ObesityMO-VITDNCT02713009
Impact of Maternal Body Weight on Vitamin D Status During Pregnancy
A study testing Pregnancy multi-vitamin (including 10μg vitamin D3) and 10μg vitamin D3 in people with Obesity and Vitamin D Deficiency, run by University of Ulster at 1 site in United Kingdom.
Trial summary
Research shows high levels of vitamin D deficiency in pregnant women in Northern Ireland. Body composition is a determinant of vitamin D status. Vitamin D is a fat soluble vitamin and therefore may be hidden within the adipose/fat tissue in overweight/obese individuals. Read more about this study
- Who is it for?
- Ages 18 years and older, women onlyHealthy volunteers can take part
- Conditions the study is for
- Obesity, Vitamin D Deficiency
- What is being tested?
- Pregnancy multi-vitamin (including 10μg vitamin D3) and 10μg vitamin D3
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 240 participants
- Where
- 1 siteUnited Kingdom
- Study dates
- Nov 2015to Mar 2018
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Pregnant women
- Age ≥18years
- BMI >18.5 kg/m²
- Without current pregnancy related complications
- At least 12 weeks gestation
- Have a singleton pregnancy (as confirmed at first scan)
- Pregnant women who are currently taking vitamin D and have had a sun holiday will be included in this study. All participants will agree to discontinue any current supplementation and will be provided with a multivitamin for the duration of pregnancy.
Who cannot join
- Aged <18 years
- Pregnancy BMI <18.5kg/m²
- Participants with multiple pregnancy
- Participants currently involved in another research study
- Participants with a history of gastrointestinal, hepatic, renal, vascular or haematological disorders.
- Participants who have had in vitro fertilisation (IVF) treatment
Show all 9Show fewer
- Participants with a history of NTD affected pregnancies
- Pregnant women with active thyroid disease (e.g., Graves, Hashimoto or thyroiditis)
- Planned home births
Trial locations and contacts
1 site in 1 country.
United Kingdom1 site
Western Health and Social Care Trust, Altnagelvin
Londonderry, Co.Londonderry
About this study
Official title: Investigation of the Impact of Maternal Body Weight on Vitamin D Status During Pregnancy: a Randomised Supplementation Study
Research shows high levels of vitamin D deficiency in pregnant women in Northern Ireland. Body composition is a determinant of vitamin D status. Vitamin D is a fat soluble vitamin and therefore may be hidden within the adipose/fat tissue in overweight/obese individuals. All pregnant and breastfeeding women are advised to take a daily supplement containing 10μg vitamin D. The investigators hypothesise that overweight/ obese pregnant women have a lower vitamin D status than their leaner counterparts at the start of pregnancy and may need a higher daily supplementation to achieve a sufficient status.
The investigators propose a randomised supplementation study where pregnant women (n 240) from the Western Health and Social Care Trust Area will be invited to take part.
Read more
Inclusion criteria: pregnant women first trimester, without current pregnancy related complications, singleton pregnancy, aged ≥18 years, with Body Mass Index (BMI) > 18.5kg /m².
Participants will be randomised to receive either 0μg (placebo) plus a multivitamin or 10μg vitamin D plus a multivitamin from 12 weeks gestation until delivery. The multivitamin already contains 10μg vitamin D; Therefore participants will be randomised to receive a total of 10μg or 20μg vitamin D.
Blood samples (20mls) will be taken at 12, 28 and 36 weeks gestation. A sample of blood will be taken from the cord after delivery. Vitamin D status is the main outcome measurement. All blood samples will be analysed for vitamin D and other associated metabolites. Data will be collected on health and lifestyle, supplementation use and food intake. Body composition measurements will be recorded at each appointment and infant anthropometric measurements will be taken from the maternal notes after delivery. Findings from this research will be used to inform nutrition policy on appropriate vitamin D supplementation levels in pregnancy which may be dependent upon pre pregnancy BMI.
