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Evaluation of an eHealth intervention aiming to promote healthy food habits from infancy -the Norwegian randomized controlled trial Early Food for Future Health.

Abstract

BACKGROUND

Strategies to optimize early-life nutrition provide an important opportunity for primary prevention of childhood obesity. Interventions that can be efficiently scaled-up to the magnitude needed for sustainable childhood obesity prevention are needed. The objective of this study was to evaluate the effects of an eHealth intervention on parental feeding practices and infant eating behaviors.

METHODS

The Norwegian study Early Food for Future Health is a randomized controlled trial. Parents were recruited via social media and child health clinics during spring 2016 when their child was aged 3 to 5 months. In total 718 parents completed a web-based baseline questionnaire at child age 5.5 months. The intervention group had access to a webpage with monthly short video clips addressing specific infant feeding topics and age-appropriate baby food recipes from child age 6 to 12 months. The control group received routine care. The primary outcomes were child eating behaviors, dietary intake, mealtime routines and maternal feeding practices and feeding styles. The secondary outcomes were child anthropometry. This paper reports outcomes at child age 12 months.

RESULTS

More than 80% of the intervention group reported viewing all/most of the video clips addressing infant feeding topics and indicated that the films were well adapted to the child's age and easy to understand. Children in the intervention group were served vegetables/fruits more frequently (p = 0.035) and had tasted a wider variety of vegetables (p = 0.015) compared to controls. They were also more likely to eat family breakfast (p = 0.035) and dinner (p = 0.011) and less likely to be playing or watching TV/tablet during meals (p = 0.009) compared to control-group children. We found no group differences for child anthropometry or maternal feeding practices.

CONCLUSIONS

Our findings suggest that the eHealth intervention is an appropriate and feasible tool to propagate information on healthy infant feeding to Norwegian mothers. Our study also suggests that anticipatory guidance on early protective feeding practices by such a tool may increase young children's daily vegetable/fruit intake and promote beneficial mealtime routines.

TRIAL REGISTRATION

ISRCTN, ISRCTN13601567. Registered 29 February 2016, http://www.isrctn.com/ISRCTN13601567.

Authors+Show Affiliations

Department of Public Health, Sport and Nutrition, Faculty of Health and Sport Sciences, University of Agder, PO Box 422, 4604, Kristiansand, Norway. christine.helle@uia.no.Department of Public Health, Sport and Nutrition, Faculty of Health and Sport Sciences, University of Agder, PO Box 422, 4604, Kristiansand, Norway.Department of Public Health, Sport and Nutrition, Faculty of Health and Sport Sciences, University of Agder, PO Box 422, 4604, Kristiansand, Norway. Faculty of Health Sciences, University of Bristol, Bristol, BS8 1TH, UK.Department of Public Health, Sport and Nutrition, Faculty of Health and Sport Sciences, University of Agder, PO Box 422, 4604, Kristiansand, Norway.

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

30606197

Citation

Helle, Christine, et al. "Evaluation of an eHealth Intervention Aiming to Promote Healthy Food Habits From Infancy -the Norwegian Randomized Controlled Trial Early Food for Future Health." The International Journal of Behavioral Nutrition and Physical Activity, vol. 16, no. 1, 2019, p. 1.
Helle C, Hillesund ER, Wills AK, et al. Evaluation of an eHealth intervention aiming to promote healthy food habits from infancy -the Norwegian randomized controlled trial Early Food for Future Health. Int J Behav Nutr Phys Act. 2019;16(1):1.
Helle, C., Hillesund, E. R., Wills, A. K., & Øverby, N. C. (2019). Evaluation of an eHealth intervention aiming to promote healthy food habits from infancy -the Norwegian randomized controlled trial Early Food for Future Health. The International Journal of Behavioral Nutrition and Physical Activity, 16(1), p. 1. doi:10.1186/s12966-018-0763-4.
Helle C, et al. Evaluation of an eHealth Intervention Aiming to Promote Healthy Food Habits From Infancy -the Norwegian Randomized Controlled Trial Early Food for Future Health. Int J Behav Nutr Phys Act. 2019 01 3;16(1):1. PubMed PMID: 30606197.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluation of an eHealth intervention aiming to promote healthy food habits from infancy -the Norwegian randomized controlled trial Early Food for Future Health. AU - Helle,Christine, AU - Hillesund,Elisabet R, AU - Wills,Andrew K, AU - Øverby,Nina C, Y1 - 2019/01/03/ PY - 2018/07/20/received PY - 2018/12/12/accepted PY - 2019/1/5/entrez PY - 2019/1/5/pubmed PY - 2019/1/5/medline KW - Child eating behavior KW - Childhood obesity KW - Infant nutrition KW - Maternal feeding practices KW - Public health KW - eHealth SP - 1 EP - 1 JF - The international journal of behavioral nutrition and physical activity JO - Int J Behav Nutr Phys Act VL - 16 IS - 1 N2 - BACKGROUND: Strategies to optimize early-life nutrition provide an important opportunity for primary prevention of childhood obesity. Interventions that can be efficiently scaled-up to the magnitude needed for sustainable childhood obesity prevention are needed. The objective of this study was to evaluate the effects of an eHealth intervention on parental feeding practices and infant eating behaviors. METHODS: The Norwegian study Early Food for Future Health is a randomized controlled trial. Parents were recruited via social media and child health clinics during spring 2016 when their child was aged 3 to 5 months. In total 718 parents completed a web-based baseline questionnaire at child age 5.5 months. The intervention group had access to a webpage with monthly short video clips addressing specific infant feeding topics and age-appropriate baby food recipes from child age 6 to 12 months. The control group received routine care. The primary outcomes were child eating behaviors, dietary intake, mealtime routines and maternal feeding practices and feeding styles. The secondary outcomes were child anthropometry. This paper reports outcomes at child age 12 months. RESULTS: More than 80% of the intervention group reported viewing all/most of the video clips addressing infant feeding topics and indicated that the films were well adapted to the child's age and easy to understand. Children in the intervention group were served vegetables/fruits more frequently (p = 0.035) and had tasted a wider variety of vegetables (p = 0.015) compared to controls. They were also more likely to eat family breakfast (p = 0.035) and dinner (p = 0.011) and less likely to be playing or watching TV/tablet during meals (p = 0.009) compared to control-group children. We found no group differences for child anthropometry or maternal feeding practices. CONCLUSIONS: Our findings suggest that the eHealth intervention is an appropriate and feasible tool to propagate information on healthy infant feeding to Norwegian mothers. Our study also suggests that anticipatory guidance on early protective feeding practices by such a tool may increase young children's daily vegetable/fruit intake and promote beneficial mealtime routines. TRIAL REGISTRATION: ISRCTN, ISRCTN13601567. Registered 29 February 2016, http://www.isrctn.com/ISRCTN13601567. SN - 1479-5868 UR - https://www.unboundmedicine.com/medline/citation/30606197/Evaluation_of_an_eHealth_intervention_aiming_to_promote_healthy_food_habits_from_infancy__the_Norwegian_randomized_controlled_trial_Early_Food_for_Future_Health_ L2 - https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-018-0763-4 DB - PRIME DP - Unbound Medicine ER -