Trial reportMaternal and child health journal2014
Preventing obesity in infants and toddlers in child care: results from a pilot randomized controlled trial.
Trial report in Maternal and child health journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.
- Healthy eating interventions delivered in early childhood education and care settings for improving the diet of children aged six months to six years.The Cochrane database of systematic reviews · 2023Pooled it
- Policy, systems, and environmental interventions addressing physical activity in early childhood education settings: A systematic review.Preventive medicine · 2023Pooled it
- Policy, system, and environmental interventions addressing obesity and diet-related outcomes in early childhood education settings: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2023Pooled it
- Trial
- Confirmatory factor analysis of the infant feeding styles questionnaire in infant and toddler child care teachers.Appetite · 2023Trial
- Centre-based childcare in early childhood and child obesity: systematic review and meta-analysis protocol.BMJ open · 2024Article
- Healthy eating interventions delivered in early childhood education and care settings for improving the diet of children aged six months to six years.The Cochrane database of systematic reviews · 2023Review
- Article
- ResponsiveInternational journal of environmental research and public health · 2022Article
- Feeding and Activity Environments for Infants and Toddlers in Childcare Centers and Family Childcare Homes in Southeastern New England.International journal of environmental research and public health · 2022Article
- Improving Breastfeeding Environments and Feeding Practices in Family Child Care Homes with the Go NAP SACC Program.Maternal and child health journal · 2021Article
- Community-Based Prevention Programs for Disordered Eating and Obesity: Updates and Current Limitations.Current obesity reports · 2020Review
- The impact of basic vs. enhanced Go NAPSACC on child care centers' healthy eating and physical activity practices: protocol for a type 3 hybrid effectiveness-implementation cluster-randomized trial.Implementation science : IS · 2019Article
- Training early childcare providers in evidence-based nutrition strategies can help improve nutrition policies and practices of early childcare centres serving racially and ethnically diverse children from low-income families.Public health nutrition · 2018Article
- Preventing childhood obesity in early care and education settings: lessons from two intervention studies.Child: care, health and development · 2016Article
- Application of the Intervention Mapping protocol to develop Keys, a family child care home intervention to prevent early childhood obesity.BMC public health · 2015Article
- Moving Beyond "Food Deserts": Reorienting United States Policies to Reduce Disparities in Diet Quality.PLoS medicine · 2015Article
- Use of the Environment and Policy Evaluation and Observation as a Self-Report Instrument (EPAO-SR) to measure nutrition and physical activity environments in child care settings: validity and reliability evidence.The international journal of behavioral nutrition and physical activity · 2015Article
- Child Care Provider Adherence to Infant and Toddler Feeding Recommendations: Findings from the Baby Nutrition and Physical Activity Self-Assessment for Child Care (Baby NAP SACC) Study.Childhood obesity (Print) · 2015Article
- Assessing care providers' perceptions and beliefs about physical activity in infants and toddlers: baseline findings from the Baby NAP SACC study.BMC public health · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
Few interventions have focused on very young children for obesity prevention. This study evaluated a pilot intervention to improve the nutrition and physical activity environments of child care centers serving infants and toddlers. This randomized controlled trial took place in 32 centers in Boston, Massachusetts. The intervention aimed to improve policies and practices related to nutrition and physical activity within the center. For the outcome, observers assessed center environments using the Environment and Policy Assessment and Observation (EPAO) instrument (range 0-320 points) at baseline and the 6-month follow-up. We fit linear regression models with change in EPAO score from baseline to follow-up, controlling for potential confounders for total score, nutrition sub-score, and physical activity sub-score. Intervention centers had a mean (SD) of 98.2 (144.8) children enrolled, while control centers had 59.2 (34.5). In intervention centers, 47.5% of children were white, compared to 46.2% in controls. Fewer intervention centers had outdoor play areas on site (75 vs. 100%) but more had indoor play space (67 vs. 25%). At baseline, intervention centers had a mean (SD) EPAO score of 134.5 (7.0) points and controls had 146.8 (4.8) points. Compared with controls, intervention centers improved their EPAO scores at follow-up by 18.5 points (95% CI 0.1, 37.0; p = 0.049), chiefly through greater improvement in physical activity (12.2; 95% CI -1.6, 26.0; p = 0.075) and not nutrition (6.4; 95% CI -7.1, 19.8; p = 0.385). The pilot showed promise as an intervention to improve center environments, but future studies should include child-level outcomes.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.