Evidence map›Paper›PMID 29277462›Full record

Trial reportAcademic pediatrics2018

Randomized Controlled Trial to Prevent Infant Overweight in a High-Risk Population.

Elizabeth Reifsnider, David P McCormick, Karen W Cullen, Michael Todd, Michael W Moramarco, Martina R Gallagher, Lucia Reyna

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Academic pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
1.1field-weighted citation impact, top 22% 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

23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
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  10. A Scoping Review of Instruments Used to Measure Weight and Body Composition in Infants Under 1 Year.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
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  15. African American mothers' perceptions of infant body size are prospectively associated with infant growth and BMI.American journal of human biology : the official journal of the Human Biology Council · 2023
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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

7 authors at 4 institutions in 1 country.

Elizabeth ReifsniderCollege of Nursing and Health Innovation, Arizona State University, Phoenix, Ariz.
David P McCormickDivision of General Academic Pediatrics, Department of Pediatrics, Primary Care Pavilion, University of Texas Medical Branch at Galveston, Galveston, Tex. Electronic address: david.mccormick@utmb.edu.
Karen W CullenUSDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, Houston, Tex.
Michael ToddCollege of Nursing and Health Innovation, Arizona State University, Phoenix, Ariz.
Michael W MoramarcoCollege of Nursing and Health Innovation, Arizona State University, Phoenix, Ariz.
Martina R GallagherDepartment of Nursing Systems, University of Texas School of Nursing, Houston, Tex.
Lucia ReynaCollege of Nursing and Health Innovation, Arizona State University, Phoenix, Ariz.
Arizona State University · USChildren's Nutrition Research Center at Baylor College of Medicine · USThe University of Texas at Austin · USThe University of Texas Medical Branch at Galveston · US

Funding

Preventing Childhood Obesity through Early Feeding and Parenting GuidanceR01DK096488 · NIDDK · ARIZONA STATE UNIVERSITY-TEMPE CAMPUS · PI REIFSNIDER, ELIZABETH A. · 2012 to 2016
$2.3M
NIDDK NIH HHS R01 DK096488
6 · The paper itself

Abstract

objectivesInfants are at risk of overweight. Infant overweight predisposes child, adolescent, and adult to obesity. We hypothesized that parent education, initiated prenatally and provided in the home, would reduce the incidence of infant overweight at age 12 months.

methodsPregnant obese Latina women were recruited at Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and randomized to intervention versus control. Intervention subjects received home visits by trained Spanish-fluent community health workers who provided counseling on infant growth, breastfeeding, nutrition, child development, sleep, physical activity, and safety. Promotoras did not visit the control subjects. A research assistant collected outcome data on all subjects.

resultsCompared to controls, parent education did not reduce infant overweight. Infant overweight developed rapidly and was present in 46% of infants by age 6 months. Infants overweight at 6 months were likely to be overweight at age 12 months (r = 0.60, P < .0001). Overweight was more common in formula-fed infants at ages 6 months (P < .06) and 12 months (P = .005). Breastfeeding was less common in families with employed mothers (P = .02) and unemployed fathers (P < .01), but the father living with the mother at the time of the prenatal visit predicted successful breastfeeding at infant age 2 months (P < .003). Compared to formula feeding, overweight at age 12 months was 2.7 times less likely for infants breastfed for ≥2 months (P = .01).

conclusionsThe lack of success of the intervention may be explained in part by a high cesarean section rate in the intervention group, food and employment insecurity, and confounding by WIC breastfeeding promotion, which was available to all mothers. Breastfeeding was the most important mediator of infant overweight. The study supports efforts by WIC to vigorously promote breastfeeding.

Indexed as

Community Health WorkersHouse CallsBottle FeedingBreast FeedingCounselingEmploymentFamily CharacteristicsFemaleFood AssistanceFood SupplyHispanic or LatinoHumansInfantInfant FormulaInfant, NewbornMalechildinfantinterventionobesityprevention

Identifiers

PMID29277462
PMCPMC5889724
OpenAlexW2778947605

What OpenQuestion holds

Textmetadata
LicenceTDM
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.