- Conditions
- Obesity, Vitamin D Deficiency
- Being tested
- Pregnancy multi-vitamin (including 10μg vitamin D3), 10μg vitamin D3, 0μg vitamin D (placebo)
- Keywords
- Maternal body weight, Vitamin D, Pregnancy
- Medical subject headings
- Obesity, Vitamin D Deficiency
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Pregnancy multi-vitamin (including 10μg vitamin D3)Dietary supplement
10μg vitamin D3Dietary supplement
0μg vitamin D (placebo)Dietary supplement
| Study group | Role | What they receive |
|---|---|---|
| Treatment 1 | Experimental | Pregnancy multivitamin + vitamin D daily from ~Week 12 gestation until delivery Receives: Dietary Supplement: Pregnancy multi-vitamin (including 10μg vitamin D3); Dietary Supplement: 10μg vitamin D3 |
| Treatment 2 | Placebo comparator | Pregnancy multivitamin + placebo daily from ~Week 12 gestation until delivery Receives: Dietary Supplement: Pregnancy multi-vitamin (including 10μg vitamin D3); Dietary Supplement: 0μg vitamin D (placebo) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Vitamin D (25-hydroxyvitamin D) status
Serum Vitamin D status (Week 12, 28 + 36 gestation) \& cord serum Vitamin D status (delivery)
Measured: Baseline (Week 12 gestation), Mid-point (Week 28 gestation) & End of pregnancy (Week 36 gestation + Delivery)
Secondary outcomes (14)
Gestational weight gain
Measured: Baseline (Week 12 gestation), Mid-point (Week 28 gestation) & End of pregnancy (Week 36 gestation)
Change in inflammation status
Plasma inflammation status (Week 12, 28 + 36 gestation) \& cord plasma inflammation status (delivery)
Measured: Baseline (Week 12 gestation), Mid-point (Week 28 gestation) & End of pregnancy (Week 36 gestation + Delivery)
Change in bone turnover markers
Plasma bone turnover markers (Week 12, 28 + 36 gestation) \& cord plasma bone turnover markers (delivery)
Measured: Baseline (Week 12 gestation), Mid-point (Week 28 gestation) & End of pregnancy (Week 36 gestation + Delivery)
Genetics
e.g. CYP2R1, CYP27B1, CYP24A1
Measured: Baseline (Week 12 gestation)
Dietary intake
Food diary with food frequency questionnaire
Measured: Week 28 gestation
Foetal growth chart measurement
Measured: Baseline (Week 12 gestation), Mid-point (Week 28 gestation) & End of pregnancy (Week 36 gestation + Delivery)
Change in Vitamin D related measures
Blood Vitamin D related status (Week 12, 28 + 36 gestation) \& cord Vitamin D related status (delivery)
Measured: Baseline (Week 12 gestation), Mid-point (Week 28 gestation) & End of pregnancy (Week 36 gestation + Delivery)
Haemoglobin
As part of full blood count
Measured: Baseline (Week 12 gestation), Mid-point (Week 28 gestation) & End of pregnancy (Week 36 gestation + Delivery)
Plasma ferritin
Clinical chemistry analyser
Measured: Baseline (Week 12 gestation), Mid-point (Week 28 gestation) & End of pregnancy (Week 36 gestation + Delivery)
Transferrin saturation
Clinical chemistry analyser
Measured: Baseline (Week 12 gestation), Mid-point (Week 28 gestation) & End of pregnancy (Week 36 gestation + Delivery)
Iron status
Serum, clinical chemistry analyser
Measured: Baseline (Week 12 gestation), Mid-point (Week 28 gestation) & End of pregnancy (Week 36 gestation + Delivery)
Soluble transferrin receptor
ELISA
Measured: Baseline (Week 12 gestation), Mid-point (Week 28 gestation) & End of pregnancy (Week 36 gestation + Delivery)
Hepcidion
ELISA
Measured: Baseline (Week 12 gestation), Mid-point (Week 28 gestation) & End of pregnancy (Week 36 gestation + Delivery)
Methylation analysis
Iron and vitamin D related genes
Measured: Baseline (Week 12 gestation), Mid-point (Week 28 gestation) & End of pregnancy (Week 36 gestation + Delivery)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Mar 2016 (estimated)
- Study startNov 2015
- Primary completionMar 2018
- Study completionMar 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for ObesityStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 240 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Ulster
- Sponsor type
- University, hospital or other
- Collaborators
- Western Health and Social Care Trust
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02713009
- Sponsor's protocol ID
- REC 15/NI/0068
- Acronym
- MO-VITD
- Status last verified
- Feb 2023
- First submitted
- 14 Jan 2016
- Last updated
- 3 Mar 2023
- Results posted
- No
- Data monitoring committee
- No
Publications
Alhomaid RM, Mulhern MS, Strain J, Laird E, Healy M, Parker MJ, McCann MT. Maternal obesity and baseline vitamin D insufficiency alter the response to vitamin D supplementation: a double-blind, randomized trial in pregnant women. Am J Clin Nutr. 2021 Sep 1;114(3):1208-1218. doi: 10.1093/ajcn/nqab112.
