Overweight, Pregnancy
Conditions
Keywords
Glycemic index, Glycemic load, Low fat, Impaired glucose tolerance, Large for gestational age infant, Excessive body weight
Brief summary
This study will compare the effects of a low glycemic load versus standard diet for pregnancy on outcomes related to risk for obesity, diabetes, and heart disease in both mother and infant.
Interventions
Provision of foods and dietary counseling to promote a low glycemic load diet
Provision of foods and dietary counseling to promote a low fat diet
Sponsors
Study design
Eligibility
Inclusion criteria
* Pregnant women with prepregnant or first trimester BMI equal to or greater than 25 kg/m2 and less than 45 kg/m2 * Singleton pregnancy * Willing to consume the diets for duration of pregnancy * Participant to be at week 28 or less of pregnancy at baseline visit
Exclusion criteria
* Smoking during pregnancy * Major medical illness (e.g., diabetes mellitus, hypertension, thyroid disease) * Patients taking prescription medication known to affect body weight * Alcohol consumption during pregnancy * Patients who declare their intention to deliver infants in the environment outside of Beth Israel Deaconess Medical Center, Boston * High level of physical activity
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Birth weight as assessed by z-scores | At birth |
Secondary
| Measure | Time frame |
|---|---|
| Infant body composition (ponderal index, skinfold thickness) | At birth |
| Maternal energy intake | During pregnancy |
| Maternal weight gain | During pregnancy |
| Maternal metabolic syndrome components | During pregnancy |
| Cord blood glucose | At birth |
| cord blood insulin | At birth |
| cord blood leptin | At birth |
| Maternal insulin resistance assessed by HOMA | During pregnancy |
Countries
United States