OptiMUM Nutrition: a web-based dietary intervention in pregnancy to optimise neonatal outcomes

ISRCTN ISRCTN49955056
DOI https://doi.org/10.1186/ISRCTN49955056
Secondary identifying numbers N/A
Submission date
27/02/2016
Registration date
04/03/2016
Last edited
18/10/2017
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

Background and study aims
Nutrition during pregnancy plays a key role in providing the best environment for the baby’s growth and development. If the baby is not provided with appropriate nutrition during pregnancy, they may be at increased risk of poor health later in life. This study aims to investigate if a web-based dietary intervention during pregnancy improves the health of the mother and the baby.

Who can participate?
Women aged over 18 who are in the first trimester of a single pregnancy.

What does the study involve?
Participants complete a number of questionnaires about their dietary, physical activity and lifestyle behaviours, and have their weight measured. They are then allocated at random to either the intervention group or the control group. The intervention group receive individualised dietary advice at regular intervals throughout the remainder of their pregnancy. This advice is delivered over the web. In addition, the intervention group receive information to promote positive behaviours such as exercise. Participants who are diagnosed with gestational diabetes are also provided with dietary and lifestyle advice in line with gestational diabetes guidelines. These participants’ blood glucose and serum lipid measurements are collected. The control group re-take the dietary questionnaire over the course of their pregnancy, but instead of the individualised dietary advice provided to the intervention group, they receive standard care.

What are the possible benefits and risks of participating?
Not provided at time of registration

Where is the study run from?
The Coombe Women and Infants University Hospital (Ireland)

When is the study starting and how long is it expected to run for?
October 2015 to October 2017

Who is funding the study?
Dublin Institute of Technology (Ireland)

Who is the main contact?
Dr Daniel McCartney

Contact information

Dr Daniel McCartney
Scientific

School of Biological Science
Dublin Institute of Technology
Kevin Street
Dublin
0000
Ireland

Study information

Study designSingle-blinded randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleOptiMUM Nutrition: a web-based dietary intervention in pregnancy to optimise neonatal outcomes
Study acronymOptiMUM
Study hypothesisCurrent hypothesis as of 09/10/2017:
This study aims to establish whether access to a customised website providing evidence-based nutrition information from early pregnancy improves pregnancy outcomes.

Previous hypothesis:
This study aims to establish whether individualised online dietary advice to enhance maternal dietary intakes from early pregnancy yields improvements in neonatal health outcomes at birth.
Ethics approval(s)1. The Coombe Women and Infants University Hospital’s Research Ethics Committee, ref: Study No. 6 – 2015
2. The Dublin Institute of Technology’s Research Ethics Committee, ref: 15-45
ConditionPregnancy, gestational diabetes
InterventionCurrent interventions as of 09/10/2017:
Participating mothers will be recruited using a convenience sampling method of a confirmed singleton pregnancy as per the inclusion criteria. Written consent will be obtained. Once recruited, women will complete a number of questionnaires to determine their current socio-economic status, attitudinal and psychometric parameters, and their dietary, physical activity and lifestyle behaviours. Women will also have their weight status measured at this point. Women will then be allocated at random to either the intervention group or the control group.
1. The intervention group will receive access to an evidence-based nutrition and lifestyle website in addition to standard care.
2. The control group will receive standard care alone.

Previous interventions:
Participating mothers will be recruited using a convenience sampling method in their first trimester of a confirmed singleton pregnancy as per the above inclusion criteria. Written consent will be obtained. Once recruited, women will complete a number of questionnaires to determine their current socio-economic status, attitudinal and psychometric parameters, and their dietary, physical activity and lifestyle behaviours. Women will also have their weight status measured at this point. Women will then be allocated at random to either the intervention group or the control group.
1. The intervention group will receive individualised dietary advice at regular intervals throughout the remainder of their pregnancy. This advice will be delivered over the web. In addition, the intervention group will receive information to promote positive lifestyle behaviours such as exercise. Consenting participants diagnosed with gestational diabetes will be sub-categorised within the intervention group and provided with dietary and lifestyle advice in line with gestational diabetes guidelines. These participants’ blood glucose and serum lipid measurements will be collected.
2. The control group will re-take the dietary questionnaire over the course of their pregnancy, but instead of the individualised dietary advice provided to the intervention group, they will receive standard care alone.
Intervention typeBehavioural
Primary outcome measureCurrent primary outcome measures as of 09/10/2017:
Birth weight, measured as part of standard antenatal and postnatal care

Previous primary outcome measures:
Neonatal weight and health status
Secondary outcome measuresCurrent secondary outcome measures as of 09/10/2017:
1. Maternal engagement with the website, measured using web-stat analytics from recruitment at baseline throughout the gestational period
2. Neonatal OFC, measured as part of standard antenatal and postnatal care
3. Maternal GDM diagnosis, measured as part of standard antenatal and postnatal care
4. Maternal mode of delivery, measured as part of standard antenatal and postnatal care
5. Neonatal mode of feeding, measured as part of standard antenatal and postnatal care

Previous secondary outcome measures:
1. Maternal weight
2. Maternal dietary intakes
3. Maternal dietary quality
4. Maternal blood glucose and serum lipids
5. Maternal dietary and lifestyle knowledge
6. Maternal psychometric measurements
Overall study start date01/01/2015
Overall study end date30/10/2017

Eligibility

Participant type(s)Other
Age groupAdult
Lower age limit18 Years
SexFemale
Target number of participants500
Participant inclusion criteriaCurrent inclusion criteria as of 09/10/2017:
1. Women with a singleton pregnancy
2. Aged over 18
3. Have internet access
4. Proficient English
5. <18 weeks gestation

Previous inclusion criteria:
1. Women with a singleton pregnancy
2. Aged over 18
3. Have internet access
4. Proficient English
5. In their first trimester of pregnancy
Participant exclusion criteriaWomen who do not meet the inclusion criteria
Recruitment start date01/10/2015
Recruitment end date30/10/2017

Locations

Countries of recruitment

  • Ireland

Study participating centre

The Coombe Women and Infants University Hospital
0000
Ireland

Sponsor information

Dublin Institute of Technology (Ireland)
University/education

The School of Biological Sciences
Dublin Institute of Technology
Kevin Street
Dublin
0000
Ireland

ROR logo "ROR" https://ror.org/04t0qbt32

Funders

Funder type

University/education

Dublin Institute of Technology (Ireland)

No information available

Results and Publications

Intention to publish date30/10/2017
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryOther
Publication and dissemination plan
IPD sharing plan

Editorial Notes

18/10/2017: Internal review.
09/10/2017: The hypothesis, interventions, primary/secondary outcome measures and inclusion criteria were updated.