Anna H Grummon1,2, Michael D Cabana3,4,5, Amelie A Hecht6, Abbey Alkon7, Charles E McCulloch5, Claire D Brindis3,4,8, Anisha I Patel9. 1. Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. 2. Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. 3. Department of Pediatrics, University of California San Francisco, San Francisco, CA, USA. 4. Philip R. Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, CA, USA. 5. Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA. 6. Department of Health Policy and Management, Johns Hopkins University, Baltimore, MD, USA. 7. School of Nursing, Department of Family Health Care Nursing, University of California San Francisco, San Francisco, CA, USA. 8. Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Francisco, San Francisco, CA, USA. 9. Department of Pediatrics, Stanford University, 1265 Welch Road MSOB X240, Mailcode 5459, Stanford, CA 94305, USA.
Abstract
OBJECTIVE: To evaluate whether a multipronged pilot intervention promoting healthier beverage consumption improved at-home beverage consumption and weight status among young children. DESIGN: In this exploratory pilot study, we randomly assigned four childcare centres to a control (delayed-intervention) condition or a 12-week intervention that promoted consumption of healthier beverages (water, unsweetened low- or non-fat milk) and discouraged consumption of less-healthy beverages (juice, sugar-sweetened beverages, high-fat or sweetened milk). The multipronged intervention was delivered via childcare centres; simultaneously targeted children, parents and childcare staff; and included environmental changes, policies and education. Outcomes were measured at baseline and immediately post-intervention and included children's (n 154) at-home beverage consumption (assessed via parental report) and overweight/obese status (assessed via objectively measured height and weight). We estimated intervention impact using difference-in-differences models controlling for children's demographics and classroom. SETTING:Two northern California cities, USA, 2013-2014. PARTICIPANTS: Children aged 2-5 years and their parents. RESULTS: Relative to control group children, intervention group children reduced their consumption of less-healthy beverages from baseline to follow-up by 5·9 ounces/d (95 % CI -11·2, -0·6) (-174·5 ml/d; 95 % CI -331·2, -17·7) and increased their consumption of healthier beverages by 3·5 ounces/d (95 % CI -2·6, 9·5) (103·5 ml/d; 95 % CI -76·9, 280·9). Children's likelihood of being overweight decreased by 3 percentage points (pp) in the intervention group and increased by 3 pp in the control group (difference-in-differences: -6 pp; 95 % CI -15, 3). CONCLUSIONS: Our exploratory pilot study suggests that interventions focused comprehensively on encouraging healthier beverage consumption could improve children's beverage intake and weight. Findings should be confirmed in longer, larger studies.
RCT Entities:
<span class="abstract_title">OBJECTIVE: To evaluate whether a multipronged pilot intervention promoting healthier beverage consumption improved at-home beverage consumption and weight status among young children. DESIGN: In this exploratory pilot study, we randomly assigned four childcare centres to a control (delayed-intervention) condition or a 12-week intervention that promoted consumption of healthier beverages (water, unsweetened low- or non-fat milk) and discouraged consumption of less-healthy beverages (juice, sugar-sweetened beverages, high-fat or sweetened milk). The multipronged intervention was delivered via childcare centres; simultaneously targeted children, parents and childcare staff; and included environmental changes, policies and education. Outcomes were measured at baseline and immediately post-intervention and included children's (n 154) at-home beverage consumption (assessed via parental report) and overweight/obese status (assessed via objectively measured height and weight). We estimated intervention impact using difference-in-differences models controlling for children's demographics and classroom. SETTING: Two northern California cities, USA, 2013-2014. PARTICIPANTS: Children aged 2-5 years and their parents. RESULTS: Relative to control group children, intervention group children reduced their consumption of less-healthy beverages from baseline to follow-up by 5·9 ounces/d (95 % CI -11·2, -0·6) (-174·5 ml/d; 95 % CI -331·2, -17·7) and increased their consumption of healthier beverages by 3·5 ounces/d (95 % CI -2·6, 9·5) (103·5 ml/d; 95 % CI -76·9, 280·9). Children's likelihood of being overweight decreased by 3 percentage points (pp) in the intervention group and increased by 3 pp in the control group (difference-in-differences: -6 pp; 95 % CI -15, 3). CONCLUSIONS: Our exploratory pilot study suggests that interventions focused comprehensively on encouraging healthier beverage consumption could improve children's beverage intake and weight. Findings should be confirmed in longer, larger studies.
Entities:
Keywords:
Beverage consumption; Child care; Early childhood; Obesity prevention intervention; Overweight/obesity; Sugar-sweetened beverages; Water
Authors: Brian Elbel; Tod Mijanovich; Courtney Abrams; Jonathan Cantor; Lillian Dunn; Cathy Nonas; Kristin Cappola; Stephen Onufrak; Sohyun Park Journal: Am J Public Health Date: 2015-02 Impact factor: 9.308
Authors: Brandon J Auerbach; Fred M Wolf; Abigail Hikida; Petra Vallila-Buchman; Alyson Littman; Douglas Thompson; Diana Louden; Daniel R Taber; James Krieger Journal: Pediatrics Date: 2017-03-23 Impact factor: 7.124
Authors: Natalie A Masento; Mark Golightly; David T Field; Laurie T Butler; Carien M van Reekum Journal: Br J Nutr Date: 2014-01-30 Impact factor: 3.718
Authors: Abbey Alkon; Angela A Crowley; Sara E Benjamin Neelon; Sherika Hill; Yi Pan; Viet Nguyen; Roberta Rose; Eric Savage; Nina Forestieri; Linda Shipman; Jonathan B Kotch Journal: BMC Public Health Date: 2014-03-01 Impact factor: 3.295
Authors: Gala D Moreno; Laura A Schmidt; Lorrene D Ritchie; Charles E McCulloch; Michael D Cabana; Claire D Brindis; Lawrence W Green; Emily A Altman; Anisha I Patel Journal: Contemp Clin Trials Date: 2020-12-25 Impact factor: 2.226
Authors: Andrea Ramirez; Alison Tovar; Gretel Garcia; Tanya Nieri; Stephanie Hernandez; Myrna Sastre; Ann M Cheney Journal: Int J Environ Res Public Health Date: 2022-04-18 Impact factor: 4.614
Authors: Christopher E Anderson; Catherine E Martinez; Keelia O'Malley; Lorrene D Ritchie; Shannon E Whaley Journal: Nutrients Date: 2022-02-28 Impact factor: 5.717