Can Changing How Mom Eats Prevent Obesity in Toddlers?

描述(由申请者提供)：改变妈妈的饮食方式能预防幼儿肥胖吗？ 背景：在越来越小的儿童中，儿童超重正在以惊人的速度上升。有一些家庭行为模式似乎对超重有保护作用。 目标：通过帮助母亲采取有针对性的饮食模式(定期进餐，吃饭时避免看电视，避免两餐之间的卡路里)来降低幼儿超重率。 人口：SES低的城市新生儿和母亲在儿童医院初级保健网络中开始良好的儿童保健。 设计：该项目为两种干预措施的对照研究。首先是对健康儿童探视期间提供的营养预期指导的创新，该指导侧重于构建母亲的饮食行为。这将在10个匹配的实践中提供5个；其他5个将作为比较组。第二个干预措施将是通过提供为期6周的过渡到育儿小组的机会来加强实践中提供的建议，该小组将专注于在诊所给出的饮食建议。同意参与数据收集的母亲将被随机分配，要么收到加入小组的邀请，要么不接受邀请。 目标：(测量6个月、12个月和18个月的结果)：1)与其他3组相比，干预/支持组中超重幼儿的百分比在18个月前降低10%，2)改善婴儿和幼儿的饮食模式，与ADA和AAP标准相比，3)提高母亲对改变家庭饮食习惯必要性的准备和认识，4)增加母亲饮食模式的结构。 意义：如果有效，这种干预措施成本低，非常适合当前的儿科实践。

DESCRIPTION (provided by applicant): Can Changing How Moms Eat Prevent Obesity in Toddlers? BACKGROUND: Childhood overweight is rising at an alarming rate in younger and younger children. There are family behavior patterns that appear to be protective against overweight. GOAL: To reduce the rate of overweight in very young children by helping mothers to adopt focused eating patterns (eating regularly scheduled meals, avoiding TV while eating, avoiding between meal calories). POPULATION: Low SES urban newborn infants and mothers starting well-child care in Children's Hospital Primary Care Network. DESIGN: The project is a controlled study of two interventions. The first is an innovative addition to the nutritional anticipatory guidance offered during well-child visits, which focuses on structuring maternal eating behavior. This will be presented in five of ten matched practices; the other five will serve as a comparison group. The second intervention will be an augmentation of the advice given in the practices by providing access to a 6-week transition to parenting group which will focus on the eating advice given in the clinics. Mothers who agree to participate in the data collection will be randomized to either receive an invitation to join a group or not. AIMS: (Outcomes measured at 6, 12 and 18 months): 1) To achieve a 10% reduction in the percentage of overweight toddlers in the intervention/ support group compared to the other 3 groups by 18 months, 2) To improve infant and toddler eating patterns as compared to ADA & AAP standards, 3) To increase the mothers' readiness and recognition of a need to change family eating habits, 4) To increase the structure of maternal eating patterns. SIGNIFICANCE: If effective, this intervention is low cost and fits well into current pediatric practice.