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Antenatal Determinants of Childhood Obesity in High-Risk Offspring: Protocol for the DiGest Follow-Up Study.

Published version
Peer-reviewed

Type

Article

Change log

Authors

Jones, Danielle 
De Lucia Rolfe, Emanuella 
Griep, Linda M Oude  ORCID logo  https://orcid.org/0000-0001-7697-7473
Kusinski, Laura C 

Abstract

Childhood obesity is an area of intense concern internationally and is influenced by events during antenatal and postnatal life. Although pregnancy complications, such as gestational diabetes and large-for-gestational-age birthweight have been associated with increased obesity risk in offspring, very few successful interventions in pregnancy have been identified. We describe a study protocol to identify if a reduced calorie diet in pregnancy can reduce adiposity in children to 3 years of age. The dietary intervention in gestational diabetes (DiGest) study is a randomised, controlled trial of a reduced calorie diet provided by a whole-diet replacement in pregnant women with gestational diabetes. Women receive a weekly dietbox intervention from enrolment until delivery and are blinded to calorie allocation. This follow-up study will assess associations between a reduced calorie diet in pregnancy with offspring adiposity and maternal weight and glycaemia. Anthropometry will be performed in infants and mothers at 3 months, 1, 2 and 3 years post-birth. Glycaemia will be assessed using bloodspot C-peptide in infants and continuous glucose monitoring with HbA1c in mothers. Data regarding maternal glycaemia in pregnancy, maternal nutrition, infant birthweight, offspring feeding behaviour and milk composition will also be collected. The DiGest follow-up study is expected to take 5 years, with recruitment finishing in 2026.

Description

Keywords

adiposity, calorie restriction, childhood obesity, complex intervention, gestational diabetes mellitus, large for gestational age, maternal weight gain, pregnancy, prevention, randomised controlled trial, study protocol, type 2 diabetes, Adult, Blood Glucose, Body Weight, Child, Clinical Protocols, Diabetes, Gestational, Female, Follow-Up Studies, Humans, Life Style, Maternal Nutritional Physiological Phenomena, Pediatric Obesity, Pregnancy, Prenatal Care, Risk Factors

Journal Title

Nutrients

Conference Name

Journal ISSN

2072-6643
2072-6643

Volume Title

13

Publisher

MDPI AG
Sponsorship
Diabetes UK (17/0005712)
Cambridge University Hospitals NHS Foundation Trust (CUH) (146281)
Novo Nordisk Foundation (NNF19SA058974)
European Foundation for the Study of Diabetes (EFSD) (NNF19SA058974)
MRC (MC_UU_00006/2)
National Institute for Health and Care Research (IS-BRC-1215-20014)
MRC (MC_UU_00006/4)