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| Name | Class |
|---|---|
| St. David's Foundation | UNKNOWN |
| National Cattlemen's Beef Association, a contractor to the Beef Checkoff | INDUSTRY |
| Egg Nutrition Center | OTHER |
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The incidence of childhood obesity in the United States has steadily increased over the past 30 years but has begun to level off in recent years. Epidemiological evidence indicates that obesity may transmitted across multiple generations. The current study seeks to: 1) evaluate the extent to which mothers and other important caregivers affect their mothers' parenting; 2) examine whether an intervention aimed at improving diet quality and enhancing responsive feeding to improves parental responsivity and feeding behavior and infants' weight trajectories over time; 3) examine the effects of early life feeding and caregiver sensitivity on health and development; and 4) examine feasibility of food distribution along with the feeding intervention.
The incidence of childhood obesity in the United States has steadily increased over the past 30 years, but has begun to level off in recent years. Children from minority groups may be disproportionately affected, such that Hispanic and non-Hispanic Black children have greater weight for recumbent length compared to White children. Similarly, socioeconomic status (SES) may affect child weight status. Epidemiological evidence indicates that obesity may transmitted across multiple generations. Genetics are a factor in determining weight status, but parents are largely responsible for regulating children's dietary environments. Grandparents increasingly provide care for their grandchildren, yet few studies have examined grandparent involvement or the role that grandparents or other significant caregivers play in feeding the child.
The objective of the current study is two-fold: 1) to evaluate the extent to which mothers and other caregivers affect mothers' parenting surrounding feeding their infant, beginning when the infant is first introduced to solid foods; and 2) to examine whether an intervention aimed at providing both mothers and and other important caregivers with hands-on training regarding healthy foods and responsive and sensitive feeding behaviors improves mothers' and other caregivers' responsive and sensitive behaviors and infants' weight trajectories over time. The researchers will collect both self-report data on diet, child temperament, mothers and caregiver mental health, stress and support. Observational assessments will be obtained to code co-caregiver behavior and caregiver responsiveness during feeding.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Obesity Prevention Group | Experimental | Parents will be provided with responsive feeding coaching to help them recognize hunger and satiety cues and nutrition coaching that involves recommending a sequence of introducing complementary foods that corresponds with food textures and feeding styles, breast/bottle weaning, healthy snacking and hands on demonstrations for healthy food options. |
|
| Infant Safety and Injury Prevention Group | Active Comparator | Parents will be provided with information about safe sleeping, car seats, baby-proofing, etc., delivered during virtual visits, participant binder and newsletter. |
|
| Obesity Prevention Group + Food Boxes | Experimental | Parents will be provided with responsive feeding coaching to help them recognize hunger and satiety cues and nutrition coaching that involves recommending a sequence of introducing complementary foods that corresponds with food textures and feeding styles, breast/bottle weaning, healthy snacking and hands on demonstrations for healthy food options. Parents will also be provided with grocery items (fruits, vegetables, meat) prior to each intervention visit to facilitate a healthy family diet. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Obesity Prevention Group | Behavioral | Parents will be provided with responsive feeding coaching to help them recognize hunger and satiety cues and nutrition coaching that involves recommending a sequence of introducing complementary foods that corresponds with food textures and feeding styles, breast/bottle weaning, healthy snacking and hands on demonstrations for healthy food options. |
| Measure | Description | Time Frame |
|---|---|---|
| BMI percentile at 12 months of age | Anthropometrics measured by trained study staff | 12 months |
| BMI percentile at 24 months of age | Anthropometrics measured by trained study staff | 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of infants with BMI percentile >85th at 12 months of age | Anthropometrics measured by trained study staff | 12 months |
| Proportion of infants with BMI percentile >85th at 24 months of age |
| Measure | Description | Time Frame |
|---|---|---|
| Infant dietary intake of fruits and vegetables, animal source foods, whole grains, desserts and sweets, and salty snacks at 11 months of age | Measured at 10-11 months using an Infant Diet History questionnaire adapted from the Infant Feeding Practices Study II. Measured at 10 to 11 months using the Nutrition Data System for Research (NDSR) | 10 to 11 months of age |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Deborah Jacobvitz, PhD | University of Texas at Austin | Principal Investigator |
| Elizabeth Widen, PhD, RD | University of Texas at Austin | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sarah M. & Charles E. Seay Building | Austin | Texas | 78712 | United States | ||
| Dell Pediatric Research Institute |
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| ID | Term |
|---|---|
| D063766 | Pediatric Obesity |
| ID | Term |
|---|---|
| D009765 | Obesity |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
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| National Pork Board |
| OTHER |
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Primary - BMI percentile at 12 months of age, and 24 months of age
Secondary- Proportion of infants with BMI percentile >85th at 12 months of age, and 24 months of age
Anthropometrics measured directly by trained study staff
Infant dietary intake of fruits and vegetables, animal source foods, whole grains, desserts and sweets, and salty snacks at 10 to 11 months.
Measured at 10 months using an Infant Diet History questionnaire adapted from the Infant Feeding Practices Study II. Measured at 10 months using the Nutrition Data System for Research (NDSR)
Responsive feeding measured using the Infant Feeding Styles Questionnaire (IFSQ) full scale and Chatoor's feeding scale at 10 to 11 months.
|
| Obesity Prevention Group + Food Boxes | Behavioral | Parents will be provided with responsive feeding coaching to help them recognize hunger and satiety cues and nutrition coaching that involves recommending a sequence of introducing complementary foods that corresponds with food textures and feeding styles, breast/bottle weaning, healthy snacking and hands on demonstrations for healthy food options. Parents will also be provided with grocery items (fruits, vegetables, meat) prior to each intervention visit to facilitate a healthy family diet. |
|
| Infant Safety and Injury Prevention Group | Behavioral | Parents will be provided with information about safe sleeping, car seats, baby-proofing, etc., delivered during home visits, newsletters, and reinforcing text messages. |
|
Anthropometrics measured by trained study staff
| 24 months |
| Responsive feeding at 10 to 11 months of age | Measured using the Infant Feeding Styles Questionnaire (IFSQ) full scale | 10 to 11 months of age |
| Responsive feeding at 10 to 11 months of age | Measured during mealtime observations using the Chatoor's feeding scale. | 11 months of age |
| Austin |
| Texas |
| 78723 |
| United States |
| D009750 |
| Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |