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Obesity, ChildhoodNiPPeR ChildNCT05934422

NiPPeR Randomised Trial - Child Follow Up Study

A study testing Intervention (Study Nutritional Drink) in people with Obesity, Childhood and Cognition, run by University of Southampton at 3 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

There is an increasing focus on the need to optimise nutrition, lifestyle and metabolism of parents before and during pregnancy and of the infant after birth, but as yet there is limited understanding of the specific influences and of the underlying mechanisms. Read more about this study

Who is it for?
Ages 6 to 8 yearsHealthy volunteers can take part
What is being tested?
Intervention (Study Nutritional Drink)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
461 participants
Where
3 sitesin 3 countries
Study dates
16 Jun 2023to 14 Aug 2025
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 6 to 8 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • All children still participating in the NiPPeR study at 6-8 years.

Who cannot join

  • Known significant congenital anomaly or genetic condition that influences child growth or neurodevelopment.

Trial locations and contacts

3 sites in 3 countries.

3 sites in 3 countries

New Zealand1 site
  • The University of Auckland

    Auckland, 1142

Other trials in New Zealand

Singapore1 site
  • National University Hospital

    Singapore, 119228

Other trials in Singapore

United Kingdom1 site
  • University Hospital Southampton

    Southampton, Hampshire, SO16 6YD

Other trials in United Kingdom

About this study

Official title: Nutritional Intervention Preconception and During Pregnancy to Maintain Healthy Glucose Metabolism and Offspring Health - Child Health and Well-being Follow Up Study

There is an increasing focus on the need to optimise nutrition, lifestyle and metabolism of parents before and during pregnancy and of the infant after birth, but as yet there is limited understanding of the specific influences and of the underlying mechanisms.

This study is a follow up of children from the NiPPeR trial of a nutritional drink enriched with micronutrients, myo-inositol and probiotics taken preconception and during pregnancy. In this setting we will examine the influence of parental nutrition, lifestyle and metabolism before and during pregnancy on child growth, development and well-being; ascertaining growth, adiposity, metabolism, neurobehavioural and health outcomes in the children, and characterising the underlying mechanisms.

The data collected will allow identification of the contributions of parental and offspring characteristics, nutritional, lifestyle and medical factors, social and economic status, ethnicity, genetics, metabolism and microbes to promoting healthy growth, body composition and wellbeing in the children.

Being tested
Intervention (Study Nutritional Drink), Control (Standard Nutritional Drink)
Keywords
Nutrition, Body composition, Neurodevelopment, Lifestyle, Endocrinology and metabolism, Preconception, Supplementation, Pregnancy, Infancy, Breast milk
Medical subject headings
Pediatric Obesity, Neurobehavioral Manifestations, Growth Disorders, Hypersensitivity, Dermatitis, Atopic, Communicable Diseases, Breast Feeding

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Intervention (Study Nutritional Drink)Other

    Study nutritional drink containing a mix of enriched micronutrients, probiotics and myo-inositol.

  • Control (Standard Nutritional Drink)Other

    Control nutritional drink containing a standard mix of micronutrients

Study groups in NCT05934422
Study groupRoleWhat they receive
Prior Intervention - enhanced micronutrients, probiotics, myo-inositol in preconception & pregnancyExperimentalNiPPeR Study intervention drink containing a mix of micronutrients, probiotics and myo-inositol given to the mother during preconception \& pregnancy
Receives: Other: Intervention (Study Nutritional Drink)
Prior Control - standard micronutrients in preconception & pregnancyActive comparatorNiPPeR Study control nutritional drink containing a mix of micronutrients given to the mother during preconception \& pregnancy
Receives: Other: Control (Standard Nutritional Drink)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Child Body Mass Index (kg/m2), derived from weight and height

    Child size and body composition

    Measured: Up to age 8 years, from periconception to age 8 years

  2. Intellectual function (WASI-II IQ [4 sub-test scores], higher score is a higher IQ)

    Child cognition

    Measured: Up to age 8 years, from periconception to age 8 years

  3. Child insulin resistance (HOMA2-IR [no units], higher value is greater insulin resistance)

    Child insulin resistance

    Measured: Up to age 8 years, from periconception to age 8 years

  4. Dimensional Change Card Sort Test (raw & T-scores)

    Child executive functioning - NIH Toolbox Cognition Battery component

    Measured: Up to age 8 years, from periconception to age 8 years

  5. Flanker Inhibitory Control & Attention Test (raw & T-scores)

    Child executive functioning - NIH Toolbox Cognition Battery Component

    Measured: Up to age 8 years, from periconception to age 8 years

  6. Strengths & Difficulties Questionnaire score (no units)

    Child neurobehavioural functioning

    Measured: Up to age 8 years, from periconception to age 8 years

  7. Child Behaviour Check List score (no units)

    Child neurobehavioural functioning

    Measured: Up to age 8 years, from periconception to age 8 years

Secondary outcomes (54)
  1. Body fat mass (kg, % and indices)

