Long-term effectiveness of maternal dietary counseling in a low-income population: a randomized field trial

Pediatrics
Maria Laura da Costa LouzadaMarcia Regina Vitolo

Abstract

To assess the impact of dietary counseling given to mothers during the first year of infants' lives on food consumption, nutritional status, and lipid profile of the children up to 7 to 8 years old. The randomized trial was conducted with 500 mothers who gave birth to full-term infants with birth weight ≥ 2500 g between October 2001 and June 2002 in São Leopoldo, Brazil. Mothers were randomly assigned to intervention (n = 200) and control groups (n = 300) and those in the intervention group received counseling on breastfeeding and complementary feeding by 12 fieldworkers on 10 home visits during the first year of children's lives. Blinded fieldworkers assessed dietary and anthropometric data at 12 to 16 months, 3 to 4 years, and 7 to 8 years and lipid profiles at 3 to 4 years and 7 to 8 years old. The lipid profile was the primary outcome. Of the 500 recruited children, 397 underwent the 12- to 16-month, 354 the 3- to 4-year, and 315 the 7- to 8-year assessment. The energy-dense foods intake was significantly lower in the intervention group at 12 to 16 months and 3 to 4 years old. At 3 to 4 years, serum lipid levels did not differ between groups. At 7 to 8 years, high-density lipoprotein levels were 0.11 mmol/L higher (0.00 to ...Continue Reading

Citations

Feb 27, 2016·American Journal of Preventive Medicine·Jennifer A Woo BaidalElsie M Taveras
Feb 27, 2016·American Journal of Preventive Medicine·Tiffany L Blake-LambElsie M Taveras
Mar 24, 2016·Jornal de pediatria·Mauro FisbergIrina Kovalskys
May 19, 2018·The Cochrane Database of Systematic Reviews·Dachi ArikpoDeborah M Caldwell
Jul 25, 2019·The Cochrane Database of Systematic Reviews·Tamara BrownCarolyn D Summerbell
Oct 9, 2014·Journal of Child Psychology and Psychiatry, and Allied Disciplines·H Melis YavuzShelley van der Veek
Mar 1, 2017·The Cochrane Database of Systematic Reviews·Alison McFaddenStephen MacGillivray
Aug 11, 2020·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·Éadaoin M ButlerRachael W Taylor
Sep 6, 2018·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·V R FerreiraM R Vitolo
Jul 28, 2020·The Cochrane Database of Systematic Reviews·Shalini OjhaJon Dorling
Mar 30, 2021·Maternal & Child Nutrition·Chris RossiterElizabeth Denney-Wilson

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