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    Development of an evidence-based practice guideline for UK public health nurses (health visitors) to use with parents of infants at risk of obesity.

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    Authors
    REDSELL, S.A.
    EDMONDS, B.E.
    GLAZEBROOK, C.
    SWIFT, J.
    NATHAN, D.
    SIRIWARDENA, A.N.
    WENG, S.F.
    Atkinson, Pippa
    WATSON, V.
    Affiliation
    Anglia Ruskin University
    University of Nottingham
    University of Lincoln
    CityCare Partnership, United Kingdom
    Issue Date
    2014-03-31
    
    Metadata
    Show full item record
    Abstract
    Evidence about effective interventions that reduce obesity risk during infancy is needed. A systematic review of Randomised Controlled Trials (RCTs) of behavioural and non-behavioural interventions which address potential risk factors for childhood overweight and obesity was undertaken to inform a guideline for UK health visitors. The National Institute for Health and Clinical Excellence (NICE) guidelines were followed. The findings were used to develop a guideline which was reviewed internally by a multi-professional Guideline Development Group (GDG) and externally by national experts and practitioners. We identified 35 RCTs reporting behavioural and non-behavioural interventions delivered antenatally and/or during infancy that included infant weight outcomes (e.g. weight-for-length, weight-for-age, weight-for-BMI) or outcomes related to obesity risk (breastfeeding, physical activity, timing of weaning). A number of on-going trials were identified. Good evidence exists for breastfeeding promotion and support interventions. Evidence exists for parental education around responsive feeding, aspects of infant diet and soothing/sleep expectations. These behavioural components informed the guideline, which is freely available on the UK Institute for Health Visiting website. There was equivocal evidence that infants fed lower protein (compared to higher protein) formula milk gained less weight, and this was not incorporated into the guideline. Further research is needed to establish clinically effective interventions for obesity prevention during infancy. Continuous dialogue between commissioners, policy makers, health visitors and parents is essential to inform obesity prevention strategies in the first year of life.
    Citation
    Redsell, S.A., Edmonds, B.A., Glazebrook, C., Swift, J.A., Nathan, D., Siriwardena, A.N., Weng, S.F., Atkinson, P. and Watson, V., (2013). 'Development of an evidence-based practice guideline for UK public health nurses (health visitors) to use with parents of infants at risk of obesity [Poster]. Exhibited at the European Childhood Obesity Group Congress, Liverpool, UK, 12-15 November.
    Publisher
    Elsevier BV
    Journal
    Appetite
    URI
    http://hdl.handle.net/10545/624998
    DOI
    10.1016/j.appet.2014.01.036
    Additional Links
    https://www.sciencedirect.com/science/article/pii/S0195666314000440
    http://eprints.lincoln.ac.uk/id/eprint/12593/
    Type
    Other
    Language
    en
    ISSN
    0195-6663
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.appet.2014.01.036
    Scopus Count
    Collections
    School of Nursing and Professional Practice

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