2025-08-18 ペンシルベニア州立大学(PennState)
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<関連情報>
- https://www.psu.edu/news/research/story/responsive-parenting-may-help-reduce-behaviors-linked-childhood-obesity
- https://onlinelibrary.wiley.com/doi/10.1111/ijpo.70020
WICに参加する母親と乳児のペアにおける肥満リスク行動への影響:ケア調整型応答的な子育て介入の効果 Effect of a care-coordinated responsive parenting intervention on obesogenic risk behaviours among mother–infant dyads enrolled in WIC
Yining Ma, Lisa Bailey-Davis, Amy M. Moore, Cara F. Ruggiero, Carolyn F. McCabe, Jennifer S. Savage
Pediatric Obesity Published: 15 May 2025
DOI:https://doi.org/10.1111/ijpo.70020
Summary
Background
Integrating health care and social care presents opportunities to deliver responsive parenting (RP) interventions for childhood obesity prevention.
Objectives
This analysis examined the effect of an integrated RP intervention on infant obesogenic risk behaviours.
Methods
This secondary analysis included 228 mother–infant dyads in the Women, Infants, and Children Enhancements to Early Healthy Lifestyles for Baby (WEE Baby) Care study, a pragmatic randomized clinical trial that integrated care between paediatric clinicians and the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) nutritionists to encourage RP. Mothers were randomized to a 6-month RP intervention or standard care. The Early Healthy Lifestyle risk assessment tool was completed at infant ages 2 and 6 months. Logistic regression examined study group effects on obesogenic risk behaviours, while t-tests assessed study group effects on a total obesogenic risk behaviour score. Models adjusted for milk type and parity.
Results
RP mothers were less likely to report nighttime feedings at 2 (adjusted odds ratio [aOR] 0.21, 95% confidence interval [CI] 0.07–0.62) and 6 months (aOR 0.36, 95% CI 0.16–0.81); pressure to finish the bottle (aOR 0.53, 95% CI 0.30–0.93) and using screens when feeding/playing at 2 months (aOR 0.34, 95% CI 0.17–0.67); and putting their infant to bed after 8:00 PM at 6 months (aOR 0.46, 95% CI 0.21–0.97). RP mothers had significantly lower obesogenic risk behaviour scores at 2 months (p = 0.009) but not at 6 months (p = 0.06) compared to standard care.
Conclusions
The WEE Baby Care intervention decreased some obesogenic risk behaviours among WIC mother–infant dyads. Integrated care in health and social settings can be used to provide patient-centred RP guidance to improve early obesogenic risk behaviours in high-risk populations.
