MAGIC: A Family Based Feeding Intervention Program
Overview
- Phase
- Not Applicable
- Intervention
- Obesity Prevention Group
- Conditions
- Obesity, Childhood
- Sponsor
- University of Texas at Austin
- Enrollment
- 165
- Locations
- 4
- Primary Endpoint
- BMI percentile at 12 months of age
- Status
- Active, not recruiting
- Last Updated
- 4 days ago
Overview
Brief Summary
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.
Detailed Description
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.
Investigators
Deborah Jacobvitz
Phyllis L. Richards Endowed Professor in Child Development
University of Texas at Austin
Eligibility Criteria
Inclusion Criteria
- •Mothers with babies aged 4 to 5 months
- •Other caregivers assisting the mother with the baby.
- •Babies aged 4 to 5 months
Exclusion Criteria
- •Babies with metabolic or feeding issues.
- •Mothers younger than 16 years of age.
Arms & Interventions
Obesity Prevention Group
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.
Intervention: Obesity Prevention Group
Infant Safety and Injury Prevention Group
Parents will be provided with information about safe sleeping, car seats, baby-proofing, etc., delivered during virtual visits, participant binder and newsletter.
Intervention: Infant Safety and Injury Prevention Group
Obesity Prevention Group + Food Boxes
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.
Intervention: Obesity Prevention Group + Food Boxes
Outcomes
Primary Outcomes
BMI percentile at 12 months of age
Time Frame: 12 months
Anthropometrics measured by trained study staff
BMI percentile at 24 months of age
Time Frame: 24 months
Anthropometrics measured by trained study staff
Secondary Outcomes
- Proportion of infants with BMI percentile >85th at 12 months of age(12 months)
- Proportion of infants with BMI percentile >85th at 24 months of age(24 months)