Solving The Problem Of Childhood Obesity Within A Generation

Solving The Problem Of Childhood Obesity Within A Generation-26
They received weekly supervision and participated in team case presentations to ensure fidelity.During the 2 phases, there were 2 nurses and 5 part-time social workers at various points in time.

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Although overall obesity rates have plateaued nationwide, there is a widening racial and/or ethnic disparity in childhood overweight and obesity, particularly among Hispanic children early in life.

There are few programs that address obesity in this age group.

Data were collected on demographics, maternal mental health, and anthropometrics of 158 children from birth to 2 years.

CONCLUSIONS: Using the MTB program, we significantly lowered the rate of obesity among 2-year-old children living in low-socioeconomic-status communities.

In the current study cohort, we included 158 children (92 intervention and 66 control) from both phases of the RCT with complete anthropometric data collected at 24 months of age (see Fig 1).

Additional details of design, recruitment, and retention procedures are available in the report on the pilot study findings The MTB program provided home visiting by a master’s-prepared social worker and pediatric nurse weekly from the third trimester of pregnancy until the child’s first birthday and biweekly through the child’s second birthday.In addition, children of Hispanic mothers were less likely to have overweight or obesity at 2 years.Given the high and disproportionate national prevalence of Hispanic young children with overweight and obesity and the increased costs of obesity-related morbidities, these findings have important clinical, research, and policy implications.Seventy-eight percent of the visits took place in participants’ homes (versus an alternate place of convenience to the mother).In both phases of the RCTs, we used a 2-group experimental design with cluster randomization using a sealed envelope method to assign group status on the basis of due dates before recruitment.METHODS: This study is a prospective longitudinal cohort study in which we include data collected during 2 phases of the MTB randomized controlled trial.First-time, young mothers who lived in medically underserved communities were invited to participate in the MTB program.Women in the control group received standard group prenatal and primary care at both CHCs, and women in the intervention group received standard care in addition to the MTB program; hence, research personnel and study participants were not blinded to treatment.The inclusion criteria were (1) English-speaking, (2) 14 to 25 years of age, (3) having a first child, (4) no active drug use, (5) no serious mental illness, and (6) no major medical illness in the mother.By contrast, in approaches in which the social ecology of a child’s relationship to food is addressed (by supporting parent-child relationships and promoting a healthy family lifestyle and diet), a means to primary prevention is offered, reducing risk (eg, promoting nurturing relationships, altering behaviors, and addressing multigenerational patterns) by targeting the broader context of parent-child interactions and family systems.Home visiting programs, many of which are geared specifically toward the development of secure parent-child relationships and healthy family management and are well known to have a range of health benefits for mother and child, In this article, we examine the rates of obesity among 2-year-old children of mothers who were followed in a 27-month randomized controlled trial (RCT) of a primary prevention and home visiting parenting intervention: “Minding the Baby” (MTB).


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