Jess Haines1, Sheryl L Rifas-Shiman2, Deborah Gross3, Julia McDonald4, Ken Kleinman2, Matthew W Gillman2. 1. Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, Ontario, Canada. 2. Obesity Prevention Program, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts, USA. 3. School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA. 4. Division of Research, Kaiser Permanente Northern California, Oakland, California, USA.
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.
RCT Entities:
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.
Authors: Truls Østbye; Katrina M Krause; Marissa Stroo; Cheryl A Lovelady; Kelly R Evenson; Bercedis L Peterson; Lori A Bastian; Geeta K Swamy; Deborah G West; Rebecca J N Brouwer; Nancy L Zucker Journal: Prev Med Date: 2012-06-13 Impact factor: 4.018
Authors: Teresa Quattrin; James N Roemmich; Rocco Paluch; Jihnhee Yu; Leonard H Epstein; Michelle A Ecker Journal: Pediatrics Date: 2014-08 Impact factor: 7.124
Authors: Anthea M Magarey; Rebecca A Perry; Louise A Baur; Katharine S Steinbeck; Michael Sawyer; Andrew P Hills; Gizelle Wilson; Anthea Lee; Lynne A Daniels Journal: Pediatrics Date: 2011-01-24 Impact factor: 7.124
Authors: Lori A J Scott-Sheldon; Larry V Hedges; Chris Cyr; Deborah Young-Hyman; Laura Kettel Khan; Mackenzie Magnus; Heather King; Sonia Arteaga; John Cawley; Christina D Economos; Debra Haire-Joshu; Christine M Hunter; Bruce Y Lee; Shiriki K Kumanyika; Lorrene D Ritchie; Thomas N Robinson; Marlene B Schwartz Journal: Child Obes Date: 2020-09 Impact factor: 2.992
Authors: Cayetana Ruiz-Zaldibar; Inmaculada Serrano-Monzó; Olga Lopez-Dicastillo; María Jesús Pumar-Méndez; Andrea Iriarte; Elena Bermejo-Martins; Agurtzane Mujika Journal: Int J Environ Res Public Health Date: 2021-04-30 Impact factor: 3.390
Authors: Rebecca K Hodder; Kate M O'Brien; Fiona G Stacey; Flora Tzelepis; Rebecca J Wyse; Kate M Bartlem; Rachel Sutherland; Erica L James; Courtney Barnes; Luke Wolfenden Journal: Cochrane Database Syst Rev Date: 2019-11-07
Authors: Sara M St George; Yaray Agosto; Lourdes M Rojas; Mary Soares; Monica Bahamon; Guillermo Prado; Justin D Smith Journal: Obes Rev Date: 2019-12-06 Impact factor: 10.867
Authors: Tamara Brown; Theresa Hm Moore; Lee Hooper; Yang Gao; Amir Zayegh; Sharea Ijaz; Martha Elwenspoek; Sophie C Foxen; Lucia Magee; Claire O'Malley; Elizabeth Waters; Carolyn D Summerbell Journal: Cochrane Database Syst Rev Date: 2019-07-23
Authors: Rebecca K Hodder; Fiona G Stacey; Kate M O'Brien; Rebecca J Wyse; Tara Clinton-McHarg; Flora Tzelepis; Erica L James; Kate M Bartlem; Nicole K Nathan; Rachel Sutherland; Emma Robson; Sze Lin Yoong; Luke Wolfenden Journal: Cochrane Database Syst Rev Date: 2018-01-25
Authors: Rebecca K Hodder; Kate M O'Brien; Fiona G Stacey; Rebecca J Wyse; Tara Clinton-McHarg; Flora Tzelepis; Erica L James; Kate M Bartlem; Nicole K Nathan; Rachel Sutherland; Emma Robson; Sze Lin Yoong; Luke Wolfenden Journal: Cochrane Database Syst Rev Date: 2018-05-17