Effectiveness of home based early intervention on children's BMI at age 2: randomised controlled trial

Wen, Li Ming; Baur, Louise A.; Simpson, Judy M.; Rissel, Chris; Wardle, Karen; Flood, Victoria M

doi:10.1136/bmj.e3732

Cited by 251 publications

(373 citation statements)

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“…For example, the proportion of mothers without a university education was 46% in the InFANT trial [44] and 42% in the NOURISH Trial [45]. However a home visiting trial in disadvantaged communities, managed to recruit three quarters of participants without a university education [46]. Surprisingly, we found no difference in the education levels of mothers when recruited by primary health care practitioners in disadvantaged communities and those recruited via social media [40].…”

Section: Discussioncontrasting

confidence: 47%

Key Lessons and Impact of the Growing Healthy mHealth Program on Milk Feeding, Timing of Introduction of Solids, and Infant Growth: Quasi-Experimental Study (Preprint)

Laws¹,

Denney‐Wilson²,

Taki³

et al. 2017

Preprint

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Section: Discussioncontrasting

confidence: 47%

Key Lessons and Impact of the Growing Healthy mHealth Program on Milk Feeding, Timing of Introduction of Solids, and Infant Growth: Quasi-Experimental Study (Preprint)

Laws¹,

Denney‐Wilson²,

Taki³

et al. 2017

Preprint

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“…Paul et al 49 reported a significant effect on weight-for-length percentiles at 12 months of age (33rd vs 50th, retention 69%; n = 22 vs 30) of an intervention comprising 3 nurse home visits targeting soothing strategies and process of solid introduction. Two other large Australian trials 47,48 have reported outcomes at ∼2 years of age. The Healthy Beginnings Trial 48 evaluated 6 nurse home visits during the first 2 years of life.…”

Section: Figurementioning

confidence: 99%

“…Since the Ciampa review, 24 only 3 [47][48][49] RCTs have reported weight status after an obesity prevention intervention commencing in infancy. All targeted first-time mothers.…”

Section: Figurementioning

confidence: 99%

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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“…Participants who dropped out of the program tended to be younger mothers on a lower income with a lower level of education. 1 Key challenges in maintaining retention include, but are not limited to, difficulty contacting and maintaining contact with participants who have transient living arrangements, the time involved conducting face-toface interviews for data collection and the priorities of the research design conflicting with those of the participants. These factors influence the time participants have available to be interviewed and return missed telephone calls or text messages.…”

mentioning

confidence: 99%

“…1,2 The aim was to determine whether a homebased obesity intervention during the first 2 years of life is effective for children at 2, 3.5 and 5 years of age. The details of the results from the 2 year follow up are reported elsewhere, 1,2 and the 3.5-and 5-year follow-up of the trial is still underway.…”

mentioning

confidence: 99%

Tackling the challenges in conducting a 5‐year longitudinal study of the Healthy Beginnings Trial

Viney

Goodwin

2014

Health Prom J of Aust

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Effectiveness of home based early intervention on children's BMI at age 2: randomised controlled trial

Abstract: Objective To assess the effectiveness of a home based early intervention on children's body mass index (BMI) at age 2.

Cited by 251 publications

References 35 publications

Key Lessons and Impact of the Growing Healthy mHealth Program on Milk Feeding, Timing of Introduction of Solids, and Infant Growth: Quasi-Experimental Study (Preprint)

Key Lessons and Impact of the Growing Healthy mHealth Program on Milk Feeding, Timing of Introduction of Solids, and Infant Growth: Quasi-Experimental Study (Preprint)

An Early Feeding Practices Intervention for Obesity Prevention

Tackling the challenges in conducting a 5‐year longitudinal study of the Healthy Beginnings Trial

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