{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T15:11:00Z","timestamp":1789657860215,"version":"4.0.1"},"reference-count":48,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,1,17]],"date-time":"2025-01-17T00:00:00Z","timestamp":1737072000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001505","name":"Health Research Council of New Zealand","doi-asserted-by":"publisher","award":["19\/346"],"award-info":[{"award-number":["19\/346"]}],"id":[{"id":"10.13039\/501100001505","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Obesity"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine whether BMI differences observed at 5\u2009years of age, from early intervention in infancy, remained apparent at 11\u2009years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participants (<jats:italic>n<\/jats:italic>\u2009=\u2009734) from the original randomized controlled trial (<jats:italic>n<\/jats:italic>\u2009=\u2009802) underwent measures of body mass index (BMI), body composition (DXA), sleep and physical activity (24\u2010h accelerometry, questionnaire), diet (repeated 24\u2010h recalls), screen time (daily diaries), wellbeing (CHU\u20109D, WHO\u20105), and family functioning (McMaster FAD) around their 11th birthday. Following multiple imputation, regression models explored the effects of two interventions (\u2018Sleep\u2019 vs. \u2018Food, Activity and Breastfeeding\u2019 [FAB]) using a 2\u2009\u00d7\u20092 factorial design.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Five hundred twelve children (48% female, mean [SD] age 11.1 [0.1] years) returned for the 11\u2010year assessment (63% of original sample). Significant differences in BMI <jats:italic>z<\/jats:italic>\u2010score (mean difference; 95% CI: \u22120.16; \u22120.41, 0.08) or the risk of overweight (including obesity) (odds ratio; 95% CI: 0.85; 0.56, 1.29) were no longer observed between children who had received the sleep intervention compared with those who had not. By contrast, children who had received the FAB intervention had greater BMI <jats:italic>z<\/jats:italic>\u2010scores (0.24; 0.01, 0.47) and a higher risk of obesity (1.56; 1.03, 2.36) than children not enrolled in FAB. No significant differences were observed in any lifestyle variables nor wellbeing measures across all groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Sustained reductions in BMI and obesity risk from an early sleep intervention were not apparent 9\u2009years later, whereas a more traditional lifestyle intervention resulted in increased rates of obesity, not explained by any differences in lifestyle behaviours measured.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Trial Registry<\/jats:title><jats:p><jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">ClinicalTrials.gov<\/jats:ext-link> number NCT00892983, <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/clinicaltrials.gov\/study\/NCT00892983\">https:\/\/clinicaltrials.gov\/study\/NCT00892983<\/jats:ext-link>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijpo.13204","type":"journal-article","created":{"date-parts":[[2025,1,17]],"date-time":"2025-01-17T08:02:52Z","timestamp":1737100972000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Long\u2010term follow\u2010up of the impact of brief sleep and lifestyle interventions in infancy on <scp>BMI<\/scp><i>z<\/i>\u2010score at 11\u2009years of age: The <scp>POI<\/scp> randomized controlled trial"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9516-2253","authenticated-orcid":false,"given":"Rachael W.","family":"Taylor","sequence":"first","affiliation":[{"name":"Department of Medicine, Dunedin School of Medicine University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara C.","family":"Galland","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health, Dunedin School of Medicine University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne\u2010Louise M.","family":"Heath","sequence":"additional","affiliation":[{"name":"Department of Human Nutrition University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew R.","family":"Gray","sequence":"additional","affiliation":[{"name":"Biostatistics Centre University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim A.","family":"Meredith\u2010Jones","sequence":"additional","affiliation":[{"name":"Department of Medicine, Dunedin School of Medicine University of Otago  Dunedin New 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