The Infant Feeding Activity and Nutrition Trial (INFANT) an early intervention to prevent childhood obesity: cluster-randomised controlled trial

Campbell, Karen; Hesketh, Kylie; Crawford, David; Salmon, Jo; Ball, Kylie; McCallum, Zoë
January 2008
BMC Public Health;2008, Vol. 8 Issue 1, p103
Academic Journal
Background: Multiple factors combine to support a compelling case for interventions that target the development of obesity-promoting behaviours (poor diet, low physical activity and high sedentary behaviour) from their inception. These factors include the rapidly increasing prevalence of fatness throughout childhood, the instigation of obesity-promoting behaviours in infancy, and the tracking of these behaviours from childhood through to adolescence and adulthood. The Infant Feeding Activity and Nutrition Trial (INFANT) aims to determine the effectiveness of an early childhood obesity prevention intervention delivered to first-time parents. The intervention, conducted with parents over the infant's first 18 months of life, will use existing social networks (first-time parent's groups) and an anticipatory guidance framework focusing on parenting skills which support the development of positive diet and physical activity behaviours, and reduced sedentary behaviours in infancy. Methods/Design: This cluster-randomised controlled trial, with first-time parent groups as the unit of randomisation, will be conducted with a sample of 600 first-time parents and their newborn children who attend the first-time parents' group at Maternal and Child Health Centres. Using a two-stage sampling process, local government areas in Victoria, Australia will be randomly selected at the first stage. At the second stage, a proportional sample of first-time parent groups within selected local government areas will be randomly selected and invited to participate. Informed consent will be obtained and groups will then be randomly allocated to the intervention or control group. Discussion: The early years hold promise as a time in which obesity prevention may be most effective. To our knowledge this will be the first randomised trial internationally to demonstrate whether an early health promotion program delivered to first-time parents in their existing social groups promotes healthy eating, physical activity and reduced sedentary behaviours. If proven to be effective, INFANT may protect children from the development of obesity and its associated social and economic costs. Trial registration: Current Controlled Trials ISRCTN81847050


Related Articles

  • Development of a questionnaire to assess maternal attitudes towards infant growth and milk feeding practices. Lakshman, Rajalakshmi R.; Landsbaugh, Jill R.; Schiff, Annie; Hardeman, Wendy; Ong, Ken K.; Griffin, Simon J. // International Journal of Behavioral Nutrition & Physical Activit;2011, Vol. 8, p35 

    Background: There is increasing recognition that public health strategies to prevent childhood obesity need to start early in life. Any behavioural interventions need to target maternal attitudes and infant feeding practices, This paper describes the development and preliminary validation of a...

  • ANÁLISE DA PREVALÊNCIA DE SOBREPESO E OBESIDADE E DO NÍVEL DE ATIVIDADE FÍSICA EM CRIANÇAS E ADOLESCENTES DE UMA CIDADE DO SUDOESTE DE SÃO PAULO. Castilho Cabrera, Thays Fernanda; Leite Correia, Ingrid Fernandes; Oliveira dos Santos, Daiane; Lopes Pacagnelli, Francis; Artero Prado, Maria Tereza; Dias da Silva, Talita; deira de Mello Monteiro, Carlos Ban; Gonçalves Luiz Fernani, Deborah Cristina // Revista Brasileira de Crescimento e Desenvolvimento Humano;2014, Vol. 24 Issue 1, p1 

    This study aimed to verify the prevalence of overweight, obesity and physical activity level according to the sex of children and adolescents from public schools city of Nantes, São Paulo, Brazil. The sample consisted of 170 children and 232 adolescents with a mean age of 8.04±1.31 and...

  • Alternative Advice to "Clean Your Plate" Feeg, Veronica D. // Pediatric Nursing;Mar/Apr2004, Vol. 30 Issue 2, p92 

    The article focuses on childhood obesity in the United States. Since 1980, rates of childhood obesity have tripled in the United States with recent data From the Centers for Disease Control and Prevention showing 15 percent of 6-19 year olds overweight. In the new report prepared by Duke...

  • The Association of Birth Weight and Infant Growth with Energy Balance-Related Behavior – A Systematic Review and Best-Evidence Synthesis of Human Studies. van Deutekom, Arend W.; Chinapaw, Mai J. M.; Jansma, Elise P.; Vrijkotte, Tanja G. M.; Gemke, Reinoud J. B. J. // PLoS ONE;1/12/2017, Vol. 12 Issue 1, p1 

    Background: Suboptimal prenatal and early postnatal growths are associated with obesity in later life, but the underlying mechanisms are unknown. The aim of this study was to systematically review the literature that reports on the longitudinal association of (i) birth size or (ii) infant...

  • The Association of Physical Activity and Physical Fitness With Pre-Adolescent Obesity: An Observational Study in Metromanila, Philippines. Gonzalez-Suarez, Consuelo Belmonte; Grimmer-Somers, Karen // Journal of Physical Activity & Health;Aug2011, Vol. 8 Issue 6, p804 

    Background: Childhood obesity has been inconsistently associated with decreased levels of physical activity and fitness. Moreover, little is known about this relationship among Filipino preteens. Methods: This cross sectional study reports the association between childhood obesity, measures of...

  • Effects of Exercise on Mobility in Obese and Nonobese Older Adults. Manini, Todd M.; Newman, Anne B.; Fielding, Roger; Blair, Steven N.; Perri, Michael G.; Anton, Stephen D.; Goodpaster, Bret C.; Katula, Jeff A.; Rejeski, Walter J.; Kritchevsky, Stephen B.; Fang-Chi Hsu; Pahor, Marco // Obesity (19307381);Jun2010, Vol. 18 Issue 6, p1168 

    Coupled with an aging society, the rising obesity prevalence is likely to increase the future burden of physical disability. We set out to determine whether obesity modified the effects of a physical activity (PA) intervention designed to prevent mobility disability in older adults. Older adults...

  • High and low activity rats: Elevated intrinsic physical activity drives resistance to diet-induced obesity in non-bred rats. Perez-Leighton, Claudio E.; Boland, Kelsey; Billington, Charles J.; Kotz, Catherine M. // Obesity (19307381);Mar2013 Supplement, Vol. 21, p353 

    Objective:Humans and rodents show large variability in their individual sensitivity to diet-induced obesity (DIO), which has been associated with differences in intrinsic spontaneous physical activity (SPA). Evidence from genetic and out-bred rat obesity models shows that higher activity of the...

  • Ontario announces Healthy Kids Panel.  // Active Living;May2012, Vol. 21 Issue 3, p3 

    The article offers updates related to the Healthy Kids Panel and the "Healthy Eating, Active Living and Healthy Weights 2012" report in Ontario. It notes that the Healthy Kids Panel brings together a group of experts to address the challenges in childhood obesity reduction. It mentions that the...

  • Promoting a healthy diet and physical activity in adults with intellectual disabilities living in community residences: Design and evaluation of a cluster-randomized intervention. Elinder, Liselotte Schäfer; Bergström, Helena; Hagberg, Jan; Wihlman, Ulla; Hagströmer, Maria // BMC Public Health;2010, Vol. 10 Issue 1, p761 

    Background: Many adults with intellectual disabilities have poor dietary habits, low physical activity and weight disturbances. This study protocol describes the design and evaluation of a health intervention aiming to improve diet and physical activity in this target group. In Sweden, adults...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics