The aim of NYLO is to support families to feel more confident to provide a healthy, balanced diet for their child and to help them be a healthy weight. The long-term aim is to prevent the number of children starting school above a healthy weight. The programme is open to all families with a child/children aged 5 years and under living in Cardiff and the Vale of Glamorgan. For families with a child above a healthy weight (BMI above 91st centile) intensive home-based support can be provided in their own home.

Faith was referred to the Community Paediatric Weight Management Service by her school nurse as she was above a healthy weight. Faith is autistic and attends a special school. Mum was concerned about Faith’s weight and unbalanced diet and agreed to a referral. Faith was accepted onto the NYLO waiting list. Mum initially chose to attend a NYLO family group programme however Mum struggled to manage Faith’s behaviour in a group setting. The team offered home-based support which Mum accepted. The family required a Tigre interpreter which was booked to attend the home visits. On initial assessment Mum’s main concern was Faith’s lack of variety of foods. Faith also consumed large portions of the foods she liked, which mum struggled to limit.

As Mum was worried about Faith’s nutritional intake she regularly made smoothies of fruits and avocado in the evening if she felt Faith had not eaten enough in the day. 8 weekly sessions were delivered with Mum in her own home by a Dietetic Assistant Practitioner. Support is tailored to family’s needs. 3 core sessions are delivered on: – The Eatwell Guide – Portion sizes – Healthy snacks and sugar Families can choose optional sessions Mum choose the following sessions: – Managing fussy eating – Reading food labels – Messy play – Tips to be active at home Mum was anxious about keeping Faith safe when out. Ideas and activity cards were provided on ways to be more active at home. An activity goody bay was also provided for the family. The family are encouraged to made a SMART goal each week. Examples of goals set were reducing the intake of smoothies, reducing portion size of pasta and reducing screen time through taking part in a daily activity.

Mum rated the NYLO home based intervention as excellent. She reported she learnt the following:

– Reading food labels
– Correct portion sizes
– Ideas for new activities
– Exposure to new foods through play
– She reported she has made the following changes:
– Portion sizes
– Balance of diet

See below feedback from Mum:

How has the NYLO programme helped you and your family?
I have learnt about the size of portions and this led me to make changes. I used to get distressed about her (Faith) not eating but now I am more calm about their (Faith and younger sister) eating. I am also now using the food label decoder to check labels.

Did the support from NYLO help you in ways you didn’t expect?
NYLO taught me how it can take a long time for a child to accept new foods. Everything about the programme was good and helped me more than expected. If you could tell another parent about NYLO, what would you say? I would tell them if their child was a fussy eater that they should not stress and keep offering the foods as it takes time. That NYLO is a very helpful programme and they should take part and educate themselves to be able to help themselves. It worked for me and I'm sure it will work for them.

Evaluation data shows the following positive lifestyle changes: At the start of the intervention Faith was being active for less than 1 hour per day this had increased to 2 hours at the end of the intervention. Mum reported at the end of the intervention they now always sat together for mealtimes. Mum’s confidence levels increased from 2 at the start of the intervention to 9 on completion. At 3 month follow up telephone call Mum reported she has maintained all changes. Faith’s weight is being monitored at school. Her weight has stabilised and is no longer increasing across centiles.