PubMed 33964855
Study at a glance
From the registry record, last updated by the sponsor on 3 Mar 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Investigation of the Impact of Maternal Body Weight on Vitamin D Status During Pregnancy: a Randomised Supplementation Study
- ClinicalTrials.gov ID
- NCT02713009
- Acronym / sponsor ID
- MO-VITD / REC 15/NI/0068
- Conditions
- Obesity, Vitamin D Deficiency
- Keywords
- Maternal body weight, Vitamin D, Pregnancy
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 240 participants (actual)
- Lead sponsor
- University of UlsterUniversity, hospital or other
- Collaborators
- Western Health and Social Care Trust
- Study start
- Nov 2015 (actual)
- Primary completion
- Mar 2018 (actual)
- Study completion
- Mar 2018 (actual)
- First posted
- 18 Mar 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Research shows high levels of vitamin D deficiency in pregnant women in Northern Ireland. Body composition is a determinant of vitamin D status. Vitamin D is a fat soluble vitamin and therefore may be hidden within the adipose/fat tissue in overweight/obese individuals. All pregnant and breastfeeding women are advised to take a daily supplement containing 10μg vitamin D. The investigators hypothesise that overweight/ obese pregnant women have a lower vitamin D status than their leaner counterparts at the start of pregnancy and may need a higher daily supplementation to achieve a sufficient status.
The investigators propose a randomised supplementation study where pregnant women (n 240) from the Western Health and Social Care Trust Area will be invited to take part.
Inclusion criteria: pregnant women first trimester, without current pregnancy related complications, singleton pregnancy, aged ≥18 years, with Body Mass Index (BMI) > 18.5kg /m².
Participants will be randomised to receive either 0μg (placebo) plus a multivitamin or 10μg vitamin D plus a multivitamin from 12 weeks gestation until delivery. The multivitamin already contains 10μg vitamin D; Therefore participants will be randomised to receive a total of 10μg or 20μg vitamin D.
Blood samples (20mls) will be taken at 12, 28 and 36 weeks gestation. A sample of blood will be taken from the cord after delivery. Vitamin D status is the main outcome measurement. All blood samples will be analysed for vitamin D and other associated metabolites. Data will be collected on health and lifestyle, supplementation use and food intake. Body composition measurements will be recorded at each appointment and infant anthropometric measurements will be taken from the maternal notes after delivery. Findings from this research will be used to inform nutrition policy on appropriate vitamin D supplementation levels in pregnancy which may be dependent upon pre pregnancy BMI.
