Early Childhood Obesity Programming by Intrauterine Growth Restriction
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- This is an observational study: the protocol does not assign a study treatment.
- Who it may be relevant to
- Registry conditions: Childhood Obesity, Epigenetics. Basic parameters: 1 Hour — 24 months · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Molecular Basis of Early Childhood Obesity Programming by Intrauterine Growth Restriction
Overview
The molecular mechanisms underlying developmental programming of childhood obesity remain poorly understood. Here, the investigators address major questions about early childhood obesity programming by studying CD3+ T-cells from intrauterine growth restricted (IUGR) newborns who have an increased risk for obesity and other metabolic disorders in adult life.
Detailed description
Epidemiological studies of multiple cohorts suggest an increased risk for obesity, cardiovascular disease-related death and type 2 diabetes in low birth weight infants. However, the molecular mechanisms underlying developmental programming of childhood obesity remain poorly understood. Alterations in DNA methylation during fetal life have been proposed to be one of the mechanisms that regulate this phenotype. Here, the investigators address major questions about early childhood obesity programming by studying purified subpopulations of CD3+ T-cells from intrauterine growth restricted (IUGR) newborns who have an increased risk for obesity and other metabolic disorders in adult life. The investigators will correlate altered CD3+ T-cell DNA methylation profiles in cord and peripheral blood samples and functional changes in CD3+ T-cells with adiposity in childhood.
Primary outcome measures
- Growth velocity [Time frame: Until 24 months of age]
- DNA methylation of CD3+ T-cells [Time frame: At birth and 24 months of age]
- T-cell function [Time frame: At birth, 12 and 24 months of age]
Eligibility criteria
Mother-infant pairs will be recruited for this study.
Inclusion criteria
- Healthy singleton term intrauterine growth restricted (IUGR) and appropriate for gestational age (AGA) infants whose mothers are followed by the Obstetric Department of Montefiore Medical Center and who deliver at the Weiler Division of Montefiore Medical Center. Infants will be classified as IUGR if birth weight is <10th percentile for gestational age and gender based on World Health Organization (WHO) growth curves. Infants will be classified as AGA if birth weight percentile is >10th and <90th percentile
- Reproductive age women, healthy enough to achieve pregnancy
- Deliver a single healthy live term infant at ≥37 weeks' gestational age (GA)
- All patients must be informed of the investigational nature of this study and must sign and give written informed consent in accordance with institutional and federal guidelines
Exclusion criteria
- Multiple gestation
- Maternal depression
- Maternal renal disease
- History of maternal smoking in the 2nd and 3rd trimester of pregnancy
- Maternal gestational diabetes / Type 2 Diabetes (T2D)
- Preterm birth (less than 37 weeks' gestation)
- Known chromosomal or congenital anomaly
- Infants in extremis
- Low Apgar scores (Apgar score <7 at 5 minutes of age)
- Known congenital bacterial or non-bacterial infections
- Known inborn errors of metabolism
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Observational model
- Cohort
Study locations
United States · 1 center
- Jack D. Weiler Hospital — The Bronx
Identifiers
NCT: NCT03402139 · 2018-8749 · R01HD092533