Effects of the Healthy Start Randomized Intervention on Dietary Intake Among Obesity-prone Normal-weight Children

Overview

Journal Public Health Nutr

Publisher Cambridge University Press

Date 2017 Sep 8

PMID 28879820

Citations 13

Authors

Jeanett F Rohde

Sofus C Larsen

Lars Angquist

Nanna J Olsen

Maria Stougaard

Erik L Mortensen

Berit L Heitmann

Affiliations

Soon will be listed here.

Abstract

Objective: The study aimed to evaluate the impact of a 15-month intervention on dietary intake conducted among obesity-prone normal-weight pre-school children.

Design: Information on dietary intake was obtained using a 4 d diet record. A diet quality index was adapted to assess how well children's diet complied with the Danish national guidelines. Linear regression per protocol and intention-to-treat analyses of differences in intakes of energy, macronutrients, fruit, vegetables, fish, sugar-sweetened beverages and diet quality index between the two groups were conducted.

Setting: The Healthy Start study was conducted during 2009-2011, focusing on changing diet, physical activity, sleep and stress management to prevent excessive weight gain among Danish children.

Subjects: From a population of 635 Danish pre-school children, who had a high birth weight (≥4000 g), high maternal pre-pregnancy BMI (≥28·0 kg/m2) or low maternal educational level (<10 years of schooling), 285 children completed the intervention and had complete information on dietary intake.

Results: Children in the intervention group had a lower energy intake after the 15-month intervention (group means: 5·29 v. 5·59 MJ, P=0·02) compared with the control group. We observed lower intakes of carbohydrates and added sugar in the intervention group compared with the control group after the intervention (P=0·002, P=0·01).

Conclusions: The intervention resulted in a lower energy intake, particularly from carbohydrates and added sugar after 15 months of intervention, suggesting that dietary intake can be changed in a healthier direction in children predisposed to obesity.

Citing Articles

Family-Based Interventions for Pediatric Obesity: A Comprehensive Systematic Review and Meta-Analysis of Their Effectiveness.

Guerra Toro H, Jaramillo A, Caceres V Cureus. 2024; 16(8):e65919.

PMID: 39221382 PMC: 11364979. DOI: 10.7759/cureus.65919.

The Effectiveness of a Healthy Lifestyle in Obese Pediatric Patients: A Systematic Review and Meta-Analysis.

Zuniga Vinueza A, Jaramillo A Cureus. 2023; 15(11):e48525.

PMID: 38073975 PMC: 10708958. DOI: 10.7759/cureus.48525.

Adherence to UK dietary guidelines in school-aged children from the Avon Longitudinal Study of Parents and Children (ALSPAC) cohort.

Buckland G, Northstone K, Emmett P, Taylor C Br J Nutr. 2022; 130(3):454-466.

PMID: 36305030 PMC: 10331434. DOI: 10.1017/S0007114522003336.

Effects of the healthy start randomized intervention on psychological stress and sleep habits among obesity-susceptible healthy weight children and their parents.

Olsen N, Larsen S, Rohde J, Stougaard M, Handel M, Specht I PLoS One. 2022; 17(3):e0264514.

PMID: 35271601 PMC: 8912262. DOI: 10.1371/journal.pone.0264514.

Three-Year Intervention Effects on Food and Beverage Intake-Results from the Quasi-Experimental Copenhagen School Child Intervention Study (CoSCIS).

Ren X, Jensen B, Larsen S, Rohde J, Specht I, Nielsen B Int J Environ Res Public Health. 2021; 18(19).

PMID: 34639843 PMC: 8507748. DOI: 10.3390/ijerph181910543.

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