Obesity Clinical Trial
Official title:
Primary Prevention of Obesity Through Infancy Interventions
Childhood obesity has reached epidemic proportions and its prevalence continues to rise, even among very young children. Because the current evidence base regarding potentially effective early intervention components to prevent obesity is so incomplete, it is logical to initiate obesity prevention intervention research during infancy, focusing on the two major components of the infant lifestyle, sleeping and feeding.
Rationale: Childhood obesity has reached epidemic proportions and its prevalence continues to
rise, even among very young children. A recent report from the National Health and Nutrition
Examination Survey (NHANES) revealed that between 2003-2004, a staggering 26.2% of children
aged 2 to 5 years were already overweight or at-risk for overweight. As such, in the summary
of the "Conference on Preventing Childhood Obesity," it was remarked that researchers should
particularly consider the youngest of children when planning obesity related interventions.
Because the current evidence base regarding potentially effective early intervention
components is so incomplete, it is logical to initiate obesity prevention intervention
research during infancy, focusing on the two major components of the infant lifestyle,
sleeping and feeding.
Key Objectives:
Aim 1: To evaluate the effect of simple procedures, taught to parents in the home environment
by visiting nurses, that trains parents to calm their infants and increase their nocturnal
sleep duration, thereby influencing sleep duration, nocturnal feeding frequency, and weight
gain during infancy.
Aim 2: To evaluate a simple training procedure for parents, taught in the home environment by
visiting nurses, that promotes infants' acceptance of nutritious, developmentally appropriate
weaning foods.
Aim 3: To evaluate the delivery of these behavioral interventions to parents by community
based home health nurses.
Aim 4: To examine the effect of a soothing intervention designed to increase sleep duration
on overall maternal regulation of emotion, self-regulation of emotion, and weight gain.
Study Population: 160 newborns and mothers that demonstrate intent to breastfeed during the
newborn nursery stay will be recruited during the maternity hospitalization. Approximately
25-50 physicians from the university affiliated pediatric and family practices.
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