Childhood Obesity
Conditions
Keywords
obesity, overweight, childhood obesity, prevention, Z score, weight for length, WFL, body mass index, BMI, prenatal, maternal, nutrition education, health education, health literacy, health numeracy, passport, healthy lifestyles, growth, growth chart
Brief summary
The purpose of this study is to evaluate the effectiveness of the Healthy Lifestyles Passport Program (HLPP) in preventing infant and childhood obesity. It is hypothesized that the participants in the intervention arm will exhibit less excessive weight-for-length gain from 4- to 6-months of age. In 2-years and 5-years, it is predicted that the participants in the intervention arm will yield lower Body Mass Index (BMI) z-scores than the participants in the control arm, who receive usual care.
Interventions
OTHERHealthy Lifestyles Passport
The participants will be provided with the Healthy Lifestyles Passport, and with each corresponding page, there will be an activity. Each participant in the Healthy Lifestyles Passport arm will receive the same education.
Sponsors
UnitedHealthcare Foundation
Bronx-Lebanon Hospital Center Health Care System
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
No
Inclusion criteria
* pregnant women during the third trimester (\>28 weeks gestation) receiving care in the institution's Women's Health Center * no medical conditions complicating their pregnancy * must be able to communicate in English or Spanish * be reachable by phone * plan to be the consistent caretaker of the child at least 75% of the time * plan to attend the institution's pediatric outpatient clinic for the child's routine healthcare
Exclusion criteria
* Child with any disabling or chronic illnesses * Any existing and/or pre-existing disabling or chronic illnesses that would qualify the mother as high risk * Wards of the state * Mothers with a disabling/serious chronic illness * Drug/alcohol use during pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in child's gender-specific weight-for-length (WFL) z-score | 4-months to 6-months of the child's age | The child's weight and length will be extracted from the medical record at the child's 4-month and 6-month old office visit and the weight-for-length z-scores will be calculated. The difference between each arm's z-score will be compared. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Child's Body Mass Index (BMI) | At 2-years and 5-years of the child's age. | At 2-years and 5-years of age, the child's height and weight will be extracted from the medical record and BMI will be calculated. Each arm's BMI z-score will then be compared. |
| Mother's Knowledge, Skill, Attitude and Behavior. | Baseline, day after the intervention and two months after the baby is born. | At baseline, all participants will answer a battery of questionnaires, including a pre-test and the Newest Vital Sign assessment tool. The day after the intervention, a post-test will be administered over the phone to the participants in both arms. Two months after the baby is born the same post-test and the Newest Vital Sign assessment tool will be administered in person. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Change in child's gender-specific weight-for-length (WFL) z-score | 0-months to 2-months of the child's age | The child's weight and length will be extracted from the medical record at the child's 0-month and 2-month old office visit and the weight-for-length z-scores will be calculated. The difference between each arm's z-score will be compared. |
Countries
United States
Contacts
Primary ContactTara N Scheiner, MS, RD
Outcome results
None listed