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Infant Feeding

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161. Faster Gastric Emptying Is Unrelated to Feeding Success in Preterm Infants: Randomized Controlled Trial. Full Text available with Trip Pro

Faster Gastric Emptying Is Unrelated to Feeding Success in Preterm Infants: Randomized Controlled Trial. To evaluate the relationship between gastric emptying (GE) time and days to achievement of full enteral feeding (≥140 mL/kg/day) in preterm infants randomly assigned to receive one of two marketed study formulas for the first 14 feeding days: intact protein premature formula (IPF) or extensively hydrolyzed protein (EHF) formula.In this triple-blind, controlled, prospective, clinical trial (...) , we report GE time (time to half-emptying, t1/2) by real-time ultrasonography on Study Day 14, in preterm infants receiving IPF or EHF formula. The association between GE time and achievement of full enteral feeding was evaluated by Pearson correlation. Per-protocol populations for analysis included participants who (1) completed the study (overall) and (2) who received ≥ 75% study formula intake (mL/kg/day).Median GE time at Day 14 was significantly faster for the EHF vs. IPF group overall

2019 Nutrients Controlled trial quality: uncertain

162. Experience with a "Feed and Swaddle" program in infants up to six months of age. (Abstract)

Experience with a "Feed and Swaddle" program in infants up to six months of age. Feed and swaddle is a technique in which an infant is fed and allowed to fall asleep to facilitate diagnostic imaging. This study reviews our experience and diagnostic success in premature and term infants up to 6 months old undergoing brain magnetic resonance imaging (MRI) using a feed and swaddle technique and with comparable patients imaged under anesthesia.We reviewed the charts of all infants ≤6 months who (...) underwent brain MRI at our institution between 1 January 2013 and 31 March 2016. We recorded and analyzed demographic information, scan indication, scan length, prematurity status, anesthetic technique if used, complications, and diagnostic success or failure.One hundred and sixty-four term infants underwent brain MRI using a feed and swaddle technique. The success rate in term infants <90 days was 91.1% (113/124) versus 95.0% (38/40) in infants ≥90 days and ≤181 days old. Fifty-three premature infants

2019 Acta Anaesthesiologica Scandinavica

163. The impact of a primary health care intervention on infant feeding practices: a cluster randomised controlled trial in Brazil. Full Text available with Trip Pro

 = 9) and control (n = 11) groups. In intervention sites, health workers were trained in accordance with the national guidelines. Infant feeding practices were assessed in children at 6 months (n = 617) and 12 months (n = 516) of age. Feeding practice quality was assessed using the Infant and Child Feeding Index (ICFI). Additionally, we evaluated the introduction of nonrecommended foods.At 6 months, the mean ICFI score was higher in the intervention group [MD = 0.22; 95% confidence interval (CI (...) The impact of a primary health care intervention on infant feeding practices: a cluster randomised controlled trial in Brazil. Proper feeding practices in early life can enhance the full human potential development of children. We aimed to evaluate the impact of a primary health care intervention on infant feeding practices among children from low-income families.A cluster randomised controlled trial was conducted in Porto Alegre, Brazil. Healthcare centres were randomised into intervention (n

2019 Journal of human nutrition and dietetics : the official journal of the British Dietetic Association Controlled trial quality: predicted high

164. Early rapid weight gain among formula-fed infants: Impact of formula type and maternal feeding styles. (Abstract)

Early rapid weight gain among formula-fed infants: Impact of formula type and maternal feeding styles. What and how infants are fed are considered important determinants for the risk factor of early rapid gain weight.We conducted secondary analyses on data from a randomized clinical trial, wherein infants randomized to feed cow milk formula had double the incidence of early rapid weight gain than those fed extensively hydrolyzed protein formula, to determine whether maternal feeding styles had (...) independent effects or interactive effects with infant formula type on early rapid weight gain.Anthropometry and feeding patterning (number of daily formula feeds) were measured monthly, and maternal feeding styles were measured at 0.5, 3.5, and 4.5 months. Longitudinal models were fitted using generalized estimating equations and separate logistic models conducted.The treatment groups did not differ in formula feeding patterning or in maternal feeding styles, which were stable across the first 4.5 months

