What is the difference between feed and nourish

Our independent experts used modelling and trend analysis to scrutinize diets and food systems and how these could change by Three billion people from countries now have poor-quality diets, and populations in nearly half of all countries are increasingly experiencing serious under-nutrition that is coupled with weight gain and obesity. We find that the risk posed by poor diets to mortality and morbidity is now greater than the combined risks of unsafe sex, alcohol, drug and tobacco use.

As director of the Global Panel's secretariat, I have worked closely with the panel in producing this report, which recommends that food systems should be repositioned from feeding people to nourishing them. Action must go beyond agriculture to encompass trade, the environment and health, harnessing the power of the private sector and empowering consumers to demand better diets.

You can also search for this author in PubMed Google Scholar. Correspondence to Sandy Thomas. Reprints and Permissions. Thomas, S. Nourish as well as feed the world. A meal, or the act of eating. The water supplied to steam boilers.

The motion, or act, of carrying forward the stuff to be operated upon, as cloth to the needle in a sewing machine; or of producing progressive operation upon any material or object in a machine, as, in a turning lathe, by moving the cutting tool along or in the work. The supply of material to a machine, as water to a steam boiler, coal to a furnace, or grain to a run of stones. The mechanism by which the action of feeding is produced; a feed motion.

Nourish Definition: v. To feed and cause to grow; to supply with matter which increases bulk or supplies waste, and promotes health; to furnish with nutriment. To support; to maintain. To supply the means of support and increase to; to encourage; to foster; as, to nourish rebellion; to nourish the virtues.

To cherish; to comfort. To educate; to instruct; to bring up; to nurture; to promote the growth of in attainments. Due to expected changes in feeding behaviour and intake over 18 months, group but not time effects will be examined at each time point, with the exception of growth.

Primary analysis will be according to intention-to-treat principles. A generalised estimating equations analytical approach will be used to account for the clustering within assessment clinics, as well as to permit data to be included for those not completing all assessments thus optimizing power. Success of randomisation will be considered based on a comparison of the two groups across a range of centre, child, and carer characteristics, against a priori defined meaningful differences.

Any noted imbalances at baseline will be accounted for in multivariable logistic regression modelling, adjusting for their potential confounding effect on the impact of intervention on each outcome. It is important to note that the evidence that currently informs early feeding advice is cross-sectional, observational or quasi-experimental with inherent selection bias. Thus, despite potential selection and retention bias, this study will represent a major advance in understanding the feasibility and impact of a structured, comprehensive feeding practices intervention with first-time mothers.

Once we demonstrate efficacy, then further research will be required to determine effective strategies to access and engage hard-to-reach groups.

The study will demonstrate intermediate behavioural outcomes and justify extending follow up to directly evaluate obesity risk outcomes. The recruitment strategy is designed to provide a comprehensive, representative sampling framework and reduce the selection bias inherent in a volunteer sample. An important strength of the study will be our capacity to quantify bias by characterising the study sample in comparison with the broader source population, based on the detailed non-participant response data at Recruit 1 and 2, including reasons for non-consent.

The NOURISH trial addresses a major public health problem and is consistent with current government and community foci on early childhood as the foundation for life-long health and well being [ 44 ]. Existing trials evaluating both prevention and treatment of obesity in young children have demonstrated limited outcomes, at least in part due to design and methodological issues [ 45 — 47 ] Given that very few intervention studies include children under two years of age, it may also be that interventions have started too late, after feeding and eating patterns have been established and are more difficult to modify.

Additional plausible rationales for very early interventions are that there is evidence of poor dietary quality even in very young children [ 14 ], rapid weight gain before two years is a risk factor for later overweight [ 10 ] and parents may be more amenable to advice and behaviour change that targets their new and, perhaps particularly their first, baby.

Despite the strong rationale for early intervention, quality evidence to guide strategies to improve eating patterns, prevent overweight or promote healthy weight in very young children is extremely limited. The NOURISH trial will be amongst the first to provide Level II evidence of the impact of a comprehensive, structured intervention to promote positive parent feeding practices on very early child food intake and preferences.

It also has the potential to provide detailed descriptive prospective data to extend our understanding of the complex reciprocal and synergistic relationships between parenting and feeding practices and child feeding behaviour and weight status and the modifying effects of socio-demographic, infant and maternal covariates. Access Economics Pty Ltd: The growing cost of obesity in three years on.

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Cochrane Database of Systematic Reviews. International Journal of Obesity and Related Disorders. Download references. Queensland University of Technology, Brisbane, Australia. You can also search for this author in PubMed Google Scholar. Correspondence to Lynne A Daniels. LD took the leading role in designing the study, writing the grant that was subsequently funded by the National Health and Research Council and modifying the grant for publication.

AF, GD and GC provided expert input and support for preparation of the grant proposal with particular emphasis on clinical issues, selection criteria, recruitment strategies and ethical issues. All authors read and approved the final manuscript. This article is published under license to BioMed Central Ltd. Reprints and Permissions.

Daniels, L. The NOURISH randomised control trial: Positive feeding practices and food preferences in early childhood - a primary prevention program for childhood obesity. BMC Public Health 9, Download citation. Received : 11 September Accepted : 14 October Published : 14 October Anyone you share the following link with will be able to read this content:.

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