Behavioral counseling to prevent childhood obesity – study protocol of a pragmatic trial in maternity and child health care

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dc.contributor.author Mustila, Taina
dc.contributor.author Keskinen, Päivi
dc.contributor.author Luoto, Riitta
dc.date.accessioned 2012-11-30T09:17:27Z
dc.date.available 2012-11-30T09:17:27Z
dc.date.issued 2012
dc.identifier.issn 1471-2431 -
dc.identifier.uri http://tampub.uta.fi/handle/10024/66395
dc.description BioMed Central open access -
dc.description.abstract Background Prevention is considered effective in combating the obesity epidemic. Prenatal environment may increase offspring's risk for obesity. A child starts to adopt food preferences and other behavioral habits affecting weight gain during preschool years. We report the study protocol of a pragmatic lifestyle intervention aiming at primary prevention of childhood obesity. Methods/Design A non-randomized controlled pragmatic trial in maternity and child health care clinics. The control group was recruited among families who visited the same clinics one year earlier. Eligibility criteria was mother at risk for gestational diabetes: body mass index ≥ 25 kg/m2, macrosomic newborn in any previous pregnancy, immediate family history of diabetes and/or age ≥ 40 years. All maternity clinics in town involved in recruitment. The gestational intervention consisted of individual counseling on diet and physical activity by a public health nurse, and of two group counseling sessions. Intervention continues until offspring’s age of five years. An option to participate a group counseling at child’s age 1 to 2 years was offered. The intervention includes advice on healthy diet, physical activity, sedentary behavior and sleeping pattern. The main outcome measure is offspring BMI z-score and its changes by the age of six years. Discussion Early childhood is a critical time period for prevention of obesity. Pragmatic trials targeting this period are necessary in order to find effective obesity prevention programs feasible in normal health care practice. -
dc.language.iso en -
dc.title Behavioral counseling to prevent childhood obesity – study protocol of a pragmatic trial in maternity and child health care -
dc.type fi=Artikkeli aikakauslehdessä | en=Journal Article| -
dc.identifier.urn URN:NBN:fi:uta-201211301085 -
dc.identifier.doi 10.1186/1471-2431-12-93 -
dc.type.version fi=Kustantajan versio | en=Publisher's version| -
dc.subject.okm fi=Naisten- ja lastentaudit | en=Gynaecology and paediatrics| -
dc.administrativeunit fi=Lääketieteen yksikkö | en=School of Medicine| -
dc.journal.title BMC Pediatrics -
dc.journal.volume 12 -
dc.journal.number 93 -
dc.journal.volumepagerange 1-7 -
dc.journal.url http://www.biomedcentral.com/1471-2431/12/93 -
dc.ismoreauthorsthanlisted 0 -

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