TY - JOUR
T1 - A randomized controlled trial to prevent childhood obesity through early childhood feeding and parenting guidance
T2 - Rationale and design of study
AU - Reifsnider, Elizabeth
AU - McCormick, David P.
AU - Cullen, Karen W.
AU - Szalacha, Laura
AU - Moramarco, Michael W.
AU - Diaz, Abigail
AU - Reyna, Lucy
N1 - Funding Information:
This is funded by a grant from the National Institute of Health, National Institute of Diabetes and Digestive and Kidney Diseases (5R01DK096488-02). Funding also comes from Arizona State University’s College of Nursing and Health Innovation. A special thanks is given to the Texas Department of State Health Services, Women, Infants and Children Program (WIC), and the Houston Department of Health and Human Services WIC Program for their support of this research.
PY - 2013
Y1 - 2013
N2 - Background: Early and rapid growth in Infants is strongly associated with early development and persistence of obesity in young children. Substantial research has linked child obesity/overweight to increased risks for serious health outcomes, which include adverse physical, psychological, behavioral, or social consequences. Methods/design. The goal of this study is to compare the effectiveness of structured Community Health Worker (CHW)- provided home visits, using an intervention created through community-based participatory research, to standard care received through the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) office visits in preventing the development of overweight (weight/length ≥85th percentile) and obesity (weight/length ≥95th percentile) in infants during their first 3 years of life. One hundred forty pregnant women in their third trimester (30-36 weeks) will be recruited and randomly assigned to the intervention or control group. Discussion. This study will provide prospective data on the effects of an intervention to prevent childhood obesity in children at high risk for obesity due to ethnicity, income, and maternal body mass index (BMI). It will have wide-ranging applicability and the potential for rapid dissemination through the WIC program, and will demonstrate the effectiveness of a community approach though employing CHWs in preventing obesity during the first 3 years of life. This easy-to-implement obesity prevention intervention can be adapted for many locales and diverse communities and can provide evidence for policy change to influence health throughout life. Trial registration. Clinical Trials Number: NCT01905072.
AB - Background: Early and rapid growth in Infants is strongly associated with early development and persistence of obesity in young children. Substantial research has linked child obesity/overweight to increased risks for serious health outcomes, which include adverse physical, psychological, behavioral, or social consequences. Methods/design. The goal of this study is to compare the effectiveness of structured Community Health Worker (CHW)- provided home visits, using an intervention created through community-based participatory research, to standard care received through the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) office visits in preventing the development of overweight (weight/length ≥85th percentile) and obesity (weight/length ≥95th percentile) in infants during their first 3 years of life. One hundred forty pregnant women in their third trimester (30-36 weeks) will be recruited and randomly assigned to the intervention or control group. Discussion. This study will provide prospective data on the effects of an intervention to prevent childhood obesity in children at high risk for obesity due to ethnicity, income, and maternal body mass index (BMI). It will have wide-ranging applicability and the potential for rapid dissemination through the WIC program, and will demonstrate the effectiveness of a community approach though employing CHWs in preventing obesity during the first 3 years of life. This easy-to-implement obesity prevention intervention can be adapted for many locales and diverse communities and can provide evidence for policy change to influence health throughout life. Trial registration. Clinical Trials Number: NCT01905072.
KW - Childhood obesity
KW - Community approach
KW - Home visiting
UR - http://www.scopus.com/inward/record.url?scp=84884477663&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84884477663&partnerID=8YFLogxK
U2 - 10.1186/1471-2458-13-880
DO - 10.1186/1471-2458-13-880
M3 - Article
C2 - 24063435
AN - SCOPUS:84884477663
SN - 1471-2458
VL - 13
JO - BMC public health
JF - BMC public health
IS - 1
M1 - 880
ER -