    Obesity and body composition

    Measured: Up to age 8 years, from periconception to age 8 years

  2. Change in body fat mass (kg)

    Adiposity gain

    Measured: Up to age 8 years, from periconception to age 8 years

  3. Body lean mass (kg, % and indices)

    Child body composition - lean mass

    Measured: Up to age 8 years, from periconception to age 8 years

  4. Change in lean mass (kg)

    Lean mass gain

    Measured: Up to age 8 years, from periconception to age 8 years

  5. Body bone mass (kg, % and indices)

    Child body composition - bone mass

    Measured: Up to age 8 years, from periconception to age 8 years

  6. Change in bone mass (kg)

    Bone mass gain

    Measured: Up to age 8 years, from periconception to age 8 years

  7. Child height (cm)

    Child height

    Measured: Up to age 8 years, from periconception to age 8 years

  8. Height growth (cm)

    Linear growth

    Measured: Up to age 8 years, from periconception to age 8 years

  9. Change in body mass index (z-score & percentile)

    Change in BMI

    Measured: Up to age 8 years, from periconception to age 8 years

  10. Change in weight (kg)

    Weight gain

    Measured: Up to age 8 years, from periconception to age 8 years

  11. Child mid-upper arm circumference (cm)

    Child arm circumference

    Measured: Up to age 8 years, from periconception to age 8 years

  12. Change in mid-upper circumference (z-score)

    Change in soft tissue mass

    Measured: Up to age 8 years, from periconception to age 8 years

  13. Child waist circumference (cm)

    Child waist circumference

    Measured: Up to age 8 years, from periconception to age 8 years

  14. Change in waist circumference (z-score)

    Adiposity gain

    Measured: Up to age 8 years, from periconception to age 8 years

  15. Heart rate response to step test (beats per minute)

    Cardiovascular fitness and function

    Measured: Up to age 8 years, from periconception to age 8 years

  16. Child blood pressure (mm Hg)

    Cardiovascular fitness and function

    Measured: Up to age 8 years, from periconception to age 8 years

  17. Child resting heart rate (beats per minute)

    Cardiovascular fitness and function

    Measured: Up to age 8 years, from periconception to age 8 years

  18. Child minutes to return to resting heart rate (minutes)

    Cardiovascular fitness and function

    Measured: Up to age 8 years, from periconception to age 8 years

  19. Diagnosed medical conditions or disorders ascertained by questionnaire, including child medical conditions, infections, gastrointestinal, cardiovascular, respiratory, dermatological, neuropsychological, mental and musculoskeletal health and wellbeing

