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NCT Number: NCT05503849

Born In Guangzhou Intervention Study

The main objective of this study is to test the efficacy of an intervention package (dietary, physical and lifestyle modification) during pregnancy in improving the clinical outcomes of mother-infant dyads.

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Key information

Age range

18 year–50 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Fuying Campus, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China, Guangzhou, China

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Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Pregnant women attending prenatal care at Guangzhou Women and Children's Medical Center (GWCMC) <20 weeks' gestation
  • Pregnant women plan to deliver at GWCMC
  • Pregnant women intend to reside in Guangzhou for at least 3 years

Exclusion criteria

  • Multiple pregnancies
  • Existing medical conditions (uncontrolled diabetes, hypertension or thyroid disease; other serious cardiovascular diseases, respiratory or systematic disorders)
  • Use of drugs (aspirin, metformin, low molecular weight heparin)
  • Women with reading and/or writing difficulties
  • Women with serious mental disorders
  • Women with eating disorders

Treatment and study plan

Lifestyle Modification

Behavioral

This lifestyle modification aiming to provide proactive health management during pregnancy, which contains the following: 1) balanced dietary intake based on the Chinese Dietary Guideline; 2) sufficient physical activity; 3) changes in lifestyles (e.g. sleep, sun exposure etc.)

Primary outcomes

  1. Maternal gestational weight change

    Time frame: From pregnancy until one month postpartum

    Maternal weight prior to pregnancy (or within 8 weeks of pregnancy), at around 20, 26, 32 weeks' gestation, before delivery and one month postpartum will be determined by digital scales, changes in maternal weight during pregnancy will be recorded in kg.

  2. Newborn size

    Time frame: Day 1 after birth

    Weight (kg) will be measured with digital scales and height/length (cm) will be measured in supine with tape, comparing against reference to derived gestational age and sex-specific growth parameter Z-scores. To identify whether the neonates was small/appropriate/large for gestational age.

  3. Neonatal skinfold thickness (at birth)

    Time frame: Day 1 after birth

    Measured with skinfold caliper, a summation of skinfold thickness at several body sites including triceps, biceps, subscapular, suprailiac and thigh, will be derived in cm.

  4. Maternal blood lipid profile postpartum (3 years)

    Time frame: Three years after delivery

    Measured by autoanalyzer, total lipids (total cholesterol, triglycerides, high/low density protein cholesterol) expressed in mmol/L.

  5. Maternal blood glucose profile postpartum (3 years)

    Time frame: Three years after delivery

    Measured by autoanalyzer, blood glucose level in mmol/L.

  6. Maternal blood insulin profile postpartum (3 years)

    Time frame: Three years after delivery

    Measured by commercial ELIZA kit, total and free insulin in pmol/L.

  7. Child blood lipid profile (3 years)

    Time frame: At three years of age

    Measured by autoanalyzer, total lipids (total cholesterol, triglycerides, high/low density protein cholesterol) expressed in mmol/L.

  8. Child blood glucose profile (3 years)

    Time frame: At three years of age

    Measured by autoanalyzer, blood glucose level in mmol/L.

  9. Child blood insulin profile (3 years)

    Time frame: At three years of age

    Measured by commercial ELIZA kit, total and free insulin in pmol/L.

  10. Child growth parameters (3 years)

    Time frame: At three years of age

    Weight measured with digital scales in kg, length measured in standing position in cm, using weight and length to derived body mass index, comparing against age and sex-specific references for Z-score.

  11. Incidence of pregnancy complications

    Time frame: From 20 weeks' gestation until one month postpartum

    Incidence of physician-diagnosed pregnancy complications, including gestational diabetes mellitus, hypertensive disorders

Secondary outcomes

  1. Child skinfold thickness (6 months)

    Time frame: At six months of age

    Measured with skinfold caliper, a summation of skinfold thickness at several body sites including triceps, biceps, subscapular, suprailiac and thigh, will be derived in cm.

