A community-based intervention to prevent obesity beginning at birth among American Indian children

Study design and rationale for the PTOTS study

Njeri Karanja, Mikel Aickin, Tam Lutz, Scott Mist, Jared B. Jobe, Gerardo Maupome, Cheryl Ritenbaugh

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Eating and physical activity behaviors associated with adult obesity have early antecedents, yet few studies have focused on obesity prevention interventions targeting very young children. Efforts to prevent obesity beginning at birth seem particularly important in populations at risk for early-onset obesity. National estimates indicate that American Indian (AI) children have higher rates of overweight and obesity than children of other races/ethnicities. The Prevention of Toddler Obesity and Teeth Health Study (PTOTS) is a community-partnered randomized controlled trial designed to prevent obesity beginning at birth in AI children. PTOTS was developed to test the effectiveness of a multi-component intervention designed to: promote breastfeeding, reduce sugar-sweetened beverage consumption, appropriately time the introduction of healthy solid foods, and counsel parents to reduce sedentary lifestyles in their children. A birth cohort of 577 children from five AI tribes is randomized by tribe to either the intervention (three tribes) or the comparison condition (two tribes). The strengths and weaknesses of PTOTS include a focus on a critical growth phase, placement in the community, and intervention at many levels, using a variety of approaches.

Original languageEnglish (US)
Pages (from-to)161-174
Number of pages14
JournalJournal of Primary Prevention
Volume33
Issue number4
DOIs
StatePublished - Aug 2012

Fingerprint

North American Indians
Tooth
Obesity
Parturition
Health
Population Groups
Sedentary Lifestyle
Pediatric Obesity
Beverages
Breast Feeding
Randomized Controlled Trials
Eating
Parents
Exercise
Food
Growth

Keywords

  • American Indians
  • Infants
  • Primary obesity prevention
  • Toddlers

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Medicine(all)

Cite this

A community-based intervention to prevent obesity beginning at birth among American Indian children : Study design and rationale for the PTOTS study. / Karanja, Njeri; Aickin, Mikel; Lutz, Tam; Mist, Scott; Jobe, Jared B.; Maupome, Gerardo; Ritenbaugh, Cheryl.

In: Journal of Primary Prevention, Vol. 33, No. 4, 08.2012, p. 161-174.

Research output: Contribution to journalArticle

Karanja, Njeri ; Aickin, Mikel ; Lutz, Tam ; Mist, Scott ; Jobe, Jared B. ; Maupome, Gerardo ; Ritenbaugh, Cheryl. / A community-based intervention to prevent obesity beginning at birth among American Indian children : Study design and rationale for the PTOTS study. In: Journal of Primary Prevention. 2012 ; Vol. 33, No. 4. pp. 161-174.
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