Outcomes of an early childhood obesity prevention program in a low-income community: a pilot, randomized trial

Mothers in the enhanced home visitation program (NFN+) were more likely to continue breastfeeding at 6 months (p = 0.03) and 12 months (p = 0.003) compared with standard home visitation (NFN), with 44

Effect: improvement

At 12 months, infants in the enhanced home visitation program (NFN+) experienced fewer nocturnal awakenings than infants in the standard program (NFN) (p = 0.04), though there was no difference in sle

Effect: improvement

There was no difference in weight-for-length z-score or BMI between infants in the enhanced program (NFN+) and the standard program (NFN) at 6 or 12 months in intent-to-treat analyses.

Effect: null

There were no differences between the enhanced and standard home visitation programs in the timing of introduction of solids or juice/SSB, soothability scores, tummy time, TV/screen time duration at 1

Effect: null

NFN+ dyads were significantly more likely to be retained in the program at 12 months compared with NFN dyads (84.6% vs 56.1%, p = 0.04), with mothers who dropped out being younger than those who staye

Effect: improvement

In per-protocol exploratory analyses, infants of mothers who completed the ECHO program had lower BMI at 6 months (p = 0.04) and 12 months (p = 0.03) and a lower weight-for-length z-score at 12 months

Effect: improvement; WFL z-score at 12 months: -0.20 +/- 1.22 vs +0.80 +/- 0.82, p = 0.05