INSIGHT responsive parenting intervention is associated with healthier patterns of dietary exposures in infants

Abstract

Objective To determine if a responsive parenting (RP) intervention affects infant dietary patterns. Methods Primiparous mother-newborn dyads (n=291) were randomized to the INSIGHT RP intervention or control. Curricula were delivered at nurse home visits at ages 3, 16, 28, and 40 weeks. RP group feeding guidance advised responsive feeding, delayed introduction of solids, repeated exposure to novel foods, and age-appropriate portion sizes. Latent class analysis identified patterns of dietary exposure at 9 months. Class membership at 9 months was used to predict BMI percentile at 2 years. Results Five dietary patterns were identified: “Breastfed, Fruits and Vegetables”, “Breastfed, Low Variety”, “Formula, Fruits and Vegetables (FFV)”, “Formula, Low Variety (FLV)”, and “Formula, High Energy Density (FHED)”. Over 60% of infants had patterns low in fruits and vegetables or high in energy-dense foods. RP group infants were less likely than control to be in the FLV class (OR=0.40, 95% CI 0.23–0.71) or FHED class (OR=0.28, 95% CI 0.12–0.61) relative to the FFV class. Dietary pattern at 9 months was significantly associated with BMI percentile at 2 years. Conclusion While a majority of infants consumed diets low in fruits and vegetables, the INSIGHT RP intervention was associated with healthier dietary patterns.

Positive parenting approaches and their association with child eating and weight: A narrative review from infancy to adolescence

“…Yet this variability is acknowledged within the intervention approach itself by teaching about temperament, giving examples of child hunger/fullness cues and demonstrating responses to these cues in the moment with the target child 92 . This positive parenting intervention has led to improvements in both infant dietary patterns 49 and weight status which have persisted into early childhood 48 . Moreover, this intervention also resulted in greater maternal use of responsive food parenting 93 …”

“…Indeed, randomized controlled trials illustrate that promoting responsive feeding and parenting styles and practices promotes healthy weight gain trajectories during infancy and lower risk for overweight during infancy and early childhood 47 . The promotion of responsive parenting beyond the feeding domain during this period may further support healthy eating and weight, 48,49 which highlights an opportunity for further integration between the developmental and obesity sciences.…”

“The battle of feeding”: Awareness and practices of responsive complementary feeding in Anuradhapura, Sri Lanka - a qualitative study

“…This study concluded that several sociodemographic factors determine the success of the practice in addition to education provided on topic 23 . Instead of using only health education which is not very effective 9 , stronger strategies of giving information 8,25 and using different methods might help in behavioural changes 8,26 . This study depicts that the proportion of knowledge grasped by individuals vary.…”

Parent‐directed intervention in promoting knowledge of pediatric nutrition and healthy lifestyle among low‐SES families with toddlers: A randomized controlled trial

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