Early Obesity Prevention: A Randomized Trial of a Practice-Based Intervention in 0–24-Month Infants
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 con...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
|
| Series: | Journal of Obesity |
| Online Access: | http://dx.doi.org/10.1155/2015/795859 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832554875937882112 |
|---|---|
| author | Natalia Schroeder Berenice Rushovich Edward Bartlett Sangita Sharma Joel Gittelsohn Benjamin Caballero |
| author_facet | Natalia Schroeder Berenice Rushovich Edward Bartlett Sangita Sharma Joel Gittelsohn Benjamin Caballero |
| author_sort | Natalia Schroeder |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-fea5d9b64128432593e9afa27a6d43dd |
| institution | Kabale University |
| issn | 2090-0708 2090-0716 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Obesity |
| spelling | doaj-art-fea5d9b64128432593e9afa27a6d43dd2025-02-03T05:50:19ZengWileyJournal of Obesity2090-07082090-07162015-01-01201510.1155/2015/795859795859Early Obesity Prevention: A Randomized Trial of a Practice-Based Intervention in 0–24-Month InfantsNatalia Schroeder0Berenice Rushovich1Edward Bartlett2Sangita Sharma3Joel Gittelsohn4Benjamin Caballero5Center for Human Nutrition, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USAUniversity of Maryland, School of Social Work, Ruth H. Young Center for Families and Children, Baltimore, MD 21201, USAJohns Hopkins Community Physicians, Johns Hopkins Medicine, Baltimore, MD 21211, USAAboriginal and Global Health Research Group, Department of Medicine, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, CanadaCenter for Human Nutrition, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USACenter for Human Nutrition, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USAObjective. 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.http://dx.doi.org/10.1155/2015/795859 |
| spellingShingle | Natalia Schroeder Berenice Rushovich Edward Bartlett Sangita Sharma Joel Gittelsohn Benjamin Caballero Early Obesity Prevention: A Randomized Trial of a Practice-Based Intervention in 0–24-Month Infants Journal of Obesity |
| title | Early Obesity Prevention: A Randomized Trial of a Practice-Based Intervention in 0–24-Month Infants |
| title_full | Early Obesity Prevention: A Randomized Trial of a Practice-Based Intervention in 0–24-Month Infants |
| title_fullStr | Early Obesity Prevention: A Randomized Trial of a Practice-Based Intervention in 0–24-Month Infants |
| title_full_unstemmed | Early Obesity Prevention: A Randomized Trial of a Practice-Based Intervention in 0–24-Month Infants |
| title_short | Early Obesity Prevention: A Randomized Trial of a Practice-Based Intervention in 0–24-Month Infants |
| title_sort | early obesity prevention a randomized trial of a practice based intervention in 0 24 month infants |
| url | http://dx.doi.org/10.1155/2015/795859 |
| work_keys_str_mv | AT nataliaschroeder earlyobesitypreventionarandomizedtrialofapracticebasedinterventionin024monthinfants AT berenicerushovich earlyobesitypreventionarandomizedtrialofapracticebasedinterventionin024monthinfants AT edwardbartlett earlyobesitypreventionarandomizedtrialofapracticebasedinterventionin024monthinfants AT sangitasharma earlyobesitypreventionarandomizedtrialofapracticebasedinterventionin024monthinfants AT joelgittelsohn earlyobesitypreventionarandomizedtrialofapracticebasedinterventionin024monthinfants AT benjamincaballero earlyobesitypreventionarandomizedtrialofapracticebasedinterventionin024monthinfants |