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Early Obesity Prevention: A Randomized Trial of a Practice-Based Intervention in 0-24-Month Infants.

Schroeder N, Rushovich B, Bartlett E, Sharma S, Gittelsohn J, Caballero B - J Obes (2015)

Bottom Line: The I group offered significantly less soda (p = 0.006), sweetened tea (p = 0.01), punch (p = 0.02) and/or cow's milk (p = 0.001) to infants and delayed the introduction of drink/food other than breast milk (p < 0.05).While the I group exhibited at baseline more adverse socioeconomic indicators than the control group, growth trajectory or body size indices did not significantly differ between groups.Education provided by health care providers in addition to follow-up monthly phone calls may help modify parental behaviors related to child feeding and increase parental sense of responsibility toward child eating behaviors.

View Article: PubMed Central - PubMed

Affiliation: Center for Human Nutrition, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA.

ABSTRACT

Objective: A pediatric office-based intervention was implemented following a randomized, controlled design, aimed at improving child feeding practices and growth patterns and ultimately reducing risk for overweight and obesity later in life.

Methods: Four clinics (232 infants) were randomized to control or intervention (I), the latter delivered by health care provider at each of 7-9 well-baby visits over 2 years, using a previously developed program (Growing Leaps and Bounds) that included verbal, visual, and text advice and information for parents.

Results: The I group offered significantly less soda (p = 0.006), sweetened tea (p = 0.01), punch (p = 0.02) and/or cow's milk (p = 0.001) to infants and delayed the introduction of drink/food other than breast milk (p < 0.05). Parents in the I group had a higher perceived parental monitoring (p = 0.05) and restriction (p = 0.01) on infant feeding. While the I group exhibited at baseline more adverse socioeconomic indicators than the control group, growth trajectory or body size indices did not significantly differ between groups.

Conclusions: Education provided by health care providers in addition to follow-up monthly phone calls may help modify parental behaviors related to child feeding and increase parental sense of responsibility toward child eating behaviors.

No MeSH data available.


Related in: MedlinePlus

Age of infant at introduction of food/drink other than breast milk. ∗p < 0.051. n = 82 (control = 37, intervention = 45), considering only caregivers who ever breastfed.
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Related In: Results  -  Collection


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fig3: Age of infant at introduction of food/drink other than breast milk. ∗p < 0.051. n = 82 (control = 37, intervention = 45), considering only caregivers who ever breastfed.

Mentions: The intervention group was less likely to use infant cereal (p < 0.001) or stage 1 vegetables (p < 0.05) as the first complementary food. Also, the intervention group offered significantly less soda (p < 0.006), sweetened tea (p < 0.01), punch (p < 0.02), or cow's milk (p < 0.001) than the control group (Figure 2). The intervention group also delayed introduction of drink/food other than breast milk, compared with the control group (p < 0.05) (Figure 3). A comparison between 6 and 24 months indicated that the control group increased consumption of unsweetened drinks (p < 0.04) and of vitamin supplements (p < 0.04) relative to the intervention group.


Early Obesity Prevention: A Randomized Trial of a Practice-Based Intervention in 0-24-Month Infants.

Schroeder N, Rushovich B, Bartlett E, Sharma S, Gittelsohn J, Caballero B - J Obes (2015)

Age of infant at introduction of food/drink other than breast milk. ∗p < 0.051. n = 82 (control = 37, intervention = 45), considering only caregivers who ever breastfed.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4442409&req=5

fig3: Age of infant at introduction of food/drink other than breast milk. ∗p < 0.051. n = 82 (control = 37, intervention = 45), considering only caregivers who ever breastfed.
Mentions: The intervention group was less likely to use infant cereal (p < 0.001) or stage 1 vegetables (p < 0.05) as the first complementary food. Also, the intervention group offered significantly less soda (p < 0.006), sweetened tea (p < 0.01), punch (p < 0.02), or cow's milk (p < 0.001) than the control group (Figure 2). The intervention group also delayed introduction of drink/food other than breast milk, compared with the control group (p < 0.05) (Figure 3). A comparison between 6 and 24 months indicated that the control group increased consumption of unsweetened drinks (p < 0.04) and of vitamin supplements (p < 0.04) relative to the intervention group.

Bottom Line: The I group offered significantly less soda (p = 0.006), sweetened tea (p = 0.01), punch (p = 0.02) and/or cow's milk (p = 0.001) to infants and delayed the introduction of drink/food other than breast milk (p < 0.05).While the I group exhibited at baseline more adverse socioeconomic indicators than the control group, growth trajectory or body size indices did not significantly differ between groups.Education provided by health care providers in addition to follow-up monthly phone calls may help modify parental behaviors related to child feeding and increase parental sense of responsibility toward child eating behaviors.

View Article: PubMed Central - PubMed

Affiliation: Center for Human Nutrition, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA.

ABSTRACT

Objective: A pediatric office-based intervention was implemented following a randomized, controlled design, aimed at improving child feeding practices and growth patterns and ultimately reducing risk for overweight and obesity later in life.

Methods: Four clinics (232 infants) were randomized to control or intervention (I), the latter delivered by health care provider at each of 7-9 well-baby visits over 2 years, using a previously developed program (Growing Leaps and Bounds) that included verbal, visual, and text advice and information for parents.

Results: The I group offered significantly less soda (p = 0.006), sweetened tea (p = 0.01), punch (p = 0.02) and/or cow's milk (p = 0.001) to infants and delayed the introduction of drink/food other than breast milk (p < 0.05). Parents in the I group had a higher perceived parental monitoring (p = 0.05) and restriction (p = 0.01) on infant feeding. While the I group exhibited at baseline more adverse socioeconomic indicators than the control group, growth trajectory or body size indices did not significantly differ between groups.

Conclusions: Education provided by health care providers in addition to follow-up monthly phone calls may help modify parental behaviors related to child feeding and increase parental sense of responsibility toward child eating behaviors.

No MeSH data available.


Related in: MedlinePlus