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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.

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|November 5, 2013
PubMed
Summary

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.

Keywords:
BMIBody mass indexFABFYCSFeeding Young Children StudyFood Amounts BookletNDSRNutrition Data System for ResearchRARCTRRRandomized controlled trialRelative risk ratioResearch assistantWHOWICWomen, Infants, and ChildrenWorld Health Organization

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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.