Pregnancy Weight GainNCT06226597
Fitbit Device Use in Overweight Pregnancy
A study testing Fitbit device in people with Pregnancy Weight Gain and Overweight and Obesity, run by University of Arizona at 1 site in United States.
Trial summary
There are set guidelines for weight gain developed by the Institute of Medicine in pregnancy but about three quarters of women gain an inappropriate weight during pregnancy. Many studies have assessed ways to decrease weight gain in these women who gain excess weight, usually through a combination of diet and… 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
- Pregnancy Weight Gain, Overweight and Obesity
- What is being tested?
- Fitbit device
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 70 participants
- Where
- 1 siteUnited States
- Study dates
- 8 Feb 2024to 30 Jun 2025
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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
- At least 18 years old
- Currently pregnant with a singleton pregnancy
- Pre-pregnancy body mass index over 25
- Owns and uses a smartphone
- Agreeable to participate in the study by wearing a fitbit device consistently (day and night) for the duration of pregnancy
Who cannot join
- Multiple gestations
- Beyond the first trimester at time of initial enrollment
- Known maternal cardiac disease
- Pre-gestational diabetes
- High risk of preterm labor
- Any contraindications to exercise
- Unwilling to wear device consistently or share tracked data
Trial locations and contacts
1 site in 1 country.
United States1 site
Banner University Medical Center
Tucson, Arizona, 85750
About this study
Official title: Fitbit Device Use in Overweight Pregnant Women to Improve Adherence to Gestational Weight Gain Guidelines
There are set guidelines for weight gain developed by the Institute of Medicine in pregnancy but about three quarters of women gain an inappropriate weight during pregnancy. Many studies have assessed ways to decrease weight gain in these women who gain excess weight, usually through a combination of diet and exercise. Still, often these interventions are difficult to implement, expensive, or have low acceptability. Wearable Fitbit devices have been on the market for years and slowly becoming more inexpensive and easier to use.
Previous studies on non-pregnant women have shown that using the device can help reduce weight gain. In addition, small studies in pregnant women have shown they are accurate for measuring steps and have high acceptability and retention rates. The ability of the Fitbit to assess metrics of sleep including sleep duration and quality will also be assessed.
This project aims to provide overweight and obese pregnant women at the beginning of their pregnancy with the Fitbit device and with regular follow-up to assess if there is effectiveness in increasing the rate of women who meet weight gain guidelines compared to women without the device along with measuring aspects of sleep.
Read the detailed description
This is a prospective randomized control trial study. This study aims to assess the relationship between physical activity and sleep metrics in pregnant women as measured using the Fitbit device and the ability to meet Institute of Medicine weight gain guidelines during pregnancy. The hypothesis of the study is that self-realization and monitoring of activity using the Fitbit will encourage the wearer to be increasingly physically active and assist in meeting weight gain guidelines. This study is performed in conjunction with the University of Arizona sensor lab utilizing the MyDataHelps platform which will assist with collection of data from each participant's Fitbit device and subsequent analysis. Mydatahelps is an easily customizable data collection platform that helps researchers collect participant data in a secure HIPAA compliant manner. They are an external company but have no input in the construction of the project This study will have two arms: one with Fitbit wearers and a control arm for routine prenatal care. Compared to control participants who will not have a Fitbit device, we hypothesize that utilization of the Fitbit device will be effective in helping overweight and obese pregnant women meet Institute of Medicine weight gain guidelines.
The primary endpoint is gestational weight gain throughout pregnancy. Weight will be measured pre-pregnancy, at recruitment, 28 weeks, delivery, and 6 weeks postpartum.
Secondary endpoints will also be measured and include:
- Acceptability of device and loss to follow-up
- Obstetrical outcomes include rate of developing gestational diabetes, gestational hypertension and preeclampsia, preterm delivery, cesarean delivery rate, intrauterine growth restriction, and macrosomia
- Neonatal outcomes, including birth weight and admission to NICU
- Fitbit outcome data, including steps taken, calories burned, sleep duration and Fitbit derived sleep quality
- Questionnaire data: Global Physical Activity Questionnaire (GPAQ), Cambridge Worry Scale and Pittsburgh Sleep Quality Index at baseline, 28 weeks and delivery
- Conditions
- Pregnancy Weight Gain, Overweight and Obesity
- Being tested
- Fitbit device
- Keywords
- Pregnancy, Overweight or obese, Physical activity, Sleep in Pregnancy
- Medical subject headings
- Gestational Weight Gain, Overweight, Obesity, Motor Activity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Fitbit deviceDevice
Daily use of a fitbit wearable activity tracker device.
