Parenting and Family Support Centre, School of Psychology, The University of Queensland, St Lucia, Australia.
J Pediatr Psychol. 2024 Oct 1;49(10):710-720. doi: 10.1093/jpepsy/jsae063.
Test the efficacy of a brief 2-hr parenting intervention in increasing protective factors against and reducing risk factors for infant obesity.
A 2 (Baby Healthy Living Triple P vs. care-as-usual) × 3 (baseline, postintervention, 6-month follow-up) design was used. Eighty-two parents of 4- to 18-month-old infants meeting at least two risk factors for early childhood obesity (e.g., parent/child overweight, low education level) were randomized to intervention (n = 42) or control group (n = 40). Parents questionnaires and child weight status was measured.
Results showed an intervention effect on a primary outcome, early feeding practices (restrictive: d = 0.44, 95% CI [-0.01,0.88], pressuring: d = 0.11, 95% CI [-0.32,0.54], nonresponsive behaviors: (d = 0.32, 95% CI [-0.11,0.75]), and on a secondary outcome, feeding beliefs (d = 0.29, 95% CI [-0.14,0.73]). No beneficial impact was found on other primary outcomes (responsiveness in feeding: quantity d = 0.50, 95% CI [-0.03,1.03]) and nutritive d = 0.52, 95% CI [-0.03,1.07], mealtime environment: d = 0.35, 95% CI [-0.78,0.08], self-efficacy in responsive feeding: d = 0.21, 95% CI [-0.22,0.64]), or secondary outcomes (parental self-efficacy: d = 0.08, 95% CI [-0.50,0.35]), parent emotional eating (d = 0.01, 95% CI [-0.43,0.43]), food restraint (d = 0.42, 95% CI [-0.85,0.02]), and body satisfaction (d = 0.01, 95% CI [-0.43,0.43]) and child weight status (d = 0.11, 95% CI [-0.54,0.32]).
Promising though limited support was demonstrated for a brief, low-intensity program to help parents in the prevention of obesity for infants at risk.
测试一个简短的 2 小时育儿干预方案在增加预防婴儿肥胖的保护因素和减少风险因素方面的效果。
采用 2（婴儿健康生活三重 P 与常规护理）×3（基线、干预后、6 个月随访）设计。将 82 名 4-18 个月大的婴儿的父母随机分为干预组（n=42）或对照组（n=40），这些婴儿至少存在两个与儿童早期肥胖相关的风险因素（例如，父母/孩子超重、教育水平低）。父母填写调查问卷，测量孩子的体重。
结果显示，在主要结局指标（早期喂养行为：限制：d=0.44，95%置信区间[-0.01,0.88]；施压：d=0.11，95%置信区间[-0.32,0.54]；非响应行为：d=0.32，95%置信区间[-0.11,0.75]）和次要结局指标（喂养信念：d=0.29，95%置信区间[-0.14,0.73]）方面，干预具有效果。但在其他主要结局指标（喂养反应性：数量 d=0.50，95%置信区间[-0.03,1.03]；营养 d=0.52，95%置信区间[-0.03,1.07]）和次要结局指标（用餐环境：d=0.35，95%置信区间[-0.78,0.08]；有针对性喂养的自我效能感：d=0.21，95%置信区间[-0.22,0.64]）或次要结局指标（父母自我效能感：d=0.08，95%置信区间[-0.50,0.35]）、父母情绪性进食（d=0.01，95%置信区间[-0.43,0.43]）、食物抑制（d=0.42，95%置信区间[-0.85,0.02]）和身体满意度（d=0.01，95%置信区间[-0.43,0.43]）和儿童体重状况（d=0.11，95%置信区间[-0.54,0.32]）方面，未发现有益影响。
尽管有一定的支持，但证据仍然有限，提示一个简短的、低强度的方案有助于有风险的婴儿的父母预防肥胖。
