Anticipatory Guidance to Prevent Childhood Obesity

NCT01565525 | Completed

• 1 other identifier: HD50944
• Study Type: interventional
• Target: 306
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this pilot project is to test anticipatory guidance, which is information given to families during a well child visit to prevent obesity during childhood. The objectives were to compare two styles of anticipatory guidance during the first year of life, maternal focused and infant focused, versus usual care and determine which style, if any, showed the most ideal infant feeding behaviors at age 1 year and to see if there were any differences in infant weight for height at one year of age. The investigators hypothesized that mothers who received the maternal focused anticipatory guidance (which gave information on eating family meals, not having tv on during meals, and maternal nutrition) would actually have the best infant feeding behaviors and weight for height of infants at one year.

Conditions

Childhood Obesity

Keywords

well child visit; anticipatory guidance; obesity prevention; infant feeding

Outcome Measures

Primary Outcomes (1)

• Infant weight for height

  Infant weight for height will be assessed to see if proportions of elevated weight for height are lower in intervention groups as compared to usual care.

  One year after study entry

Secondary Outcomes (1)

• Maternal feeding behaviors

  One year after study entry.

Study Arms (3)

Bright Futures

NO INTERVENTION

This represents 'usual care' in the pediatric office. The anticipatory guidance regarding nutrition is based on the Bright Futures Pocket Guide.

Maternal focused intervention

EXPERIMENTAL

Childhood obesity prevention was approached in this arm via anticipatory guidance aimed at maternal eating habits.

Behavioral: Maternal focused intervention

Ounce of Prevention

ACTIVE COMPARATOR

This is a program of anticipatory guidance given to mothers of infants ages 2 weeks to one year which focuses on serving size per age and tips for introducing new foods for the infant.

Behavioral: Ounce of Prevention

Interventions

Maternal focused intervention BEHAVIORAL

This is a series of information given to mothers at child's well child visits (6 in all) starting at the newborn visit focused in maternal eating habits, using the mother as a potential 'agent of change' for the family and infant in modeling healthy eating habits.

Also known as: MOMS

Maternal focused intervention

Ounce of Prevention BEHAVIORAL

This intervention is given via a series of handouts given to mothers at their child's well visit from newborn period to one year of age, focusing on serving size and frequency and the introduction of new foods.

Also known as: "Ounce"

Ounce of Prevention

Eligibility Criteria

• Age: 2 Weeks - 2 Months
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Maternal/infant pairs Infant under 2 months of age Mother English speaking

You may not qualify if:

• History of Neonatal ICU stay in infant Gestation less than 37 weeks in infant chronic disease in infant known genetic disorder in infant foster care placement in infant

Sponsors & Collaborators

• Nationwide Children's Hospital: lead

Study Sites (1)

Nationwide Children's Hospital

Columbus, Ohio, 43205, United States

Location

Related Publications (3)

• Groner JA, Skybo T, Murray-Johnson L, Schwirian P, Eneli I, Sternstein A, Klein E, French G. Anticipatory guidance for prevention of childhood obesity: design of the MOMS project. Clin Pediatr (Phila). 2009 Jun;48(5):483-92. doi: 10.1177/0009922809331799. Epub 2009 Feb 25.

  PMID: 19246415 BACKGROUND

• Nicholson LM, Schwirian PM, Klein EG, Skybo T, Murray-Johnson L, Eneli I, Boettner B, French GM, Groner JA. Recruitment and retention strategies in longitudinal clinical studies with low-income populations. Contemp Clin Trials. 2011 May;32(3):353-62. doi: 10.1016/j.cct.2011.01.007. Epub 2011 Jan 27.

  PMID: 21276876 BACKGROUND

• French GM, Nicholson L, Skybo T, Klein EG, Schwirian PM, Murray-Johnson L, Sternstein A, Eneli I, Boettner B, Groner JA. An evaluation of mother-centered anticipatory guidance to reduce obesogenic infant feeding behaviors. Pediatrics. 2012 Sep;130(3):e507-17. doi: 10.1542/peds.2011-3027. Epub 2012 Aug 13.

  PMID: 22891225 DERIVED

MeSH Terms

Conditions

Pediatric Obesity

Condition Hierarchy (Ancestors)

Obesity; Overweight; Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Judith Groner, MD

  Nationwide Children's Hospital, Columbus Ohio

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, CARE PROVIDER
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Professor of Pediatrics

Study Record Dates

• First Submitted: March 26, 2012
• First Posted: March 28, 2012
• Study Start: June 1, 2005
• Primary Completion: July 1, 2007
• Study Completion: July 1, 2007
• Last Updated: March 28, 2012

Record last verified: 2012-03

Locations

US (1)