Evidence map›Paper›PMID 25918873›Full record

ArticleChildhood obesity (Print)2015

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.

Rachel E Blaine, Kirsten K Davison, Kathryn Hesketh, Elsie M Taveras, Matthew W Gillman, Sara E Benjamin Neelon

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Childhood obesity (Print), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 6% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. A Systematic Review of Research on Non-Maternal Caregivers' Feeding of Children 0-3 Years.International journal of environmental research and public health · 2022
    Pooled it
  2. Trial
  3. Children's behaviour and childhood obesity.Pediatric endocrinology, diabetes, and metabolism · 2024
    Review
  4. Article
  5. ResponsiveInternational journal of environmental research and public health · 2022
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Dietary quality among children from 6 months to 4 years, NHANES 2011-2016.The American journal of clinical nutrition · 2020
    Article
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  13. Observational
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  15. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 3 countries.

Rachel E Blaine1Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA.
Kirsten K Davison1Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA.
Kathryn Hesketh2University College London Institute of Child Health, London, United Kingdom.
Elsie M Taveras3Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA.
Matthew W Gillman4Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA.
Sara E Benjamin Neelon5Department of Community and Family Medicine, Duke University Medical Center and Duke Global Health Institute, Durham, NC.
Harvard University · USBoston Children's Hospital · USDuke University · USInstitute of Child Health · IN

Funding

Preventing obesity in infants and toddlers in child careR01DK093838 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI BENJAMIN-NEELON, SARA ELIZABETH · 2013 to 2017
$3.0M
Obesity prevention in early childhoodF32DK080618 · NIDDK · HARVARD PILGRIM HEALTH CARE, INC. · PI BENJAMIN-NEELON, SARA ELIZABETH · 2008 to 2009
$102k
NIDDK NIH HHS F32 DK080618NIDDK NIH HHS R01 DK093838
6 · The paper itself

Abstract

backgroundIdentifying characteristics associated with the Institute of Medicine's (IOM) recommended feeding practices among infant and toddler care providers in child care centers could help in preventing childhood obesity.

methodsIn 2009, at baseline in a pilot intervention study of 29 licensed Massachusetts child care centers with at least 50% of enrolled children identified as racial minorities, 57 infant and 109 toddler providers completed feeding questionnaires. To assess provider adherence to six IOM-recommended behaviors, we used cluster-adjusted multivariable logistic regression models including provider type (infant or toddler), race, education, and center Child and Adult Care Food Program (CACFP) participation.

resultsIn multivariable analysis, CACFP participation was associated with providers sitting with children at meals (odds ratio [OR], 5.2; 95% confidence interval [CI], 1.2-21.7), offering fruits and vegetables (OR, 3.3; 95% CI 1.7-6.2), and limiting fast food (OR, 3.5; 95% CI, 1.8-6.7). Providers at centers serving meals family style were less likely to allow children to leave food unfinished (OR, 0.27; 95% CI, 0.09-0.77). Infant providers were more likely than toddler providers to sit with children at meals (OR, 6.98; 95% CI, 1.51-32.09), allow children to eat when hungry (OR, 3.50; 95% CI, 1.34-9.16), and avoid serving sugary (OR, 8.74; 95% CI, 3.05-25.06) or fast foods (OR, 11.56; 95% CI, 3.20-41.80).

conclusionsCACFP participation may encourage IOM-recommended feeding practices among infant and toddler providers. Child care providers may benefit from education about how to feed infants and toddlers responsively, especially when offering foods family style. Future research should explore ways to promote child-centered feeding practices, while addressing barriers to providing children with nutrient-rich foods.

Indexed as

Feeding BehaviorGuideline AdherenceNutrition PolicyAdultChild Day Care CentersCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansInfantInfant Nutritional Physiological PhenomenaMaleMassachusettsPediatric ObesityPilot ProjectsSelf Report

Identifiers

PMID25918873
PMCPMC4485887
OpenAlexW1654753017

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.