Educational Intervention to Modify Bottle-feeding Behaviors among Formula-feeding Mothers in the WIC Program: Impact on Infant Formula Intake and Weight Gain

Kavanagh, Katie; Cohen, Roberta J.; Heinig, M. Jane; Dewey, Kathryn G.

doi:10.1016/j.jneb.2007.01.002

Cited by 56 publications

(83 citation statements)

References 15 publications

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“…A 2010 systematic review 24 of interventions aimed at preventing overweight in children ,2 years identified 10 studies (3 RCTs). Only 2 of the RCTs (both rated fair quality) 45,46 evaluated impact of an intervention commencing at ,9 months of age on weight status and neither showed any significant intervention effects. One study of 101 exclusively formula-fed infants reported no effect of a single education session (child aged 3-10 weeks) on weight gain (grams per week) from 0 to 4 months.…”

Section: Discussionmentioning

confidence: 99%

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An Early Feeding Practices Intervention for Obesity Prevention

et al. 2015

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OBJECTIVE: Report long-term outcomes of the NOURISH randomized controlled trial (RCT), which evaluated a universal intervention commencing in infancy to provide anticipatory guidance to first-time mothers on "protective" complementary feeding practices that were hypothesized to reduce childhood obesity risk. METHODS:The NOURISH RCT enrolled 698 mothers (mean age 30.1 years, SD = 5.3) with healthy term infants (51% female). Mothers were randomly allocated to usual care or to attend two 6-session, 12-week group education modules. Outcomes were assessed 5 times: baseline (infants 4.3 months); 6 months after module 1 (infants 14 months); 6 months after module 2 (infants 2 years) and at 3.5 and 5 years of age. Maternal feeding practices were self-reported using validated questionnaires. BMI Z-score was calculated from measured child height and weight. Linear mixed models evaluated intervention (group) effect across time.RESULTS: Retention at age 5 years was 61%. Across ages 2 to 5 years, intervention mothers reported less frequent use of nonresponsive feeding practices on 6 of 9 scales. At 5 years, they also reported more appropriate responses to food refusal on 7 of 12 items (Ps # .05). No statistically significant group effect was noted for anthropometric outcomes (BMI Z-score: P = .06) or the prevalence of overweight/obesity (control 13.3% vs intervention 11.4%, P = .66).CONCLUSIONS: Anticipatory guidance on complementary feeding resulted in first-time mothers reporting increased use of protective feeding practices. These intervention effects were sustained up to 5 years of age and were paralleled by a nonsignificant trend for lower child BMI Z-scores at all postintervention assessment points.WHAT'S KNOWN ON THIS SUBJECT: "Protective" complementary feeding practices that promote self-regulation of intake and development of healthy food preferences have been positively associated with healthy child eating patterns and growth. There are few high-quality trials evaluating feeding practice interventions; none has reported long-term outcomes. WHAT THIS STUDY ADDS:This large randomized controlled trial demonstrates that anticipatory guidance on the "how" of complementary feeding resulted in more protective feeding practices. These intervention effects were sustained for 3 years and translated into commensurate trends in obesity risk. Dr Daniels conceived the study; led the design, successful funding applications, and overall implementation of the study; and wrote the first draft of the paper; Dr Mallan undertook the statistical analysis and drafted the Results and Methods sections; Dr Nicholson contributed to funding applications, intervention development, and design of outcome assessments; Dr Thorpe contributed to funding application and measure development; Dr Nambiar coordinated study implementation and contributed to data collection and entry; Ms Mauch contributed to the design and delivery of the intervention modules and data collection; Dr Magarey contributed to the design, funding applications, developme...

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Section: Discussionmentioning

confidence: 99%

“…One study of 101 exclusively formula-fed infants reported no effect of a single education session (child aged 3-10 weeks) on weight gain (grams per week) from 0 to 4 months. 45 The…”

Section: Discussionmentioning

confidence: 99%

An Early Feeding Practices Intervention for Obesity Prevention

et al. 2015

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“…And factors associated in infant overfeeding with Hispanic mothers include nonexclusive breastfeeding, early introduction of solid foods including ethnic foods, and the belief that chubbier infants are healthy infants [55]. While some interventional trials aimed at influencing infant feeding practices or preventing later obesity have had success [56][57][58][59], others have not been as successful [60,61]. Continued evaluation and research is needed to implement effective healthy eating/ healthy weight programs in infancy and early childhood that address racial and ethnic needs.…”

Section: Discussionmentioning

confidence: 99%

Differences in the Protective Effect of Exclusive Breastfeeding on Child Overweight and Obesity by Mother’s Race

