Maternal Determinants of HIV-exposed and HIV-unexposed Fetal Growth, Birth Outcomes and Early Infant Growth

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01647841
Recruitment Status : Completed
First Posted : July 24, 2012
Last Update Posted : September 27, 2013
Information provided by (Responsible Party):
Cornell University

Brief Summary:
The purpose of this study is to understand how differences in the nutritional status and concentration of hormones and cytokines associated with cachexia in HIV+ and HIV- pregnant women living in a semi-rural and rural region of northern Tanzania affect fetal growth, pregnancy outcomes and early infant health and development. The study hypothesis is that HIV+ women will have worse nutritional status and a greater degree of cachexia which will negatively impact fetal growth, pregnancy outcomes and early infancy health and development.

Condition or disease
HIV Pregnancy Malnutrition Cachexia

Study Type : Observational
Actual Enrollment : 218 participants
Observational Model: Cohort
Time Perspective: Prospective
Study Start Date : April 2012
Actual Primary Completion Date : June 2013
Actual Study Completion Date : July 2013

Resource links provided by the National Library of Medicine

MedlinePlus related topics: HIV/AIDS

Pregnant women and infants
HIV+ and HIV- pregnant women, HIV-exposed and HIV-unexposed infants, ARV-exposed and ARV-unexposed infants

Primary Outcome Measures :
  1. Maternal cachexia score [ Time Frame: Up to 1 month post-partum ]

Secondary Outcome Measures :
  1. Maternal anthropometric measures [ Time Frame: Up to 1 month post-partum ]
    weight, height, mid-upper arm circumference, triceps skinfold, fundal height

  2. Fetal growth [ Time Frame: Up to 1 month post-partum ]
  3. Pregnancy outcomes [ Time Frame: Up to 1 month post-partum ]
    spontaneous abortion, stillbirth, preterm delivery, perinatal mortality (death within first 7 days), neonatal mortality (death within first 28 days), small for gestational age, intrauterine growth retardation, low birth weight

  4. Early infant anthropometrics [ Time Frame: Up to 1 month post-partum ]
    weight, length, head circumference, mid-upper arm circumference, triceps skinfold

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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
HIV+ and HIV- women and their infants attending a semi-rural clinic and/or rural dispensaries for their antenatal and early infancy care in north western Tanzania

Inclusion Criteria:

  • Informed consent provided by mothers, and parental consent on behalf of their infants
  • Confirmed HIV status (HIV-1, HIV-2 or HIV-Dual seropositive or HIV-seronegative)
  • Estimated gestational age between 12th and 34th weeks
  • Stated intention to remain in the clinic catchment area ≥6 months post-partum
  • Singleton birth

Exclusion Criteria:

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01647841

Kisesa Health Centre
Kisesa, Tanzania
Sponsors and Collaborators
Cornell University
Principal Investigator: Joann M. McDermid, PhD, RD Cornell University

Responsible Party: Cornell University Identifier: NCT01647841     History of Changes
Other Study ID Numbers: IRB 1111002615
First Posted: July 24, 2012    Key Record Dates
Last Update Posted: September 27, 2013
Last Verified: September 2013

Additional relevant MeSH terms:
Nutrition Disorders
Weight Loss
Body Weight Changes
Body Weight
Signs and Symptoms