Child dietary and eating behavior outcomes up to 3.5 years after an early feeding intervention: The NOURISH RCT. Issue 7 (19th May 2016)

• Record Type: Journal Article
• Authors: Magarey, Anthea; Mauch, Chelsea; Mallan, Kimberley; Perry, Rebecca; Elovaris, Rachel; Meedeniya, Jo; Byrne, Rebecca; Daniels, Lynne
• Is Part Of: Obesity. Volume 24:Issue 7(2016)
• Page Start: 1537
• Page End: 1545
• Publication Date: 2016-05-19
• Subjects: Obesity -- Periodicals; 616.398005
• DOI: 10.1002/oby.21498
• Languages: English
• ISSNs: 1930-7381

Abstract

Abstract : Objective: To evaluate dietary intake impact outcomes up to 3.5 years after the NOURISH early feeding intervention (concealed allocation, assessor masked randomized controlled trial). Methods: In this study, 698 first‐time mothers with healthy term infants were allocated to receive anticipatory guidance on protective feeding practices or usual care. Outcomes were assessed at 2, 3.7, and 5 years (3.5 years post‐intervention). Dietary intake was assessed by 24‐h recall and Child Dietary Questionnaire. Mothers completed a food preference questionnaire and Children's Eating Behavior Questionnaire. Linear mixed models assessed group, time, and time × group effects. Results: There were no group or time × group effects for fruit, vegetable, discretionary food, and nonmilk sweetened beverage intake. Intervention children showed a higher preference for fruit (74.6% vs. 69.0% liked, P < 0.001), higher Child Dietary Questionnaire score for fruit and vegetables (15.3 vs. 14.5, target ≥18, P = 0.03), lower food responsiveness (2.3 vs. 2.4, of maximum 5, P = 0.04), and higher satiety responsiveness (3.1 vs. 3.0, of maximum 5, P = 0.04). Conclusions: Compared with usual care, an early feeding intervention providing anticipatory guidance regarding positive feeding practices led to small improvements in child dietary score, food preferences, and eating behaviors up to 5 years of age, but not in dietary intake measured by 24‐h recall.