Outcomes of an Early Feeding Practices Intervention to Prevent Childhood Obesity
Outcomes of an Early Feeding Practices Intervention to Prevent Childhood Obesity
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DOI：
10.1542/peds.2012-2882
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发表时间：
2013-07-01
期刊：
影响因子：
8
通讯作者：
Magarey, Anthea
中科院分区：
文献类型：
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作者：
Daniels, Lynne Allison;Mallan, Kimberley Margaret;Magarey, Anthea
目的：本研究的目的是评估结果的普遍干预，以促进保护性喂养的做法，在婴儿期开始，旨在防止儿童obesity.METHODS：NOURISH随机对照试验纳入698首次母亲（平均+/- SD年龄：30.1 +/- 5.3岁）与健康的足月婴儿（51%女性）年龄4.3 +/- 1.0个月的基线。母亲们被随机分配到自我导向的日常护理或参加两个6节互动小组教育模块，提供提前指导的早期喂养的做法。在完成第二个信息模块后6个月，从基线开始20个月，当儿童2岁时，对结果进行评估。母亲喂养的做法是自我报告，使用有效的问卷调查和研究开发的项目。研究测量的儿童身高和体重被用来计算BMI z scores.Results：在后续的保留是78%。干预组的母亲在9个分量表中的6个和8个项目中的8个上使用反应性喂养的频率更高（所有，P
OBJECTIVE: The goal of this study was to evaluate outcomes of a universal intervention to promote protective feeding practices that commenced in infancy and aimed to prevent childhood obesity.METHODS: The NOURISH randomized controlled trial enrolled 698 first-time mothers (mean +/- SD age: 30.1 +/- 5.3 years) with healthy term infants (51% female) aged 4.3 +/- 1.0 months at baseline. Mothers were randomly allocated to self-directed access to usual care or to attend two 6-session interactive group education modules that provided anticipatory guidance on early feeding practices. Outcomes were assessed 6 months after completion of the second information module, 20 months from baseline and when the children were 2 years old. Maternal feeding practices were self-reported by using validated questionnaires and study-developed items. Study-measured child height and weight were used to calculate BMI z scores.RESULTS: Retention at follow-up was 78%. Mothers in the intervention group reported using responsive feeding more frequently on 6 of 9 subscales and 8 of 8 items (all, P