{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T14:43:58Z","timestamp":1783435438157,"version":"3.54.6"},"reference-count":52,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,9,17]],"date-time":"2018-09-17T00:00:00Z","timestamp":1537142400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["DK087889"],"award-info":[{"award-number":["DK087889"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Obesity"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Weight loss interventions can have positive \u2018ripple\u2019 effects on untreated partners in the home, but ripple effects on infants are unknown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine whether a 12\u2010month internet\u2010based weight loss intervention for postpartum mothers had a positive ripple effect on participants' infants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A 12\u2010month cluster randomized, assessor\u2010blind, clinical trial enrolling 371 postpartum women at 12 Women, Infants, Children clinics in CA. Clinics were randomized to standard Women, Infants, Children or an internet\u2010based weight loss intervention for mothers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 333 of the 371 (89.8%) mothers assented for infant participation. Infants were 5.3\u00a0\u00b1\u00a03.2\u00a0months; 75.9% were Hispanic and 64% were breastfeeding. Infant retention was 272\/333 (82.7%) at 6\u00a0months post enrollment and 251\/333 (75.3%) at 12\u00a0months post enrollment. In intent\u2010to\u2010treat analysis, a significant interaction between group and time was observed (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.008) with the offspring of intervention mothers exhibiting lower zBMI change from study entry through 6\u00a0months (0.23 [CI, 0.03, 0.44] vs. 0.65 [0.50, 0.79] zBMI change, respectively;<jats:italic>p<\/jats:italic>\u00a0=\u00a00.001) but was not significant through 12\u00a0months (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.16). Regardless of group, maternal reports at the final assessment indicated that infants (aged =17.2\u00a0\u00b1\u00a03.4\u00a0months) consumed sweetened beverages (0.93\u00a0\u00b1\u00a01.5\/week), juice (2.0\u00a0\u00b1\u00a01.4\/day), \u2018junk food\u2019 (7.8\u00a0\u00b1\u00a05.4\/week) and fast food (2\/month), and 46.7% of the infants had a TV in their bedroom.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>An internet\u2010based weight loss program for low\u2010income, postpartum mothers had a positive \u2018ripple\u2019 effect on the zBMI of infants in the home during the first 6\u00a0months of treatment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijpo.12456","type":"journal-article","created":{"date-parts":[[2018,9,18]],"date-time":"2018-09-18T00:10:27Z","timestamp":1537229427000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["\u2018Ripple\u2019 effect on infant zBMI trajectory of an internet\u2010based weight loss program for low\u2010income postpartum women"],"prefix":"10.1111","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2260-0499","authenticated-orcid":false,"given":"S.","family":"Phelan","sequence":"first","affiliation":[{"name":"Department of Kinesiology and Public Health California Polytechnic State University San Luis Obispo CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. 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