2019 Pediatric obesity Controlled trial quality: uncertain

165. Parent Training for Feeding Problems in Children With Autism Spectrum Disorder: Initial Randomized Trial. Full Text available with Trip Pro

Parent Training for Feeding Problems in Children With Autism Spectrum Disorder: Initial Randomized Trial. Many children with autism spectrum disorder (ASD) have feeding and mealtime problems. To address these, we conducted a pilot randomized trial of a new 11-session, individually delivered parent training program that integrated behavioral strategies and nutritional guidance (PT-F).Forty-two young children (age: 2 to 7-11 years) with ASD and feeding problems were assigned to 11 sessions of PT (...) -F intervention over 20 weeks or a waitlist control. Outcomes included attendance, parent satisfaction, therapist fidelity, and preliminary assessments of child and parent outcomes.Of the 21 PT-F families, attendance was high (85%) as was parent satisfaction (94% would recommend to others). Treatment fidelity was also high (97%-therapist integrity; 94%-parent adherence). Compared with waitlist, children whose parents participated in PT-F showed significantly greater reductions on the two parent

2019 Journal of pediatric psychology Controlled trial quality: uncertain

166. Infant Feeding Practices, Workplace Breastfeeding/Lactation Practices, and Perception of Unit/Service Support Among Primiparous Active Duty Servicewomen. (Abstract)

Infant Feeding Practices, Workplace Breastfeeding/Lactation Practices, and Perception of Unit/Service Support Among Primiparous Active Duty Servicewomen. Successful breastfeeding provides multiple health benefits to Servicewomen and their infants and has positive indirect benefits to the military. Workplace lactation support influences breastfeeding continuation after a Servicewoman's return to work.This study evaluated the breastfeeding practices and workplace breastfeeding support among

2019 Military medicine Controlled trial quality: uncertain

167. Effects of early intervention on feeding behavior in preterm infants: A randomized controlled trial. Full Text available with Trip Pro

Effects of early intervention on feeding behavior in preterm infants: A randomized controlled trial. Although highly beneficial, human milk feeding is challenging in preterm infants due to adverse NICU factors for the infant and mother.To investigate the effects of an early intervention in promoting infant's human milk feeding and acquisition of full oral feeding.This study is part of a RCT. We included preterm infants born between 25+0 and 29+6 weeks of gestational age (GA) without severe (...) morbidities, and their parents. Infants were randomized to either receive early intervention (EI) or standard care (SC). EI included PremieStart and parental training to promote infant massage and visual attention according to a detailed protocol. SC, in line with NICU protocols, included Kangaroo Mother Care. The time of acquisition of full oral feeding and human milk consumption at discharge were recorded.Seventy preterm (EI n = 34, SC n = 36) infants were enrolled. Thirteen were excluded according

2019 Early human development Controlled trial quality: uncertain

168. Baby-led complementary feeding: Randomized controlled study. (Abstract)

Baby-led complementary feeding: Randomized controlled study. Baby-led weaning (BLW) is an approach to introducing solid foods to infants that gives control of the feeding process to the infant. Anecdotal evidence suggests that BLW is becoming popular with parents, but scientific research is limited to a few publications. This study assessed growth, hematological parameters and iron intake in 6-12-month-old infants fed by traditional or baby-led complementary feeding.We recruited 280 healthy 5-6 (...) -month-old infants allocated to a control (traditional spoon feeding; TSF) group or an intervention (BLW) group in a randomized controlled trial. Infant growth, hematologic parameters and iron intake were evaluated at age 12 months.Infants in the TSF were significantly heavier than those in the BLW group. Mean weight in the BLW group was 10.4 ± 0.9 kg compared with 11.1 ± 0.5 kg in the TSF group. There was no statistically significant difference in the iron intake from complementary foods between

2019 Pediatrics international : official journal of the Japan Pediatric Society Controlled trial quality: uncertain

169. The Impact of a Healthy Weight Intervention Embedded in a Home-Visiting Program on Children's Weight and Mothers' Feeding Practices. Full Text available with Trip Pro

