Evidence map›Paper›PMID 28008749›Full record

Trial reportObesity (Silver Spring, Md.)2017

INSIGHT responsive parenting intervention is associated with healthier patterns of dietary exposures in infants.

Emily E Hohman, Ian M Paul, Leann L Birch, Jennifer S Savage

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Obesity (Silver Spring, Md.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01167270 (The Intervention Nurses Start Infants Growing on Healthy Trajectories), which is not on this map. Cited by 39 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 8 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.

NCT01167270 nacompletednot on this map

The Intervention Nurses Start Infants Growing on Healthy Trajectories (INSIGHT) Study

TypeinterventionalSponsorIan M. Paul, MDRan2012 to 2023Enrolled316ConditionsInfant, ObesityArmsChild Safety Insights, Parenting Insights
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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  4. Interventions for preventing obesity in children.The Cochrane database of systematic reviews · 2019
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  17. Ecological momentary assessment of using food to soothe during infancy in the INSIGHT trial.The international journal of behavioral nutrition and physical activity · 2019
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  20. INSIGHT responsive parenting intervention and infant feeding practices: randomized clinical trial.The international journal of behavioral nutrition and physical activity · 2018
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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

4 authors.

Emily E HohmanCenter for Childhood Obesity Research, The Pennsylvania State University, University Park, Pennsylvania, USA.
Ian M PaulPediatrics and Public Health Sciences, Penn State College of Medicine, Hershey, Pennsylvania, USA.
Leann L BirchDepartment of Foods and Nutrition, University of Georgia, Athens, Georgia, USA.
Jennifer S SavageCenter for Childhood Obesity Research, The Pennsylvania State University, University Park, Pennsylvania, USA.

Funding

Penn State Clinical and Translational Science InstituteUL1TR002014 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KRASCHNEWSKI, JENNIFER L. · 2016 to 2025
$33.7M
Penn State Clinical and Translational Science InstituteUL1TR000127 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI SINOWAY, LAWRENCE I · 2012 to 2015
$17.1M
Pilot, Mentoring, and Professional Development CoreP50DA039838 · NIDA · PENNSYLVANIA STATE UNIVERSITY, THE · PI LI, RUNZE · 2015 to 2019
$13.9M
PREVENTION AND METHODOLOGY TRAINING (PAMT)T32DA017629 · NIDA · PENNSYLVANIA STATE UNIVERSITY-UNIV PARK · PI Eric D Claus, Rina D Eiden · 2005 to 2026
$9.5M
Preventing Obesity through Intervention during InfancyR01DK088244 · NIDDK · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI PAUL, IAN M, WILLIAMS, JENNIFER SAVAGE · 2011 to 2022
$7.0M
NCATS NIH HHS UL1 TR000127NCATS NIH HHS UL1 TR002014NIDA NIH HHS P50 DA039838NIDA NIH HHS T32 DA017629NIDDK NIH HHS R01 DK088244
6 · The paper itself

Abstract

objectiveTo determine whether a responsive parenting (RP) intervention affects infant dietary patterns.

methodsPrimiparous mother-newborn dyads (n = 291) were randomized to the Intervention Nurses Start Infants Growing on Healthy Trajectories (INSIGHT) RP intervention or control. Curricula were delivered at nurse home visits at ages 3, 16, 28, and 40 weeks. RP group feeding guidance advised responsive feeding, delayed introduction of solids, repeated exposure to novel foods, and age-appropriate portion sizes. Latent class analysis identified patterns of dietary exposure at 9 months. Class membership at 9 months was used to predict BMI percentile at 2 years.

resultsFive dietary patterns were identified: "Breastfed, Fruits and Vegetables," "Breastfed, Low Variety," "Formula, Fruits and Vegetables," "Formula, Low Variety," and "Formula, High Energy Density." Over 60% of infants had patterns low in fruits and vegetables or high in energy-dense foods. RP group infants were less likely than control to be in the "Formula, Low Variety" class (OR = 0.40, 95% CI 0.23-0.71) or "Formula, High Energy Density" class (OR = 0.28, 95% CI 0.12-0.61) relative to the "Formula, Fruits and Vegetables" class. Dietary pattern at 9 months was significantly associated with BMI percentile at 2 years.

conclusionsWhile a majority of infants consumed diets low in fruits and vegetables, the INSIGHT RP intervention was associated with healthier dietary patterns.

Indexed as

Diet, HealthyParentingAdultBody Mass IndexBreast FeedingFemaleFruitHumansInfantInfant FoodInfant, NewbornMaleSocioeconomic FactorsYoung Adult

Identifiers

PMID28008749
PMCPMC5189916

What OpenQuestion holds

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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.