Outcomes of an early feeding practices intervention to prevent childhood obesity
Journal article
Daniels, Lynne, Mallan, Kimberley, Nicholson, Jan, Battistutta, Diana and Magarey, Anthea. (2013). Outcomes of an early feeding practices intervention to prevent childhood obesity. Pediatrics (English Edition). 132(1), pp. e109 - e118. https://doi.org/10.1542/peds.2012-2882
Authors | Daniels, Lynne, Mallan, Kimberley, Nicholson, Jan, Battistutta, Diana and Magarey, Anthea |
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Abstract | OBJECTIVE: The goal of this study was to evaluate outcomes of a universal intervention to promote protective feeding practices that commenced in infancy and aimed to prevent childhood obesity. METHODS: The NOURISH randomized controlled trial enrolled 698 first-time mothers (mean ± SD age: 30.1 ± 5.3 years) with healthy term infants (51% female) aged 4.3 ± 1.0 months at baseline. Mothers were randomly allocated to self-directed access to usual care or to attend two 6-session interactive group education modules that provided anticipatory guidance on early feeding practices. Outcomes were assessed 6 months after completion of the second information module, 20 months from baseline and when the children were 2 years old. Maternal feeding practices were self-reported by using validated questionnaires and study-developed items. Study-measured child height and weight were used to calculate BMI z scores. RESULTS: Retention at follow-up was 78%. Mothers in the intervention group reported using responsive feeding more frequently on 6 of 9 subscales and 8 of 8 items (all, P ≤ .03) and overall less controlling feeding practices (P < .001). They also more frequently used feeding practices (3 of 4 items; all, P < .01) likely to enhance food acceptance. No statistically significant differences were noted in anthropometric outcomes (BMI z score: P = .10) nor in prevalence of overweight/obesity (control 17.9% vs intervention 13.8%; P = .23). CONCLUSIONS: Evaluation of NOURISH data at child age 2 years found that anticipatory guidance on complementary feeding, tailored to developmental stage, increased use by first-time mothers of “protective” feeding practices that potentially support the development of healthy eating and growth patterns in young children. |
Year | 2013 |
Journal | Pediatrics (English Edition) |
Journal citation | 132 (1), pp. e109 - e118 |
ISSN | 0031-4005 |
Digital Object Identifier (DOI) | https://doi.org/10.1542/peds.2012-2882 |
Page range | e109 - e118 |
Publisher's version | File Access Level Controlled |
Grant ID | nhmrc/426704 |
https://acuresearchbank.acu.edu.au/item/87zv9/outcomes-of-an-early-feeding-practices-intervention-to-prevent-childhood-obesity
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