Breaking News
December 15, 2018 - For the asking, a check is in the mail to help pay for costly drugs
December 15, 2018 - UA scientists uncover biological processes leading to rare brain disorder in babies
December 15, 2018 - The largest database on industrial poisons
December 15, 2018 - ESMO Immuno-Oncology Congress showcases novel technologies set to benefit many cancer patients
December 15, 2018 - Ovid Therapeutics Announces Plans to Move into a Phase 3 Trial in Pediatric Patients Based on End-of-Phase 2 Meeting for OV101 in Angelman Syndrome
December 15, 2018 - Left ventricular noncompaction – Genetics Home Reference
December 15, 2018 - Children’s sleep not significantly affected by screen time, new study finds
December 15, 2018 - When should dementia patients stop driving? A new guidance for clinicians
December 15, 2018 - Researchers use INTEGRA’s VIAFLO 96/384 to streamline the experimental workflow
December 15, 2018 - Researchers discover protein involved in nematode stress response
December 15, 2018 - Cancer patients have greater risk of developing shingles, study shows
December 14, 2018 - UAlberta scientists identify biomarkers for detecting Alzheimer’s disease in saliva samples
December 14, 2018 - Study uncovers link between tube travel and spread of flu-like illnesses
December 14, 2018 - Caffeine plus another compound in coffee may fight Parkinson’s disease
December 14, 2018 - GW researchers review studies on treatments for prurigo nodularis
December 14, 2018 - Lack of peds preventive care ups unplanned hospital admissions
December 14, 2018 - Miscarriage: When Language Deepens Pain
December 14, 2018 - New method helps better understand pathological development of ALS
December 14, 2018 - Intellectually active lifestyle confers protection against neurodegeneration in Huntington’s patients
December 14, 2018 - Mammalian collagen nanofibrils become stronger and tougher with exercise
December 14, 2018 - Considerable Morbidity, Mortality Due to Animal Encounters
December 14, 2018 - Researchers find inhibiting one protein destroys toxic clumps seen in Parkinson’s disease
December 14, 2018 - How early physical therapy can lessen the long-term need for opioids
December 14, 2018 - Depression, suicide rates highest in Mountain West states
December 14, 2018 - New model could cure the potential to underestimate how quickly diseases spread
December 14, 2018 - Exercise-induced hormone activates cells critical for bone remodeling in mice
December 14, 2018 - Researchers discover new mechanism behind spread of malignant pleural mesothelioma
December 14, 2018 - Health Tip: Celebrate a Healthier Holiday
December 14, 2018 - Scalpel-free surgery enhances quality of life for Parkinson’s patients, study finds
December 14, 2018 - Early physical therapy can reduce risk, amount of long-term opioid use | News Center
December 14, 2018 - Genetic marker, predictor of early relapse in common childhood cancer discovered
December 14, 2018 - Study could lead to a potential new way of treating sepsis
December 14, 2018 - New protein complex helps embryonic stem cells to maintain their indefinite potential
December 14, 2018 - Salk professor receives $1.8 million from NOMIS Foundation for research on mechanisms to promote health
December 14, 2018 - New discovery will improve the safety and predictability of CRISPR
December 14, 2018 - Geneticists discover how sex-linked disorders arise
December 14, 2018 - New method to visualize small-molecule interactions inside cells
December 14, 2018 - Study describes mechanism that makes people more vulnerable to hunger-causing stimuli
December 14, 2018 - Chronic opioid therapy associated with increased healthcare spending and hospital stays
December 14, 2018 - Blood Types
December 14, 2018 - Obesity linked to increased risk of early-onset colorectal cancer
December 14, 2018 - Blood test helps identify distinct molecular signatures in children with cystic fibrosis
December 14, 2018 - Scientists use water to track electrical activity of nerve cells
December 14, 2018 - Recurrence of urinary tract infection may depend on bacterial strain, study shows
December 14, 2018 - GBT Announces U.S. FDA Agrees with its Proposal Relating to Accelerated Approval Pathway for Voxelotor for the Treatment of Sickle Cell Disease and GBT Plans to Submit New Drug Application (NDA)
December 14, 2018 - Partial Thromboplastin Time (PTT) Test: MedlinePlus Lab Test Information
December 14, 2018 - Common tactics for health promotion at work may be detrimental to employees with obesity
December 14, 2018 - Myths about migration and health not supported by available evidence
December 14, 2018 - Recent findings on rare genetic disorder may help develop new treatment options
December 14, 2018 - New drug shows promise in treating sarcomas
December 14, 2018 - Scientists perform lung lavage as new approach for tuberculosis diagnosis in rhinoceros
December 14, 2018 - Answering the Biggest Neurological Research Questions of Today
December 14, 2018 - Recent winners of the Nobel Medicine Prize
December 14, 2018 - KHN’s ‘What the Health?’ Insurance enrollment is lagging — and there are lots of reasons why
December 14, 2018 - Study assesses safety and efficacy of new treatment for pancreatic cancer
December 14, 2018 - Weakened metabolism of immune T cells may account for serious complications in elderly
December 14, 2018 - Study finds drug targets for Ebola, Dengue, and Zika viruses
December 14, 2018 - Face masks may offer protection against staph bacteria for hog farm workers and their household members
December 14, 2018 - Shining new light on neuron firing
December 14, 2018 - Study highlights need for personalized approach to treat ICU acquired delirium
December 14, 2018 - Soot particles from road traffic significantly contribute to air pollution
December 14, 2018 - Massage helps relieve pain, improve mobility in patients with knee osteoarthritis
December 14, 2018 - Researchers explore home healthcare nurses’ knowledge attitudes toward infection control
December 14, 2018 - Average outpatient visit in the U.S. costs nearly $500, shows new study
December 14, 2018 - Reference Infliximab, Biosimilar Equivalent for Crohn’s Disease
December 14, 2018 - New contact lens to treat eye injuries
December 14, 2018 - Acne could have a genetic basis find researchers promising new cure
December 14, 2018 - Higher physical activity associated with improved mood
December 14, 2018 - New UGA study points to optimal hypertension treatment for stroke patients
December 14, 2018 - Study highlights factors that can reduce food cravings
December 14, 2018 - Researchers discover Ebola-fighting protein in human cells
December 14, 2018 - Fentanyl surpasses heroin in cause of U.S. drug overdose deaths
December 14, 2018 - When Heart Attack Strikes, Women Often Hesitate to Call for Help
December 14, 2018 - A warning about costume contacts
December 14, 2018 - Study examines link between peripheral artery disease and heart attack
December 14, 2018 - Researchers develop biotechnological tool to produce antifungal proteins in plants
December 14, 2018 - 3D-printed adaptive aids can benefit patients with arthritis
December 14, 2018 - Chronic bullying during adolescence impacts mental health
December 14, 2018 - Integral Molecular and Merus collaborate to develop bispecific antibody therapeutics
December 13, 2018 - Importance of cell cycle and cellular senescence in the placenta discovered
Responsive parenting intervention promotes healthy weight in young children

