The NOURISH randomised control trial: positive feeding practices and food preferences in early childhood - a primary prevention program for childhood obesity.
The NOURISH randomised control trial: positive feeding practices and food preferences in early childhood - a primary prevention program for childhood obesity.
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DOI：
10.1186/1471-2458-9-387
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发表时间：
2009-10-14
影响因子：
4.5
通讯作者：
Cleghorn G
中科院分区：
文献类型：
--
作者：
Daniels LA;Magarey A;Battistutta D;Nicholson JM;Farrell A;Davidson G;Cleghorn G
儿童超重的初级预防是一项国际优先事项。在澳大利亚，20-25%的2-8岁儿童已经超重。这些儿童成为超重成人的风险大大增加，随之而来的是发病率和死亡率的风险增加。早期喂养做法决定婴儿接触食物（类型、数量、频率），并包括对婴儿喂养行为（如强迫）的反应（如强迫）。拒食)。有相关证据表明，父母教养方式和早期喂养方式与儿童饮食行为和体重状况有关。对早期喂养的重视与国家对幼儿期作为终身健康和福祉基础的重视是一致的。“营养”试验旨在实施和评估以社区为基础的干预措施，以促进早期喂养做法，培养健康的食物偏好和摄入，并保持幼儿自我调节食物摄入的先天能力。本随机对照试验（RCT）旨在招募820名首次母亲及其健康足月婴儿。将在布里斯班和阿德莱德的主要妇产医院对合格母亲的连续抽样进行产后接触。初步同意将用于婴儿4-7个月大时重新联系以进行全面登记。个体母婴将被随机分配到常规护理组或干预组。干预措施将通过两个模块提供预见性指导，即每两周一次的父母教育和同伴支持小组会议，每次会议之后都有六个月的定期维护联系。这些模块将在婴儿4-7个月和13-16个月时开始，以分别建立固体喂养，自主和独立。结果测量将在基线时进行评估，并在9个月和18个月进行随访。这些将包括婴儿的摄入量（食物的种类和数量）、食物偏好、喂养行为和生长，以及自我报告的母亲喂养方式和养育方式及效果。协变量包括社会人口统计学，婴儿喂养方式和气质，母亲体重状况和体重问题以及儿童护理暴露。尽管关注父母早期喂养实践是儿童食物偏好、摄入量和自我调节能力的关键决定因素的强烈理由，但前瞻性的纵向和干预研究很少。该试验将提供关于干预（在12个月之前开始）对儿童饮食模式和行为影响的二级证据之一。ACTRN12608000056392
Primary prevention of childhood overweight is an international priority. In Australia 20-25% of 2-8 year olds are already overweight. These children are at substantially increased the risk of becoming overweight adults, with attendant increased risk of morbidity and mortality. Early feeding practices determine infant exposure to food (type, amount, frequency) and include responses (eg coercion) to infant feeding behaviour (eg. food refusal). There is correlational evidence linking parenting style and early feeding practices to child eating behaviour and weight status. A focus on early feeding is consistent with the national focus on early childhood as the foundation for life-long health and well being. The NOURISH trial aims to implement and evaluate a community-based intervention to promote early feeding practices that will foster healthy food preferences and intake and preserve the innate capacity to self-regulate food intake in young children. This randomised controlled trial (RCT) aims to recruit 820 first-time mothers and their healthy term infants. A consecutive sample of eligible mothers will be approached postnatally at major maternity hospitals in Brisbane and Adelaide. Initial consent will be for re-contact for full enrolment when the infants are 4-7 months old. Individual mother- infant dyads will be randomised to usual care or the intervention. The intervention will provide anticipatory guidance via two modules of six fortnightly parent education and peer support group sessions, each followed by six months of regular maintenance contact. The modules will commence when the infants are aged 4-7 and 13-16 months to coincide with establishment of solid feeding, and autonomy and independence, respectively. Outcome measures will be assessed at baseline, with follow up at nine and 18 months. These will include infant intake (type and amount of foods), food preferences, feeding behaviour and growth and self-reported maternal feeding practices and parenting practices and efficacy. Covariates will include sociodemographics, infant feeding mode and temperament, maternal weight status and weight concern and child care exposure. Despite the strong rationale to focus on parents' early feeding practices as a key determinant of child food preferences, intake and self-regulatory capacity, prospective longitudinal and intervention studies are rare. This trial will be amongst to provide Level II evidence regarding the impact of an intervention (commencing prior to age 12 months) on children's eating patterns and behaviours. ACTRN12608000056392
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影响因子：
3.3
作者：
BOWLBY, J
通讯作者：
BOWLBY, J
影响因子：
--
作者：
Fox, MK;Pac, S;Jankowski, L
通讯作者：
Jankowski, L
影响因子：
5.4
作者：
Francis, LA;Hofer, SM;Birch, LL
通讯作者：
Birch, LL
DOI：
10.1080/07315724.1998.10718744
发表时间：
1998-04-01
影响因子：
3.5
作者：
Carruth, BR;Skinner, J;Ott, D
通讯作者：
Ott, D
影响因子：
--
作者：
Devaney, B;Kalb, L;Ziegler, P
通讯作者：
Ziegler, P