Reservation-based American Indian (AI) children suffer the highest rates of childhood obesity in the United States. This project will provide evidence to support the integration of childhood obesity prevention modules into government-funded home-visiting programs. It will also identify the role of water insecurity in sugar-sweetened beverage (SSB) intake. The specific aims of the study are to: 1) assess the impact of a home-visiting module, Family Spirit Nurture (FSN), on SSB introduction/frequency and optimal complementary and responsive feeding practices between 3 and 9 months post-partum, and 2) assess the impact of water insecurity on SSB consumption among infants between 3 and 6 months post-partum. The study will be a randomized 1:1 controlled trial with 136 mother-infant dyads. AI mothers and children ages 1-3 months living <50 miles from the Northern Navajo Medical Center in Shiprock, NM, on the Navajo Nation will be enrolled in the study. Mothers will be randomized to FSN or a control condition and complete evaluations at baseline (<3) and 4, 6, and 9 months post-partum. Outcome measures include maternal feeding and nutrition knowledge; introduction/frequency of infant SSB consumption; complementary and responsive feeding practices collected via self-assessment or structured interview; and BMI z-score, obtained through medical chart reviews.
Examining Home-Visiting Strategies to Prevent Obesity Among American Indians, Focusing on Early Childhood Outcomes and Water Insecurity
U.S. states have introduced bills requiring sugar-sweetened beverages (SSBs) to display health warning labels. This study examined how warning labels influence parents and which labels are most effective. Over 2,000 demographically and educationally diverse parents of children ages 6 to 11 participated in an online survey. Parents were randomized to … More
Assessing Beverage Intake in Children and Adolescents: State of the Science, Recommendations, and Resources for Evaluation
This report serves as a guide to assist researchers in the selection of beverage intake assessment methods. The report begins with a description of several key issues to consider when assessing beverage intake in children and adolescents, and then moves into a review of five methods for assessing beverage consumption. The … More
Issue Brief. The Associations Between Sugar-Sweetened Beverage Consumption and Children’s Health: An Updated Review of the Literature
Consumption of sugar-sweetened beverages (SSBs)—which include all drinks with added sugar, such as soda, fruit drinks, and sports drinks—is strongly linked to obesity and a number of other negative health consequences. This issue brief is based on a review of the literature on this topic and examines the evidence on: … More