Evidence map›Paper›PMID 28976781›Full record

Trial reportChildhood obesity (Print)2018

Pacifier Use and Early Life Weight Outcomes in the Intervention Nurses Start Infants Growing on Healthy Trajectories Study.

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

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Childhood obesity (Print), 2018. 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 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 31% 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.

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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Interventions for preventing obesity in children.The Cochrane database of systematic reviews · 2019
    Pooled it
  2. The who, when, and why of pacifier use.Pediatric research · 2025
    Article
  3. Article
  4. Article
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

5 authors at 3 institutions in 1 country.

Emily E Hohman1 Center for Childhood Obesity Research, Penn State University, University Park , PA.
Jennifer S Savage1 Center for Childhood Obesity Research, Penn State University, University Park , PA.
Leann L Birch3 Department of Foods and Nutrition, University of Georgia , Athens, GA.
Jessica S Beiler4 Pediatrics and Public Health Sciences, Penn State College of Medicine , Hershey, PA.
Ian M Paul4 Pediatrics and Public Health Sciences, Penn State College of Medicine , Hershey, PA.
Penn State Milton S. Hershey Medical Center · USPennsylvania State University · USUniversity of Georgia · US

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
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
6 · The paper itself

Abstract

backgroundAlthough widely used by infants, little is known about the long-term effects of pacifiers. We investigated relationships between pacifier use in infancy and appetite, temperament, feeding, and weight outcomes through age 2 years using data from the Intervention Nurses Start Infants Growing on Healthy Trajectories study.

methodsMother-newborn dyads were randomized to a responsive parenting intervention for obesity prevention or a control group. Infants with data on pacifier use (n = 250) were categorized as using a pacifier beyond early infancy (≥4 months of age) or not. Anthropometrics were measured at 6 months, 1, and 2 years with overweight defined as weight-for-length ≥95th percentile at 1 year and BMI ≥85th percentile at 2 years. Mothers completed questionnaires on temperament, appetite, and feeding.

resultsInfants who used a pacifier at 4 months or later (68%) had greater conditional weight gain from birth to 6 months (p = 0.01), weight-for-length z-score at 1 year (p < 0.001), and BMI z-score at 2 years (p < 0.001) than infants who did not. Infants using a pacifier at ≥4 months were more likely to be overweight at ages 1 year (11.7% vs. 1.3%, p = 0.03) and 2 years (20.1% vs. 7.9%, p = 0.03). Pacifier use was associated with shorter breastfeeding duration and less responsive parent feeding styles, but these variables did not mediate the relationship between pacifiers and weight. Parent-reported temperament and appetite were unrelated to pacifier use.

conclusionsPacifier use beyond early infancy is associated with accelerated infant growth and toddler overweight, although the reasons for this relationship are unclear.

Indexed as

Body WeightAppetiteBody HeightBody Mass IndexBreast FeedingChild, PreschoolFeeding BehaviorFemaleHumansInfantInfant, NewbornMaleMothersPacifiersPediatric ObesityTemperamentchild obesityinfantpacifierparentingweight

Identifiers

PMID28976781
PMCPMC5743033
OpenAlexW2762470624

What OpenQuestion holds

Textmetadata
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.