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Pediatrics. 2013 Jul;132(1):e109-18. doi: 10.1542/peds.2012-2882. Epub 2013 Jun 10.

Outcomes of an early feeding practices intervention to prevent childhood obesity.

Author information

1
Institute of Health and Biomedical Innovation, Queensland University of Technology, Queensland, Australia. daniels@qut.edu.au

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.

KEYWORDS:

childhood obesity; feeding practices; infant; randomized controlled trial

PMID:
23753098
DOI:
10.1542/peds.2012-2882
[Indexed for MEDLINE]
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