Dr. Kristi Adamo, Dr. Zach Ferraro, Dr. Gary Goldfield, Dr. Stasia Hadjiyannakis and Sonia Jean-Philippe have co-authored a paper with other researchers titled, “The Maternal Obesity Management (MOM) Trial Protocol: A lifestyle intervention during pregnancy to minimize downstream obesity,” that was recently published in Contemporary Clinical Trials. Citation details are below.
Adamo KB, Ferraro ZM, Goldfield G, Keely E, Stacey D, Hadjiyannakis S, Jean-Philippe S, Walker M, Barrowman NJ. The Maternal Obesity Management (MOM) Trial Protocol: A lifestyle intervention during pregnancy to minimize downstream obesity. Contemp Clin Trials. 2013 Feb 28. pii: S1551-7144(13)00027-X.
ABSTRACT: BACKGROUND: Maternal obesity and/or high gestational weight gain (GWG) are associated with downstream child obesity. Pregnancy represents a critical period for prevention as women are highly motivated and more receptive to behaviour change. OBJECTIVE: This pilot study was developed to test the feasibility of intervening with the mother, specifically keeping her GWG within the Institute of Medicine (IOM) limits, with the intended target of preventing obesity in her child downstream. We are testing the practicality of delivering a structured physical activity and nutrition intervention to pregnant women during gestation and then following mom and baby to 24months of age. Study Design This study is a two-arm, parallel group, randomized controlled trial being conducted in Ottawa. Pregnant women, with pregavid BMI>18.5, between 12 and 20weeks gestation are randomized to one of two groups: intervention (n=30) who receive the MOM trial Handbook (guide to healthy gestation) plus a structured physical activity and nutrition program, or a standard clinical care control group (n=30). The intervention lasts 25-28weeks (6months) depending on anticipated delivery date, with follow-up assessment on mother and child at 3, 6, 12 and 24months post-delivery. Significance Pregnancy, a critical time of growth, development and physiological change, provides an opportunity for early lifestyle intervention. The goal of identifying an effective lifestyle program for the gestational period that leads to healthy fetal development and subsequently normal weight offspring, less likely to develop obesity and its co-morbidities, is unique and could possibly attenuate the inter-generational cycle of obesity.
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