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Effectiveness of a social support intervention on infant feeding practices : randomised controlled trial

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Watt, R. G., Tull, K. I., Hardy, R., Wiggins, M., Kelly, Yvonne, Molloy, B, and Dowler, Elizabeth, 1951-. (2009) Effectiveness of a social support intervention on infant feeding practices : randomised controlled trial. Journal of Epidemiology & Community Health, Vol.63 (No.2). pp. 156-162. ISSN 0143-005X

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Official URL: http://dx.doi.org/10.1136/jech.2008.077115

Abstract

Background: To assess whether monthly home visits from trained volunteers could improve infant feeding practices at age 12 months, a randomised controlled trial was carried out in two disadvantaged inner city London boroughs. Methods: Women attending baby clinics with their infants (312) were randomised to receive monthly home visits from trained volunteers over a 9-month period (intervention group) or standard professional care only (control group). The primary outcome was vitamin C intakes from fruit. Secondary outcomes included selected macro and micro-nutrients, infant feeding habits, supine length and weight. Data were collected at baseline when infants were aged approximately 10 weeks, and subsequently when the child was 12 and 18 months old. Results: Two-hundred and twelve women (68%) completed the trial. At both follow-up points no significant differences were found between the groups for vitamin C intakes from fruit or other nutrients. At first follow-up, however, infants in the intervention group were significantly less likely to be given goats’ or soya milks, and were more likely to have three solid meals per day. At the second follow-up, intervention group children were significantly less likely to be still using a bottle. At both follow-up points, intervention group children also consumed significantly more specific fruit and vegetables. Conclusions: Home visits from trained volunteers had no significant effect on nutrient intakes but did promote some other recommended infant feeding practices.

Item Type: Journal Article
Subjects: R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Divisions: Faculty of Social Sciences > Sociology
Library of Congress Subject Headings (LCSH): Infant health services -- Research, Home health aids, Infants -- Nutrition
Journal or Publication Title: Journal of Epidemiology & Community Health
Publisher: BMJ Group
ISSN: 0143-005X
Date: 2009
Volume: Vol.63
Number: No.2
Page Range: pp. 156-162
Identification Number: 10.1136/jech.2008.077115
Status: Peer Reviewed
Access rights to Published version: Open Access
Funder: Great Britain. Food Standards Agency (FSA)
Grant number: N09016 (FSA)
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Report of the diet and nutrition survey. London: HMSO, 1995. 24. Kirkwood BR, Sterne JA. Essential Medical Statistics (second edition). Oxford: Blackwell Publishing, 2003. 25. Nelson M, Dick K, Holmes B, et al. Low Income Diet Methods Study. London: Food Standards Agency, 2002. 26. Nelson M, Erens B, Bates B, et al. Low Income Diet and Nutrition Survey. Volume 1. Background, methods and sample characteristics. London: TSO, 2007. 27. Department of Health. Five a day pilot initiatives. Executive summary of pilot evaluation. London: Department of Health, 2002. 28. Del Tredici A, Joy A, Omelich C, et al. Evaluation study of the California Expanded Food & Nutrition Program. J Am Diet Assoc 1989;89:1656. 29. Buller DB, Morrill C, Taren D, et al. Randomized trial testing the effect of peer education at increasing fruit and vegetable intake. J Nat Cancer Inst 1999;91:1491– 1500. 30. Gerrish C, Mennella J. Flavor variety enhances food acceptance in formula fed infants. Am J Clin Nutr 2001;73:1080–5. 31. Birch L, McPhee L, Shoba B. What kind of exposure reduces children’s food neophobia? Looking vs. tasting. Appetite 1987;9:171–8. 32. Savage SAH, Reilly JJ, Durnin JVGA, et al. Weaning practice in the Glasgow Longitudinal Infant Growth Survey. Arch Dis Child 1998;79:153–156. 33. Anderson AS, Guthrie CA, Alder EA, et al. Rattling the plate – reasons and rationales for early weaning. Health Educ Res 2001;16:471–479. 34. Watt RG, Dowler E, Hardy R, et al. Promoting recommended infant feeding practices in a low-income sample – randomised controlled trial of a peer support intervention. London: Food Standards Agency, 2006.
URI: http://wrap.warwick.ac.uk/id/eprint/483

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