The Impact of a Healthy Weight Intervention Embedded in a Home-Visiting Program on Children's Weight and Mothers' Feeding Practices. To examine whether a healthy weight intervention embedded in the Parents as Teachers (PAT) home visiting program, which was previously found to improve mothers' body mass index (BMI) and obesity-related behaviors, changed the BMI of preschool children or maternal feeding practices.This stratified randomized trial included preschool-aged children at risk (...) for overweight whose mothers were overweight or had obesity (n = 179). The Healthy Eating and Active Living Taught at Home (HEALTH) intervention was based on the Diabetes Prevention Program. Differences were examined using repeated-measures mixed-ANOVA models.Compared with PAT usual care, the HEALTH intervention had no effect on children's BMI or maternal feeding practices. However, combined analyses showed that children's BMI percentile decreased (P  = .007), BMI z-scores were maintained (P  = .19), and 3

2019 Journal of nutrition education and behavior Controlled trial quality: uncertain

170. Independent and combined effects of improved water, sanitation, and hygiene, and improved complementary feeding, on stunting and anaemia among HIV-exposed children in rural Zimbabwe: a cluster-randomised controlled trial. Full Text available with Trip Pro

Independent and combined effects of improved water, sanitation, and hygiene, and improved complementary feeding, on stunting and anaemia among HIV-exposed children in rural Zimbabwe: a cluster-randomised controlled trial. Children exposed to HIV have a high prevalence of stunting and anaemia. We aimed to test the effect of improved infant and young child feeding (IYCF) and improved water, sanitation, and hygiene (WASH) on child linear growth and haemoglobin concentrations.We did a cluster (...) randomised 2 × 2 factorial trial in two districts in rural Zimbabwe. Women were eligible for inclusion if they permanently lived in the trial clusters (ie, the catchment area of between one and four village health workers employed by the Zimbabwean Ministry of Health and Child Care) and were confirmed pregnant. Clusters were randomly allocated to standard of care (52 clusters); IYCF (20 g small-quantity lipid-based nutrient supplement daily for infants from 6 months to 18 months, complementary feeding

2019 The Lancet. Child & Adolescent Health Controlled trial quality: predicted high

171. Independent and combined effects of improved water, sanitation, and hygiene (WASH) and improved complementary feeding on early neurodevelopment among children born to HIV-negative mothers in rural Zimbabwe: Substudy of a cluster-randomized trial. Full Text available with Trip Pro

, and hygiene (WASH) and improved infant and young child feeding (IYCF) on early child development (ECD) among children enrolled in the Sanitation Hygiene Infant Nutrition Efficacy (SHINE) trial in rural Zimbabwe.SHINE was a cluster-randomized community-based 2×2 factorial trial. A total of 5,280 pregnant women were enrolled from 211 clusters (defined as the catchment area of 1-4 village health workers [VHWs] employed by the Zimbabwean Ministry of Health and Child Care). Clusters were randomly allocated (...) to standard of care, IYCF (20 g of small-quantity lipid-based nutrient supplement per day from age 6 to 18 months plus complementary feeding counseling), WASH (ventilated improved pit latrine, handwashing stations, chlorine, liquid soap, and play yard), and WASH + IYCF. Primary outcomes were child length-for-age Z-score and hemoglobin concentration at 18 months of age. Children who completed the 18-month visit and turned 2 years (102-112 weeks) between March 1, 2016, and April 30, 2017, were eligible

2019 PLoS medicine Controlled trial quality: predicted high

172. Characteristics and Outcomes of Critical Illness in Children With Feeding and Respiratory Technology Dependence. (Abstract)

Characteristics and Outcomes of Critical Illness in Children With Feeding and Respiratory Technology Dependence. Children with dependence on respiratory or feeding technologies are frequently admitted to the PICU, but little is known about their characteristics or outcomes. We hypothesized that they are at increased risk of critical illness-related morbidity and mortality compared with children without technology dependence.Secondary analysis of prospective, probability-sampled cohort study (...) dependence composed 19.7% (1,989/10,078) of PICU admissions. Compared with those without these forms of technology dependence, these children were younger, received more ICU-specific therapeutics, and were more frequently readmitted to the ICU. Death occurred in 3.7% of technology-dependent patients (n = 74), and new morbidities developed in 4.5% (n = 89). Technology-dependent children who developed new morbidities had higher Pediatric Risk of Mortality scores and received more ICU therapies than those

