Document Detail

An evaluation of mother-centered anticipatory guidance to reduce obesogenic infant feeding behaviors.
MedLine Citation:
PMID:  22891225     Owner:  NLM     Status:  MEDLINE    
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.
Gina M French; Lisa Nicholson; Theresa Skybo; Elizabeth G Klein; Patricia M Schwirian; Lisa Murray-Johnson; Amy Sternstein; Ihuoma Eneli; Beth Boettner; Judith A Groner
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Publication Detail:
Type:  Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, N.I.H., Extramural     Date:  2012-08-13
Journal Detail:
Title:  Pediatrics     Volume:  130     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-09-03     Completed Date:  2012-11-09     Revised Date:  2013-09-03    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e507-17     Citation Subset:  AIM; IM    
Division of Community Pediatrics, University of Hawaii John A. Burns College of Medicine, Honolulu, Hawaii 96826, USA.
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MeSH Terms
Child Health Services
Feeding Behavior* / ethnology
Health Behavior
Infant Food
Infant, Newborn
Mothers / education*
Obesity / ethnology,  prevention & control*
Urban Population
Grant Support
1R21 HD050944-01/HD/NICHD NIH HHS
Comment In:
Pediatrics. 2012 Sep;130(3):e683-4   [PMID:  22891228 ]

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