Outcomes of an early childhood obesity prevention program in a low‐income community: a pilot, randomized trial

Abstract

A multi-component behavioural intervention increased breastfeeding duration and decreased nocturnal awakenings in infants of low-income families.

Systematic review of randomised controlled trials to improve dietary intake for the prevention of obesity in infants aged 0–24 months

“…Food frequency questionnaires (FFQs, n = 8 articles) 33–38,41,45 and 24‐h dietary recalls ( n = 6 articles) 29,31,32,40,43,44 were the most commonly used methods (Tables 3 and S3). In most cases, mothers who were aware of their group assignment reported infant dietary intake 29–41,43–45 . In terms of analysis, some studies analysed intake as a continuous variable, for example, grams per day, 29,33,40–42,44,45 while some considered it as a dichotomous variable, for example, whether the child ever consumed a particular food or drink 30–32,34–40,43,44 .…”

“…In most cases, mothers who were aware of their group assignment reported infant dietary intake 29–41,43–45 . In terms of analysis, some studies analysed intake as a continuous variable, for example, grams per day, 29,33,40–42,44,45 while some considered it as a dichotomous variable, for example, whether the child ever consumed a particular food or drink 30–32,34–40,43,44 . Most studies grouped foods together to create variables such as ‘savoury snacks’, 29‐33,35‐43 while some also considered intake of considered intake of specific food items such as bananas or water 31‐33,36,37,40,42,45 .…”

“…Six interventions were delivered in participants' homes 29–38 (Table 2). These interventions occurred in a range of countries: Brazil, 29 New Zealand, 33,38 USA, 30,34,35 Australia, 36,37 and UK 31,32 (Table 1), and their duration ranged from 9 31,32 to 24 months 33,36–38 (Table 2). Healthcare professionals delivered most, 33‐38 but not all, 29‐32 of the interventions (Table 2).…”

“…Mothers and infants who completed the US Nurturing Families Network+ trial received at least 6 home visits over the first year of life (Table 2). 30 Only intakes of sugar‐sweetened beverages (SSBs) were recorded, and Table S3 shows that no significant differences were seen between intervention and control group infants at 6 or 12 months 30 …”

Preventing and managing paediatric obesity: a special edition on randomized controlled trials

“…Three articles examined prevention programmes among special populations. In the community setting and among low‐income populations, Cloutier and colleagues found that a multi‐component behavioural intervention was effective in improving two out of six obesity‐associated behaviours (increasing breastfeeding duration and decreasing nocturnal awakenings in infants). Hull and colleagues assessed the efficacy of a family‐based weight gain prevention intervention for Hispanic immigrant families; their results were impacted by low class attendance rates and they encouraged adopting strategies to maximize intervention engagement for this population.…”