Maternal Fish Oil Supplementation Study in high risk pregnancies

ISRCTN ISRCTN24068733
DOI https://doi.org/10.1186/ISRCTN24068733
Secondary identifying numbers N/A
Submission date
13/06/2011
Registration date
02/09/2011
Last edited
26/08/2016
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Pregnancy and Childbirth
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Background and study aims
The aim of this study is to determine whether providing women with high-risk pregnancies (i.e., with diabetes or at risk of low birth weight) with fish oil supplementation affects the magnetic resonance imaging (MRI) brain findings and development of their infants.

Who can participate?
Pregnant women with high-risk pregnancies with a known or recent diagnosis of diabetes or those at risk of delivering a low birth weight baby.

What does the study involve?
Participants will be randomly allocated to one of two groups. One group will receive fish oil supplements and the other group will receive olive oil, which is known to have health benefits from reports on the Mediterranean diet and longevity. Both groups will receive their routine antenatal care. The mothers will provide blood samples for testing of lipid (fat) profiles and iron status, and will complete questionnaires. The infants born to the mothers in the study groups will also be followed up for assessments including weight, length and head circumference. Cord blood will be taken at delivery to determine their blood lipid levels and stool samples will be obtained. The infants will undergo a brain MRI scan. Visual attention will be determined at each visit and a formal visual test will be undertaken at 9 months of age

What are the possible benefits and risks of participating?
Fish oil supplementation may result in improvement of the lipid profile of mothers and their babies.

Where is the study run from?
Imperial College (UK).

When is study starting and how long is it expected to run for?
The study will run from April 2010 to March 2013.

Who is funding the study?
Mother and Child Foundation (UK).

Who is the main contact?
Dr Enitan Ogundipe
e.ogundipe@imperial.ac.uk

Contact information

Dr Enitan Ogundipe
Scientific

Neonatal Unit, Chelsea & Westmsinster Hospital
Imperial College
369 Fulham Road
London
SW10 9NH
United Kingdom

Phone +44 (0)20 3315 3326
Email e.ogundipe@imperial.ac.uk

Study information

Study designDouble blind randomised placebo controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleMaternal Fish Oil Supplementation in high risk pregnancies and the effect on the infants' brain MRI findings and neurobehavioural outcomes
Study acronymFOSS study
Study hypothesisTo determine whether maternal fish oil supplementation in women with high risk pregnancies, i.e.diabetes and risk of low birthweight affects the MRI bain findings and developmental outcomes of their infants

We postulate that high risk mothers and their fetuses will have lower docosahexaenoic acid (DHA) (in fish oil) levels than controls. Maternal supplementation with fish oil will result in improvement of the lipid profile of mothers and their fetuses. The un-supplemented group of infants will have lower grey matter and total brain volumes on MRI scans which will correlate to the neuro-developmental test scores.

Aims:
To determine whether lipid profiles and markers of oxidative stress differ between pregnant mothers supplemented with fish oils and those who are not, and if there is a relationship to their infantsÂ’ Brain MRI findings.
2. To determine whether supplementing pregnant and lactating high risk mothers with omega 3 affects the maternal psycho-behavioural outcomes
3. To determine whether supplementing pregnant mothers affects the infant postnatal morbidity, stool microflora, growth and neuro-developmental outcome.
Ethics approval(s)Not provided at time of registration
ConditionMaternal diabetes mellitus, pre-eclampsia, low birthweight
Intervention1. Fish oil supplements or placebo
2. MRI infant brain scan
3. Neuro-behavioural assessments of mother and infants
Intervention typeOther
Primary outcome measure1. Infants MRI brain scan findings
2. Maternal lipid profile
Secondary outcome measures1. Infant developmental outcomes
2. Maternal neurobehavioural outcomes
Overall study start date01/04/2010
Overall study end date31/03/2013

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participants300 pregnant women and their infants
Participant inclusion criteriaAll pregnant women in high risk pregnancies with known or recent diagnosis of diabetes mellitus or those at risk of delivering a low birthweight baby cared for at the Chelsea & Westminster Hospital, London United Kingdom
Participant exclusion criteria1. Fish allergy
2. Inability to speak english and refusal to use an interpreter
3. Non-resident in London
4. Unable to attend the follow up appointments
Recruitment start date01/04/2010
Recruitment end date31/03/2013

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Neonatal Unit, Chelsea & Westmsinster Hospital
London
SW10 9NH
United Kingdom

Sponsor information

Mother and Child Foundation (UK)
Charity

36 Regents Park Road
London
NW1 7SX
United Kingdom

Website http://www.mother-and-child.org
ROR logo "ROR" https://ror.org/030ybgp98

Funders

Funder type

Charity

Mother and Child Foundation (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Editorial Notes

26/08/2016: No publications found, verifying study status with principal investigator