Anticipatory Guidance to Prevent Childhood Obesity

Study Overview
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Brief Summary
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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.

Official Title
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Can Changing How Moms Eat Prevent Obesity in Toddlers?

Conditions
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Childhood Obesity

Intervention / Treatment
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* Behavioral: Maternal focused intervention
* Behavioral: Ounce of Prevention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Maternal/infant pairs Infant under 2 months of age Mother English speaking Exclusion Criteria: 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

Ages Eligible for Study
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Minimum Age: 2 Weeks
Maximum Age: 2 Months

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Bright Futures<br>This represents 'usual care' in the pediatric office. The anticipatory guidance regarding nutrition is based on the Bright Futures Pocket Guide. | |
| Experimental: Maternal focused intervention<br>Childhood obesity prevention was approached in this arm via anticipatory guidance aimed at maternal eating habits. | Behavioral: Maternal focused intervention<br>* 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.<br>* Other names: MOMS;|
| Active Comparator: Ounce of Prevention<br>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<br>* 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.<br>* Other names: Ounce;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Maternal feeding behaviors | Several maternal feeding behaviors, including amount of vegetables and fruit offered to infant, eating as a 'family', amount of television watching by the infant, and juice intake by the infant were secondary outcomes. | One year after study entry. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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well child visit, anticipatory guidance, obesity prevention, infant feeding