| Study group | Role | What they receive |
|---|---|---|
| Fitbit monitoring | Experimental | Individuals in this arm will wear a fitbit device consistently throughout the duration of their pregnancy, and monitor fitbit data using a platform that connects to their phone. The remainder of prenatal care will be per standard procedure. Receives: Device: Fitbit device |
| Routine prenatal care | No intervention | Individuals in this arm will receive standard prenatal care without the addition of wearing a fitbit device. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Gestational weight gain during pregnancy
Weight will be measured pre-pregnancy, at recruitment (ideally initial prenatal visit), 28 weeks gestation, at delivery and 6 weeks postpartum
Measured: From pre-pregnancy or initial prenatal visit until 6 weeks postpartum
Secondary outcomes (18)
Number of patients reporting adverse events related to device
Tolerability of wearing the device consistently, any adverse effects
Measured: Through duration of participation, average of 8-9 months
Number of patients lost to follow-up
Individuals that discontinue follow-up or study inclusion
Measured: 18 months
Incidence of intrauterine growth restriction
Number of pregnancies affected by intrauterine growth restriction
Measured: At delivery
Incidence of fetal macrosomia
Number of pregnancies affected by fetal macrosomia
Measured: At delivery
Incidence of gestational hypertension
Number of patients who develop gestational hypertension in pregnancy
Measured: At delivery
Incidence of gestational diabetes
Number of patients who develop gestational diabetes in pregnancy
Measured: At delivery
Incidence of preeclampsia
Number of patients who develop preeclampsia in pregnancy
Measured: At delivery
Incidence of preterm delivery
Number of patients who experience preterm delivery
Measured: At delivery
Incidence of cesarean delivery
Number of patients who have cesarean delivery
Measured: At delivery
Neonatal birth weight
Neonatal birth weight in grams
Measured: At delivery
Incidence of NICU admission
Number of fetuses requiring admission to neonatal ICU care
Measured: At delivery
Average number of daily steps taken per individual
Average number of daily steps taken per individual as recorded by fitbit device
Measured: At delivery
Calories burned per individual
Daily calories burned per individual, as measured by fitbit device, in kcal
Measured: At delivery
Daily sleep duration
Daily and average sleep duration in hours per individual, as measured by fitbit device
Measured: At delivery
Fitbit derived sleep quality
Fitbit device determined nightly sleep score
Measured: At delivery
Global Physical Activity Questionnaire (GPAQ) score
Questionnaire data
Measured: At initial enrollment, 28 weeks gestation and delivery
Cambridge Worry Scale score
Questionnaire data
Measured: At initial enrollment, 28 weeks gestation and delivery
Pittsburg Sleep Quality Index score
Questionnaire data
Measured: At initial enrollment, 28 weeks gestation and delivery
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Jan 2024
- Study start8 Feb 2024
- Primary completion11 Apr 2025
- Study completion30 Jun 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Pregnancy Weight GainStudies 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
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 70 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Arizona
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Laura Mroue, University of Arizona
- Investigators
- Laura Mroue, MD, Principal investigator, University of Arizona
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06226597
- Sponsor's protocol ID
- 1101840
- Status last verified
- May 2025
- First submitted
- 3 Jan 2024
- Last updated
- 7 May 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Upon request and approval by the study team, IPD may be shared with other researchers.
Publications
Deputy NP, Dub B, Sharma AJ. Prevalence and Trends in Prepregnancy Normal Weight - 48 States, New York City, and District of Columbia, 2011-2015. MMWR Morb Mortal Wkly Rep. 2018 Jan 5;66(51-52):1402-1407. doi: 10.15585/mmwr.mm665152a3.
PubMed 29300720Rasmussen KM, Catalano PM, Yaktine AL. New guidelines for weight gain during pregnancy: what obstetrician/gynecologists should know. Curr Opin Obstet Gynecol. 2009 Dec;21(6):521-6. doi: 10.1097/GCO.0b013e328332d24e.
