Impact of Maternal Body Weight on Vitamin D Status During Pregnancy

NCT ID: NCT02713009

Last Updated: 2023-03-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-11-30

Study Completion Date

2018-03-31

Brief Summary

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Research shows high levels of vitamin D deficiency in pregnant women in Northern Ireland. Body composition is a determinant of vitamin D status. Vitamin D is a fat soluble vitamin and therefore may be hidden within the adipose/fat tissue in overweight/obese individuals. All pregnant and breastfeeding women are advised to take a daily supplement containing 10μg vitamin D. The investigators hypothesise that overweight/ obese pregnant women have a lower vitamin D status than their leaner counterparts at the start of pregnancy and may need a higher daily supplementation to achieve a sufficient status.

The investigators propose a randomised supplementation study where pregnant women (n 240) from the Western Health and Social Care Trust Area will be invited to take part.

Inclusion criteria: pregnant women first trimester, without current pregnancy related complications, singleton pregnancy, aged ≥18 years, with Body Mass Index (BMI) \> 18.5kg /m².

Participants will be randomised to receive either 0μg (placebo) plus a multivitamin or 10μg vitamin D plus a multivitamin from 12 weeks gestation until delivery. The multivitamin already contains 10μg vitamin D; Therefore participants will be randomised to receive a total of 10μg or 20μg vitamin D.

Blood samples (20mls) will be taken at 12, 28 and 36 weeks gestation. A sample of blood will be taken from the cord after delivery. Vitamin D status is the main outcome measurement. All blood samples will be analysed for vitamin D and other associated metabolites. Data will be collected on health and lifestyle, supplementation use and food intake. Body composition measurements will be recorded at each appointment and infant anthropometric measurements will be taken from the maternal notes after delivery. Findings from this research will be used to inform nutrition policy on appropriate vitamin D supplementation levels in pregnancy which may be dependent upon pre pregnancy BMI.

Detailed Description

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Conditions

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Obesity Vitamin D Deficiency

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Treatment 1

Pregnancy multivitamin + vitamin D daily from \~Week 12 gestation until delivery

Group Type EXPERIMENTAL

Pregnancy multi-vitamin (including 10μg vitamin D3)

Intervention Type DIETARY_SUPPLEMENT

10μg vitamin D3

Intervention Type DIETARY_SUPPLEMENT

Treatment 2

Pregnancy multivitamin + placebo daily from \~Week 12 gestation until delivery

Group Type PLACEBO_COMPARATOR

Pregnancy multi-vitamin (including 10μg vitamin D3)

Intervention Type DIETARY_SUPPLEMENT

0μg vitamin D (placebo)

Intervention Type DIETARY_SUPPLEMENT

Interventions

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Pregnancy multi-vitamin (including 10μg vitamin D3)

Intervention Type DIETARY_SUPPLEMENT

10μg vitamin D3

Intervention Type DIETARY_SUPPLEMENT

0μg vitamin D (placebo)

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Pregnant women
* Age ≥18years
* BMI \>18.5 kg/m²
* Without current pregnancy related complications
* At least 12 weeks gestation
* Have a singleton pregnancy (as confirmed at first scan)
* Pregnant women who are currently taking vitamin D and have had a sun holiday will be included in this study. All participants will agree to discontinue any current supplementation and will be provided with a multivitamin for the duration of pregnancy.

Exclusion Criteria

* Aged \<18 years
* Pregnancy BMI \<18.5kg/m²
* Participants with multiple pregnancy
* Participants currently involved in another research study
* Participants with a history of gastrointestinal, hepatic, renal, vascular or haematological disorders.
* Participants who have had in vitro fertilisation (IVF) treatment
* Participants with a history of NTD affected pregnancies
* Pregnant women with active thyroid disease (e.g., Graves, Hashimoto or thyroiditis)
* Planned home births
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Western Health and Social Care Trust

OTHER

Sponsor Role collaborator

University of Ulster

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Western Health and Social Care Trust, Altnagelvin

Londonderry, Co.Londonderry, United Kingdom

Site Status

Countries

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United Kingdom

References

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Alhomaid RM, Mulhern MS, Strain J, Laird E, Healy M, Parker MJ, McCann MT. Maternal obesity and baseline vitamin D insufficiency alter the response to vitamin D supplementation: a double-blind, randomized trial in pregnant women. Am J Clin Nutr. 2021 Sep 1;114(3):1208-1218. doi: 10.1093/ajcn/nqab112.

Reference Type DERIVED
PMID: 33964855 (View on PubMed)

Other Identifiers

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REC 15/NI/0068

Identifier Type: -

Identifier Source: org_study_id

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