NCT07172880

Brief Summary

There is growing evidence that maternal health and behaviors in pregnancy, such as pre-pregnancy obesity, excessive gestational weight gain, poor diet, smoking, and adverse pregnancy outcomes, are linked to fetal programming for obesity and cardiovascular disease (CVD) risk in the offspring. Yet, there is a surprising lack of research on the role of prenatal sedentary behavior, physical activity, and sleep (conceptualized together as 24-hour behavior) on offspring obesity risk and CVD risk; this is an unfortunate research gap since there is strong physiological rationale that these behaviors in pregnancy could influence offspring health and are modifiable intervention targets in pregnancy. This multi-site observational cohort study will leverage state-of-the-art, 24-hour behavior assessment in each trimester of pregnancy, collected as part of the Pregnancy 24/7 cohort study and add additional assessments of offspring growth, adiposity, and CVD risk through 24 months to inform future primordial prevention interventions to decrease the risk of offspring obesity and CVD across the lifespan.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
800

participants targeted

Target at P75+ for all trials

Timeline
14mo left

Started Jul 2023

Longer than P75 for all trials

Geographic Reach
1 country

3 active sites

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 Progress71%
Jul 2023Jul 2027

Study Start

First participant enrolled

July 1, 2023

Completed
2.2 years until next milestone

First Submitted

Initial submission to the registry

September 8, 2025

Completed
7 days until next milestone

First Posted

Study publicly available on registry

September 15, 2025

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 6, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 6, 2027

Last Updated

September 22, 2025

Status Verified

September 1, 2025

Enrollment Period

4 years

First QC Date

September 8, 2025

Last Update Submit

September 16, 2025

Conditions

Keywords

Physical ActivitySleepSedentary BehaviorCardiovascular Disease RiskObesity RiskGrowth and Development24- Hour Movement BehaviorsChildrenPregnancy

Outcome Measures

Primary Outcomes (1)

  • BMIz

    BMI z-scores will be calculated using WHO growth standards from weight and length data abstracted from well-child visits (birth to 30 months; \~10 per child) and direct measurements at the 24-month study visit.

    Through study completion for each participant: birth to 30 months old.

Secondary Outcomes (4)

  • Waist Circumference

    23-25 months old.

  • Tricep and Subscapular Skinfolds

    23-25 months old.

  • Blood Pressure

    23-25 months old.

  • Pulse Wave Velocity

    23-25 months old.

Study Arms (2)

Mother

Women who were enrolled in the Pregnancy 24/7 Cohort Study and subsequently delivered a live-born infant.

Child

Children from birth to 30 months of age, born to participants enrolled in the Pregnancy 24/7 Cohort Study.

Eligibility Criteria

Age0 Years - 47 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)
Sampling MethodNon-Probability Sample
Study Population

Women who participated in the Pregnancy 24/7 Cohort Study and gave birth who complete eligibility screening from three sites Iowa N=225, Pittsburgh N=112, and West Virgina N=113. We anticipate N=360 for 24-month chart abstraction and questionnaires and N=315 for the in-person visit, with approximately equal sex distribution among offspring.

You may qualify if:

  • Enrolled in Pregnancy 24/7 Study.
  • Completed at least one 24-hr behavior assessment, with valid objective activity monitor data and questionnaires.
  • Pregnancy resulted in singleton live birth.

You may not qualify if:

  • Child diagnosed with congenital or chromosomal abnormalities that may affect growth or CVD risk.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

University of Iowa

Iowa City, Iowa, 52242, United States

RECRUITING

University of Pittsburgh

Pittsburgh, Pennsylvania, 15213, United States

ACTIVE NOT RECRUITING

West Virginia University

Morgantown, West Virginia, 26506, United States

RECRUITING

MeSH Terms

Conditions

Motor ActivitySedentary Behavior

Condition Hierarchy (Ancestors)

Behavior

Study Officials

  • Kara M Whitaker, PhD, MPH

    University of Iowa

    PRINCIPAL INVESTIGATOR
  • Bethany Barone Gibbs, PhD

    West Virginia University

    PRINCIPAL INVESTIGATOR
  • Sharon Ross, PhD

    University of Pittsburgh

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Kara M Whitaker, PhD, MPH

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

September 8, 2025

First Posted

September 15, 2025

Study Start

July 1, 2023

Primary Completion (Estimated)

July 6, 2027

Study Completion (Estimated)

July 6, 2027

Last Updated

September 22, 2025

Record last verified: 2025-09

Data Sharing

IPD Sharing
Will share

Individual deidentified data that are relevant to the primary aims of the study will be made available along with a relevant data dictionary.

Shared Documents
STUDY PROTOCOL, SAP, ICF
Time Frame
Data will be made available as soon as possible, no later than the time of an associated publication, or the end of the award period, whichever comes first.
Access Criteria
Data access will be provided to external researchers who provide a methodologically sound proposal for secondary data analysis that is approved by the investigators of the study. Proposals should be directed to the study PI.

Locations