2019 Pediatric Critical Care Medicine

173. "In the United States, we say, 'No breastfeeding,' but that is no longer realistic": provider perspectives towards infant feeding among women living with HIV in the United States. Full Text available with Trip Pro

via the survey and more nuanced qualitative interviews. The study was completed prior to an updated breastfeeding section of the U.S. Perinatal Guidelines.The majority of providers (66.7%) discussed infant feeding intent with their patients using open-ended questions. Many also discussed alternative feeding methods (37.6%) and disclosure avoidance strategies (34.4%). Over 75% (95% confidence interval (CI): 65.1 to 84.2) of participants reported that a WLHIV asked if she could breastfeed her child (...) "In the United States, we say, 'No breastfeeding,' but that is no longer realistic": provider perspectives towards infant feeding among women living with HIV in the United States. Currently, the United States (U.S.) recommends that infants born to women living with HIV (WLHIV) be fed formula, whereas many low-resource settings follow the World Health Organization's recommendation to exclusively breastfeed with ongoing antiretroviral therapy. Evidence on infant feeding among WLHIV in high

2019 Journal of the International AIDS Society

174. Mediators of racial and ethnic disparity in mother's own milk feeding in very low birth weight infants. Full Text available with Trip Pro

Mediators of racial and ethnic disparity in mother's own milk feeding in very low birth weight infants. Despite high initiation rates for mother's own milk (MOM) provision, MOM feeding at discharge from the neonatal intensive care unit (NICU) drops precipitously and reveals a racial/ethnic disparity. This study sought to identify factors that (1) predict MOM feeding at NICU discharge, and (2) mediate racial/ethnic disparity in MOM feeding at discharge.Secondary analysis of prospective cohort (...) study of 415 mothers and their very low birth weight infants. Variables were grouped into five categories (demographics, neighborhood structural, social, maternal health, and MOM pumping). Significant predictors from each category were entered into a multivariable logistic regression model.Although 97.6% of infants received MOM feedings, black infants were significantly less likely to receive MOM feeding at discharge. Positive predictors were daily pumping frequency, reaching pumped MOM volume ≥500

2019 Pediatric Research

175. The effects of enteral feeding improvement massage on premature infants: A randomised controlled trial (Abstract)

The effects of enteral feeding improvement massage on premature infants: A randomised controlled trial To prove the effects of an enteral feeding improvement massage for premature infants with regard to their feeding, growing and superior mesentery artery blood flow aspect by a randomised controlled trial.Premature infants have feeding-related problems related to eating and absorbing nutrition due to their immature gastrointestinal function. Studies regarding the effectiveness of premature (...) infants' enteral feeding improvement by tactile stimulation massage are rare.The study group was composed of 55 patients. Of the 55 patients, 26 were randomised into an experimental group and 29 were randomised into a control group.They were all born <34 weeks of gestational age between 1 July 2011 and 30 March 2012. Premature infants in the experimental group received enteral feeding improvement massage twice a day for 14 days, and infants in the control group received a sham exercise. The collected

2017 EvidenceUpdates

176. Effect of soothing techniques on infants' self-regulation behaviors (sleeping, crying, feeding): A randomized controlled study. Full Text available with Trip Pro

Effect of soothing techniques on infants' self-regulation behaviors (sleeping, crying, feeding): A randomized controlled study. To determine the effect of teaching 4S soothing techniques (swaddling, holding at side or stomach position, shushing-white noise, swinging) on parent-reported infants' self-regulation behaviors with respect to sleeping, crying, and feeding.This research is a pretest-post-test, single-blind randomized experimental study with 6 month follow-ups. An intervention group (IG (...) of feeding, and frequency of waking at night. After the teaching of the 4S soothing techniques had been conducted, it was determined that the mean frequency of waking at night, the mean frequency of daily feeding, and the mean daily crying duration of the infants in the IG was statistically significantly lower in all follow-ups, compared to the infants in the CG. In weeks 7 and 11 after the intervention, the mean daily sleep duration of the infants in the IG was found to be statistically significantly

