Examining Childhood Obesity From Infancy: The Relationship Between Tummy Time, Infant BMI-z, Weight Gain, and Motor Development—An Exploratory Study

Koren, Ainat; Kahn-DAngelo, Linda A.; Reece, Susan McClennan; Gore, Rebecca

doi:10.1016/j.pedhc.2018.06.006

Cited by 29 publications

(37 citation statements)

References 42 publications

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“…4 Recent research has linked tummy time to early infant motor movement and weight status. 5 Research evidence from randomized clinical trials (RCTs) suggests that interventions communicating health information to mothers in the first years of their child's life improves infant feeding practices and tummy time. For example, the Healthy Beginnings Trial (HBT) delivered through staged home visits by community nurses led to longer duration of breastfeeding, appropriate timing of introduction of solid foods, and earlier daily practice of tummy time.…”

mentioning

confidence: 99%

Effects of Telephone and Short Message Service Support on Infant Feeding Practices, “Tummy Time,” and Screen Time at 6 and 12 Months of Child Age

Wen

Rissel

et al. 2020

JAMA Pediatr

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IMPORTANCE There is limited information as to whether telephone or short message service (SMS) support is effective in improving infant feeding practices and tummy time and reducing screen time. OBJECTIVE To determine the effectiveness of either nurse-led telephone or SMS support in improving infant feeding practices and tummy time and reducing screen time. DESIGN, SETTING, AND PARTICIPANTS This study was part of a 2-year, 3-group parallel, randomized clinical trial conducted from February 23, 2017, to November 30, 2018, among 1155 women in the third trimester of pregnancy in New South Wales, Australia. It reports the main outcomes at 6 and 12 months of child age. All analyses were conducted on an intention-to-treat principle. INTERVENTIONS The intervention consisted of staged information booklets mailed to the intervention groups, each followed by either a nurse-led telephone support session or SMS intervention, antenatally and at 1, 3, 5, 7, and 10 months after birth. MAIN OUTCOMES AND MEASURES The primary outcomes were infant feeding practices at both 6 and 12 months and tummy time at 6 months. The secondary outcome was screen time at 12 months. RESULTS Of 1155 mothers, 947 (82%; mean [SD] age, 32.5 [5.0] years) completed follow-up surveys at 6 months; 920 mothers (80%) completed follow-up surveys at 12 months. Compared with the control group, telephone support led to higher odds of appropriate timing of introducing solid foods (adjusted odds ratio [AOR], 1.68 [95% CI, 1.22-2.32]), cup use (AOR, 1.54 [95% CI, 1.12-2.13]), and early-start tummy time (AOR, 1.63 [95% CI, 1.18-2.25]) at 6 months and higher odds of having no screen time (AOR, 1.80 [95% CI, 1.28-2.53]) and no bottle at bedtime (AOR, 1.73 [95% CI, 1.23-2.42]) at 12 months. Use of SMS also led to higher odds than the control group of having no screen time (AOR, 1.28 [95% CI, 1.08-1.52]) and having no bottle at bedtime (AOR, 1.29 [95% CI, 1.10-1.51]) at 12 months. No significant differences were found in breastfeeding rates between the telephone support, SMS support, and control groups. CONCLUSIONS AND RELEVANCE Both the nurse-led telephone support and SMS interventions were effective in reducing screen time and bottle use at bedtime. Telephone support was also effective in promoting the appropriate timing of the introduction of solid foods, early-start tummy time, and cup use.

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mentioning

confidence: 99%

Effects of Telephone and Short Message Service Support on Infant Feeding Practices, “Tummy Time,” and Screen Time at 6 and 12 Months of Child Age

Wen

Rissel

et al. 2020

JAMA Pediatr

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“…23 Further, overuse of restrictive devices such as car seats and strollers has been linked to motor development impairment. 24 Stay-at-home parents were more likely to report care needs of the infant, such as diaper changes, eating or feeding, or infant's mood, as a barrier to engaging in active play. This may be due to the increased amount of time parents spent with infants during the day.…”

Section: Discussionmentioning

confidence: 98%

“…As bene ts extend far beyond just physical, healthcare providers could consider providing additional information about the bene ts of active play beyond just the physical bene ts. 23,24 Additionally, other dissemination avenues of active play recommendations should be explored. For example, primary care physicians have a limited amount of time to spend with patients to discuss infant development.…”

