NCT06892483

Brief Summary

The purpose of this study is to unveil the mechanistic benefits of a bout of postpartum maternal exercise on infant health that are provided by breastmilk.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
60

participants targeted

Target at P25-P50 for all trials

Timeline
26mo left

Started Apr 2025

Typical duration for all trials

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress37%
Apr 2025Sep 2028

First Submitted

Initial submission to the registry

March 13, 2025

Completed
11 days until next milestone

First Posted

Study publicly available on registry

March 24, 2025

Completed
28 days until next milestone

Study Start

First participant enrolled

April 21, 2025

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 10, 2027

Expected
12 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 25, 2028

Last Updated

June 24, 2026

Status Verified

June 1, 2026

Enrollment Period

2.5 years

First QC Date

March 13, 2025

Last Update Submit

June 19, 2026

Conditions

Keywords

Breast milkPostpartum exercise

Outcome Measures

Primary Outcomes (1)

  • Breastmilk Exosome Concentration

    The molecules in small extracellular vesicles (exosomes) can transmit information between cells throughout the body. A bout of exercise induces a robust release of exosomes in the plasma with unique molecular cargo. Exosomes are also present in breastmilk, and there is evidence that breastmilk exosomes can evade degradation in the infant gut and can thus transmit molecular information from mother to infant. Though maternal exercise is viewed as beneficial for the breastfeeding infant, the molecular mechanisms of how this occurs remain unknown. The primary objective of this trial will be to determine if a bout of maternal exercise increases the release exosomes in breastmilk. The investigators will measure breastmilk exosome concentration using nano particle tracking.

    1 month

Study Arms (2)

Active

Exercise \> 3 days per week of moderate-intensity exercise

Other: Pre-Pregnancy BMI

Inactive

≤ 1 day per week of exercise

Other: Pre-Pregnancy BMI

Interventions

Pre-pregnancy BMI between 18.5-24.99

Also known as: Lean
ActiveInactive

Eligibility Criteria

Age18 Years - 45 Years
Sexfemale(Gender-based eligibility)
Gender Eligibility DetailsLactating Females
Healthy VolunteersYes
Age GroupsAdult (18-64)
Sampling MethodNon-Probability Sample
Study Population

Depending upon mode of delivery, it may take up to 6-8 weeks to return to pre-pregnancy physical activity levels, and participants may prefer to have their postpartum visit to receive "medical clearance". Thus, by 2 months after delivery, most participants will have been medically cleared to exercise. Recruitment and screening of participants will take primarily place in the clinical setting either prior to or within 2 months of giving birth. Participants will be consulted throughout the \>2-month period postpartum by an Internationally Board-Certified Lactation Consultant on the study team to increase the likelihood of successful breastfeeding for participants that are recruited prior to giving birth. Half of the participants will be enrolled with a pre-pregnancy BMI between 18.5-24.99 (n=30; normal weight) and the other half will be between 25-39.99 (n=30; obese). The participant's first recorded first-trimester BMI will be used.

You may not qualify if:

  • Active coronary artery disease or heart failure.
  • Participation in a structured exercise program ≥ 1 day/week in the "inactive" subcohort or \< 3 days per week in the "active" subcohort.
  • A known medical condition that in the judgment of the investigator might interfere with the completion of the protocol such as the following examples:
  • Abnormal liver function test results (Transaminase \>2 times the upper limit of normal
  • Abnormal renal function test results (calculated GFR \<60 mL/min/1.73m2);
  • If on antihypertensive, thyroid, anti-depressant or lipid lowering medication, lack of stability on the medication for the past 2 months prior to enrollment in the study
  • Uncontrolled thyroid disease (TSH undetectable or \>10 mlU/L); testing required within three months prior to admission for subjects with a goiter, positive antibodies, or who are on thyroid hormone replacement, and within one year otherwise
  • Abuse of alcohol or recreational drugs
  • Active tobacco smoking within the past 3 months
  • Infectious process not anticipated to resolve prior to study procedures (e.g. meningitis, pneumonia, osteomyelitis).
  • Uncontrolled arterial hypertension (Resting diastolic blood pressure \>90 mmHg and/or systolic blood pressure \>160 mmHg) at the time of screening.
  • A recent injury to body or limb, muscular disorder, use of any medication, any carcinogenic disease, or other significant medical disorder if that injury, medication or disease in the judgment of the investigator will affect the completion of the protocol
  • Active pregnancy
  • Restrictions on Use of Other Drugs or Treatments:
  • Any other medication believed to be a contraindication to the subject's participation.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Mayo Clinic

Rochester, Minnesota, 55905, United States

RECRUITING

Biospecimen

Retention: SAMPLES WITH DNA

Blood samples and breastmilk will be collected

MeSH Terms

Conditions

Pediatric ObesityDiabetes Mellitus

Interventions

Total Quality ManagementAdiposity

Condition Hierarchy (Ancestors)

ObesityOverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and SymptomsGlucose Metabolism DisordersMetabolic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

Organization and AdministrationHealth Services AdministrationQuality Assurance, Health CareQuality of Health CareHealth Care Quality, Access, and EvaluationBody Fat DistributionBody Weights and MeasuresBody ConstitutionPhysical ExaminationDiagnostic Techniques and ProceduresDiagnosisBody CompositionBiochemical PhenomenaChemical PhenomenaMetabolismPhysiological Phenomena

Study Officials

  • Mark Pataky, Ph.D.

    Mayo Clinic

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Linda Szymanski, M.D., Ph.D.

CONTACT

Mark Pataky, Ph.D.

CONTACT

Study Design

Study Type
observational
Observational Model
CASE CROSSOVER
Time Perspective
CROSS SECTIONAL
Target Duration
1 Month
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

March 13, 2025

First Posted

March 24, 2025

Study Start

April 21, 2025

Primary Completion (Estimated)

October 10, 2027

Study Completion (Estimated)

September 25, 2028

Last Updated

June 24, 2026

Record last verified: 2026-06

Locations