Impacts of the 10 Steps for Healthy Feeding in Infants: a Randomized Field Trial
NCT ID: NCT00629629
Last Updated: 2022-10-13
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
500 participants
INTERVENTIONAL
2001-10-31
2015-05-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
DOUBLE
Study Groups
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Intervention
Mothers in the intervention group received dietary advice based on Brazilian guidelines \["Ten steps for the healthy eating: Feeding guidelines for Brazilian children from birth to two years" \] during monthly home visits from 2 weeks to 6 months postpartum and then every 2 months thereafter until 1 y postpartum.
Dietary Advice
Step 1 - Provide Exclusive breastfeeding up to 6 mo.
Step 2- After 6 mo, gradually introduce complementary foods and continue breastfeeding up to 2 y or more.
Step 3 - Complementary foods should be given 3 times a day (cereals, beans, fruits, and vegetables) if the child is breastfed, and 5 times a day if not.
Step 4- Mealtimes must be adjusted to the children's cues of hunger and satiety.
Step 5: Foods should gradually get thicker up to the time when the child is able to eat a family meal. Complementary foods should not be liquefied.
Step 6: A large variety of healthy foods should be given daily to guarantee the intake of different nutrients.
Step 7: Different fruits and vegetables should be offered daily. Step 8: Sugar, sweets, soft drinks, salty snacks, cookies, and processed and fried foods must be avoided.
Step 9: Good hygiene practices in food preparation and handling.
Step 10: Adequate feeding during child illness.
Control
Mothers in the control group received routine medical assistance without any involvement of the research team. The study staff provided no materials to mothers on the Control Arm.
No interventions assigned to this group
Interventions
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Dietary Advice
Step 1 - Provide Exclusive breastfeeding up to 6 mo.
Step 2- After 6 mo, gradually introduce complementary foods and continue breastfeeding up to 2 y or more.
Step 3 - Complementary foods should be given 3 times a day (cereals, beans, fruits, and vegetables) if the child is breastfed, and 5 times a day if not.
Step 4- Mealtimes must be adjusted to the children's cues of hunger and satiety.
Step 5: Foods should gradually get thicker up to the time when the child is able to eat a family meal. Complementary foods should not be liquefied.
Step 6: A large variety of healthy foods should be given daily to guarantee the intake of different nutrients.
Step 7: Different fruits and vegetables should be offered daily. Step 8: Sugar, sweets, soft drinks, salty snacks, cookies, and processed and fried foods must be avoided.
Step 9: Good hygiene practices in food preparation and handling.
Step 10: Adequate feeding during child illness.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Congenital malformation
* Infants referred to intensive care unit
* Multiple pregnancy.
ALL
Yes
Sponsors
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Conselho Nacional de Desenvolvimento Científico e Tecnológico
OTHER_GOV
Federal University of Health Science of Porto Alegre
OTHER
Responsible Party
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Marcia Regina Vitolo
PhD
Principal Investigators
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Márcia R Vitolo, PhD
Role: PRINCIPAL_INVESTIGATOR
Federal University of Health Sciences of Porto Alegre
Locations
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Household
São Leopoldo, Rio Grande do Sul, Brazil
Countries
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References
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Vitolo MR, Bortolini GA, Feldens CA, Drachler Mde L. [Impacts of the 10 Steps to Healthy Feeding in Infants: a randomized field trial]. Cad Saude Publica. 2005 Sep-Oct;21(5):1448-57. doi: 10.1590/s0102-311x2005000500018. Epub 2005 Sep 12. Portuguese.
Feldens CA, Vitolo MR, Drachler Mde L. A randomized trial of the effectiveness of home visits in preventing early childhood caries. Community Dent Oral Epidemiol. 2007 Jun;35(3):215-23. doi: 10.1111/j.1600-0528.2006.00337.x.
Valmorbida JL, Sangalli CN, Leffa PS, Baratto PS, Rauber F, Mennella JA, Vitolo MR. Sodium Intake Tracked from Infancy and Salt Taste Preference during Adolescence: Follow-up of a Randomized Controlled Field Trial in Brazil. Curr Dev Nutr. 2022 Dec 22;7(1):100011. doi: 10.1016/j.cdnut.2022.100011. eCollection 2023 Jan.
Vitolo MR, da Costa Louzada ML, Rauber F, Campagnolo PD. Risk factors for high blood pressure in low income children aged 3-4 years. Eur J Pediatr. 2013 Aug;172(8):1097-103. doi: 10.1007/s00431-013-2012-9. Epub 2013 May 1.
Louzada ML, Campagnolo PD, Rauber F, Vitolo MR. Long-term effectiveness of maternal dietary counseling in a low-income population: a randomized field trial. Pediatrics. 2012 Jun;129(6):e1477-84. doi: 10.1542/peds.2011-3063. Epub 2012 May 7.
Bortolini GA, Vitolo MR. The impact of systematic dietary counseling during the first year of life on prevalence rates of anemia and iron deficiency at 12-16 months. J Pediatr (Rio J). 2012 Jan-Feb;88(1):33-9. doi: 10.2223/JPED.2156. Epub 2011 Dec 7.
Vitolo MR, Rauber F, Campagnolo PD, Feldens CA, Hoffman DJ. Maternal dietary counseling in the first year of life is associated with a higher healthy eating index in childhood. J Nutr. 2010 Nov;140(11):2002-7. doi: 10.3945/jn.110.125211. Epub 2010 Sep 15.
Feldens CA, Giugliani ER, Duncan BB, Drachler Mde L, Vitolo MR. Long-term effectiveness of a nutritional program in reducing early childhood caries: a randomized trial. Community Dent Oral Epidemiol. 2010 Aug;38(4):324-32. doi: 10.1111/j.1600-0528.2010.00540.x. Epub 2010 Apr 7.
Other Identifiers
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vitolo2
Identifier Type: -
Identifier Source: org_study_id
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