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Clinical Pediatrics
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Anticipatory Guidance for Prevention of Childhood Obesity: Design of the MOMS Project

Judith A. Groner, MD

Section of Ambulatory Pediatrics, Nationwide Children's Hospital, jgroner{at}chi.osu.edu

Theresa Skybo, PhD

Mt. Carmel College of Nursing

Lisa Murray-Johnson, PhD

Ohio State University Medical Center & College of Nursing

Patricia Schwirian, PhD

Department of Family Practice, Ohio State University College of Medicine

Ihuoma Eneli, MD, MS

Center for Healthy Weight and Nutrition, Nationwide Children's Hospital

Amy Sternstein, MD

Center for Healthy Weight and Nutrition Nationwide Children's Hospital

Elizabeth Klein, PhD

Department of Health Promotion/ Health Behavior, Ohio State University College of Public Health Columbus, Ohio

Gina French, MD

Kapiolani Children's Hospital, Honolulu, Hawaii

The prevalence of childhood overweight and obesity in the United States has increased by more than 100% since 1971. Primary care clinicians have a unique opportunity to influence child health during the first year of life via anticipatory guidance (AG). However, little is known about whether AG regarding feeding and meal structure is effective in promoting optimal nutrition and eating behaviors. The purpose of this project, "Making our Mealtimes Special" (MOMS), was to assess 2 distinct methods of pediatric AG during infancy versus a "usual care" condition, with the ultimate goal of prevention of childhood overweight and obesity. The purpose of this article is to describe the ( a) study design and rationale, (b) implementation plan, (c ) assessment of outcomes, and (d) population enrolled. This project will generate important information on the usefulness of nutritional AG during the first year of life in promoting healthy eating behaviors during early childhood.

Key Words: childhood obesity • obesity prevention • anticipatory guidance

This version was published on June 1, 2009

Clinical Pediatrics, Vol. 48, No. 5, 483-492 (2009)
DOI: 10.1177/0009922809331799
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