BEP Supplementation Research in Bangladesh (JiVitA-BEP-IR)
Fetal Growth RetardationLow Birth Weight5 moreThe primary aim of the study is to evaluate the effect of fortified balanced energy and protein (BEP) supplementation vs. control (multiple micronutrient supplement, MMS) without targeting and with targeting (either by low prepregnancy BMI or low prepregnancy BMI and inadequate gestational weight gain) on birth weight and adverse birth outcomes of low birth weight (LBW < 2500 g) and small-for-gestational age (SGA). To do this we are proposing a cluster-randomized, open labeled effectiveness trial with four arms The main question[s] it aims to answer are: • Does mean birth weight and rate of LBW and SGA differ among mothers randomized to four arms that include targeted or untargeted BEP supplementation vs. MMS differ. Participants will be recruited in early pregnancy and be enrolled in the trial and randomly receive: A daily BEP supplement from enrollment until birth A daily BEP supplement from enrollment until birth, if they have low pre-pregnancy BMI with the rest receiving a MMS supplement A daily BEP supplement from enrollment until birth, if they have low pre-pregnancy BMI with the rest receiving a MMS supplement or get switched to a BEP supplement based on inadequate gestational weight gain. Researchers will compare the above groups to women receiving a MMS daily to see if birth weight is higher in the intervention arms. Other adverse outcomes such as low birth weight, small-for-gestational age and preterm birth will also be compared between groups and relative to the control.
Effectiveness of Whatsapp Messages in Gestational Weight Gain
Gestational Weight GainObesity has become an epidemic all over the world. As a result of the Turkey Demographic and Health Survey (TDHS) conducted in our country in 2018, 29% of women were found to be overweight and 30% were obese. It has been determined that there is a major relationship between maternal obesity and excessive gestational weight gain (GWG) . In the prevention of maternal obesity; In 2009, the American Institute of Medicine (IOM) presented the recommendations of the American Institute of Medicine (IOM) according to the pregnancy-onset body mass index (BMI) groups in order to prevent excessive gestational weight gain (GKA) of women and to reduce the negative health consequences that may develop in the mother and baby. According to the pre-pregnancy BMI published by the American Institute of Medicine (IOM), the intended weight gain during pregnancy has also been adopted by ACOG . In recent studies; According to the recommendations of the IOM guideline of 2009, it has been determined that 43%-73% of women have excessive WHA . In societies where the prevalence of maternal obesity is rapidly increasing, weight management strategies focus especially on pregnancy and postpartum period . Pregnancy period; This is the best time for women to make an effort to develop healthy lifestyle behaviors. A combination of effective weight control interventions, healthy eating, increased physical activity, and behavioral therapy is used to prevent excessive SCA during pregnancy. While these interventions are sent in face-to-face formats; some individuals may perceive attending these sessions as a burden, possibly limiting pre-program participation. Computer and internet technology offers innovative and alternative distribution channels that can appeal to people looking for more comfortable and anonymous environments. Computer and Internet-based programs can be acceptable and successful if structured similarly to personal treatment programs . As a result; Rapid increases in internet access have become a viable and logical situation for health intervention. Based on all this, are the interventions for healthy eating and physical activity via whatsapp, an online phone application that is widely used by everyone today, effective in appropriate gestational weight gain? Based on this question, the research was planned.
Akkermansia and Weight Maintenance
ObesityMicrotia2 moreObesity and related disorders such as type 2 diabetes are a worldwide diet-related problem. As such new treatment options are constantly being developed. Bacteria living in the gut seem to be a key player in the treatment of obesity and related metabolic diseases by influencing energy balance and the immune system. In terms of newly identified bacteria species, Akkermansia muciniphila (A. muciniphila) has been found to be related to obesity. Several animal studies have shown the beneficial impact of A. muciniphila on the treatment of body weight as well as insulin sensitivity. The growth requirements of live A. muciniphila as well as its oxygen sensitivity rendered this bacterium unsuitable for human investigations or putative therapeutic opportunities. Therefore, pasteurization, a mild heating method, and its impact on diet-induced metabolic disorders in mice were investigated. Unexpectedly, this method of inactivation did not negate the effect of A. muciniphila, but improved its beneficial metabolic effects. Pilot studies have provided further evidence that pasteurization of A. muciniphila is safe for human use and has the potential to beneficially affect the control of body weight and glucose metabolism. In this project, The investigators hypothesize that pasteurized A. muciniphila will be superior to placebo intervention in maintaining body weight after a phase of weight loss (low caloric diet) in adult participants with overweight or obesity.
