Preterm Infants' Weight Gain Following Massage Therapy

NCT ID: NCT00029198

Last Updated: 2014-04-10

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE3
• Total Enrollment: 139 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2003-04-30
• Study Completion Date: 2008-03-31

Brief Summary

The specific aims of this study are: 1) to replicate the data that following ten days of massage therapy, preterm infants show greater daily weight gain and are discharged from the hospital earlier than the controls, thus demonstrating the cost-effectiveness of the intervention; 2) to test a model on two potential underlying mechanisms for weight gain including a) enhanced vagal activity leading to greater gastric motility, higher levels of insulin, IGF-1, and oxytocin and lower cortisol levels in the massage versus the control infants at the end of the study; and/or b) increased physical activity and its associated increase in heart rate oxygen consumption and temperature leading to greater weight gain. These pathways (vagal activity and physical activity) will be tested by path analyses. Determining underlying mechanisms for the massage therapy/weight gain relationship is a critical process required by the neonatology community for massage therapy to be adopted as a standard neonatal intensive care unit.

Detailed Description

A number of studies have documented an average of 47% greater weight gain in preterm neonates following massage therapy. Our currently funded study suggests that massage therapy increases vagal activity, oxytocin, and IGF-1. In the proposed continuation of this study preemies would be provided daily massages three times a day for 10 days, as in our previously successful protocol. To determine potential mechanisms that may underlie the massage therapy/weight gain relationship we will continue to assess vagal activity and assay insulin, oxytocin, IGF-1 and cortisol as well as gastric motility. We have added an alternative potential pathway for the massage therapy/weight gain relationship. In this expanded model, activity level and the related measures of heart rate, oxygen consumption (based on a formula calculated from heart rate) and temperature mediate the effects of massage therapy on weight gain. A larger sample will be recruited so that we can have the power needed to test our model of the potential mechanisms underlying the weight gain from preterm infant massage. For the current application, 120 preterm infants with common medical complications of prematurity, who are medically stable and residing in the intermediate care ("grower") nursery, will be assigned to groups based on a random stratification on the following variables: gender, gestational age, birthweight, days in the NICU, and study entry weight. One hundred twenty infants will be randomly assigned to one of two groups: 1) ten days of massage therapy (n=60), or 2) standard treatment (n=60). Within-subjects and between-groups analyses will focus on physiological (heart rate, vagal tone, gastric motility, and temperature), biochemical (insulin, oxytocin, IGF-1 and cortisol) and behavioral variables (activity level).

Conditions

Premature Birth

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: FACTORIAL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

1

15 minute massage tid

Group Type: EXPERIMENTAL

massage

Intervention Type: PROCEDURE

15 massage given tid

2

non-massage touch

Group Type: SHAM_COMPARATOR

Sham massage

Intervention Type: PROCEDURE

non-massage touch

Interventions

massage

15 massage given tid

Intervention Type: PROCEDURE

Sham massage

non-massage touch

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Gestational age between 28 and 32 weeks
• Birthweight between 800 and 1,400 grams
• Birthweight, length, and head circumference appropriate for gestational age
• Scores on the Obstetric/Postnatal Complications scales are each below 80
• NICU stay between 15 and 60 days
• Current weight between 1,000 and 1,500 grams
• Current daily intake is between 120 and 160 calories

Exclusion Criteria

• Genetic anomalies, congenital heart malformations, and/or central nervous system dysfunction
• HIV infection
• History of maternal alcohol or illicit drug use
• Syphilis
• Hepatitis B
• Require surgery

• Minimum Eligible Age: 28 Weeks
• Maximum Eligible Age: 32 Weeks
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

National Center for Complementary and Integrative Health (NCCIH)

NIH

Sponsor Role: collaborator

University of Miami

OTHER

Sponsor Role: lead

Responsible Party

Tiffany Field

Director, Touch Research Institute

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Tiffany M Field, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Miami

Locations

University of Miami School of Medicine

Miami, Florida, United States

Countries

United States

References

Field T, Diego M, Hernandez-Reif M, Dieter JN, Kumar AM, Schanberg S, Kuhn C. Insulin and insulin-like growth factor-1 increased in preterm neonates following massage therapy. J Dev Behav Pediatr. 2008 Dec;29(6):463-6. doi: 10.1097/DBP.0b013e3181856d3b.

Reference Type: DERIVED

PMID: 18714203 (View on PubMed)

Related Links

http://www.miami.edu/touch-research

Touch Research Institutes

Other Identifiers

R01AT000370-01

Identifier Type: NIH

Identifier Source: secondary_id

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R01AT000370

Identifier Type: NIH

Identifier Source: secondary_id

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R01AT000370-01

Identifier Type: NIH

Identifier Source: org_study_id

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