Preventing obesity during infancy: A pilot study

Ian Paul, Jennifer Savage Williams, Stephanie L. Anzman, Jessica S. Beiler, Michele E. Marini, Jennifer L. Stokes, Leann L. Birch

Research output: Contribution to journalArticle

128 Citations (Scopus)

Abstract

More than 20% of US children between ages 2 and 5 years are overweight suggesting efforts to prevent obesity must begin earlier. This study tested the independent and combined effects of two behavioral interventions delivered to parents, designed to promote healthy infant growth in the first year. Mother-newborn dyads intending to breastfeed were recruited from a maternity ward. With a 2 × 2 design, 160 dyads were randomized into one of four treatment cells to receive both, one, or no interventions delivered at two nurse home visits. The first intervention (Soothe/Sleep) instructed parents on discriminating between hunger and other sources of infant distress. Soothing strategies were taught to minimize feeding for non-hunger-related fussiness and to prolong sleep duration, particularly at night. The second intervention (Introduction of Solids) taught parents about hunger and satiety cues, the timing for the introduction of solid foods, and how to overcome infants' initial rejection of healthy foods through repeated exposure. A total of 110 mother-infant dyads completed the year-long study. At 1 year, infants who received both interventions had lower weight-for-length percentiles (P = 0.009). Participants receiving both interventions had a mean weight-for-length in the 33rd percentile; in contrast, those in other study groups were higher first intervention only50th percentile; second intervention only56th percentile; control group50th percentile).This suggests that multicomponent behavioral interventions may have potential for long-term obesity prevention (ClinicalTrials.gov number, NCT00359242).

Original languageEnglish (US)
Pages (from-to)353-361
Number of pages9
JournalObesity
Volume19
Issue number2
DOIs
StatePublished - Feb 1 2011

Fingerprint

Obesity
Hunger
Parents
Sleep
Mothers
Weights and Measures
Food
House Calls
Cues
Nurses
Newborn Infant
Growth
Therapeutics

All Science Journal Classification (ASJC) codes

  • Endocrinology
  • Medicine (miscellaneous)
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

Cite this

Paul, I., Williams, J. S., Anzman, S. L., Beiler, J. S., Marini, M. E., Stokes, J. L., & Birch, L. L. (2011). Preventing obesity during infancy: A pilot study. Obesity, 19(2), 353-361. https://doi.org/10.1038/oby.2010.182
Paul, Ian ; Williams, Jennifer Savage ; Anzman, Stephanie L. ; Beiler, Jessica S. ; Marini, Michele E. ; Stokes, Jennifer L. ; Birch, Leann L. / Preventing obesity during infancy : A pilot study. In: Obesity. 2011 ; Vol. 19, No. 2. pp. 353-361.
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Paul, I, Williams, JS, Anzman, SL, Beiler, JS, Marini, ME, Stokes, JL & Birch, LL 2011, 'Preventing obesity during infancy: A pilot study', Obesity, vol. 19, no. 2, pp. 353-361. https://doi.org/10.1038/oby.2010.182

Preventing obesity during infancy : A pilot study. / Paul, Ian; Williams, Jennifer Savage; Anzman, Stephanie L.; Beiler, Jessica S.; Marini, Michele E.; Stokes, Jennifer L.; Birch, Leann L.

In: Obesity, Vol. 19, No. 2, 01.02.2011, p. 353-361.

Research output: Contribution to journalArticle

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Paul I, Williams JS, Anzman SL, Beiler JS, Marini ME, Stokes JL et al. Preventing obesity during infancy: A pilot study. Obesity. 2011 Feb 1;19(2):353-361. https://doi.org/10.1038/oby.2010.182