{"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":1783435438710,"version":"3.54.6"},"reference-count":31,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,8,28]],"date-time":"2018-08-28T00:00:00Z","timestamp":1535414400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R21 HD073966\u201001"],"award-info":[{"award-number":["R21 HD073966\u201001"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["NICHD R21 HD073966\u2010A01"],"award-info":[{"award-number":["NICHD R21 HD073966\u2010A01"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Obesity"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Obesity is a major and worldwide health problem in children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The Early Childhood Obesity Prevention Program is a multi\u2010component, randomized, controlled trial of a pilot community\u2010focused obesity prevention program for mother\/newborn dyads.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Underserved, mother\/newborn dyads were recruited to receive a standard home visitation program (Nurturing Families Network, NFN) or an enhanced program (NFN+) that incorporated behavioural change strategies (e.g., goal\u2010setting, problem\u2010solving) and focused on six obesity\u2010associated behaviours (breastfeeding, juice\/sugar\u2010sweetened beverages, solids, infant sleep, TV\/screen time and soothability) with linkages to community resources. Weight\u2010for\u2010length (WFL) z\u2010score and maternal diet were secondary outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010seven dyads were recruited and 47 fully eligible dyads were enrolled (NFN\u00a0=\u00a021, NFN+\u00a0=\u00a026). Forty\u2010one (87.2%) were assessed at 6\u00a0months and 34 (72.3%) at 12\u00a0months. Retention at 12\u00a0months was higher for NFN+ dyads (84.6% vs. 56.1%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.04). NFN+ mothers were more likely to continue breastfeeding at 6 and 12\u00a0months vs. NFN mothers (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.03 and 0.003, respectively), and at 12\u00a0months, NFN+ infants had fewer nocturnal awakenings (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.04). There were no differences in other primary outcome measures or in WFL z\u2010score at 6 or 12\u00a0months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A multi\u2010component behavioural intervention increased breastfeeding duration and decreased nocturnal awakenings in infants of low\u2010income families.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijpo.12458","type":"journal-article","created":{"date-parts":[[2018,8,30]],"date-time":"2018-08-30T06:02:30Z","timestamp":1535608950000},"page":"677-685","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Outcomes of an early childhood obesity prevention program in a low\u2010income community: a pilot, randomized trial"],"prefix":"10.1111","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8316-6409","authenticated-orcid":false,"given":"M. M.","family":"Cloutier","sequence":"first","affiliation":[{"name":"Department of Pediatrics UCONN Health Children's Center for Community Research Connecticut Children's Medical Center  Hartford CT USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. F.","family":"Wiley","sequence":"additional","affiliation":[{"name":"DO Candidate 2019 Philadelphia College of Osteopathic Medicine  Philadelphia PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. \u2010L.","family":"Kuo","sequence":"additional","affiliation":[{"name":"Department of Community Medicine and Health Care Connecticut Institute for Clinical and Translational Science  Farmington CT USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Cornelius","sequence":"additional","affiliation":[{"name":"Center for Behavioral Cardiovascular Health Columbia University Medical Center  New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Z.","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Research Connecticut Children's Medical Center  Hartford CT USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. A.","family":"Gorin","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences, Institute for Collaboration on Health, Intervention, and Policy University of Connecticut  Storrs CT USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,8,28]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Report of the Commission on Ending Childhood Obesity. 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