Ehrenthal

Trabulsi

2016

Matern Child Health J

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Objectives To examine the relationship between infant feeding and risk of child overweight and obesity across race and ethnicity in a diverse community-based cohort. Methods 2172 mother baby dyads were drawn from a prospective cohort constructed using data from electronic medical records linked to birth records. The primary exposure was exclusive breastfeeding at 2 months of age; outcome was BMI Z-score and BMI ≥ 85th percentile (overweight and obese) at 4 years of age. Regression models were adjusted for confounding using covariance balanced propensity score and inverse probability weighting. Results At age 4, exclusively breast fed children had lower BMI Z-score (-0.109, SE = 0.048) and a decreased odds of a BMI ≥ 85th percentile (0.832; 95 % CI 0.792, 0.994), when compared to those exclusively formula-fed or had mixed feeding. Race and ethnicity significantly moderated these associations. Sub-population analysis showed the effect was significant for BMI Z-score (p = 0.0002) and BMI ≥ 85th percentile (p < 0.0001) only for children of NH white mothers. For children of NH black mothers exclusive breastfeeding was not associated with a significant difference in BMI Z-score, however there was an increased odds of overweight or obesity (p = 0.0145). Conclusions The protective effect of breastfeeding against early childhood overweight and obesity may differ by race and ethnicity. This suggests that programs aiming to reduce obesity by increasing rates of breastfeeding may have limited impact for some groups and should be coupled with other racially and ethnically focused efforts to encourage healthy feeding practices in infancy and early childhood.

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“…Previous literature on infant dietary and physical activity practices and relationship to obesity was reviewed 21,24,[39][40][41][42][43][44] to create questionnaires that were based, whenever possible, on previously validated measures of infant feeding behaviors, feeding styles such as questions derived from the Infant Feeding Style Questionnaire (IFSQ), and activity and screen time.…”

Section: Methodsmentioning

confidence: 99%

Racial and Ethnic Differences Associated With Feeding- and Activity-Related Behaviors in Infants

Perrin

Rothman²,

Sanders

et al. 2014

Pediatrics

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WHAT'S KNOWN ON THIS SUBJECT: Although expert consensus and previous literature document the importance of early feeding and activity behaviors and practices in preventing obesity and the risks of early rapid weight gain, few studies have rigorously assessed obesity-related behaviors by caregivers of infants. WHAT THIS STUDY ADDS:This study demonstrates the high prevalence of behaviors thought to increase risk for obesity in a diverse, large sample of parent/2-month-old dyads and finds that many behaviors vary by race and ethnicity, suggesting the potential for culturally tailored interventions. abstract OBJECTIVE: To examine parental reports of feeding and activity behaviors in a cohort of parents of 2-month-olds and how they differ by race/ ethnicity. METHODS:Parents participating in Greenlight, a cluster, randomized trial of obesity prevention at 4 health centers, were queried at enrollment about feeding and activity behaviors thought to increase obesity risk. Unadjusted associations between race/ethnicity and the outcomes of interest were performed by using Pearson x 2 and Kruskal-Wallis tests. Adjusted analyses were performed by using proportional odds logistic regressions.RESULTS: Eight hundred sixty-three parents (50% Hispanic, 27% black, 18% white; 86% Medicaid) were enrolled. Exclusive formula feeding was more than twice as common (45%) as exclusive breastfeeding (19%); 12% had already introduced solid food; 43% put infants to bed with bottles; 23% propped bottles; 20% always fed when the infant cried; 38% always tried to get children to finish milk; 90% were exposed to television (mean, 346 minutes/day); 50% reported active television watching (mean, 25 minutes/day); and 66% did not meet "tummy time" recommendations. Compared with white parents, black parents were more likely to put children to bed with a bottle (adjusted odds ratio [aOR] = 1.97, P , .004; bottle propping, aOR = 3.1, P , .001), and report more television watching (aOR = 1.6, P = .034). Hispanic parents were more likely than white parents to encourage children to finish feeding (aOR = 1.9, P = .007), bottle propping (aOR = 2.5, P = .009), and report less tummy time (aOR = 0.6, P = .037). CONCLUSIONS:Behaviors thought to relate to later obesity were highly prevalent in this large, diverse sample and varied by race/ethnicity, suggesting the importance of early and culturally-adapted interventions.

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Educational Intervention to Modify Bottle-feeding Behaviors among Formula-feeding Mothers in the WIC Program: Impact on Infant Formula Intake and Weight Gain

Cited by 56 publications

References 15 publications

An Early Feeding Practices Intervention for Obesity Prevention

An Early Feeding Practices Intervention for Obesity Prevention

Differences in the Protective Effect of Exclusive Breastfeeding on Child Overweight and Obesity by Mother’s Race

Racial and Ethnic Differences Associated With Feeding- and Activity-Related Behaviors in Infants

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