Evidence map›Paper›PMID 25972765›Full record

ArticleBMC nursing2015

Obesity prevention in early life: an opportunity to better support the role of Maternal and Child Health Nurses in Australia.

R Laws, K J Campbell, P van der Pligt, K Ball, J Lynch, G Russell, R Taylor, E Denney-Wilson

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC nursing, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

25 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Barriers and facilitators to implementing practices for prevention of childhood obesity in primary care: A mixed methods systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2022
    Pooled it
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  4. Nursing role in well-child care: Systematic review of the literature.Canadian family physician Medecin de famille canadien · 2018
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  9. Primary healthcare professionals' role in monitoring infant growth: A scoping review.Journal of child health care : for professionals working with children in the hospital and community · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

R LawsCentre for Physical Activity and Nutrition Research, Deakin University, 221 Burwood Highway, Burwood, VIC 3125 Australia ; Centre for Obesity Management and Prevention Research Excellence in Primary Health Care (COMPaRE-PHC), ᅟ, Australia.
K J CampbellCentre for Physical Activity and Nutrition Research, Deakin University, 221 Burwood Highway, Burwood, VIC 3125 Australia ; Centre for Obesity Management and Prevention Research Excellence in Primary Health Care (COMPaRE-PHC), ᅟ, Australia.
P van der PligtCentre for Physical Activity and Nutrition Research, Deakin University, 221 Burwood Highway, Burwood, VIC 3125 Australia.
K BallCentre for Physical Activity and Nutrition Research, Deakin University, 221 Burwood Highway, Burwood, VIC 3125 Australia ; Centre for Obesity Management and Prevention Research Excellence in Primary Health Care (COMPaRE-PHC), ᅟ, Australia.
J LynchSchool of Population Health, University of Adelaide, Adelaide, Australia ; Centre for Obesity Management and Prevention Research Excellence in Primary Health Care (COMPaRE-PHC), ᅟ, Australia.
G RussellFaculty of Health, University of Technology, Sydney, Australia ; Centre for Obesity Management and Prevention Research Excellence in Primary Health Care (COMPaRE-PHC), ᅟ, Australia.
R TaylorUniversity of Otago, Dunedin, New Zealand ; Centre for Obesity Management and Prevention Research Excellence in Primary Health Care (COMPaRE-PHC), ᅟ, Australia.
E Denney-WilsonFaculty of Health, University of Technology, Sydney, Australia ; Centre for Obesity Management and Prevention Research Excellence in Primary Health Care (COMPaRE-PHC), ᅟ, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBecause parents with young children access primary health care services frequently, a key opportunity arises for Maternal and Child Health (MCH) nurses to actively work with families to support healthy infant feeding practices and lifestyle behaviours. However, little is known regarding the extent to which MCH nurses promote obesity prevention practices and how such practices could be better supported.

methodsThis mixed methods study involved a survey of 56 MCH nurses (response rate 84.8 %), 16 of whom participated in semi-structured qualitative interviews. Both components aimed to examine the extent to which nurses addressed healthy infant feeding practices, healthy eating, active play and limiting sedentary behavior during routine consultations with young children 0-5 years. Key factors influencing such practices and how they could be best supported were also investigated. All data were collected from September to December 2013. Survey data were analysed descriptively and triangulated with qualitative interview findings, the analysis of which was guided by grounded theory principles.

resultsAlthough nurses reported measuring height/length and weight in most consultations, almost one quarter (22.2 %) reported never/rarely using growth charts to identify infants or children at risk of overweight or obesity. This reflected a reluctance to raise the issue of weight with parents and a lack of confidence in how to address it. The majority of nurses reported providing advice on aspects of infant feeding relevant to obesity prevention at most consultations, with around a third (37 %) routinely provided advice on formula preparation. Less than half of nurses routinely promoted active play and only 30 % discussed limiting sedentary behaviour such as TV viewing. Concerns about parental receptiveness and maintaining rapport were key barriers to more effective implementation.

conclusionWhile MCH nurses are well placed to address obesity prevention in early life, there is currently a missed public health opportunity. Improving nurse skills in behaviour change counseling will be key to increasing their confidence in raising sensitive lifestyle issues with parents to better integrate obesity prevention practices into normal MCH service delivery.

Indexed as

ChildrenFamiliesInfant feedingNursesObesity preventionPrimary health care

Identifiers

PMID25972765
PMCPMC4429503

What OpenQuestion holds

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Registered trials

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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.