Bottle-weaning intervention and toddler overweight

Karen Bonuck1, Sivan Ben Avraham1, Yungtai Lo1

  • 1Department of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, NY.

The Journal of Pediatrics
|November 5, 2013
PubMed

Insights

A WIC-based counseling intervention effectively reduced bottle use and calorie intake in toddlers. However, it did not significantly decrease the risk of overweight, possibly due to increased sippy cup consumption.

Area of Science:

  • Pediatric Nutrition
  • Public Health Interventions
  • Childhood Obesity Prevention

Background:

  • Excessive bottle feeding in early childhood is linked to increased calorie intake and potential overweight.
  • The Women, Infants, and Children (WIC) program provides a platform for nutritional counseling.
  • Understanding the impact of interventions on bottle use and weight status is crucial for public health.

Purpose of the Study:

  • To assess if a WIC-based counseling intervention reduces bottle use and energy intake from bottles.
  • To determine if this intervention lowers the risk of children exceeding the 85th percentile for weight-for-length.
  • To evaluate the effectiveness of a brief, WIC-integrated intervention in modifying early childhood feeding practices.

Main Methods:

  • A randomized controlled trial involving 300 12-month-olds consuming over two bottles daily.
  • Intervention group received counseling from nutritionists at WIC sites; control group did not.
  • Dietary intake, beverage container use, and anthropometrics were assessed at multiple time points up to 24 months.

Main Results:

  • The intervention group showed significantly reduced use of bottles (OR=0.23) and lower calorie intake from milk bottles (OR=0.36) at 1-year follow-up.
  • Total calorie intake was also reduced in the intervention group (β=-1.15, P=.043).
  • No significant difference was observed in the risk of being overweight (OR=1.02) between groups; sippy cup use increased in the intervention group.

Conclusions:

  • A brief WIC-based counseling intervention successfully reduced bottle use and associated energy intake in young children.
  • The intervention did not significantly impact the risk of overweight, potentially due to a compensatory increase in sippy cup consumption.
  • WIC settings are effective for delivering interventions aimed at reducing early childhood risk factors for overweight.
Abstract

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