Rachel S. Gross|Alan L. Mendelsohn|Michelle Gross|Roberta Scheinmann|Mary Jo Messito
Randomized Controlled Trial of a Primary Care-Based Child Obesity Prevention Intervention on Infant Feeding Practices
Children's Hospital at Montefiore|Albert Einstein College of Medicine|Bellevue Hospital Center|New York University|Bellevue Hospital Center|New York University|Public Health Solutions|Bellevue Hospital Center|New York University
determine effects child obesity prevention intervention beginning pregnancy infant feeding practices lowincome hispanic familiesthe starting early randomized controlled trial enrolled pregnant women third trimester visit women n 533 randomly allocated standard care control group intervention group participating prenatal postpartum individual nutritionbreastfeeding counseling subsequent nutrition parenting support groups coordinated wellchild visits outcome measures included infant feeding practices maternal infant feeding knowledge infant age 3 months using questions adapted infant feeding practices study ii infant 24hour diet recalla total 456 families completed 3month assessments intervention group higher prevalence exclusive breastfeeding 24hour diet recall 427 vs 330 p 04 compared controls intervention group reported higher percentage breastfeeding vs formula feeding per day mean sd 677 393 vs 597 397 p 03 less likely introduce complementary foods liquids compared controls 63 vs 167 p 001 intervention group higher maternal infant feeding knowledge scores cohen 029 95 ci 1048 effect starting early breastfeeding mediated maternal infant feeding knowledge sobel test 286 p 004starting early led increased exclusive breastfeeding reduced complementary foods liquids 3monthold infants findings document feasible effective infrastructure promoting breastfeeding families high risk obesity context comprehensive obesity prevention interventionclinicaltrialsgov nct01541761