Cathleen Odar Stough1, Mary Beth McCullough2, Shannon L Robson3, Christopher Bolling4, Stephanie Spear Filigno5,6, Jessica C Kichler5,6, Cynthia Zion5, Lisa M Clifford7, Stacey L Simon8, Richard F Ittenbach6,9, Lori J Stark5,6. 1. Department of Psychology, University of Cincinnati. 2. Department of Psychiatry and Human Behavior, Hasbro Children's Hospital/Alpert Medical School of Brown University. 3. Department of Behavioral Health and Nutrition, University of Delaware. 4. Pediatric Associates, PSC, Crestview Hills, Kentucky, USA. 5. Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center. 6. Department of Pediatrics, University of Cincinnati College of Medicine. 7. Department of Clinical and Health Psychology, University of Florida. 8. Department of Pediatrics, Division of Pulmonary Medicine, Children's Hospital Colorado. 9. Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center.
Abstract
Objective: National health organizations and expert committees have issued recommendations for health behaviors related to obesity risk. Behavioral and family-based weight management interventions for preschoolers often target improving adherence to these recommendations, but it is unknown how the health behaviors of preschoolers with obesity enrolled in weight control treatments (WCTs) compare with these guidelines. In this study, the dietary intake, activity, and sleep behaviors of preschoolers with obesity enrolled in a family-based behavioral WCT are described and compared with national health behavior recommendations. Methods: Health behaviors of 151 preschoolers with obesity (M age = 4.60, SD = 0.93) enrolled in a clinical trial of a weight management program were measured at baseline through caregiver-report questionnaires, three 24-hr dietary recalls, and accelerometers. Results: In total, 70% of the sample exceeded daily caloric recommendations, only 10 and 5% met recommendations for fruit and vegetable intake, respectively, and only 30% met the recommendation of consuming no sugar-sweetened beverages. The majority of the sample met the daily recommendations for 60 min of moderate-to-vigorous activity (80%), < 2 hr of screen time (68%), and sleep duration (70%). Conclusions: Behavioral weight management interventions for preschoolers with obesity should target the health behaviors where children are not meeting recommendations.
Objective: National health organizations and expert committees have issued recommendations for health behaviors related to obesity risk. Behavioral and family-based weight management interventions for preschoolers often target improving adherence to these recommendations, but it is unknown how the health behaviors of preschoolers with obesity enrolled in weight control treatments (WCTs) compare with these guidelines. In this study, the dietary intake, activity, and sleep behaviors of preschoolers with obesity enrolled in a family-based behavioral WCT are described and compared with national health behavior recommendations. Methods: Health behaviors of 151 preschoolers with obesity (M age = 4.60, SD = 0.93) enrolled in a clinical trial of a weight management program were measured at baseline through caregiver-report questionnaires, three 24-hr dietary recalls, and accelerometers. Results: In total, 70% of the sample exceeded daily caloric recommendations, only 10 and 5% met recommendations for fruit and vegetable intake, respectively, and only 30% met the recommendation of consuming no sugar-sweetened beverages. The majority of the sample met the daily recommendations for 60 min of moderate-to-vigorous activity (80%), < 2 hr of screen time (68%), and sleep duration (70%). Conclusions: Behavioral weight management interventions for preschoolers with obesity should target the health behaviors where children are not meeting recommendations.
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