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Journal of Obesity
Volume 2015, Article ID 795859, 7 pages
Research Article

Early Obesity Prevention: A Randomized Trial of a Practice-Based Intervention in 0–24-Month Infants

1Center for Human Nutrition, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
2University of Maryland, School of Social Work, Ruth H. Young Center for Families and Children, Baltimore, MD 21201, USA
3Johns Hopkins Community Physicians, Johns Hopkins Medicine, Baltimore, MD 21211, USA
4Aboriginal and Global Health Research Group, Department of Medicine, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada

Received 16 November 2014; Revised 21 April 2015; Accepted 22 April 2015

Academic Editor: Aron Weller

Copyright © 2015 Natalia Schroeder et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. A pediatric office-based intervention was implemented following a randomized, controlled design, aimed at improving child feeding practices and growth patterns and ultimately reducing risk for overweight and obesity later in life. Methods. Four clinics (232 infants) were randomized to control or intervention (I), the latter delivered by health care provider at each of 7–9 well-baby visits over 2 years, using a previously developed program (Growing Leaps and Bounds) that included verbal, visual, and text advice and information for parents. Results. The I group offered significantly less soda , sweetened tea , punch and/or cow’s milk to infants and delayed the introduction of drink/food other than breast milk . Parents in the I group had a higher perceived parental monitoring and restriction on infant feeding. While the I group exhibited at baseline more adverse socioeconomic indicators than the control group, growth trajectory or body size indices did not significantly differ between groups. Conclusions. Education provided by health care providers in addition to follow-up monthly phone calls may help modify parental behaviors related to child feeding and increase parental sense of responsibility toward child eating behaviors.