Childhood Obesity Prevention
Conditions
Keywords
Obesity, Children, Pregnancy, Motivational interview, Family Care, Primary Care
Brief summary
The main objective of this study is to evaluate the effect of an early and intensive intervention, based on techniques of effective counseling on healthy habits for parents, in order to reduce mean BMI at 2 years of age Secondly, the investigators will analyze the weighted increase of children's BMI, the eating habits of parents and children, duration of breastfeeding, physical activity level of parents and children and the children sleeping habits. In order to achieve it, the investigators have developed a randomized trial by Primary Care Centers, controlled by two parallel groups of study, open and multicenter study. The investigator team will recruit 414 pregnant women bwtween 12 and 16 weeks of gestation who will or will not receive an intervention, depending on their Primary Care Centers. The investigators will develop an intervention for parents, based on effective counseling techniques which are grounded on Motivational Interviewing approach with the objective of transmitting habits to reach a healthy lifestyle. The intervention consists in six workshops (90 minutes long), two prenatal and four postnatal, directed by professionals of the Field Researchers Basic Group (Family Practitioners, Pediatricians, Nurses and Midwives). Previously the field researchers will receive specialized training. This intervention will be compared to the usual model of care for children and women.
Interventions
OTHERMotivational interviewing in groups
Intervention consists of six 90 minutes workshops, two of those during pregnancy and the other four within the following two years after the birth of the children.
OTHERUsual care
Parents will receive information about height, weight, and BMI percentile provided by a health professional during usual well child visits
Sponsors
Fundacion para la Formacion e Investigacion Sanitarias de la Region de Murcia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
Will be included all pregnant women who have given their consent and who meet the following inclusion criteria: * Attended in Primary Care Centers and not planning to change their place of residence in the period covered by the study. * Women over 18 years of age. * Gestational age between 12 and 16 weeks. * Women whose pregnancy is liable of follow-up in Primary Care.
Exclusion criteria
* Women who cannot communicate in Spanish. * Women with metabolic diseases that modify their weight (diabetes, hypothyroidism, hyperthyroidism, etc.). * Maternal history of a serious medical or psychiatric illness or drug or alcohol abuse. * Multiple pregnancy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| BMI | 2 years of age | The investigator team will collect weight and height, calculate the BMI and we will work out the BMI Z-score according to WHO growth standards. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Food intake habits in parents | 2 years of age | PREDIMED study questionnaire |
| Physical activity in parents: | 2 years of age | International Physical Activity Questionnaire (IPAQ) |
| Smoking habit in parents (self-reported): measuring the percentage of parents who smoke, consumption of cigarettes per day, and their level of motivation to quit smoking through the Richmond Test. | 2 years of age | Richmond Test. |
| Anthropometry of parents: | 2 years of age | Weight and height will be combined to report BMI in kg/m\^2 |
| Weight growth rate | 2 years of age | WHO standardS |
| Children's dietary habits | 2 years of age | PREDIMED study questionnaire |
| Physical Activity patterns in children | 2 years of age | PREDIMED study questionnaire |
| Sleep habits | 2 years of age | PREDIMED study questionnaire |
| Socio - demographic variables: Number of siblings, country of origin, educational level and social class, according to the proposal of the Spanish Society of Epidemiology and the Spanish Society of Family and Community Medicine. | 2 years of age | PREDIMED study questionnaire |
| Duration of breastfeeding | 2 years of age | The investigator team will measure the time of exclusive and mixed breastfeeding, in months, according to the regarding questions of the National Health Survey 2011-2012. |
Countries
Spain
Contacts
Primary ContactMaria Gonzalez Barberá
Backup Contactmariagb94@gmail.com Gonzalez Barberá
Outcome results
None listed