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Randomized Controlled Trial
. 2012 Sep;130(3):e507-17.
doi: 10.1542/peds.2011-3027. Epub 2012 Aug 13.

An evaluation of mother-centered anticipatory guidance to reduce obesogenic infant feeding behaviors

Gina M French  1 , Lisa Nicholson, Theresa Skybo, Elizabeth G Klein, Patricia M Schwirian, Lisa Murray-Johnson, Amy Sternstein, Ihuoma Eneli, Beth Boettner, Judith A Groner
Affiliations
Randomized Controlled Trial

An evaluation of mother-centered anticipatory guidance to reduce obesogenic infant feeding behaviors

Gina M French et al. Pediatrics. 2012 Sep.

Abstract

Objective: To evaluate the effect of 2 anticipatory guidance styles (maternal focused [MOMS] and infant focused [Ounce of Prevention]) directed at mothers of infants aged newborn to 6 months on their infant feeding behaviors at 1 year compared with routine advice as outlined in Bright Futures (BF).

Methods: This is a cluster randomized trial. A total of 292 mother/infant dyads were enrolled at their first well-child visit to 3 urban pediatric clinics in Columbus, Ohio. Intervention-specific brief advice and 1-page handouts were given at each well visit. In addition to infant weights and lengths, surveys about eating habits and infant feeding practices were completed at baseline and 12 months.

Results: Baseline data revealed a group with high rates of maternal overweight (62%) and obesogenic habits. At 12 months, the maternal-focused group gave their infants less juice (8.97 oz vs 14.37 oz, P < .05), and more daily servings of fruit (1.40 vs 0.94, P < .05) and vegetables (1.41 vs 1.03, P < .05) compared with BF mothers. Ounce of Prevention mothers also gave less juice (9.3 oz, P < .05) and more fruit servings (1.26 P < .05) than BF.

Conclusions: Brief specific interventions added to well-child care may affect obesogenic infant feeding behaviors of mothers and deserves further study as an inexpensive approach to preventing childhood obesity.

Trial registration: ClinicalTrials.gov NCT01565525.

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Figures

FIGURE 1
FIGURE 1
Consort diagram.
FIGURE 2
FIGURE 2
Sample MOMS handout.
FIGURE 3
FIGURE 3
Sample Ounce of Prevention handout.
FIGURE 4
FIGURE 4
Sample Bright Futures handout.
See this image and copyright information in PMC

Comment in

  • What do we do with our 15 minutes?
    Needlman R. Needlman R. Pediatrics. 2012 Sep;130(3):e683-4. doi: 10.1542/peds.2012-1519. Epub 2012 Aug 13. Pediatrics. 2012. PMID: 22891228 No abstract available.

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