    Child health and wellbeing

    Measured: Up to age 8 years, from periconception to age 8 years

  20. Dietary patterns ascertained by frequency questionnaires

    Child diet

    Measured: Up to age 8 years, from periconception to age 8 years

  21. Child Eating Behaviour Questionnaire

    Child eating behaviours

    Measured: Up to age 8 years, from periconception to age 8 years

  22. Parental Feeding Practices Questionnaire

    Parental feeding practices

    Measured: Up to age 8 years, from periconception to age 8 years

  23. Children's Sleep Habits Questionnaire

    Child sleep patterns

    Measured: Up to age 8 years, from periconception to age 8 years

  24. Children's actigraphy measurements of activity behaviours [minutes/day]

    Child physical activity, sleep and sedentary behaviours

    Measured: Up to age 8 years, from periconception to age 8 years

  25. Child Movement Behaviour Questionnaire

    Child activity behaviours

    Measured: Up to age 8 years, from periconception to age 8 years

  26. Skin pricks test results to allergens [mm]

    Child atopic sensitisation

    Measured: Up to age 8 years, from periconception to age 8 years

  27. Child asthma, wheezing illnesses, eczema, rhinitis and food allergy by clinical examination & questionnaires

    Child atopic and allergic wellbeing and disorders

    Measured: Up to age 8 years, from periconception to age 8 years

  28. Hair metabolome panel concentrations (pmol/L)

    Biomarkers of health and wellbeing measured in hair samples

    Measured: Up to age 8 years, from periconception to age 8 years

  29. Urine micronutrient concentrations (nmol/L)

    Child micronutrient status

    Measured: Up to age 8 years, from periconception to age 8 years

  30. Blood micronutrient concentrations (nmol/L)

    Child circulating micronutrient profile

    Measured: Up to age 8 years, from periconception to age 8 years

  31. Blood trace element concentrations (pmol/L)

    Child circulating trace element profile

    Measured: Up to age 8 years, from periconception to age 8 years

  32. Urine trace element concentrations (pmol/L)

    Child trace element status

    Measured: Up to age 8 years, from periconception to age 8 years

  33. Stool metagenomic profile (abundance)

    Child gut microbiota composition

    Measured: Up to age 8 years, from periconception to age 8 years

  34. Skin metagenomic profile (abundance)

    Child skin microbiota composition

    Measured: Up to age 8 years, from periconception to age 8 years

  35. Stool metatranscriptomic profile (relative activity)

    Child gut microbiota activity profile

    Measured: Up to age 8 years, from periconception to age 8 years

  36. Skin metatranscriptomic profile (relative activity)

    Child skin microbiota activity profile

    Measured: Up to age 8 years, from periconception to age 8 years

  37. Stool metabolomic profile (pmol/L)

    Child gut microbiota metabolite profile

    Measured: Up to age 8 years, from periconception to age 8 years

  38. Skin metabolomic profile (pmol/L)

    Child skin microbiota metabolite profile

    Measured: Up to age 8 years, from periconception to age 8 years

  39. Blood molecular profile (% methylation)

    Child blood epigenetic profile

    Measured: Up to age 8 years, from periconception to age 8 years

  40. Buccal molecular profile (% methylation)

    Child buccal cell epigenetic profile

    Measured: Up to age 8 years, from periconception to age 8 years

  41. Blood transcriptomic profile (relative expression)

    Child blood transcriptomic profile

    Measured: Up to age 8 years, from periconception to age 8 years

  42. Buccal transcriptomic profile (relative expression)

    Child buccal cell transcriptomic profile

    Measured: Up to age 8 years, from periconception to age 8 years

  43. Genetic variation (DNA sequence analysis)

    Genetic variant analysis

    Measured: Up to age 8 years, from periconception to age 8 years

  44. Circulating chemocytokine measurements (nmol/L)

    Child chemocytokine profile

    Measured: Up to age 8 years, from periconception to age 8 years

  45. Circulating adipokine measurements (nmol/L)

    Child adipokine profile

    Measured: Up to age 8 years, from periconception to age 8 years

  46. Circulating inflammatory marker measurement (nmol/L)

    Child inflammatory factor profile

    Measured: Up to age 8 years, from periconception to age 8 years

  47. Plasma glucose concentration (mmol/L)

    Child's plasma glycemia

    Measured: Up to age 8 years, from periconception to age 8 years

  48. Plasma lipid concentrations (mmol/L)

    Child's metabolic profile - lipid concentrations

    Measured: Up to age 8 years, from periconception to age 8 years

  49. Plasma high-sensitivity C-reactive protein concentrations (mmol/L)

    Child's inflammatory marker status

    Measured: Up to age 8 years, from periconception to age 8 years

  50. Blood metabolome panel concentrations (pmol/L)

    Child's blood metabolomic status

    Measured: Up to age 8 years, from periconception to age 8 years

  51. Urine metabolome panel concentrations (pmol/L)

    Child's urine metabolomic status

    Measured: Up to age 8 years, from periconception to age 8 years

  52. Urine measurement of environmental pollutant exposure (pmol/L)

    Urine exposome pollutant profile

    Measured: Up to age 8 years, from periconception to age 8 years

  53. Blood measurement of environmental pollutant exposure (ng/gm lipid)

    Blood exposome pollutant profile

    Measured: Up to age 8 years, from periconception to age 8 years

  54. Hair measurement of environmental pollutant exposure (pmol/L)

    Hair exposome pollutant profile

    Measured: Up to age 8 years, from periconception to age 8 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Jul 2023
  2. Study start16 Jun 2023
  3. Primary completion14 Aug 2025
  4. Study completion14 Aug 2025

Resources

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
461 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05934422
Sponsor's protocol ID
79093
Acronym
NiPPeR Child
Status last verified
Dec 2024
First submitted
4 May 2023
Last updated
19 Nov 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Godfrey KM, Cutfield W, Chan SY, Baker PN, Chong YS; NiPPeR Study Group. Nutritional Intervention Preconception and During Pregnancy to Maintain Healthy Glucose Metabolism and Offspring Health ("NiPPeR"): study protocol for a randomised controlled trial. Trials. 2017 Mar 20;18(1):131. doi: 10.1186/s13063-017-1875-x.

    PubMed 28320484
  • Godfrey KM, Barton SJ, El-Heis S, Kenealy T, Nield H, Baker PN, Chong YS, Cutfield W, Chan SY; NiPPeR Study Group. Myo-Inositol, Probiotics, and Micronutrient Supplementation From Preconception for Glycemia in Pregnancy: NiPPeR International Multicenter Double-Blind Randomized Controlled Trial. Diabetes Care. 2021 May;44(5):1091-1099. doi: 10.2337/dc20-2515. Epub 2021 Mar 29.

    PubMed 33782086

Questions about this trial

What is this clinical trial studying?

A study testing Intervention (Study Nutritional Drink) in people with Obesity, Childhood and Cognition, run by University of Southampton at 3 sites in 3 countries.

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 1 inclusion and 1 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 19 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in New Zealand, Singapore, 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. 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?

Child Body Mass Index (kg/m2), derived from weight and height (time frame: Up to age 8 years, from periconception to age 8 years). The study lists 7 primary outcomes in all. 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 NCT05934422, which also lists 2 linked publications.

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 19 Nov 2025; AzTrials last refreshed its copy on 27 Oct 2026.

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