Study design
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Treatment 1 | Experimental | Dietary Supplement: Pregnancy multi-vitamin (including 10μg vitamin D3), Dietary Supplement: 10μg vitamin D3Pregnancy multivitamin + vitamin D daily from ~Week 12 gestation until delivery |
| Treatment 2 | Placebo comparator | Dietary Supplement: Pregnancy multi-vitamin (including 10μg vitamin D3), Dietary Supplement: 0μg vitamin D (placebo)Pregnancy multivitamin + placebo daily from ~Week 12 gestation until delivery |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Pregnant women
- Age ≥18years
- BMI >18.5 kg/m²
- Without current pregnancy related complications
- At least 12 weeks gestation
Key exclusion criteria (9 listed)
- Aged <18 years
- Pregnancy BMI <18.5kg/m²
- Participants with multiple pregnancy
- Participants currently involved in another research study
- Participants with a history of gastrointestinal, hepatic, renal, vascular or haematological disorders.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Pregnancy multi-vitamin (including 10μg vitamin D3) | Dietary supplement | Treatment 1, Treatment 2 |
| 10μg vitamin D3 | Dietary supplement | Treatment 1 |
| 0μg vitamin D (placebo) | Dietary supplement | Treatment 2 |
Primary outcome
Change in Vitamin D (25-hydroxyvitamin D) status
Time frame: Baseline (Week 12 gestation), Mid-point (Week 28 gestation) & End of pregnancy (Week 36 gestation + Delivery)
Serum Vitamin D status (Week 12, 28 + 36 gestation) \& cord serum Vitamin D status (delivery)
14 secondary outcomes
Gestational weight gain
Time frame: Baseline (Week 12 gestation), Mid-point (Week 28 gestation) & End of pregnancy (Week 36 gestation)
Change in inflammation status
Time frame: Baseline (Week 12 gestation), Mid-point (Week 28 gestation) & End of pregnancy (Week 36 gestation + Delivery)
Change in bone turnover markers
Time frame: Baseline (Week 12 gestation), Mid-point (Week 28 gestation) & End of pregnancy (Week 36 gestation + Delivery)
Genetics
Time frame: Baseline (Week 12 gestation)
Dietary intake
Time frame: Week 28 gestation
Foetal growth chart measurement
Time frame: Baseline (Week 12 gestation), Mid-point (Week 28 gestation) & End of pregnancy (Week 36 gestation + Delivery)
Change in Vitamin D related measures
Time frame: Baseline (Week 12 gestation), Mid-point (Week 28 gestation) & End of pregnancy (Week 36 gestation + Delivery)
Haemoglobin
Time frame: Baseline (Week 12 gestation), Mid-point (Week 28 gestation) & End of pregnancy (Week 36 gestation + Delivery)
Plasma ferritin
Time frame: Baseline (Week 12 gestation), Mid-point (Week 28 gestation) & End of pregnancy (Week 36 gestation + Delivery)
Transferrin saturation
Time frame: Baseline (Week 12 gestation), Mid-point (Week 28 gestation) & End of pregnancy (Week 36 gestation + Delivery)
Iron status
Time frame: Baseline (Week 12 gestation), Mid-point (Week 28 gestation) & End of pregnancy (Week 36 gestation + Delivery)
Soluble transferrin receptor
Time frame: Baseline (Week 12 gestation), Mid-point (Week 28 gestation) & End of pregnancy (Week 36 gestation + Delivery)
Hepcidion
Time frame: Baseline (Week 12 gestation), Mid-point (Week 28 gestation) & End of pregnancy (Week 36 gestation + Delivery)
Methylation analysis
Time frame: Baseline (Week 12 gestation), Mid-point (Week 28 gestation) & End of pregnancy (Week 36 gestation + Delivery)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Mar 2023.
- Derived from this study: PubMed 33964855Alhomaid RM, Mulhern MS, Strain J, Laird E, Healy M, Parker MJ, McCann MT. Maternal obesity and baseline vitamin D insufficiency alter the response to vitamin D supplementation: a double-blind, randomized trial in pregnant women. Am J Clin Nutr. 2021 Sep 1;114(3):1208-1218. doi: 10.1093/ajcn/nqab112.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Pregnancy multi-vitamin (including 10μg vitamin D3) and 10μg vitamin D3 in people with Obesity and Vitamin D Deficiency, run by University of Ulster at 1 site in United Kingdom.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 3 Mar 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in Vitamin D (25-hydroxyvitamin D) status (time frame: Baseline (Week 12 gestation), Mid-point (Week 28 gestation) & End of pregnancy (Week 36 gestation + Delivery)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02713009, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Mar 2023.