2019 Japan journal of nursing science : JJNS Controlled trial quality: uncertain

177. Factors Associated with Delayed Transition to Oral Feeding in Infants with Single Ventricle Physiology. (Abstract)

Factors Associated with Delayed Transition to Oral Feeding in Infants with Single Ventricle Physiology. To describe the duration of time to achieve exclusive oral feeding in infants with single ventricle physiology and to identify risk factors associated with prolonged gastrostomy tube dependence.Single center, retrospective study of infants with single ventricle physiology. The primary outcome was duration of time required to achieve oral feeding. Transition periods were defined as exclusive (...) oral feeding by Glenn palliation (early), by 1 year of age (mid), or after 1 year of age (late).Seventy-eight infants were analyzed; 46 (59%) were discharged to home with a gastrostomy tube after the initial hospitalization. Overall, 39 infants (50%) achieved early transition, 14 (18%) mid, and 18 (23%) late. The group who achieved early transition had a higher percentage of preoperative oral feeding (P < .01), greater weight-for-age z score at initial discharge (P = .03), shorter initial intensive

2019 Journal of Pediatrics

178. Development and validation of a screening tool for feeding/swallowing difficulties and undernutrition in children with cerebral palsy. Full Text available with Trip Pro

with feeding tubes were excluded. Children were classified as well-nourished or moderately to severely undernourished, using the paediatric Subjective Global Nutrition Assessment. Eating and drinking abilities were classified using the Eating and Drinking Ability Classification System (EDACS) from mealtime observation and videofluoroscopic swallow studies when indicated. Parents/caregivers answered 33 screening questions regarding their child's feeding/swallowing abilities and nutritional status (...) Development and validation of a screening tool for feeding/swallowing difficulties and undernutrition in children with cerebral palsy. To develop and validate a screening tool for feeding/swallowing difficulties and/or undernutrition in children with cerebral palsy (CP).This cross-sectional, observational study included 89 children with CP (63 males, 26 females; median age 6y 0mo; interquartile range 4y 0mo-8y 11mo), across all Gross Motor Function Classification System levels. Children

2019 Developmental Medicine and Child Neurology

179. Variables Impacting the Time Taken to Wean Children from Enteral Tube Feeding to Oral Intake. (Abstract)

Variables Impacting the Time Taken to Wean Children from Enteral Tube Feeding to Oral Intake. This study investigated biological factors which may influence the time taken for children to wean from enteral to oral intake.Retrospective case-note audit of 62 tube fed children (nasogastric (NG) or percutaneous endoscopic gastrostomy (PEG)) aged 6 months to 8 years, participating in an intensive tube weaning program. Program design included family focused mealtimes, child autonomy and appetite (...) stimulation. A regression model was developed which shows the combination of variables with the most predictive power for time taken to wean.Data from 62 children who were highly dependent (minimum 93% of calories provided enterally) on tube feeding for an extended period of time (mean = 2.1 years) were analysed. Children's mean BMI z-score at time of weaning was -0.47 (SD 1.03) (mean weight = 10.54 kg) and 54 (87%) presented with a range of medical conditions. Forty-four children (71%) remained

2019 Journal of Pediatric Gastroenterology and Nutrition

180. Timing of oral feeding changes in premature infants who underwent osteopathic manipulative treatment. (Abstract)

Timing of oral feeding changes in premature infants who underwent osteopathic manipulative treatment. The delayed transition from gavage-to-nipple feeding is one of the most significant factors that may prolong hospital length of stay (LOS). Osteopathic manipulative treatment (OMT) has been demonstrated to be effective regarding LOS reduction, but no investigations have documented its clinical validity for attaining oral feeding.To assess OMT utility regarding the timing of oral feeding (...) in healthy preterm infants.Preliminary propensity score-matched retrospective cohort study.Data were extrapolated from the neonatal intensive care unit (NICU) of Del Ponte Hospital in Varese, Italy, during the period between March 2012 and December 2013.Two propensity score-matched groups of healthy preterm infants aged 28+0 to 33+6 were compared, observing those supported with OMT until hospital discharge and control subjects.Days from birth to the attainment of oral feeding was the primary endpoint

2019 Complementary Therapies In Medicine

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