PubMed 19809317Goldstein RF, Abell SK, Ranasinha S, Misso M, Boyle JA, Black MH, Li N, Hu G, Corrado F, Rode L, Kim YJ, Haugen M, Song WO, Kim MH, Bogaerts A, Devlieger R, Chung JH, Teede HJ. Association of Gestational Weight Gain With Maternal and Infant Outcomes: A Systematic Review and Meta-analysis. JAMA. 2017 Jun 6;317(21):2207-2225. doi: 10.1001/jama.2017.3635.
PubMed 28586887
Study at a glance
From the registry record, last updated by the sponsor on 7 May 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Fitbit Device Use in Overweight Pregnant Women to Improve Adherence to Gestational Weight Gain Guidelines
- ClinicalTrials.gov ID
- NCT06226597
- Acronym / sponsor ID
- 1101840
- Conditions
- Pregnancy Weight Gain, Overweight and Obesity
- Keywords
- Pregnancy, Overweight or obese, Physical activity, Sleep in Pregnancy
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 70 participants (actual)
- Lead sponsor
- University of ArizonaUniversity, hospital or other
- Study start
- 8 Feb 2024 (actual)
- Primary completion
- 11 Apr 2025 (actual)
- Study completion
- 30 Jun 2025 (estimated)
- First posted
- 26 Jan 2024 (actual)
- 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.
There are set guidelines for weight gain developed by the Institute of Medicine in pregnancy but about three quarters of women gain an inappropriate weight during pregnancy. Many studies have assessed ways to decrease weight gain in these women who gain excess weight, usually through a combination of diet and exercise. Still, often these interventions are difficult to implement, expensive, or have low acceptability. Wearable Fitbit devices have been on the market for years and slowly becoming more inexpensive and easier to use.
Previous studies on non-pregnant women have shown that using the device can help reduce weight gain. In addition, small studies in pregnant women have shown they are accurate for measuring steps and have high acceptability and retention rates. The ability of the Fitbit to assess metrics of sleep including sleep duration and quality will also be assessed.
This project aims to provide overweight and obese pregnant women at the beginning of their pregnancy with the Fitbit device and with regular follow-up to assess if there is effectiveness in increasing the rate of women who meet weight gain guidelines compared to women without the device along with measuring aspects of sleep.
Detailed description
This is a prospective randomized control trial study. This study aims to assess the relationship between physical activity and sleep metrics in pregnant women as measured using the Fitbit device and the ability to meet Institute of Medicine weight gain guidelines during pregnancy. The hypothesis of the study is that self-realization and monitoring of activity using the Fitbit will encourage the wearer to be increasingly physically active and assist in meeting weight gain guidelines. This study is performed in conjunction with the University of Arizona sensor lab utilizing the MyDataHelps platform which will assist with collection of data from each participant's Fitbit device and subsequent analysis. Mydatahelps is an easily customizable data collection platform that helps researchers collect participant data in a secure HIPAA compliant manner. They are an external company but have no input in the construction of the project This study will have two arms: one with Fitbit wearers and a control arm for routine prenatal care. Compared to control participants who will not have a Fitbit device, we hypothesize that utilization of the Fitbit device will be effective in helping overweight and obese pregnant women meet Institute of Medicine weight gain guidelines.
The primary endpoint is gestational weight gain throughout pregnancy. Weight will be measured pre-pregnancy, at recruitment, 28 weeks, delivery, and 6 weeks postpartum.