Healthy for Two-Home Visiting (H42-HV): Health Coaching for Pregnant Women
Postpartum Weight RetentionPregnancy Weight Gain3 moreThe purpose of this study is to compare the effectiveness of H42-HV integrated into home visiting compared with usual home visiting services in reducing postpartum weight retention (difference between pre-pregnancy weight and weight at 6 months postpartum) among pregnant and postpartum people. The intervention is tailored for Black and Latinx pregnant and postpartum people and, ultimately, aims to address inequities in cardiometabolic health.
A Multisite Exploration of Balance Perturbations With and Without Body Weight Support
StrokeStroke5 moreZeroG is an FDA-listed robotic body weight support system (BWSS). Mounted on an overhead track, patients are fitted in a harness system tethered to said track, and are able to practice gait and balance activities without the risk of falling. This compensates for ineffective postural control permitting intensive therapy sessions earlier in recovery. The purpose of this study is to determine if inducing effective and safe balance perturbations during standing and walking in the BWSS more effectively improve postural control than the BWSS without perturbations. The target population are those patients in the post-acute phase of stroke admitted for inpatient rehabilitation of balance impairments. Site investigators and/or research staff will obtain names of potential subjects from internal reporting identifying inpatients who may qualify for the study based on the inclusion criteria. Trained site investigators will meet with potential subjects to explain the study, complete a screening interview for exclusion and inclusion criteria, answer any questions, obtain informed consent and HIPAA authorization, and schedule the study therapy sessions involving the protocol. Based on the randomization scheme provided by the lead site, consented subjects will be randomized to either the BWSS with perturbations (BWSS-P) or standard BWSS control without perturbations. Subjects will perform 2 to 6 sessions in their designated intervention using a structured protocol for each session. To compare differences between treatment groups, outcome measures will be collected at baseline before any BWSS sessions are performed and within 48 hours after completing the final treatment session.
Efficacy of Prophylactic Glycerin Suppositories for Feeding Intolerance in Very Low Birth Weight...
InfantVery Low Birth WeightTo evaluate the efficacy of prophylactic glycerin suppositories will accelerate the elimination of meconium from the large intestine and thus reduce the incidence of feeding intolerance in very low birth weight (VLBW) infants
Effects of Citrus Reticulate Unripe Fruit Extraction on Body Weight and Body Fat.
Overweight and ObesityThe aim of this study is to investigate the effects of immature ponkan (Citrus reticulate) extract on body weight and body fat in overweight and obese adults.
Full-fat Dairy Products, Body Weight Control and Metabolic Health
ObesityThe aim of this research is to clarify the role of different dairy products including both full-fat and low-fat dairy in maintaining health in adults and children through its effects beyond their well-known contribution of healthy nutrients. The deleterious health consequences of obesity are recognized as a major financial burden to health care systems. Diets rich in fruits and vegetables and that also include dairy products have been suggested to play a role in the control of body weight and other aspects of health including the maintenance of healthy gut bacteria. In contrast, full-fat diets, especially those high in saturated fat, have been linked with negative health effects. Although dairy products represent an important source of saturated fat, it has been proposed that the combination of nutrients and complex food forms of the various dairy products may in fact counteract the negative effects of the fat. Thus, increased consumption of dairy products could very likely provide a partial dietary solution to improved body weight and metabolic health. Therefore, we are investigating the role of both full-fat and low-fat dairy products in their different physical forms (i.e. varying levels of fat that contribute to different textures) on appetite, food intake, control of blood sugar (glucose), body weight, cholesterol levels, and blood pressure in both children and adults. Existing dairy products (milk, cheese, and yogurt) ranging in fat content will be compared for their effects on satiety, food intake, glucose, insulin, satiety hormones, gut bacteria and other metabolic parameters linked to cardiometabolic health in normal weight children and adults, as well as in children and adults living with overweight and obesity.
Effect of Bile Acids on Satiety, Cell Function and Body Weight in Patients With Obesity and Abnormal...
ObesityHealthyThe purpose of this research is to study the effect of the study drug (a conjugated bile acid dietary supplement) or placebo on cell function, hormones and body weight.
Effects of Daily Eating Duration on Health
Body Weight MaintenanceNutritional and Metabolic DiseasesThis study would recruit about 50 healthy adult women and randomly divide the participants into two groups for a ten-week crossover intervention study. The investigators aimed to observe the impact of daily feeding/fasting time on clinical metabolic biomarkers.