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Active, Not Recruiting

NCT Number: NCT04177472

Mothers And careGivers Investing in Children

The incidence of childhood obesity in the United States has steadily increased over the past 30 years but has begun to level off in recent years. Epidemiological evidence indicates that obesity may transmitted across multiple generations. The current study seeks to: 1) evaluate the extent to which mothers and other important caregivers affect their mothers' parenting; 2) examine whether an intervention aimed at improving diet quality and enhancing responsive feeding to improves parental responsivity and feeding behavior and infants' weight trajectories over time; 3) examine the effects of early life feeding and caregiver sensitivity on health and development; and 4) examine feasibility of food distribution along with the feeding intervention.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Key information

Age range

0 year–90 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Dell Pediatric Research Institute, Austin, Texas, United States

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About this study

The incidence of childhood obesity in the United States has steadily increased over the past 30 years, but has begun to level off in recent years. Children from minority groups may be disproportionately affected, such that Hispanic and non-Hispanic Black children have greater weight for recumbent length compared to White children. Similarly, socioeconomic status (SES) may affect child weight status. Epidemiological evidence indicates that obesity may transmitted across multiple generations. Genetics are a factor in determining weight status, but parents are largely responsible for regulating children's dietary environments. Grandparents increasingly provide care for their grandchildren, yet few studies have examined grandparent involvement or the role that grandparents or other significant caregivers play in feeding the child.

The objective of the current study is two-fold: 1) to evaluate the extent to which mothers and other caregivers affect mothers' parenting surrounding feeding their infant, beginning when the infant is first introduced to solid foods; and 2) to examine whether an intervention aimed at providing both mothers and and other important caregivers with hands-on training regarding healthy foods and responsive and sensitive feeding behaviors improves mothers' and other caregivers' responsive and sensitive behaviors and infants' weight trajectories over time. The researchers will collect both self-report data on diet, child temperament, mothers and caregiver mental health, stress and support. Observational assessments will be obtained to code co-caregiver behavior and caregiver responsiveness during feeding.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Mothers with babies aged 4 to 5 months
  • Other caregivers assisting the mother with the baby.
  • Babies aged 4 to 5 months

Exclusion criteria

  • Babies with metabolic or feeding issues.
  • Mothers younger than 16 years of age.

Treatment and study plan

Obesity Prevention Group

Behavioral

Parents will be provided with responsive feeding coaching to help them recognize hunger and satiety cues and nutrition coaching that involves recommending a sequence of introducing complementary foods that corresponds with food textures and feeding styles, breast/bottle weaning, healthy snacking and hands on demonstrations for healthy food options.

Obesity Prevention Group + Food Boxes

Behavioral

Parents will be provided with responsive feeding coaching to help them recognize hunger and satiety cues and nutrition coaching that involves recommending a sequence of introducing complementary foods that corresponds with food textures and feeding styles, breast/bottle weaning, healthy snacking and hands on demonstrations for healthy food options. Parents will also be provided with grocery items (fruits, vegetables, meat) prior to each intervention visit to facilitate a healthy family diet.

Infant Safety and Injury Prevention Group

Behavioral

Parents will be provided with information about safe sleeping, car seats, baby-proofing, etc., delivered during home visits, newsletters, and reinforcing text messages.

Primary outcomes

  1. BMI percentile at 12 months of age

    Time frame: 12 months

    Anthropometrics measured by trained study staff

  2. BMI percentile at 24 months of age

    Time frame: 24 months

    Anthropometrics measured by trained study staff

Secondary outcomes

  1. Proportion of infants with BMI percentile >85th at 12 months of age

    Time frame: 12 months

    Anthropometrics measured by trained study staff

  2. Proportion of infants with BMI percentile >85th at 24 months of age

    Time frame: 24 months

    Anthropometrics measured by trained study staff

Other outcomes

  1. Infant dietary intake of fruits and vegetables, animal source foods, whole grains, desserts and sweets, and salty snacks at 11 months of age

    Time frame: 10 to 11 months of age

    Measured at 10-11 months using an Infant Diet History questionnaire adapted from the Infant Feeding Practices Study II. Measured at 10 to 11 months using the Nutrition Data System for Research (NDSR)

  2. Responsive feeding at 10 to 11 months of age

    Time frame: 10 to 11 months of age

    Measured using the Infant Feeding Styles Questionnaire (IFSQ) full scale

  3. Responsive feeding at 10 to 11 months of age

    Time frame: 11 months of age

    Measured during mealtime observations using the Chatoor's feeding scale.

Sponsors and collaborators

Lead sponsor

University of Texas at Austin

Other

Collaborators

  • Egg Nutrition Center
  • National Cattlemen's Beef Association, a contractor to the Beef Checkoff
  • National Pork Board
  • St. David's Foundation

Registry information

Official study title

MAGIC: A Family Based Feeding Intervention Program

Acronym: MAGIC

Important dates

Study start
2019
Primary completion
2026
Study completion
2026
First posted
Nov 26, 2019
Registry last updated
Apr 28, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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