Randomized Trial of a Prevention Intervention That Embeds Weight-related Messages Within a General Parenting Program

Overview

Journal Obesity (Silver Spring)

Specialties Endocrinology
Nutritional Sciences
Physiology

Date 2015 Dec 7

PMID 26638185

Citations 19

Authors

Jess Haines

Sheryl L Rifas-Shiman

Deborah Gross

Julia McDonald

Ken Kleinman

Matthew W Gillman

Affiliations

Soon will be listed here.

Abstract

Objective: To assess the extent to which an obesity prevention intervention that embeds obesity-related messages within a parenting program, compared with controls who received weekly mailings, resulted in a smaller increase in children's BMI (primary outcome) and improvements in weight-related behaviors from baseline to 9-month follow-up.

Methods: Fifty-six families were randomly assigned to the intervention and 56 to control. Children were primarily Hispanic (58%) or Black/African American (23%). Intervention included nine weekly: group parenting sessions, children's sessions, and homework assignments. At baseline, post-intervention, and 9-month follow-up, staff assessed children's weight and height. Parents completed surveys assessing parenting skills, feeding behaviors, and children's weight-related behaviors.

Results: From baseline to 9-month follow-up, BMI decreased by a mean of 0.13 kg m(-2) among children in the intervention and increased by 0.21 kg m(-2) among children in the control, resulting in a nonsignificant difference (multivariate adjusted difference = -0.36; 95% confidence interval [CI] -1.23, 0.51; P = 0.41). Parents in the intervention decreased restrictive feeding practices relative to control (-0.30; 95% CI -0.53, -0.07; P = 0.01). Intervention and control arms showed similar changes in children's weight-related behaviors.

Conclusions: The intervention improved restrictive feeding but did not influence children's BMI or weight-related behaviors compared to controls who received weekly mailings.

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References

Gross D, Rocissano L . Maternal confidence in toddlerhood: its measurement for clinical practice and research. Nurse Pract. 1988; 13(3):19-22, 25, 28-9. View

Blum R, Wei E, Rockett H, Langeliers J, Leppert J, Gardner J . Validation of a food frequency questionnaire in Native American and Caucasian children 1 to 5 years of age. Matern Child Health J. 2000; 3(3):167-72. DOI: 10.1023/a:1022350023163. View

OBrien A, McDonald J, Haines J . An approach to improve parent participation in a childhood obesity prevention program. Can J Diet Pract Res. 2013; 74(3):143-5. DOI: 10.3148/74.3.2013.143. View

Quattrin T, Roemmich J, Paluch R, Yu J, Epstein L, Ecker M . Treatment outcomes of overweight children and parents in the medical home. Pediatrics. 2014; 134(2):290-7. PMC: 4187232. DOI: 10.1542/peds.2013-4084. View

Draxten M, Fulkerson J, Friend S, Flattum C, Schow R . Parental role modeling of fruits and vegetables at meals and snacks is associated with children's adequate consumption. Appetite. 2014; 78:1-7. PMC: 4034448. DOI: 10.1016/j.appet.2014.02.017. View

Ostbye T, Krause K, Stroo M, Lovelady C, Evenson K, Peterson B . Parent-focused change to prevent obesity in preschoolers: results from the KAN-DO study. Prev Med. 2012; 55(3):188-95. PMC: 3439558. DOI: 10.1016/j.ypmed.2012.06.005. View

Magarey A, Perry R, Baur L, Steinbeck K, Sawyer M, Hills A . A parent-led family-focused treatment program for overweight children aged 5 to 9 years: the PEACH RCT. Pediatrics. 2011; 127(2):214-22. DOI: 10.1542/peds.2009-1432. View

Birch L, Fisher J, Markey C, Sawyer R, Johnson S . Confirmatory factor analysis of the Child Feeding Questionnaire: a measure of parental attitudes, beliefs and practices about child feeding and obesity proneness. Appetite. 2001; 36(3):201-10. DOI: 10.1006/appe.2001.0398. View

Cunningham S, Kramer M, Narayan K . Incidence of childhood obesity in the United States. N Engl J Med. 2014; 370(5):403-11. PMC: 4017620. DOI: 10.1056/NEJMoa1309753. View

10.

Couch S, Glanz K, Zhou C, Sallis J, Saelens B . Home food environment in relation to children's diet quality and weight status. J Acad Nutr Diet. 2014; 114(10):1569-1579.e1. PMC: 4177359. DOI: 10.1016/j.jand.2014.05.015. View

11.

Carlson S, Fulton J, Lee S, Foley J, Heitzler C, Huhman M . Influence of limit-setting and participation in physical activity on youth screen time. Pediatrics. 2010; 126(1):e89-96. DOI: 10.1542/peds.2009-3374. View

12.

Cole T, Faith M, Pietrobelli A, Heo M . What is the best measure of adiposity change in growing children: BMI, BMI %, BMI z-score or BMI centile?. Eur J Clin Nutr. 2005; 59(3):419-25. DOI: 10.1038/sj.ejcn.1602090. View

13.

Rodgers R, Paxton S, Massey R, Campbell K, Wertheim E, Skouteris H . Maternal feeding practices predict weight gain and obesogenic eating behaviors in young children: a prospective study. Int J Behav Nutr Phys Act. 2013; 10:24. PMC: 3582584. DOI: 10.1186/1479-5868-10-24. View

14.

Harvey-Berino J, Rourke J . Obesity prevention in preschool native-american children: a pilot study using home visiting. Obes Res. 2003; 11(5):606-11. DOI: 10.1038/oby.2003.87. View

15.

Taveras E, Rifas-Shiman S, Oken E, Gunderson E, Gillman M . Short sleep duration in infancy and risk of childhood overweight. Arch Pediatr Adolesc Med. 2008; 162(4):305-11. PMC: 2650815. DOI: 10.1001/archpedi.162.4.305. View

16.

Ward D, Vaughn A, Bangdiwala K, Campbell M, Jones D, Panter A . Integrating a family-focused approach into child obesity prevention: rationale and design for the My Parenting SOS study randomized control trial. BMC Public Health. 2011; 11:431. PMC: 3123597. DOI: 10.1186/1471-2458-11-431. View

17.

Breitenstein S, Gross D, Fogg L, Ridge A, Garvey C, Julion W . The Chicago Parent Program: comparing 1-year outcomes for African American and Latino parents of young children. Res Nurs Health. 2012; 35(5):475-89. PMC: 3442153. DOI: 10.1002/nur.21489. View

18.

Gupta R, Shuman S, Taveras E, Kulldorff M, Finkelstein J . Opportunities for health promotion education in child care. Pediatrics. 2005; 116(4):e499-505. DOI: 10.1542/peds.2005-0467. View

19.

McCabe K, Clark R, Barnett D . Family protective factors among urban African American youth. J Clin Child Psychol. 1999; 28(2):137-50. DOI: 10.1207/s15374424jccp2802_2. View

20.

Sorensen G, Emmons K, Hunt M, Barbeau E, Goldman R, Peterson K . Model for incorporating social context in health behavior interventions: applications for cancer prevention for working-class, multiethnic populations. Prev Med. 2003; 37(3):188-97. DOI: 10.1016/s0091-7435(03)00111-7. View