Table 1. Study inclusion criteria.
Design | Randomised, and quasi-randomised, controlled trials, including individual cluster randomised trials |
Participants | Studies which targeted pregnant women and/or parents (including mothers/fathers/carers/guardians) of healthy infants
less than two years old and/or infants born at term gestation (37 to 42 weeks of gestation) and up to two years of age. ○ No restrictions for sex, ethnicity, socio-economic group, or region, were applied. ○ Studies where children aged under two years were part of a family group receiving the intervention were included only if data could be extracted separately for these children |
Intervention | ○ Behavioural interventions designed to prevent obesity (by directly/explicitly focusing on childhood obesity prevention,
or by indirectly focusing on childhood obesity-related risk factors) in infants (e.g. individual counselling, face-to-face sessions, audio-visual packages, support groups, online interventions/forums) delivered by health professionals antenatally and/or up to a child's second birthday. ○ Behavioural interventions were defined as “those that require the active participation of a target group (e.g. patient, individual, health professional) in a programme delivered by a trained interventionist with the goal of changing health- related behaviour” 37. ○ Interventions targeting key risk factors for childhood obesity 38, including: early rapid weight gain, infant feeding method, timing of introduction of solid foods, and gestational weight gain ○ Health professionals were defined according to the International Standard Classification of Occupations (ISCO) ISCO- 08 39. For the purposes of this review, research nurses, lactation consultants, psychologists, and social workers were also classified as health professionals |
Comparator | Participants who were not exposed to an intervention/wait-list control, or an active comparator, or who received 'usual
care'. ‘Usual care’ is defined as standard support and/or appointments without an obesity prevention focus |
Outcomes |
Primary
○ Infant/child body mass index (BMI) z score ○ Additional anthropometric/growth-related: e.g. growth rates (weight gain, linear growth, and head growth, change in BMI z score), percent fat content, ponderal index, skin-fold thickness Secondary (*intermediate behavioural outcomes) ○ Diet-related*: e.g. breastfeeding initiation and duration (total and exclusive); dietary intake and quality; timing of introduction of solid food(s) ○ Feeding/eating behaviour-related*: e.g. responsive feeding practices ○ Physical activity-related*: e.g. physical activity, tummy time, play, screen time ○ Sedentary time/behaviour-related*: e.g. frequency/time spent: being inactive, doing specific low-energy behaviours such as screen time ○ Sleep* ○ Environment-related*: e.g. outcomes related to the physical (e.g. food availability) and social environment ○ Cost effectiveness/costs of the intervention |
Publications | Trials reported only as abstracts were deemed eligible for inclusion if sufficient information was available from the report, or
from contact with the authors, to fulfil the inclusion criteria |