Effect of a care-coordinated responsive parenting intervention on obesogenic risk behaviours among mother-infant dyads enrolled in WIC.

IF 2.7 3区医学 Q1 PEDIATRICS

Pediatric Obesity Pub Date : 2025-05-15 DOI:10.1111/ijpo.70020

Yining Ma, Lisa Bailey-Davis, Amy M Moore, Cara F Ruggiero, Carolyn F McCabe, Jennifer S Savage

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引用次数: 0

Abstract

Background: Integrating health care and social care presents opportunities to deliver responsive parenting (RP) interventions for childhood obesity prevention.

Objectives: This analysis examined the effect of an integrated RP intervention on infant obesogenic risk behaviours.

Methods: This secondary analysis included 228 mother-infant dyads in the Women, Infants, and Children Enhancements to Early Healthy Lifestyles for Baby (WEE Baby) Care study, a pragmatic randomized clinical trial that integrated care between paediatric clinicians and the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) nutritionists to encourage RP. Mothers were randomized to a 6-month RP intervention or standard care. The Early Healthy Lifestyle risk assessment tool was completed at infant ages 2 and 6 months. Logistic regression examined study group effects on obesogenic risk behaviours, while t-tests assessed study group effects on a total obesogenic risk behaviour score. Models adjusted for milk type and parity.

Results: RP mothers were less likely to report nighttime feedings at 2 (adjusted odds ratio [aOR] 0.21, 95% confidence interval [CI] 0.07-0.62) and 6 months (aOR 0.36, 95% CI 0.16-0.81); pressure to finish the bottle (aOR 0.53, 95% CI 0.30-0.93) and using screens when feeding/playing at 2 months (aOR 0.34, 95% CI 0.17-0.67); and putting their infant to bed after 8:00 PM at 6 months (aOR 0.46, 95% CI 0.21-0.97). RP mothers had significantly lower obesogenic risk behaviour scores at 2 months (p = 0.009) but not at 6 months (p = 0.06) compared to standard care.

Conclusions: The WEE Baby Care intervention decreased some obesogenic risk behaviours among WIC mother-infant dyads. Integrated care in health and social settings can be used to provide patient-centred RP guidance to improve early obesogenic risk behaviours in high-risk populations.

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护理协调响应性父母干预对WIC中母婴双体肥胖风险行为的影响。

背景：整合卫生保健和社会保健提供了提供响应性育儿（RP）干预儿童肥胖预防的机会。目的：本分析考察了综合RP干预对婴儿肥胖危险行为的影响。方法：这一次要分析包括228对妇女、婴儿和儿童增强婴儿早期健康生活方式（WEE Baby）护理研究中的母婴对，这是一项实用的随机临床试验，将儿科临床医生和妇女、婴儿和儿童特殊补充营养计划（WIC）营养学家之间的护理结合起来，以鼓励RP。母亲们被随机分为6个月RP干预组和标准护理组。在婴儿2个月和6个月时完成早期健康生活方式风险评估工具。逻辑回归检验了研究组对致肥风险行为的影响，而t检验评估了研究组对致肥风险行为总分的影响。模型调整牛奶类型和胎次。结果：RP母亲在2个月（调整优势比[aOR] 0.21, 95%可信区间[CI] 0.07-0.62）和6个月（aOR 0.36, 95%可信区间[CI] 0.16-0.81）时报告夜间喂养的可能性较小；压力完成奶瓶（aOR 0.53, 95% CI 0.30-0.93）和在2个月喂养/玩耍时使用屏幕（aOR 0.34, 95% CI 0.17-0.67）；并在6个月大时让婴儿在晚上8点后睡觉（aOR 0.46, 95% CI 0.21-0.97）。与标准护理相比，RP母亲在2个月时的肥胖风险行为评分显著降低（p = 0.009），但在6个月时则没有（p = 0.06）。结论：WEE婴儿护理干预降低了WIC母婴的某些肥胖危险行为。卫生和社会环境中的综合护理可用于提供以患者为中心的RP指导，以改善高危人群的早期致胖风险行为。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.