Preventing Obesity during Infancy: A Pilot Study
Ian M. Paul,Jennifer S. Savage,Stephanie L. Anzman,Jessica S. Beiler,Michele E. Marini,Jennifer L. Stokes,Leann L. Birch +6 more
TLDR
Testing the independent and combined effects of two behavioral interventions delivered to parents, designed to promote healthy infant growth in the first year, suggests that multicomponent behavioral interventions may have potential for long‐term obesity prevention.Abstract:
More than 20% of US children between ages 2 and 5 years are overweight suggesting efforts to prevent obesity must begin earlier. This study tested the independent and combined effects of two behavioral interventions delivered to parents, designed to promote healthy infant growth in the first year. Mother-newborn dyads intending to breastfeed were recruited from a maternity ward. With a 2 × 2 design, 160 dyads were randomized into one of four treatment cells to receive both, one, or no interventions delivered at two nurse home visits. The first intervention ("Soothe/Sleep") instructed parents on discriminating between hunger and other sources of infant distress. Soothing strategies were taught to minimize feeding for non-hunger-related fussiness and to prolong sleep duration, particularly at night. The second intervention ("Introduction of Solids") taught parents about hunger and satiety cues, the timing for the introduction of solid foods, and how to overcome infants' initial rejection of healthy foods through repeated exposure. A total of 110 mother-infant dyads completed the year-long study. At 1 year, infants who received both interventions had lower weight-for-length percentiles (P = 0.009). Participants receiving both interventions had a mean weight-for-length in the 33rd percentile; in contrast, those in other study groups were higher first intervention only--50th percentile; second intervention only--56th percentile; control group--50th percentile).This suggests that multicomponent behavioral interventions may have potential for long-term obesity prevention (ClinicalTrials.gov number, NCT00359242).read more
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Interventions for preventing obesity in children
Tamara Brown,Theresa Hm Moore,Theresa Hm Moore,Lee Hooper,Yang Gao,Amir Zayegh,Sharea Ijaz,Sharea Ijaz,Martha M C Elwenspoek,Martha M C Elwenspoek,Sophie C Foxen,Lucia Magee,Claire O'Malley,Elizabeth Waters,Carolyn Summerbell +14 more
TL;DR: The effectiveness of a range of interventions that include diet or physical activity components, or both, designed to prevent obesity in children is evaluated to determine overall certainty of the evidence.
Journal ArticleDOI
Support for healthy breastfeeding mothers with healthy term babies
Alison McFadden,Anna Gavine,Mary J. Renfrew,Angela Wade,Phyll Buchanan,Jane Taylor,Emma Veitch,Anne Marie Rennie,Susan Crowther,Sara Neiman,Stephen MacGillivray +10 more
TL;DR: All forms of extra support analyzed together showed a decrease in cessation of 'any breastfeeding', which includes partial and exclusive breastfeeding, and substantial heterogeneity for within-group heterogeneity remained high for all of these analyses, so advise caution when making specific conclusions based on subgroup results.
Book
Early Childhood Obesity Prevention Policies
TL;DR: Providing opportunities for light, moderate, and vigorous physical activity for at least 15 minutes per hour while children are in care and avoiding punishing children for being physically active are recommended.
Posted Content
Feeding Infants and Toddlers Study: What Foods are Infants and Toddlers Eating?
TL;DR: The food consumption patterns of US infants and toddlers, 4 to 24 months of age are described based on telephone interviews and 24-hour dietary recalls, and parents and caregivers are encouraged to offer a wide variety of vegetables and fruits daily.
Journal ArticleDOI
Interventions for Childhood Obesity in the First 1,000 Days A Systematic Review.
Tiffany Blake-Lamb,Tiffany Blake-Lamb,Lindsey M. Locks,Meghan Perkins,Jennifer A. Woo Baidal,Jennifer A. Woo Baidal,Erika R. Cheng,Elsie M. Taveras +7 more
TL;DR: Interventions that operate at systems levels and are grounded in salient conceptual frameworks hold promise for improving future models of early-life obesity prevention and have the greatest preventive effect if begun early in life.
References
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Journal ArticleDOI
Interventions for preventing obesity in children
Tamara Brown,Theresa Hm Moore,Theresa Hm Moore,Lee Hooper,Yang Gao,Amir Zayegh,Sharea Ijaz,Sharea Ijaz,Martha M C Elwenspoek,Martha M C Elwenspoek,Sophie C Foxen,Lucia Magee,Claire O'Malley,Elizabeth Waters,Carolyn Summerbell +14 more
TL;DR: The effectiveness of a range of interventions that include diet or physical activity components, or both, designed to prevent obesity in children is evaluated to determine overall certainty of the evidence.