Effects of feeding during the first months of life in post-natal health in babies born small for gestational age (SGA)

ISRCTN ISRCTN36204907
DOI https://doi.org/10.1186/ISRCTN36204907
Secondary identifying numbers N/A
Submission date
08/12/2008
Registration date
23/12/2008
Last edited
23/12/2008
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Pregnancy and Childbirth
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Lourdes Ibanez
Scientific

Endocrinology Unit
Hospital Sant Joan de Deu
ESplugues
08950
Spain

Phone +34 93 28 04 000
Email libanez@hsjdbcn.org

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeQuality of life
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleInfluence of early feeding in subsequent cardiovascular risks in infants born small for gestational age: a randomised controlled trial
Study acronymPSO
Study objectives1. Breastfed small for gestational age (SGA) babies will gain more lean mass and less fat mass over the first 4 months of life
2. SGA babies will have more vsiceral fat at age 24 months as compared to babies born appropriate for gestational age (AGA)
3. SGA babies fed enriched formula will be more insulin resistant, have higher levels of insulin-like growth factor 1 (IGF-1) and altered levels of adipokines, as compared to breastfed SGA babies and SGA babies fed with regular formula
Ethics approval(s)Committee of Hospital Sant Joan de Déu, Esplugues have given approval on the 15th May 2008
Health condition(s) or problem(s) studiedSmall for gestational age (SGA), adipokines, cardiovascular risk factors
InterventionNewborns born SGA who will not be breastfed will be randomised to receive a regular or an enriched formula for 4 months. Assessments at birth, 15 days, 4, 12 and 24 months (sampling, dual energy X-ray absorptiometry [DXA] and ultrasound).

Regular formula: Fat: 28.9 g%; carhohydrates: 55.0 g%; proteins: 11.7 g%
Enriched formula: Fat: 24.7 g%; carbohydrates: 54.9 g%; proteins: 14.5 g%
Feeding is ad libitum and following the recommendations of the primary care paediatricians. This is usually every 3 hours the first month, and every 4 hours thereafter. No additional food is allowed until after month 4.
Intervention typeOther
Primary outcome measureBody composition at age 15 days and at age 4, 12 and 24 months (DXA).
Secondary outcome measures1. Insulin
2. IGF-1
3. Adipokines
4. Visceral fat

Measured in cord blood, and in fasting samples at age 4, 12 and 24 months.
Overall study start date10/06/2008
Completion date10/08/2010

Eligibility

Participant type(s)Patient
Age groupNeonate
SexBoth
Target number of participants90 (SGA), 50 (AGA)
Key inclusion criteria1. Maternally uncomplicated pregnancy (no gestational diabetes, no pre-eclampsia, no use of alcohol, drugs or illicit substances), with delivery at Hospital Sant Joan de Déu in Barcelona
2. Birthweight AGA (between -1 and +1 SD) or SGA (between 1.8 kg and -2 SD) after a term gestation (37 - 42 weeks)
3. Availability of cord serum
4. Ethnically Catalan background
Key exclusion criteria1. Dysmorphic features
2. 10-minute Apgar score below 7
Date of first enrolment10/06/2008
Date of final enrolment10/08/2010

Locations

Countries of recruitment

  • Spain

Study participating centre

Endocrinology Unit
ESplugues
08950
Spain

Sponsor information

Hospital Sant Joan de Deu (Spain)
Hospital/treatment centre

Passeig de Sant Joan de Deu 2
Esplugues
08950
Spain

Phone +34 93 28 04 000
Email libanez@hsjdbcn.org
Website http://www.hsjdbcn.org/index.jsp
ROR logo "ROR" https://ror.org/001jx2139

Funders

Funder type

Research organisation

The Carlos III Health Institute (Instituto de Salud Carlos III) (Spain) (ref: PI080443)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan