Evidence map›Paper›PMID 27113376›Full record

Trial reportThe Journal of pediatrics2016

Randomized Controlled Trial of a Primary Care-Based Child Obesity Prevention Intervention on Infant Feeding Practices.

Rachel S Gross, Alan L Mendelsohn, Michelle B Gross, Roberta Scheinmann, Mary Jo Messito

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 47 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 11 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.

NCT01541761 nacompletednot on this map

RCT Testing the Effectiveness of an Early Obesity Prevention Program

TypeinterventionalSponsorNYU Langone HealthRan2012 to 2023Enrolled566ConditionsChildhood ObesityArmsFamily groups
NCT06653595 nacompletednot on this mapstarted 2021, after this paper: background citation

Randomized Control Trial to Evaluate a Breastfeeding Support and Promotion Program to Improve the Health of Premature Babies (PAP-LM)

TypeinterventionalSponsorUniversity of BarcelonaRan2021 to 2024Enrolled162ConditionsPrematurity, Extreme, PrematurityArmsProgramme to Support Breastfeeding
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 11 syntheses or guidelines pooled it.

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  6. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2022
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  9. Interventions for preventing obesity in children.The Cochrane database of systematic reviews · 2019
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Rachel S GrossDepartment of Pediatrics, Albert Einstein College of Medicine, Children's Hospital at Montefiore, Bronx, NY. Electronic address: rgross@montefiore.org.
Alan L MendelsohnDivision of Developmental-Behavioral Pediatrics, Department of Pediatrics, New York University School of Medicine and Bellevue Hospital Center, New York, NY.
Michelle B GrossDivision of General Pediatrics, Department of Pediatrics, New York University School of Medicine and Bellevue Hospital Center, New York, NY.
Roberta ScheinmannResearch and Evaluation Unit, Public Health Solutions, New York, NY.
Mary Jo MessitoDivision of General Pediatrics, Department of Pediatrics, New York University School of Medicine and Bellevue Hospital Center, New York, NY.

Funding

Addressing Poverty-Related Barriers to Prevent Obesity Beginning in InfancyK23HD081077 · NICHD · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI GROSS, RACHEL SHARON · 2014 to 2018
$653k
NICHD NIH HHS K23 HD081077
6 · The paper itself

Abstract

objectiveTo determine the effects of a child obesity prevention intervention, beginning in pregnancy, on infant feeding practices in low-income Hispanic families. STUDY

designThe Starting Early randomized controlled trial enrolled pregnant women at a third trimester visit. Women (n = 533) were randomly allocated to a standard care control group or an intervention group participating in prenatal and postpartum individual nutrition/breastfeeding counseling and subsequent nutrition and parenting support groups coordinated with well-child visits. Outcome measures included infant feeding practices and maternal infant feeding knowledge at infant age 3 months, using questions adapted from the Infant Feeding Practices Study II and an infant 24-hour diet recall.

resultsA total of 456 families completed 3-month assessments. The intervention group had higher prevalence of exclusive breastfeeding on the 24-hour diet recall (42.7% vs 33.0%, P = .04) compared with controls. The intervention group reported a higher percentage of breastfeeding vs formula feeding per day (mean [SD] 67.7 [39.3] vs 59.7 [39.7], P = .03) and was less likely to introduce complementary foods and liquids compared with controls (6.3% vs 16.7%, P = .001). The intervention group had higher maternal infant feeding knowledge scores (Cohen d, 0.29, 95% CI .10-.48). The effect of Starting Early on breastfeeding was mediated by maternal infant feeding knowledge (Sobel test 2.86, P = .004).

conclusionsStarting Early led to increased exclusive breastfeeding and reduced complementary foods and liquids in 3-month-old infants. Findings document a feasible and effective infrastructure for promoting breastfeeding in families at high risk for obesity in the context of a comprehensive obesity prevention intervention.

trial registrationClinicalTrials.gov: NCT01541761.

Indexed as

Breast FeedingDirective CounselingInfant CarePrimary Health CareFemaleHealth Knowledge, Attitudes, PracticeHispanic or LatinoHumansInfantInfant, NewbornMalePediatric ObesityPovertyPregnancyPrenatal CarePrimary Preventionfeeding knowledgeHispanicpregnancy

Identifiers

PMID27113376
PMCPMC4925185

What OpenQuestion holds

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Read underepoch 390

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.