None listed
Conditions
Brief summary
The Early Prevention of Obesity in Children (EPOCH) Collaboration was formed in 2009. The main objective of the EPOCH Collaboration is to determine using a prospective meta-analysis of four randomised trials if early interventions for childhood obesity impact on BMI z scores at age 18-24 months. Additional research questions will focus on whether the interventions have an impact on dietary quality of child, TV viewing time, duration of breastfeeding and parenting styles. The enlarged sample size of the combined dataset (approximately 1800) will allow greater reliability when exploring intervention effects, with respect to pre-specified participant- and intervention- level characteristics. It will also allow for examination of complex interactions that are likely to be of high clinical importance. Individual trial registration numbers are listed below: ACTRN 12607000168459- Healthy Beginnings ACTRN 126080000056392- Nourish ISRCTN 81847050- Infant Feeding Activity and Nutrition Trial (InFANT) NCT 00892983- Prevention of Overweight in Infancy (POI NZ)
Interventions
The PMA consists of four randomised controlled trials, which include some / all of the following parent focused interventions:
promotion of breastfeeding
promotion of responsive feeding
dietary and parenting advice regarding introduction of solid foods (the 'how' and 'what' of child feeding)
reducing television (TV) viewing in early childhood
promoting active playing
developing good sleeping habits
Duration of the interventions ranged from antenatally to 2 years of age
The intensity and frequen
The PMA consists of four randomised controlled trials, which include some / all of the following parent focused interventions: promotion of breastfeeding promotion of responsive feeding dietary and parenting advice regarding introduction of solid foods (the 'how' and 'what' of child feeding) reducing television (TV) viewing in early childhood promoting active playing developing good sleeping habits Duration of the interventions ranged from antenatally to 2 years of age The intensity and frequency of sessions varied between trials. The least intense intervention comprised six 2 hourly sessions at 3 monthly intervals. The most intense comprised a mix of home visits and group based sessions for sleep and healthy eating the maximum being 10 sessions over a period of 18 months. The sessions are delivered face to face by a range of different health care professionals.
Sponsors
University of Sydney
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Eligibility
Sex/Gender
All
Age
0 to 4 Months
Healthy volunteers
Yes
Inclusion criteria
for individual trials: first time mothers and their healthy infants mothers and infant recruited onto trial before infant is aged 4 months for PMA: parent focused intervention for preventing obesity investigators blinded to trials outcome when research plan agreed upon minimum follow up of 18 months each individual trial should be registered with appropriate trial registry
Exclusion criteria
outside Australia or New Zealand
Outcome results
None listed