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Published on: January 12, 2018
A community-based intervention to prevent obesity beginning at birth among American Indian children: study design and
Njeri Karanja1, Mikel Aickin, Tam Lutz
1Center for Health Research, Kaiser Permanente-Northwest/Hawaii/Southeast, 3800 N. Interstate Avenue, Portland, OR 97227, USA. Njeri.Karanja@kpchr.org
Insights
This study tested an early childhood obesity prevention program for American Indian (AI) children. The multi-component intervention focused on healthy eating and activity, aiming to reduce obesity rates from birth.
Area of Science:
- Pediatrics
- Public Health
- Nutrition Science
Background:
- Adult obesity has early roots, yet interventions for very young children are scarce.
- American Indian (AI) children face higher risks for early-onset obesity.
- Targeting obesity prevention at birth is crucial for at-risk populations.
Purpose of the Study:
- To test the effectiveness of a community-partnered, multi-component intervention to prevent obesity in AI children from birth.
- To address key behaviors including breastfeeding, sugar-sweetened beverage intake, solid food introduction, and sedentary lifestyles.
Main Methods:
- A community-partnered randomized controlled trial (RCT) involving 577 infants from five AI tribes.
- Tribes were randomized to either the intervention or a comparison group.
- The intervention included promoting breastfeeding, reducing sugary drinks, timing solid food introduction, and counseling on sedentary behavior.
Main Results:
- The study is a randomized controlled trial designed to prevent obesity in American Indian children.
- The intervention targets critical early-life behaviors to mitigate obesity risk.
- Results are pending from this birth cohort study.
Conclusions:
- Early, community-based interventions are vital for preventing childhood obesity, especially in high-risk groups.
- The Prevention of Toddler Obesity and Teeth Health Study (PTOTS) provides a model for culturally relevant obesity prevention.
- Further research is needed to evaluate the long-term impact of such interventions.
Abstract:
Eating and physical activity behaviors associated with adult obesity have early antecedents, yet few studies have focused on obesity prevention interventions targeting very young children. Efforts to prevent obesity beginning at birth seem particularly important in populations at risk for early-onset obesity. National estimates indicate that American Indian (AI) children have higher rates of overweight and obesity than children of other races/ethnicities. The Prevention of Toddler Obesity and Teeth Health Study (PTOTS) is a community-partnered randomized controlled trial designed to prevent obesity beginning at birth in AI children. PTOTS was developed to test the effectiveness of a multi-component intervention designed to: promote breastfeeding, reduce sugar-sweetened beverage consumption, appropriately time the introduction of healthy solid foods, and counsel parents to reduce sedentary lifestyles in their children. A birth cohort of 577 children from five AI tribes is randomized by tribe to either the intervention (three tribes) or the comparison condition (two tribes). The strengths and weaknesses of PTOTS include a focus on a critical growth phase, placement in the community, and intervention at many levels, using a variety of approaches.
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