Bottle-Weaning Intervention and Toddler Overweight

Bonuck, Karen; Ben-Avraham, Sivan; Lo, Yungtai; Kahn, Richard; Hyden, Christel

doi:10.1016/j.jpeds.2013.09.029

Cited by 35 publications

(85 citation statements)

References 24 publications

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“…54 Chronic care model innovations include case management services, community partnerships, and advocacy for policies that impact the healthcare delivery system, which, in combination, have been found to be effective at improving clinical measures around chronic disease. 55 Elements similar to those utilized in the chronic care model were implemented in several interventions that engaged community and public health programs, such as child care centers, 44 parenting groups, 46 and WIC, 45 to influence families outside of the traditional clinical setting.…”

Section: Discussionmentioning

confidence: 99%

“…Another intervention based in the Supplemental Nutrition Program for Women, Infants, and Children (WIC) that focused on bottle weaning did not impact risk of overweight at age 2 years. 45 In the Melbourne Infant Feeding, Activity, and Nutrition Trial, first-time parents participating in community-based parenting groups led by a nutritionist did not alter child BMI z-scores. 46,47 …”

Section: Evidence Synthesismentioning

confidence: 96%

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Interventions for Childhood Obesity in the First 1,000 Days A Systematic Review

Blake-Lamb

Locks

Perkins

et al. 2016

American Journal of Preventive Medicine

281

279

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Context The “first 1,000 days”—conception through age 24 months—are critical for the development and prevention of childhood obesity. This study systematically reviews existing and ongoing interventions during this period, identifies gaps in current research, and discusses conceptual frameworks and opportunities for future interventions. Evidence acquisition PubMed, Embase, Web of Science, and Clinicaltrials.gov were searched to identify completed and ongoing interventions implemented during pregnancy through age 24 months that aimed to prevent overweight/obesity between age 6 months and 18 years. English-language, controlled interventions published between January 1, 1980, and December 12, 2014, were analyzed between December 13, 2014, and March 15, 2015. Evidence synthesis Of 34 completed studies from 26 unique identified interventions, nine were effective. Effective interventions focused on individual- or family-level behavior changes through home visits, individual counseling or group sessions in clinical settings, a combination of home and group visits in a community setting, and using hydrolyzed-protein formula. Protein-enriched formula increased childhood obesity risk. Forty-seven ongoing interventions were identified. Across completed and ongoing interventions, the majority target individual- or family-level changes, many are conducted in clinical settings, and few target early-life systems and policies that may impact childhood obesity. Conclusions Obesity interventions may have the greatest preventive effect if begun early in life. Yet, few effective interventions in the first 1,000 days exist and many target individual-level behaviors of parents and infants. Interventions that operate at systems levels and are grounded in salient conceptual frameworks hold promise for improving future models of early-life obesity prevention.

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Section: Discussionmentioning

confidence: 99%

Section: Evidence Synthesismentioning

confidence: 96%

Interventions for Childhood Obesity in the First 1,000 Days A Systematic Review

Blake-Lamb

Locks

Perkins

et al. 2016

American Journal of Preventive Medicine

281

279

View full text Add to dashboard Cite

show abstract

“…8 Tackling childhood obesity now represents an important opportunity to reduce the effect of heart disease, diabetes mellitus, and other serious preventable chronic diseases in the future while immediately improving the health of children. 9 The importance of early obesity intervention has been emphasized by the increased number of intervention research studies [10][11][12][13][14][15] in recent years.…”

mentioning

confidence: 99%

Sustainability of Effects of an Early Childhood Obesity Prevention Trial Over Time

et al. 2015

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IMPORTANCE Little evidence exists on whether effects of an early obesity intervention are sustainable.OBJECTIVE To assess the sustainability of effects of a home-based early intervention on children's body mass index (BMI) and BMI z score at 3 years after intervention. DESIGN, SETTING, AND PARTICIPANTSA longitudinal follow-up study of the randomized clinical Healthy Beginnings Trial was conducted with 465 participating mothers consenting to be followed up at 3 years after intervention until their children were age 5 years. This study was conducted in socially and economically disadvantaged areas of Sydney, Australia, from March 2011 to June 2014. INTERVENTIONSNo further intervention was carried out in this Healthy Beginnings Trial phase 2 follow-up study. The original intervention in phase 1 comprised 8 home visits from community nurses delivering a staged home-based intervention, with one visit in the antenatal period and 7 visits at 1, 3, 5, 9, 12, 18, and 24 months after birth. MAIN OUTCOMES AND MEASURES Primary outcomes were children's BMI and BMI z score. Secondary outcomes included dietary behaviors, quality of life, physical activity, and TV viewing time of children and their mothers. RESULTSIn total, 369 mothers and their children completed the follow-up study, a phase 2 completion rate of 79.4% (80.9% for the intervention group and 77.7% for the control group). The differences between the intervention and control groups at age 2 years in children's BMI and BMI z score disappeared over time. At age 2 years, the difference (intervention minus control) in BMI (calculated as weight in kilograms divided by height in meters squared) was −0.41 (95% CI, −0.71 to −0.10; P = .009), but by age 5 years it was 0.03 (95% CI, −0.30 to 0.37). No effects of the early intervention on dietary behaviors, quality of life, physical activity, and TV viewing time were detected at age 5 years. CONCLUSIONS AND RELEVANCEThe significant effect of this early life home-visiting intervention on child BMI and BMI z score at age 2 years was not sustained at age 5 years without further intervention. Obesity prevention programs need to be continued or maintained during the early childhood years. erect against the backboard, and the back of the head, shoulder blades, buttocks, and heels made contact with the backboard of the stadiometer. Two measurements were taken by a research assistant and recorded to the nearest 0.1 cm. A third measure was taken if the first 2 measurements differed by 0.5 cm or more, and the mean of these 2 or 3 values was calculated.b Adjusted for mother's marital status, mother's employment status, and child's BMI (or BMI z score) at 2 years.sumably because obesogenic factors within communities that put families and young children at risk of engaging in weight-related behaviors remain in place. Future research needs to explore early interventions beyond individual behaviors and family conditions that are related to overweight and obesity.Early Childhood Obesity Prevention Trial Effects

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“…While there are no clear guidelines for the appropriate proportion of solid and liquid food in the diet of 1-to 2-year-olds, 18 within this cohort consuming a high proportion of total daily energy via bottles had significant, albeit mixed effects on diet. 19,20 Comparable data are not available, as FYCS, was the first study to analyze longitudinal associations between proportional intake of energy from bottles and sippy cups, and toddlers' dietary and energy intake.…”

Section: Discussionmentioning

confidence: 99%