Section: Discussionmentioning

confidence: 99%

“…20 Regardless of the impact of working status on an infants' motor development, parents still interact with their infants' and provide environments that can play a key role in their development. [21][22][23][24] In fact, a recent systematic review found four of seven studies found a positive impact of mother-infant interaction on motor development. 22 While working status was not a factor that in uenced the mother-infant interaction outcomes, authors called for more research to elucidate how mother-infant interaction could in uence motor development.…”

Section: Introductionmentioning

confidence: 99%

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Perspectives of Infant Active Play: A Qualitative Comparison of Working Versus Stay-at-home Parents

Snyder

Rech

Masuda

et al. 2020

Preprint

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Background: Parents play a key role in infants’ development through their interactions and the type of environment they provide for their child to promote active play. The amount of time parents are able to spend with their infant is dependent on their working status, yet few studies have explored parents’ perceptions of their infants’ active play by parental working status. The purpose of this study was to explore parents’ perceptions of active play and compare responses between working and stay at home parents. Methods: Twenty-nine parents participated in this qualitative study by completing a one-time, in-person semi-structured interview based on the Theory of Planned Behavior. Themes were developed and the proportion of working and stay at home parents who responded within each theme were used to compare for differences between working status using a directed content analysis approach. Results: All parents believed active play could have a positive effect on their child’s development through physical, social and emotional, cognitive, and/or language and communication development. However, stay at home parents reported a broader impact of active play across these domains; whereas working parents most often referenced active play as impacting infant’s physical development. Social and emotional interactions were the highest reported form of active play among all parents. Additionally, all parents described similar barriers to increasing the time for active play. The most commonly reported barrier for all parents was time or schedule followed by care needs of the infant, environmental concerns, and need for restrictive devices (e.g., car seats). More stay at home parents than working parents reported the care needs of the infant as being a barrier. Recommendations for active play were not widely known amongst all parents, with a higher percentage of working parents reporting they would listen to a healthcare provider.Conclusions: Working status of parents seems to have implications on certain aspects and perceptions of active play which in turn may influence infants’ physical development. Future studies should objectively assess the impact of parents’ working status on infant development and explore how gender of the parent may serve as a confounding variable.

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“…This finding in our study is worrying in view of the fact that the gross motor area is of great importance for the child's development. It is linked to fine-adaptive motor skills acquisition, social staff (2), cognitive processes, learning disorders (16), as well as a high risk of suffering from obesity (20).…”

Section: Discussionmentioning

confidence: 99%

Association of risk factors with the development of gross motor skills

2019

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Introduction: Proper development of gross motor skills in early childhood is considered as an important factor for the child's development. Objectives: To determine the risk factors that influence the development of gross motor skills in children from 1 to 5 years of age from Neiva, Huila, Colombia. Methods: This was a descriptive, observational, cross-sectional study. The sample was composed of 240 children. The Abbreviated Development Scale (ADS)-3 was used for the assessment of gross motor skills. Furthermore, a questionnaire was designed to assess perinatal (prenatal and postnatal) risks, which was completed by mothers of children who participated in the study. Results: Around 15% of the assessed children in our study presented any risk (10.8%) or suspicion of developmental problems (3.8%) in gross motor skills. This was related to different factors including month of the first pregnancy visit, gestation time, important health conditions of the children and constant falls. Conclusion: The need for both clinical follow-up and implementation of effective health programs for children with delay in motor development should be very relevant.

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Examining Childhood Obesity From Infancy: The Relationship Between Tummy Time, Infant BMI-z, Weight Gain, and Motor Development—An Exploratory Study

Cited by 29 publications

References 42 publications

Effects of Telephone and Short Message Service Support on Infant Feeding Practices, “Tummy Time,” and Screen Time at 6 and 12 Months of Child Age

Effects of Telephone and Short Message Service Support on Infant Feeding Practices, “Tummy Time,” and Screen Time at 6 and 12 Months of Child Age

Perspectives of Infant Active Play: A Qualitative Comparison of Working Versus Stay-at-home Parents

Association of risk factors with the development of gross motor skills

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