prevention of overweight in infancy (poi.nz) study a randomised controlled trial of sleep, food and activity interventions for preventing overweight from birth预防超重在婴儿期(poi.nz)研究一个随机对照试验的睡眠,食物和活动干预对预防超重从出生.pdfVIP

Taylor et al. BMC Public Health 2011, 11:942 /1471-2458/11/942 STUDY PROTOCOL Open Access Prevention of Overweight in Infancy (POI.nz) study: a randomised controlled trial of sleep, food and activity interventions for preventing overweight from birth 1* 2 1 3 1 1 Barry J Taylor , Anne-Louise M Heath , Barbara C Galland , Andrew R Gray , Julie A Lawrence , Rachel M Sayers , Kelly Dale1, Kirsten J Coppell4 and Rachael W Taylor4 Abstract Background: Rapid weight gain during the first three years of life predicts child and adult obesity, and also later cardiovascular and other morbidities. Cross-sectional studies suggest that infant diet, activity and sleep are linked to excessive weight gain. As intervention for overweight children is difficult, the aim of the Prevention of Overweight in Infancy (POI.nz) study is to evaluate two primary prevention strategies during late pregnancy and early childhood that could be delivered separately or together as part of normal health care. Methods/Design: This four-arm randomised controlled trial is being conducted with 800 families recruited at booking in the only maternity unit in the city of Dunedin, New Zealand. Mothers are randomised during pregnancy to either a usual care group (7 core contacts with a provider of government funded “Well Child” care over 2 years) or to one of three intervention groups given education and support in addition to “Well Child” care: the Food, Activity and Breastfeeding group which receives 8 extra parent contacts over the first 2 years of life; the Sleep group which receives at least 3 extra parent contacts over the first 6 months of life with a focus on prevention of sleep problems and then active intervention if ther