An Evaluation of Mother-Centered Anticipatory Guidance to Reduce Obesogenic Infant Feeding Behaviors

Division of Community Pediatrics, University of Hawaii John A. Burns College of Medicine, Honolulu, Hawaii 96826, USA.
PEDIATRICS (Impact Factor: 5.47). 08/2012; 130(3):e507-17. DOI: 10.1542/peds.2011-3027
Source: PubMed


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).
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.
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.
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.

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Available from: Lisa M Nicholson, Jul 21, 2014
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    • "). d IG 1 = Maternal-focused intervention; IG 2 = Ounce of prevention (French et al., 2012). e The exceptionally long duration of intervention (120 months) reported by Hakanen et al. (2006) was Winsorized (to N = 43.5) to avoid disproportionate influence of this duration on analyses. "
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    • "Klohe-Lehman and colleagues found that a weight loss program for overweight and obese mothers of one to three year olds was not only effective in promoting maternal weight loss and improving maternal diet and physical activity, but also had an effect in reducing the energy intake of their children and improving child diet quality and physical activity levels. Similarly, the one general practice based study [51] found that a mother focused intervention was as effective as a child focused intervention in improving child diet quality at 12 months of age compared to usual care. There was no effect of either intervention on infant weight gain and the study did not report the impact of either intervention on maternal outcomes. "
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