MAGIC: A Family Based Feeding Intervention Program
试验速览
- 阶段
- 不适用
- 状态
- 进行中(未招募)
- 入组人数
- 165
- 试验地点
- 4
- 主要终点
- BMI percentile at 12 months of age
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
盲法说明
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.
入排标准
- 年龄范围
- 0 Years 至 90 Years(Child, Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Mothers with babies aged 4 to 5 months
- •Other caregivers assisting the mother with the baby.
- •Babies aged 4 to 5 months
排除标准
- •Babies with metabolic or feeding issues.
- •Mothers younger than 16 years of age.
研究组 & 干预措施
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.
干预措施: Obesity Prevention Group (Behavioral)
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.
干预措施: Infant Safety and Injury Prevention Group (Behavioral)
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.
干预措施: Obesity Prevention Group + Food Boxes (Behavioral)
结局指标
主要结局
BMI percentile at 12 months of age
时间窗: 12 months
Anthropometrics measured by trained study staff
BMI percentile at 24 months of age
时间窗: 24 months
Anthropometrics measured by trained study staff
次要结局
- 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)
研究者
Deborah Jacobvitz
Phyllis L. Richards Endowed Professor in Child Development
University of Texas at Austin
