
They will be randomly assigned to: group 1, a standard home visitation program only; group 2,
a standard home visitation program that incorporates sugar reduction; and group 3, a standard
home visitation program that incorporates sugar reduction with home water delivery. The main
outcomes are maternal BMI and infant weight-for-length growth. We will also assess maternal
and infant diet using 24-hour recalls, and maternal feeding style and infant eating behaviors
using questionnaires. Linear mixed effects models will be used to compare changes between the
intervention groups in maternal BMI and infant weight-for-length.
Inclusion Criteria:
- Mothers who are overweight/obese with a pre-pregnancy BMI ≥25 kg/m2
- Mothers who self-identify as Hispanic
- Mothers who have or have had singleton births
- Mothers will be recruited prior to their infant's birth
- Mothers must be able/willing to understand the procedures of the study, and must be
able to read English or Spanish at a 5th grade level
- Mothers who are habitual consumers of sugar sweetened beverages and juices
Exclusion Criteria:
- Physician diagnosis of a major medical illness (including type 1 or type 2 diabetes)
or eating disorder in mothers
- Physical, mental, or cognitive issues that prevent participation
- Chronic use of any medication that may affect body weight or composition, insulin
resistance, or lipid profiles
- Current smoking (more than 1 cigarette in the past week) or use of other recreational
drugs
- Clinical diagnosis of gestational diabetes
- Pre-term/low birth weight infants, or diagnosis of any fetal abnormalities
- Mothers less than 18 years of age at the time of delivery will not be eligible as to
avoid potential confounding from those subjects who might still be completing
adolescent growth
We found this trial at
1
site
44226 10th Street West
Lancaster, California 93534
Lancaster, California 93534
Phone: 661-942-4719
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