Novel approaches to reduce sugar-sweetened beverage (SSB) consumption during the first 1,000 days – pregnancy through age 2 years – are urgently needed. This study examined perceptions of SSB consumption and acceptability of potential intervention strategies to promote SSB avoidance in low income families in the first 1,000 days. Themes related to SSB consumption included parental confusion about healthy beverage recommendations, and maternal feelings of lack of control over beverage choices due to pregnancy cravings and infant tastes. Themes surrounding message frames included: negative health consequences of sugary drink consumption are strong motivators for behavior change; and savings and cost count, but are not top priority for the parents in this study. Highly acceptable intervention strategies included use of images showing health consequences of SSB consumption, illustrations of sugar content at the point of purchase, and multi-modal delivery of messages. Messages focused on infant health consequences and parental empowerment to evaluate and select healthier beverages based on sugar content should be tested in interventions to reduce SSB consumption in the first 1,000 days.
Parental and Provider Perceptions of Sugar-Sweetened Beverage Interventions in the First 1,000 Days: A Qualitative Study
This study examined the relationship between parental sugar-sweetened beverage (SSB) attitudes and SSB consumption during the first 1,000 days – gestation to age 2 years. The study population consisted of 394 WIC-enrolled, Hispanic/Latino families living in northern Manhattan. Parental SSB attitudes were determined through a four question survey that used … More
Conducting Research to Promote Healthy Weight Gain During Children’s First 1,000 Days, Particularly Among Disproportionately Burdened Populations
The first 1,000 days describes the period from pre-pregnancy through age 2 years, and is increasingly recognized as a critical period for development of childhood obesity. The overall goal of this study is to develop and refine health messaging for future interventions among families living in Washington Heights, a low-income … More
Promoting Responsive Bottle-Feeding Within WIC: Evaluation of a Policy, Systems, and Environmental Change Approach
Bottle-fed infants are at greater risk for overfeeding and rapid weight gain (RWG), so evidence-based strategies for promoting healthy bottle-feeding practices are needed. The aim of this study was to assess whether policy, systems, and environmental (PSE) strategies for promoting responsive bottle-feeding practices within the Special Supplemental Nutrition Program for … More