
Prille start
De voeding van moeder en kind
‘Prille start’ gaat over gezonde voeding voor (aanstaande) moeders en jonge kinderen. Door de voeding te optimaliseren wordt een gezonde, kansrijke start van het leven gegarandeerd. Het project biedt concrete handvaten om gedragsverandering tot stand te brengen. Vrouwen met een lage sociaaleconomische status (SES) krijgen in dit project speciale aandacht.
Kennis en netwerken van Wageningen University & Research, UMC Utrecht, Universiteit Utrecht en zorgverleners in de regio worden ingezet en versterkt. Alleen kennis verspreiden is niet voldoende om voedselpatronen te veranderen. Het project richt zich daarom ook op de empowerment van (laagopgeleide) zwangere en lacterende vrouwen en ouderparen. Dit biedt aanknopingspunten voor een integrale benadering door verloskundigen, diëtisten, consultatiebureaus en andere betrokkenen in de geboorte-, baby- en peuterzorg. Hierdoor verbetert de voedingsinname, van met name kwetsbare vrouwen en hun baby’s/peuters.

Wat zegt de wetenschap?
Zwangere vrouwen en vrouwen die borstvoeding geven eten vooral onvoldoende groente, (vette) vis, noten en nemen onvoldoende extra vitamine D, blijkt uit onderzoek. Om dit te verbeteren liggen er kansen in ondersteuning via schriftelijk en digitale hulpmiddelen, zorgverleners en het sociaal netwerk. De resultaten van de onderzoeken zijn samengevat op vier posters.
Meer informatie
- Early start - Maternal and child nutrition - WUR(Verwijst naar een externe website)
- PRIMA moedermelk onderzoek (hetwkz.nl)(Verwijst naar een externe website)
- Informatie voor verloskundigen en diëtisten - P4GZ (pdf, 192 KB)
- Ontwikkeling app om gedragsverandering te stimuleren(Verwijst naar een externe website)
Contact
Edith Feskens
T: 0317-482567(Verwijst naar een telefoonnummer) / 0317-480047(Verwijst naar een telefoonnummer)
M: edith.feskens@wur.nl(Verwijst naar een e-mailadres)
Publicaties
Renske van Lonkhuijzen
Article about the development of the P4HP programme (For now planned as Forum article TSG. Work on Q4 2024)
An empowerment programme to improve diet quality during pregnancy – The Power 4 a Healthy Pregnancy cluster randomized controlled trial (Planned submission July 2024 to BMC Public Health)
How pregnant women experience and evaluate an empowerment programme to improve diet quality during pregnancy – A qualitative evaluation of Power 4 a Healthy Pregnancy (Submitted to Journal of Human Nutrition and Dietetics on 7th of June)
Article about the mixed-method process evaluation among professionals involved in the implementation of the P4HP programme (planned submission Q3/4 2024)
Health care professionals’ postpartum nutritional counselling to women; a mixed-methods approach (3rd author) (Submitted by Janine Faessen Q1 2024)
Victoire de Wild
Barends C, de Vries JH, Mojet J, de Graaf C. Effects of starting weaning exclusively with vegetables on vegetable intake at the age of 12 and 23 months. Appetite. 2014;81:193-199.
The Baby’s First Bites RCT: Effects of vegetable exposure and sensitive feeding on toddler health outcomes and maternal feeding behaviour (Appetite, September 2021).
The Baby’s First Bites RCT: Evaluating a vegetable-exposure and a sensitive-feeding intervention in terms of child health outcomes and maternal feeding behavior during toddlerhood (Journal of Nutrition, November 2021)
Baby’s First Bites: A randomized controlled trial to assess the effects of vegetable exposure and sensitive feeding on vegetable acceptance, eating behavior and weight gain in infants and toddlers (BMC Pediatrics, Augustus 2019)
Maier A, Chabanet C, Schaal B, Issanchou S, Leathwood P. Effects of repeated exposure on acceptance of initially disliked vegetables in 7-month old infants. Food Quality and Preference. 2007;18(8):1023-1032
Anzman-Frasca S, Savage JS, Marini ME, Fisher JO, Birch LL. Repeated exposure and associative conditioning promote preschool children's liking of vegetables. Appetite. 2012;58(2):543-553.
Caton SJ, Ahern, S.A., Remy, E., Nicklaus S., Blundell, P., Hetherington, M. M. Repetition counts: Repeated exposure increases intake of a novel vegetable in UK preschool children compared to flavour-flavour and flavour-nutrient learning. British Journal of Nutrition. 2012;30:1-9.
De Wild V, de Graaf C, Jager G. Efficacy of repeated exposure and flavour-flavour learning as mechanisms to increase preschooler's vegetable intake and acceptance. Pediatric Obesity. 2015;10(3): 205-212. 16.
De Wild VWT, de Graaf C, Jager G. Effectiveness of flavour nutrient learning and mere exposure as mechanisms to increase toddler's intake and preference for green vegetables. Appetite. 2013;64:89-96. 17.
Birch LL, Marlin DW. I don't like it; I never tried it: Effects of exposure on two-year[1]old children's food preferences. Appetite. 1982;3(4):353-360.
Hausner H, Olsen A, Moller P. Mere exposure and flavour-flavour learning increase 2-3 year-old children's acceptance of a novel vegetable. Appetite. 2012;58(3):1152- 1159. 18.
Effectiveness of flavour nutrient learning and mere exposure as mechanisms to increase toddler’s intake and preferences for green vegetables (Appetite, Januari 2013)
Hetherington MM, Schwartz C, Madrelle J, Croden F, Nekitsing C, Vereijken C, et al. A step-by-step introduction to vegetables at the beginning of complementary feeding. The effects of early and repeated exposure. Appetite. 2015;84:280-290. The effects of early and repeated exposure. Appetite. 2015;84:280-290.
