Ruby A Natale1, Sarah E Messiah2,3, Lila S Asfour3, Susan B Uhlhorn1, Nicole E Englebert1, Kristopher L Arheart2,3. 1. 1 Division of Clinical Psychology, Department of Pediatrics, University of Miami Miller School of Medicine, Miami, FL, USA. 2. 2 Department of Pediatrics, Mailman Center for Child Development, University of Miami Miller School of Medicine, Miami, FL, USA. 3. 3 Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.
Abstract
PURPOSE: To assess the impact of an early childhood obesity prevention intervention "Healthy Caregivers-Healthy Children" (HC2) on dietary patterns and body mass index percentile (PBMI) over 2 school years. DESIGN: Randomized controlled trial. SETTING:Childcare centers. PARTICIPANTS: Low-income families. INTERVENTION: Intervention centers (N = 12) received HC2 which consisted of (1) menu modifications, (2) a healthy eating and physical activity curriculum for children, and (3) a parent curriculum for healthy meal preparation, reinforced through a role-modeling curriculum. Control centers (N = 16) received an injury prevention/safety intervention. MEASURES: Child PBMI and parent report of child's consumption of fruits/vegetables and unhealthy food. ANALYSIS: Confirmatory factor analysis verified the psychometric properties of factor scores for children's consumption of fruits/vegetables and unhealthy food. Growth curve analysis assessed the impact of HC2 on change in consumption of fruits/vegetables and unhealthy food and PBMI over 2 school years. RESULTS: Children in the intervention group (n = 754) had a negative slope (β = -1.95, standard error [SE] = 0.97, P = .04), indicating less increase in PBMI versus control children (n = 457). Stratified analyses showed that obese children in the intervention arm had a significantly higher increase in fruit/vegetable consumption versus control group obese children (β = 0.24, SE = 0.08, P = .003). CONCLUSION: The HC2 intervention resulted in the maintenance of healthy PBMI over 2 preschool years among low-income multiethnic children. These findings support efforts to implement healthy weight programs in the childcare setting.
RCT Entities:
PURPOSE: To assess the impact of an early childhood obesity prevention intervention "Healthy Caregivers-Healthy Children" (HC2) on dietary patterns and body mass index percentile (PBMI) over 2 school years. DESIGN: Randomized controlled trial. SETTING: Childcare centers. PARTICIPANTS: Low-income families. INTERVENTION: Intervention centers (N = 12) received HC2 which consisted of (1) menu modifications, (2) a healthy eating and physical activity curriculum for children, and (3) a parent curriculum for healthy meal preparation, reinforced through a role-modeling curriculum. Control centers (N = 16) received an injury prevention/safety intervention. MEASURES: Child PBMI and parent report of child's consumption of fruits/vegetables and unhealthy food. ANALYSIS: Confirmatory factor analysis verified the psychometric properties of factor scores for children's consumption of fruits/vegetables and unhealthy food. Growth curve analysis assessed the impact of HC2 on change in consumption of fruits/vegetables and unhealthy food and PBMI over 2 school years. RESULTS:Children in the intervention group (n = 754) had a negative slope (β = -1.95, standard error [SE] = 0.97, P = .04), indicating less increase in PBMI versus control children (n = 457). Stratified analyses showed that obesechildren in the intervention arm had a significantly higher increase in fruit/vegetable consumption versus control group obesechildren (β = 0.24, SE = 0.08, P = .003). CONCLUSION: The HC2 intervention resulted in the maintenance of healthy PBMI over 2 preschool years among low-income multiethnic children. These findings support efforts to implement healthy weight programs in the childcare setting.
Entities:
Keywords:
body mass index; nutrition; obesity; overweight; prevention; young children
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