Secondary endpoints will also be measured and include:
- Acceptability of device and loss to follow-up
- Obstetrical outcomes include rate of developing gestational diabetes, gestational hypertension and preeclampsia, preterm delivery, cesarean delivery rate, intrauterine growth restriction, and macrosomia
- Neonatal outcomes, including birth weight and admission to NICU
- Fitbit outcome data, including steps taken, calories burned, sleep duration and Fitbit derived sleep quality
- Questionnaire data: Global Physical Activity Questionnaire (GPAQ), Cambridge Worry Scale and Pittsburgh Sleep Quality Index at baseline, 28 weeks and delivery
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Fitbit monitoring | Experimental | Device: Fitbit deviceIndividuals in this arm will wear a fitbit device consistently throughout the duration of their pregnancy, and monitor fitbit data using a platform that connects to their phone. The remainder of prenatal care will be per standard procedure. |
| Routine prenatal care | No intervention | –Individuals in this arm will receive standard prenatal care without the addition of wearing a fitbit device. |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- At least 18 years old
- Currently pregnant with a singleton pregnancy
- Pre-pregnancy body mass index over 25
- Owns and uses a smartphone
- Agreeable to participate in the study by wearing a fitbit device consistently (day and night) for the duration of pregnancy
Key exclusion criteria (7 listed)
- Multiple gestations
- Beyond the first trimester at time of initial enrollment
- Known maternal cardiac disease
- Pre-gestational diabetes
- High risk of preterm labor
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 |
|---|---|---|
| Fitbit deviceDaily use of a fitbit wearable activity tracker device. | Device | Fitbit monitoring |
Primary outcome
Gestational weight gain during pregnancy
Time frame: From pre-pregnancy or initial prenatal visit until 6 weeks postpartum
Weight will be measured pre-pregnancy, at recruitment (ideally initial prenatal visit), 28 weeks gestation, at delivery and 6 weeks postpartum
18 secondary outcomes
Number of patients reporting adverse events related to device
Time frame: Through duration of participation, average of 8-9 months
Number of patients lost to follow-up
Time frame: 18 months
Incidence of intrauterine growth restriction
Time frame: At delivery
Incidence of fetal macrosomia
Time frame: At delivery
Incidence of gestational hypertension
Time frame: At delivery
Incidence of gestational diabetes
Time frame: At delivery
Incidence of preeclampsia
Time frame: At delivery
Incidence of preterm delivery
Time frame: At delivery
Incidence of cesarean delivery
Time frame: At delivery
Neonatal birth weight
Time frame: At delivery
Incidence of NICU admission
Time frame: At delivery
Average number of daily steps taken per individual
Time frame: At delivery
Calories burned per individual
Time frame: At delivery
Daily sleep duration
Time frame: At delivery
Fitbit derived sleep quality
Time frame: At delivery
Global Physical Activity Questionnaire (GPAQ) score
Time frame: At initial enrollment, 28 weeks gestation and delivery
Cambridge Worry Scale score
Time frame: At initial enrollment, 28 weeks gestation and delivery
Pittsburg Sleep Quality Index score
Time frame: At initial enrollment, 28 weeks gestation and delivery
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 May 2025.
- Background: PubMed 29300720Deputy NP, Dub B, Sharma AJ. Prevalence and Trends in Prepregnancy Normal Weight - 48 States, New York City, and District of Columbia, 2011-2015. MMWR Morb Mortal Wkly Rep. 2018 Jan 5;66(51-52):1402-1407. doi: 10.15585/mmwr.mm665152a3.
- Background: PubMed 19809317Rasmussen KM, Catalano PM, Yaktine AL. New guidelines for weight gain during pregnancy: what obstetrician/gynecologists should know. Curr Opin Obstet Gynecol. 2009 Dec;21(6):521-6. doi: 10.1097/GCO.0b013e328332d24e.
- Background: PubMed 28586887Goldstein RF, Abell SK, Ranasinha S, Misso M, Boyle JA, Black MH, Li N, Hu G, Corrado F, Rode L, Kim YJ, Haugen M, Song WO, Kim MH, Bogaerts A, Devlieger R, Chung JH, Teede HJ. Association of Gestational Weight Gain With Maternal and Infant Outcomes: A Systematic Review and Meta-analysis. JAMA. 2017 Jun 6;317(21):2207-2225. doi: 10.1001/jama.2017.3635.
- Individual participant dataSharing planned: Yes. Upon request and approval by the study team, IPD may be shared with other researchers.
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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.
Laura Mroue, MD principal investigator
University of Arizona
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Fitbit device in people with Pregnancy Weight Gain and Overweight and Obesity, run by University of Arizona at 1 site in United States.
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 5 inclusion and 7 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: under way, not looking for participants, as of the sponsor's last update on 7 May 2025. 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 States. 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?
This study is still under way. Results are not available in the source record yet.
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?
Gestational weight gain during pregnancy (time frame: From pre-pregnancy or initial prenatal visit until 6 weeks postpartum). 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 NCT06226597, which also lists 3 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 7 May 2025.