Lauren A Fowler1, Mark D Litt2, Sophia A Rotman3, Rachel P Kolko Conlon4, Jessica Jakubiak5, Richard I Stein6, Katherine N Balantekin7, R Robinson Welch5, Michael G Perri8, Leonard H Epstein9, Denise E Wilfley5. 1. Department of Psychiatry, Washington University School of Medicine, 660 S. Euclid Ave, St. Louis, MO, 63110, USA. lauren.fowler@wustl.edu. 2. Division of Behavioral Sciences and Community Health, University of Connecticut Health Center, Storrs, CT, 263 Farmington Ave., MC 3910, Farmington, CT, 06030, USA. 3. Roy J. and Lucille A. Carver College of Medicine, University of Iowa, 451 Newton Rd, Iowa City, IA, 52242, USA. 4. Department of Psychiatry, University of Pittsburgh, 3811 O'Hara St, Pittsburgh, PA, 15213, USA. 5. Department of Psychiatry, Washington University School of Medicine, 660 S. Euclid Ave, St. Louis, MO, 63110, USA. 6. Department of Internal Medicine, Washington University School of Medicine, Campus Box 8031, 660 S. Euclid Ave, St. Louis, MO, 63110, USA. 7. Department of Exercise and Nutrition Sciences, University at Buffalo, 204A Kimball Tower, Buffalo, NY, 14214, USA. 8. Department of Clinical and Health Psychology, University of Florida, P.O. Box 100185, Gainesville, FL, 32610, USA. 9. Department of Pediatrics, University at Buffalo, 3435 Main St, Buffalo, NY, 14214, USA.
Abstract
PURPOSE: Little is known about the influence of social network support on child health behaviors in the context of weight-loss interventions. This study examined the associations between a child's co-participation (i.e., network support) in weight-related health behaviors (i.e., physical and sedentary activity, eating behavior) and the child's own health behaviors during family-based behavioral treatment (FBT). METHODS: Children (n = 241) with overweight/obesity (mean age = 9.4 ± 1.3y; 63% female) completed semi-structured interviews assessing network support for healthy/unhealthy eating and physical/sedentary activity, and a 3-day dietary recall. Physical activity was assessed with accelerometry, and sedentary activity was measured via parent-reported child screen time use. All assessments were taken at baseline and after 4 months of FBT. Hierarchical linear regressions examined changes in network support as they related to changes in health behaviors from baseline to the end of FBT. RESULTS: Changes in network support for healthy eating were related to changes in vegetable, but not fruit, intake across FBT, while changes in network support for unhealthy eating were negatively related to changes in diet quality. Changes in network support for sedentary activity were negatively related to changes in minutes of physical activity and positively related to changes in screen time. CONCLUSION: The present findings suggest that a child's network support for health behaviors may relate to behavior change among children during FBT and provide opportunities for targeted intervention. LEVEL OF EVIDENCE: III. cohort study.
PURPOSE: Little is known about the influence of social network support on child health behaviors in the context of weight-loss interventions. This study examined the associations between a child's co-participation (i.e., network support) in weight-related health behaviors (i.e., physical and sedentary activity, eating behavior) and the child's own health behaviors during family-based behavioral treatment (FBT). METHODS: Children (n = 241) with overweight/obesity (mean age = 9.4 ± 1.3y; 63% female) completed semi-structured interviews assessing network support for healthy/unhealthy eating and physical/sedentary activity, and a 3-day dietary recall. Physical activity was assessed with accelerometry, and sedentary activity was measured via parent-reported child screen time use. All assessments were taken at baseline and after 4 months of FBT. Hierarchical linear regressions examined changes in network support as they related to changes in health behaviors from baseline to the end of FBT. RESULTS: Changes in network support for healthy eating were related to changes in vegetable, but not fruit, intake across FBT, while changes in network support for unhealthy eating were negatively related to changes in diet quality. Changes in network support for sedentary activity were negatively related to changes in minutes of physical activity and positively related to changes in screen time. CONCLUSION: The present findings suggest that a child's network support for health behaviors may relate to behavior change among children during FBT and provide opportunities for targeted intervention. LEVEL OF EVIDENCE: III. cohort study.
Authors: R J Kuczmarski; C L Ogden; L M Grummer-Strawn; K M Flegal; S S Guo; R Wei; Z Mei; L R Curtin; A F Roche; C L Johnson Journal: Adv Data Date: 2000-06-08
Authors: Andrea B Goldschmidt; John R Best; Richard I Stein; Brian E Saelens; Leonard H Epstein; Denise E Wilfley Journal: J Consult Clin Psychol Date: 2014-06-16