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StartSmart: a randomized intervention to promote maternal weight control and reduce childhood obesity in the Mississippi Delta
Author(s) -
Goodman Melissa Hall,
TussingHumphreys Lisa M,
Thomson Jessica L
Publication year - 2013
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.27.1_supplement.617.7
Subject(s) - medicine , obesity , psychological intervention , childhood obesity , pregnancy , randomized controlled trial , intervention (counseling) , gestational diabetes , weight management , gerontology , weight gain , environmental health , pediatrics , physical therapy , family medicine , weight loss , nursing , gestation , overweight , body weight , endocrinology , surgery , biology , genetics
Excessive gestational weight gain (GWG) can complicate a woman's pregnancy and put her and her child at risk for poor delivery and birth outcomes and chronic conditions such as obesity. Further, feeding and activity habits established early in life can significantly impact the development of obesity in children. Thus, interventions designed to optimize GWG and promote postpartum and early childhood weight management have the potential to significantly impact the health of moms and their babies. We developed StartSmart, an 18 month culturally‐tailored maternal weight management and early childhood obesity prevention program for first time African American (AA) moms‐to‐ be in the Mississippi Delta. The program was designed using foundational components from the Diabetes Prevention Program and the Australian INFANT trial. 150 women, in their early 2 nd trimester, will be randomized to a child development home visiting program or child development home visiting program + StartSmart. Both interventions will be implemented by trained lay parent educators. The comparative impact of the programs on weight status, dietary intake, and health behaviors of mom and baby will be assessed. Results will determine if a novel, scalable lifestyle intervention can improve the health of AA women and their children at high risk for obesity and chronic disease. Funding was provided by the USDA Agricultural Research Service.