  2. Child skinfold thickness (1 year)

    Time frame: At one year of age

    Measured with skinfold caliper, a summation of skinfold thickness at several body sites including triceps, biceps, subscapular, suprailiac and thigh, will be derived in cm.

  3. Child skinfold thickness (3 years)

    Time frame: At three years of age

    Measured with skinfold caliper, a summation of skinfold thickness at several body sites including triceps, biceps, subscapular, suprailiac and thigh, will be derived in cm.

  4. Child skinfold thickness (6 years)

    Time frame: At six years of age

    Measured with skinfold caliper, a summation of skinfold thickness at several body sites including triceps, biceps, subscapular, suprailiac and thigh, will be derived in cm.

  5. Child growth parameters (6 months)

    Time frame: At six months of age

    Weight measured with digital scales in kg, length measured with tape in supine position in cm, using weight and length to derived body mass index, comparing against age and sex-specific references for Z-score.

  6. Child growth parameters (1 year)

    Time frame: At one year of age

    Weight measured with digital scales in kg, length measured with tape in supine position in cm, using weight and length to derived body mass index, comparing against age and sex-specific references for Z-score.

  7. Child growth parameters (6 years)

    Time frame: At six years of age

    Weight measured with digital scales in kg, length measured in standing position in cm, using weight and length to derived body mass index, comparing against age and sex-specific references for Z-score.

  8. Child blood lipid profile (6 years)

    Time frame: At six years of age

    Measured by autoanalyzer, total lipids (total cholesterol, triglycerides, high/low density protein cholesterol) expressed in mmol/L

  9. Child blood sugar profile (6 years)

    Time frame: At six years of age

    Measured by autoanalyzer, blood glucose level in mmol/L.

  10. Child blood insulin profile (6 years)

    Time frame: At six years of age

    Measured by commercial ELIZA kit, total and free insulin in pmol/L.

  11. Neurological development of child (1 year)

    Time frame: At one year of age

    Assessed by using Gesell testing, which measures the child's cognitive, language, motor (gross & fine) and social-emotional responses. Higher score in each domain is desired, there is no upper limit. Overall score of less than 86 indicates suspected developmental retardation.

  12. Neurological development of child (3 years)

    Time frame: At three years of age

    Assessed by Ages & Stages Questionnaires, including adaptive, motor (gross & fine), language, and social function domains, overall score being less than -2SD of age specific mean indicates suspected developmental retardation.

  13. Maternal hand grip strength during pregnancy

    Time frame: Between 32-34 weeks' gestation

    Measured by high precision digital hand dynamometer, in kg

  14. Maternal hand grip strength after delivery

    Time frame: At one month postpartum

    Measured by high precision digital hand dynamometer, in kg

  15. Maternal body composition postpartum

    Time frame: At one month postpartum

    Measured by dual-energy X-ray absorptiometry by trained physician, fat mass (kg), fat free mass (kg), and relative proportion (%) and distribution of fat mass will be described.

  16. Maternal blood lipid profile postpartum (6 years)

    Time frame: Six years after delivery

    Measured by autoanalyzer, total lipids (total cholesterol, triglycerides, high/low density protein cholesterol) expressed in mmol/L.

  17. Maternal blood sugar profile postpartum (6 years)

    Time frame: Six years after delivery

    Measured by autoanalyzer, blood glucose level in mmol/L.

  18. Maternal blood insulin profile postpartum (6 years)

    Time frame: Six years after delivery

    Measured by commercial ELIZA kit, total and free insulin in pmol/L.

Study contacts

Contact information is provided by the study sponsor or research team.

Qiu Qiu, Dr.

CONTACT

[email protected]

86+02038367159

Songying Shen, Msc.

CONTACT

86+02038367160

Sponsors and collaborators

Lead sponsor

Guangzhou Women and Children's Medical Center

Other

Registry information

Acronym: BIGIS

Important dates

Study start
2024
Primary completion
2030
Study completion
2032
First posted
Aug 17, 2022
Registry last updated
Apr 10, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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