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Infant growth outcomes from birth to 12 months of age: findings from the Delta Healthy Sprouts randomized comparative

J L Thomson1, M H Goodman1, L M Tussing-Humphreys2

  • 1United States Department of Agriculture Agricultural Research Service Stoneville MS USA.

Obesity Science & Practice
|August 29, 2018
PubMed

Insights

An enhanced lifestyle intervention did not prevent infant overweight or rapid weight gain in a maternal and child health project. This study highlights the need for more effective strategies to combat early childhood obesity.

Area of Science:

  • Public Health
  • Maternal and Child Health
  • Obesity Prevention

Background:

  • Childhood obesity is a growing public health concern.
  • Early life interventions targeting maternal and infant health are crucial for prevention.
  • Lifestyle modification programs during pregnancy and early infancy show potential.

Purpose of the Study:

  • To evaluate the impact of a multicomponent lifestyle intervention on infant growth outcomes.
  • To compare infant growth trajectories between an enhanced intervention group and a control group.
  • To determine if a home visiting project improved infant weight status.

Main Methods:

  • Recruitment of pregnant women in the lower Mississippi Delta.
  • Randomized controlled trial with experimental and control arms over 18 months.
  • Analysis of infant growth outcomes using Kaplan-Meier survival curves and log-rank tests.

Main Results:

  • High retention rates in both experimental (88%) and control (83%) groups.
  • Approximately 75% of infants in both arms were overweight by 12 months.
  • No significant differences in time to overweight classification or rapid weight gain between groups.

Conclusions:

  • The enhanced lifestyle intervention was not effective in improving infant growth outcomes.
  • Diet and physical activity components did not alter infant growth compared to standard education.
  • Further research is needed to develop effective early childhood obesity prevention strategies.
Abstract

Keywords:
African Americanhome visitinginfant overweightrapid infant weight gain

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