Clinical trial

Anthropometric Outcomes of a Mobile Health Intervention for Eating Behaviour and Lifestyle in Infancy

Opening soon · Not applicable · 1 countries · Registry ID NCT06457750

Opening soonNot applicableInterventional

What this study is about

Lifestyle, activity, and feeding behaviours during early childhood set the foundation for subsequent lifelong metabolic health as an adult. The investigators have developed a digital tool, called Feeding, Lifestyle, Activity Goals (FLAGs) to assess lifestyle and feeding behaviours of young infants, simultaneously providing guidance and tailored advice for parents on ideal practices specific to their children. The investigators aim to assess its usability, acceptability, and feasibility , before proceeding to determine efficacy of the FLAGs intervention through conducting a randomized controlled trial, enrolling 440 infants from KK Women's and Children's Hospital. Half of them will receive standard routine infant care, whereas the other half will additionally receive the digital FLAGs assessment and advisory tool, complete with mobile nudges. The follow-up period will be over 12 months, with the main outcomes being i) indicators of good feeding and lifestyle behaviour at 12 months old, and ii) physical growth trends, body fat proportions. Demonstrating the benefits of using FLAGs will underscore the importance of integrating this digitalized tool into the screening and evaluation of well children, with the potential to be upscaled and adopted across hospitals, primary care, and community-based health programmes.

A promising-looking record is not the same as confirmed eligibility. The study team must review the full criteria and current recruitment status.

Basic eligibility

AgeNot listed to Not listed
SexAll
Healthy volunteersAccepted
ConditionChildhood Obesity Prevention

Full registry criteria

Inclusion Criteria: * Women * 34-36 weeks' pregnant, or 3 days post-delivery. * Pre-pregnancy BMI of at least 23 kg/m\^2, and/or with the diagnosis of gestational diabetes mellitus or type 2 diabetes mellitus. Exclusion Criteria: * Women less than 21 years old * Unable to understand English * Not planning to reside in Singapore until baby is at least 1 year old * Premature birth of baby (defined as below 37 weeks' gestation) * Birth of a baby with congenital abnormalities, physical or neurodevelopmental disabilities

Treatments and study arms

Feeding, Lifestyle, Activity Goals (FLAGs) Digital Health Application

Behavioral

Feeding, lifestyle, activity goals (FLAGs) is a digital assessment and advisory tool developed by the investigators to facilitate early identification of lifestyle behaviour problems and abnormal feeding patterns in infants, with real-time feedback for caregivers. The FLAGs questionnaire examines the domains of energy regulation, timeliness and adequacy of weaning, dietary practices, and lifestyle habits. Tailored recommendations have been developed for each domain accordingly. The objective of FLAGs is shaping healthy lifestyle and feeding behaviours from birth, charting a trajectory to optimal metabolic health.

Primary outcomes

Longitudinal growth trajectories and markers of infant metabolic health12 months from recruitment

Weight (kilograms)

Longitudinal growth trajectories and markers of infant metabolic health12 months from recruitment

Length (meters)

Longitudinal growth trajectories and markers of infant metabolic health12 months from recruitment

Body mass index (kg/m\^2) will be determined by taking the weight (kilograms) divided by the squared value of the length (meters).

Longitudinal growth trajectories and markers of infant metabolic health12 months from recruitment

Weight for length percentile (%) will be determined using the WHO 2006 Child Growth Standards

Longitudinal growth trajectories and markers of infant metabolic health12 months from recruitment

Body composition, using skinfold thickness measurements (centimeters)

Study locations

1 locations were listed when this page was built. The first 40 are shown.

KK Women's and Children's Hospital🇸🇬 Singapore, Singapore, Singapore
Daniel Chan, MBBS, MMed, MRCPChContact