Hetherington M, Caton S, Ceci JE, Cooke L, Croden F, Fildes A, et al. Learning to like vegetables: applying learning theory to the acquisition of preferences for novel vegetables from 6-36M. Results from HabEat and VIVA. Annals of Nutrition and Metabolism. 2013;63:39-39. 65.
Hetherington MM, Cecil JE, Jackson DM, Schwartz C. Feeding infants and young children. From guidelines to practice. Appetite. 2011;57(3):791-795.
Nicklaus S, Boggio V, Chabanet C, Issanchou S. A prospective study of food variety seeking in childhood, adolescence and early adult life. Appetite. 2005;44(3):289-297.
Nicklaus S. Development of food variety in children. Appetite. 2009;52(1):253-255.
Gerrish CJ, Mennella JA. Flavor variety enhances food acceptance in formula-fed infants. American Journal of Clinical Nutrition. 2001;73(6):1080-1085.
Skinner JD, Carruth BR, Bounds W, Ziegler P, Reidy K. Do food-related experiences in the first 2 years of life predict dietary variety in school-aged children? Journal of Nutrition Education and Behavior. 2002;34(6):310-315.
Bucher T, Siegrist M, Van Der Horst K. Vegetable variety: An effective strategy to increase vegetable choice in children. Public Health Nutrition. 2014;17(6):1232-1236.
Maier AS, Chabanet C, Schaal B, Leathwood PD, Issanchou SN. Breastfeeding and experience with variety early in weaning increase infants' acceptance of new foods for up to two months. Clinical Nutrition. 2008;27(6):849-857.
Roe LS, Meengs JS, Birch LL, Rolls BJ. Serving a variety of vegetables and fruit as a snack increased intake in preschool children. American Journal of Clinical Nutrition. 2013;98(3):693-699.
Anneke Hellinga
Petersohn †, I., Hellinga †, A. H., van Lee, L., Keukens, N., Bont, L., Hettinga, K. A., ... & Brouwer-Brolsma, E. M. (2024). Maternal diet and human milk composition: an updated systematic review. Frontiers in Nutrition, 10, 1320560.’ † Shared first author
Hellinga, A.H., Zuurveld, M., Garssen, J., van’t Land, B., Willemsen, L.E.M. (2024, June 2). Comparing intrinsic sensitizing capacity of cow’s milk allergens β-lactoglobulin and αs-casein with hen’s egg allergen ovalbumin in an in vitro co-culture model [Poster Abstract]. 2024 European Academy of Allergy and Clinical Immunology Congress, Valencia, Spain.
Hellinga, A.H., Stigt, A.H., Brouwer-Brolsma, E.M., de Vries, J.H.M., Feskens, E.J.M., Leusen, J.H.W., Kraneveld, A.D., Bont, L.J., van’t Land, B. (2023, June 8). Maternal Diet during Lactation; a sub-study within the PRIMA birth cohort [Poster Abstract]. 2023 FASEB Science Research Conference on The Origins and Benefits of Biologically Active Components in Human Milk, Melbourne, FL, USA.
van Stigt, A. H., Oude Rengerink, K., Bloemenkamp, K. W., de Waal, W., Prevaes, S. M., Le, T. M., van Wijk, F., Nederend, M., Hellinga, A.H., ... & Bont, L. (2022). Analysing the protection from respiratory tract infections and allergic diseases early in life by human milk components: the PRIMA birth cohort. BMC Infectious Diseases, 22(1), 152.
Hellinga, A.H., Stigt, A.H., Brouwer-Brolsma, E.M., de Vries, J.H.M., Feskens, E.J.M., Leusen, J.H.W., Kraneveld, A.D., Bont, L.J., van’t Land, B. (2022, June 8). The Influence of Maternal Diet on the Breast Milk Composition and Clinical Health Outcomes in Infants; a sub-study within the PRIMA Birth Cohort [Poster Abstract]. 2022 International Congress of Nutrition, Tokyo, Japan.
Hellinga, A.H., Cajic, S., Linde, H., Cianci, D., de Vries, J., Brouwer-Brolsma, E.M., Stahl, B., Bont, L.J., van’t Land, B. and the PRIMA group. The maternal dietary fiber intake during lactation is not correlated with human milk oligosaccharide fucosylation; a PRIMA birth cohort sub-study. In preparation.
Janine Faessen
Janine P.M. Faessen, Soe Mattijssen, Renske M. van Lonkhuijzen, Edith J.M. Feskens, Annemarie Wagemakers and Elske M. Brouwer-Brolsma : Health care professionals’ postpartum nutritional counselling to women; a mixed-methods approach.
Janine P.M. Faessen, Irene Homminga, Marion, E.C. Buso, Ruxandra A. Nagy, Jannie van Echten-Arends, Edith J.M. Feskens, Uwe J.F. Tietge, Annemieke Hoek and Elske M. Brouwer-Brolsma: Preconception diet quality and modified natural cycle in vitro fertilization outcomes
Janine P.M. Faessen, Desiree A. Lucassen, Edith J.M. Feskens and Elske M. Brouwer-Brolsma: Women’s eating habits and app use during pregnancy and postpartum; a questionnaire study.
Op de planning staan er nog wel een paar andere maar die zijn nog echt totaal niet in de buurt van afronding op het moment dus deze niet toegevoegd.
Kelly Klomp
A Randomized Controlled Study Protocol of the TOBBI Trial: the Effect of a 6 Weeks Intervention With Synbiotics on the Recovery Speed of the Gut Microbiota after Antibiotic Treatment in Dutch Toddlers in BMC Pediatrics.