Ania M Jastreboff1, Tara M Chaplin2, Sheridan Finnie3, Mary Savoye4, Matthew Stults-Kolehmainen5, Wendy K Silverman6, Rajita Sinha7. 1. Department of Internal Medicine, Division of Endocrinology, Yale University School of Medicine, New Haven, CT; Department of Pediatrics, Division of Pediatric Endocrinology, Yale University School of Medicine, New Haven, CT. 2. Department of Psychology, George Mason University, Fairfax, VA. 3. Department of Epidemiology, Yale University School of Public Health, New Haven, CT. 4. Department of Pediatrics, Division of Pediatric Endocrinology, Yale University School of Medicine, New Haven, CT. 5. Yale New Haven Hospital, New Haven, CT. 6. Department of Psychiatry, Yale University School of Medicine, Yale Stress Center, New Haven, CT; Child Study Center, Yale University School of Medicine, New Haven, CT. 7. Department of Psychiatry, Yale University School of Medicine, Yale Stress Center, New Haven, CT; Child Study Center, Yale University School of Medicine, New Haven, CT. Electronic address: rajita.sinha@yale.edu.
Abstract
OBJECTIVE: To assess the feasibility of engaging stressed, low-income parents with obesity in a novel mindfulness-based parent stress intervention aimed at decreasing the risk of early childhood obesity. STUDY DESIGN: An 8-week mindfulness-based parent stress group intervention (parenting mindfully for health) plus nutrition and physical activity counseling (PMH+N) was developed for parents with obesity aimed at preventing obesity in their at-risk 2- to 5-year-old children. PMH+N was compared with a control group intervention (C+N), and improvement in parenting was assessed before and after the intervention using the laboratory-based toy wait task (TWT). In addition, nutrition, physical activity, and stress were assessed using a multimethod approach. RESULTS: After establishing feasibility in 20 parent-child dyads (phase 1), 42 dyads were randomized to PMH+N vs C+N (phase 2). Compared with the C+N group, the PMH+N group demonstrated significantly better group attendance (P < .015), greater improvement in parental involvement (P < .05), and decreased parental emotional eating rating (P < .011). Furthermore, C+N, but not PMH+N, was associated with significant increases in child body mass index percentile during treatment (P < .03) when accounting for the TWT before and after changes in parenting scores. CONCLUSIONS: These findings suggest that a mindfulness-based parent stress intervention to decrease childhood obesity risk is feasible, requires further testing of therapeutic mechanisms in larger samples, and may be a potential way to attenuate the risk of childhood obesity. TRIAL REGISTRATION: ClinicalTrials.govNCT01974102.
RCT Entities:
OBJECTIVE: To assess the feasibility of engaging stressed, low-income parents with obesity in a novel mindfulness-based parent stress intervention aimed at decreasing the risk of early childhood obesity. STUDY DESIGN: An 8-week mindfulness-based parent stress group intervention (parenting mindfully for health) plus nutrition and physical activity counseling (PMH+N) was developed for parents with obesity aimed at preventing obesity in their at-risk 2- to 5-year-old children. PMH+N was compared with a control group intervention (C+N), and improvement in parenting was assessed before and after the intervention using the laboratory-based toy wait task (TWT). In addition, nutrition, physical activity, and stress were assessed using a multimethod approach. RESULTS: After establishing feasibility in 20 parent-child dyads (phase 1), 42 dyads were randomized to PMH+N vs C+N (phase 2). Compared with the C+N group, the PMH+N group demonstrated significantly better group attendance (P < .015), greater improvement in parental involvement (P < .05), and decreased parental emotional eating rating (P < .011). Furthermore, C+N, but not PMH+N, was associated with significant increases in child body mass index percentile during treatment (P < .03) when accounting for the TWT before and after changes in parenting scores. CONCLUSIONS: These findings suggest that a mindfulness-based parent stress intervention to decrease childhood obesity risk is feasible, requires further testing of therapeutic mechanisms in larger samples, and may be a potential way to attenuate the risk of childhood obesity. TRIAL REGISTRATION: ClinicalTrials.govNCT01974102.
Authors: Tara M Chaplin; Rajita Sinha; Jessica A Simmons; Stephen M Healy; Linda C Mayes; Rebecca E Hommer; Michael J Crowley Journal: Addict Behav Date: 2012-01-13 Impact factor: 3.913
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: Mardia López-Alarcón; Jessie N Zurita-Cruz; Alonso Torres-Rodríguez; Karla Bedia-Mejía; Manuel Pérez-Güemez; Leonel Jaramillo-Villanueva; Mario E Rendón-Macías; Jose R Fernández; Patricia Martínez-Maroñas Journal: Endocr Connect Date: 2020-02 Impact factor: 3.335
Authors: Mary Quattlebaum; Colby Kipp; Dawn K Wilson; Allison Sweeney; Haylee Loncar; Asia Brown; Sydney Levine; Nicole Zarrett Journal: Nutrients Date: 2021-06-29 Impact factor: 5.717