Engaging fathers in the first 1000 days to improve perinatal outcomes and prevent obesity: Rationale and design of the First Heroes randomized trial

Whooten, Rachel C.; Kwete, Gracia M.; Farrar-Muir, Haley; Cournoyer, Rachel; Barth, Elizabeth A.; Kotelchuck, Milton; Taveras, Elsie M.

doi:10.1016/j.cct.2020.106253

Cited by 5 publications

(10 citation statements)

References 52 publications

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“…Recent studies showed lower risk of RWG with promotion of responsive feeding practices. 43 – 45 Ongoing studies are testing whether increased paternal engagement prevents RWG 46 and the impact of sleep and the intestinal microbiome. 47 …”

Section: Discussionmentioning

confidence: 99%

Association of Maternal BMI and Rapid Infant Weight Gain With Childhood Body Size and Composition

et al. 2023

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OBJECTIVES: Maternal prepregnancy BMI (ppBMI) and an infant’s rapid weight gain (RWG) are each associated with increased risk for childhood obesity. We hypothesized that ppBMI and RWG interact to further raise childhood obesity risk. METHODS: Mother-infant dyads (n = 414) from the Healthy Start Study, an observational prebirth cohort, were included. RWG was defined as a weight-for-age z score increase of ≥0.67 from birth to 3 to 7 months. Body composition was measured by air displacement plethysmography at age 4 to 7 years. General linear regression models were fit to characterize associations between ppBMI, RWG, and their interaction with the outcomes of childhood BMI-for-age z score and percent fat mass (%FM). RESULTS: A total of 18.6% (n = 77) of offspring experienced RWG. Maternal ppBMI and RWG were both positively associated with offspring BMI z score and %FM. RWG amplified the association between ppBMI and BMI z score, especially among females. Females exposed to maternal obesity and RWG had an average BMI at the 94th percentile (1.50 increase in childhood BMI z score) compared with those exposed to normal ppBMI and no RWG (average childhood BMI at the 51st percentile). RWG had a weaker effect on the association between ppBMI and %FM. Adjustment for breastfeeding status or childhood daily caloric intake did not significantly alter findings. CONCLUSIONS: Rapid infant weight gain interacts with maternal ppBMI to jointly exacerbate risk of childhood obesity. Pediatric providers should monitor infants for RWG, especially in the context of maternal obesity, to reduce future risk of obesity.

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Section: Discussionmentioning

confidence: 99%

Association of Maternal BMI and Rapid Infant Weight Gain With Childhood Body Size and Composition

et al. 2023

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“…Other child development focus group reports have recommended this aspect of social support, especially for first-time parents and fathers who are often not the primary target for parent support groups [ 38 ]. For example, a prior pilot initiative established the feasibility of engaging fathers in a perinatal intervention providing an example of how digital technology can serve as a viable mechanism to target fathers [ 44 ]. The current study provides further evidence of interest, positive attitudes, and behavioral intentions from fathers of young children in using an app to improve responsive child-feeding practices.…”

Section: Discussionmentioning

confidence: 99%

BabyByte: Qualitative Research to Inform the Development of an App to Improve Responsive Feeding Practices in Parents of Infants and Toddlers

Mobley

Jake‐Schoffman

Fedele

et al. 2023

IJERPH

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Responsive feeding is associated with a reduced risk of childhood obesity. The objective of this qualitative study was to determine parental preferences for mobile health (mHealth) app content and features designed to improve responsive feeding practices. Parents of 0–2-year-old children were interviewed individually. Interview questions were informed by the Technology Acceptance Model, and parents provided feedback on sample app content and features. Interviews were audio-recorded, transcribed verbatim, and coded by two researchers using thematic analysis; responses were compared by parent gender and income. Parents (n = 20 fathers, n = 20 mothers) were, on average, 33 years old, low-income (50%), identified as non-white (52.5%), and had a bachelor’s degree or higher (62%). Overall, parents were most interested in feeding tips and recipe content, and app features that allowed tracking child growth and setting feeding goals. Fathers were most interested in content about first foods, choking hazards, and nutrition information, while mothers preferred content on breastfeeding, picky eating, and portion sizes. Parents with lower incomes were interested in nutrition guidelines, breastfeeding, and introducing solids. Non-low-income parents preferred information related to food allergies, portion sizes, and picky eating. The findings of this study provide considerations when developing mHealth apps to improve responsive feeding practices in parents.

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“…This analysis includes baseline data from expectant mother-father dyads (n = 227 dyads) enrolled from July 2020–July 2022 in First Heroes , a randomized controlled trial of an intervention equally engaging fathers and mothers in pregnancy and parenthood while addressing social determinants of health and obesity-related health behaviors. We report detailed protocol and intervention design elsewhere ( Whooten et al, 2021 ).…”

Section: Methodsmentioning

confidence: 99%

Expectant fathers’ health behaviors, infant care intentions, and social-emotional wellbeing in the perinatal period: A latent class analysis and comparison to mothers

Engaging fathers in the first 1000 days to improve perinatal outcomes and prevent obesity: Rationale and design of the First Heroes randomized trial

Cited by 5 publications

References 52 publications

Association of Maternal BMI and Rapid Infant Weight Gain With Childhood Body Size and Composition

Association of Maternal BMI and Rapid Infant Weight Gain With Childhood Body Size and Composition

BabyByte: Qualitative Research to Inform the Development of an App to Improve Responsive Feeding Practices in Parents of Infants and Toddlers

Expectant fathers’ health behaviors, infant care intentions, and social-emotional wellbeing in the perinatal period: A latent class analysis and comparison to mothers

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