Impact of an early-life intervention on the nutrition behaviors of 2-y-old children: a randomized controlled trial.
Am J Clin Nutr
; 102(3): 704-12, 2015 Sep.
Article
em En
| MEDLINE
| ID: mdl-26224299
ABSTRACT
BACKGROUND:
Despite an extensive well-child health service, 30% of New Zealand's 2- to 4-y old children are overweight or obese. This suggests that additional intervention is necessary to establish healthy nutrition behaviors.OBJECTIVE:
The aim of this study was to assess the effect of intervention from 0 to 18 mo of age on food and nutrient intake, eating behaviors, and parental feeding practices in 18- to 24-mo-old children.DESIGN:
In total, 802 families with healthy infants were randomly allocated to 1 of 4 groups Usual Care (UC); Food, Activity, and Breastfeeding (FAB); Sleep; or FAB and Sleep (Combination). All groups received standard "well-child" care. The FAB intervention comprised 7-8 additional contacts for education and support around breastfeeding, food, and activity. The Sleep intervention comprised 2 additional contacts for guidance about sleeping habits. Combination families received both interventions. A validated food-frequency questionnaire assessed food intake at 2 y. A questionnaire assessed eating behaviors and parental feeding practices at 18 and 24 mo.RESULTS:
At 2 y, there were no statistically significant differences in food and nutrient intake or eating behaviors in the groups receiving the FAB intervention (FAB, Combination; 325 children) compared with the groups who did not (Sleep, UC; 341 children). With the use of a 5-point scale, small but statistically significant differences in parental feeding practices were observed in the groups receiving the FAB intervention greater child control over eating (difference 0.14; 95% CI 0.02, 0.26) and less pressure to eat (difference 0.18; 95% CI 0.04, 0.32) at 18 mo, as well as greater encouragement of nutrient-dense foods at 24 mo (difference 0.16; 95% CI 0.03, 0.30). No statistically significant differences were observed between the groups who received the Sleep intervention (Sleep, Combination; 313 children) and those who did not, except higher meat intake in the former (11 g/d).CONCLUSION:
Additional education and support for parents from birth did not improve nutrition behaviors in this population at 2 y of age. This trial was registered at clinicaltrials.gov as NCT00892983.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Comportamentos Relacionados com a Saúde
/
Fenômenos Fisiológicos da Nutrição Infantil
/
Sobrepeso
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Comportamento Alimentar
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Obesidade Infantil
Tipo de estudo:
Clinical_trials
/
Guideline
/
Prognostic_studies
Limite:
Child, preschool
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Female
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Humans
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Infant
País como assunto:
Oceania
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article