Effect of Information Promoting Textured Food Introduction on Parental Practices and Children Acceptance of Textured Foods
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 64
- 试验地点
- 1
- 主要终点
- Food texture exposure score
研究概览
简要总结
The purpose of this study is to conduct an intervention with 60 parents of 8 months old children to test the effect of recommendations, compared to usual care, promoting the introduction of textured foods between 8 and 15 months on parental practices of use of textured foods and the effect of such practices on children acceptance for a variety of textured foods.
详细描述
The intervention tests the effect of providing parents with recommendations on textured food introduction between 8 and 15 months on their practices of offering of textured foods and their child's acceptance of textured foods. The intervention consists of advice and tips on the why and how introducing textured food during complementary feeding, which were not address in French national guidelines (Programme National Nutrition Santé (PNNS)) at the start of the study. Advise were developped from current literature knowledge and recommendations in other countries. They are accompanied with monthly counselling via phone calls by dietician and two baskets containing food preparation utensils and commercial textured foods. The intervention group (n=30) benefits from this intervention. The control group (n=30) receive general information on healthy eating provided by the food guides of the PNNS, phone calls collecting general information and 2 baskets containing baby gifts.
Acceptance is evaluated experimentally pre and post intervention in a laboratory setting evaluating children swallowing foods of different textures.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Basic Science
- 盲法
- Double (Participant, Investigator)
盲法说明
Parents are informed that the aim of the study was about the effect of complementary feeding recommendations on their child's eating behaviour but they are unaware of the focus on texture. They are also blinded to the group (intervention vs. control) to which they were allocated. This information is revealed to them after the end of the study. The principal investigator analyse the data without information on children allocation and groups effect are initially assessed without identification of participants.
入排标准
- 年龄范围
- 1 Month 至 7 Months（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •parents ages ≥ 18 years old
- •children born full term (≥37 weeks) and with weight ≥2500 g
- •children introduced to complementary feeding after 4 months and before 6 months
排除标准
- •children with episode of tube feedings, chronic disease, allergy and gastroesophageal reflux requiring medication
- •children introduced to complementary feeding with baby-led weaning method
- •children already involved in another study on eating behaviour
研究组 & 干预措施
Intervention program
Intervention group
干预措施: Counselling on textured food introduction between 8 and 15 months (Behavioral)
Usual Care
Control group
干预措施: Counselling on textured food introduction between 8 and 15 months (Behavioral)
结局指标
主要结局
Food texture exposure score
时间窗: End of intervention (15 months)
Food texture introduction assessed using a questionnaire developed to characterize the pattern of food texture exposure in French children aged 4-36 months (Demonteil et al., 2018). This questionnaire is composed of 188 items representing 61 foods commonly used in France in different texture combinations (puree, pieces, raw, cooked, etc.). Each food-texture combination present in the questionnaire is classified into one of three texture levels: 'purees' (soft and rough; T1 texture level), 'small/soft pieces' (T2 texture level) and 'hard/big pieces and double texture' (T3 texture level) . The number of introduced items is evaluated for each texture level (T1, T2 and T3), and a global child exposure score (TexExp) is calculated from the sum of all introduced items.
Textured food acceptance: scale
时间窗: Pre and post intervention (8 and 15 months)
Food texture acceptance is assessed during lab experiments. At each age, children participate in two experimental sessions in which they are offered several foods varying in texture. For each age, for a given child, the two sessions are planned during the same week. During one session, four different foods are offered to the child. Three trials of each food is run, trial offering is stopped after three consecutive refusals is emitted by the child. Experimenter evaluate whether the child swallow the trial. Acceptance is determined for each food as % of trial swallowed. Global acceptance outcome is calculated as the sum of frequency observed for each food. Parents evaluate the infant's liking of the food on a linear scale for each food trial. At the end of intervention, acceptance for 2 commercial baby food products is assessed by parents in home-setting. The parent records the weight of food eaten (g) and children 's liking of this food on a 9 point scale.
次要结局
- Child feeding skills(Pre and post intervention (8 and 15 months))
- Number of teeth(Pre and post intervention (8 and 15 months))
- Salivary flow rate(Pre and post intervention (8 and 15 months))
- Other maternal feeding practices(end of intervention (15 months))
- Children eating behaviour(12 months)
- Children chewing efficiency(Pre and post intervention (8 and 15 months))