Responsive parenting intervention promotes healthy weight in young children

image_pdfDownload PDFimage_print

An intervention designed to promote healthy growth that taught first-time moms how to respond with age-appropriate responses to their babies’ needs resulted in children having lower body mass indexes (BMIs) when they were three years old.

The intervention, which began shortly after the babies’ birth, taught moms various strategies for taking care of their babies when they were drowsy, sleeping, fussy, eating and playing.

The researchers said having a healthy BMI early in life is an important factor in preventing obesity across their lifetime.

Dr. Ian Paul, professor of pediatrics at Penn State College of Medicine, said that with 23 percent of 2- to 5-year-olds in the U.S. already overweight or obese, the results suggest that the intervention is a way to promote healthy weight in young children.

“It gives us hope that interventions like this one can alter growth trajectories and help toddlers be healthier as they get older,” Paul said. “We’ll need to do future research to investigate whether the effects will be sustained, but to have significant effects through age three years is very promising.”

The researchers — who published their findings today (Aug. 7) in the Journal of the American Medical Association (JAMA) — said that because overweight children are more likely to become overweight adults, it’s critical to find ways to prevent obesity before it and its associated problems including heart disease, high blood pressure and type 2 diabetes, begin to develop.

“There’s evidence that a lot of our behaviors, including ones related to eating and sleeping, are ‘programmed’ at a very young age,” Paul said. “Some of our research is based on the idea that food should be used for hunger, not for other purposes such as to soothe or to reward a child. Babies that are soothed with food early on may be more likely to use food to soothe their distress later on in life. These behaviors are imprinted early. So our research intervention was designed to intervene early when these behaviors are being established and before overweight or obesity develops.”

Leann L. Birch, professor of foods and nutrition and director of the Obesity Initiative at University of Georgia who co-led the project with Paul, said that adequate nutrition is essential to infants’ healthy growth and development, and because parents are often concerned about making sure the child is getting enough to eat, feeding may be the first response to infant crying.

“Babies cry for many reasons, though, including being be too cold or too hot, tired, bored or gassy,” Birch said. “The responsive parenting intervention includes helping parents choose and use appropriate infant soothing strategies, including feeding, swaddling, a pacifier or white noise, contingent on the infant’s needs.”

The researchers recruited 279 first-time mothers and their infants for the study, with 140 mothers participating in the intervention and 139 mothers receiving education about home safety instead, as a control.

Mothers in the intervention received four nurses’ home visits during their baby’s first year. Strategies included ways to soothe non-hungry, yet fussy infants without feeding them; avoiding using food as a reward, and not forcing the children to eat when they show signs of fullness; how to improve early-life sleep through good bedtime routines and responses to night wakings; and how to create healthy diets by repeatedly exposing infants to vegetables and fruits even when the infant initially rejects them.

The researchers found that when the children were three years old, the toddlers in the intervention group had lower BMIs on average than those in the control group. Among the children in the intervention group, 11.2 percent were overweight and 2.6 were obese versus 19.8 percent overweight and 7.8 percent obese in the control group.

“We were able to demonstrate the most sustained effects of an early-life obesity prevention intervention to date,” Paul said. “Our results show that our intervention — which showed benefits very early, shortly after the intervention began — persisted as the children aged through age three years, and that the longitudinal change over time shows we made a difference on their growth trajectories over the three years.”

Paul said that because the intervention gave parents a wide variety of strategies for taking care of their children in various states across the day, individual families probably benefited from different parts of the program.

“Taking care of young children isn’t one size fits all, and from my perspective as a pediatrician, there may be different parts of the program that work for different people,” Paul said. “There may have been some children in the program who may have otherwise been bad sleepers, or some parents who would have used the old school ‘clean your plate’ philosophy before we taught them not to do that. I think different parts will be important for different families.”

Birch said that although the findings from the current clinical trial are promising, additional research is needed to replicate these findings among more diverse samples, especially those at higher risk for obesity.

Source:

https://news.psu.edu/story/529466/2018/08/07/research/responsive-parenting-intervention-results-lower-bmis-through-age

Tagged with:

About author

Related Articles